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護理師與護生討論倫理原則。下列哪些情境體現了「行善原則」(Beneficence)?(選所有適合的)

A nurse is discussing ethical principles with a nursing student. Which scenarios illustrate the principle of beneficence? (Select all that apply.)

  • AAdministering pain medication as ordered to alleviate suffering✓ 正解
    依醫囑給予止痛藥以減輕痛苦
  • BEnsuring a client fully understands the risks of a surgery before signing consent
    確保病患在簽署同意書前完全了解手術風險
  • CEncouraging a client to participate in physical therapy to regain mobility✓ 正解
    鼓勵病患參與物理治療以恢復活動能力
  • DProviding emotional support to a family member during a crisis✓ 正解
    在危機期間為家屬提供情感支持
  • EWithholding information about a terminal diagnosis to prevent the patient from being upset
    為避免患者情緒困擾而隱瞞末期診斷的資訊
Explanation · 中文詳解

行善原則(Beneficence)意指為了病人的利益採取行動,以促進福祉。A(止痛)、C(鼓勵復健)、D(支持)皆直接增進病人身心益處。B 是自主原則(Autonomy)。E 是家長主義(Paternalism),通常不符合現今倫理規範,剝奪病人知情權。

The principle of beneficence involves acting to promote the client's well-being, such as administering pain medication to alleviate suffering, encouraging physical therapy to regain mobility, and providing emotional support during a crisis. In contrast, ensuring understanding of surgical risks relates to autonomy, while withholding information regarding a terminal diagnosis interferes with autonomy and is generally considered paternalistic rather than beneficial.

✦ 台美臨床差異

台灣醫院中,家屬常介入要求對病人隱瞞病情,護理師需在倫理衝突中折衝。

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