— 照護管理 · MEDIUM · MCQ —
病人預計接受手術，護理師發現病人尚未簽署同意書。病人表示：「我還有幾個問題想問。」護理師應採取的最優先行動為何？
A client is scheduled for a procedure, and the nurse realizes they have not signed the consent form. The client says, 'I still have a few questions.' What is the nurse's priority action?
- AEncourage the patient to sign the form first to avoid delays鼓勵病人先簽署表格以避免延誤
- BExplain the risks of the surgery to the patient向病人解釋手術風險
- CTell the patient they can ask the doctor after the surgery告訴病人可在手術後再詢問醫師
- DCall the surgeon to speak with the patient✓ 正解呼叫外科醫師與病人溝通
— Explanation · 中文詳解 —
知情同意（Informed Consent）必須由醫師親自說明醫療風險、益處及替代方案。若病人仍有疑慮，護理師的職責是作為溝通的橋樑，立即聯繫醫師回來向病人解釋，而非代替醫師進行醫療說明，更不能誘導病人簽署同意書。這保護了病人的自主權與法律權益，也避免護理師陷入執業範圍（Scope of Practice）的爭議。
Informed consent requires the physician to explain medical risks, benefits, and alternatives; nurses cannot legally provide this specific information or induce signing if the patient has unresolved questions. The nurse's priority action is to contact the surgeon immediately to address the client's concerns, thereby protecting the client's autonomy and legal rights.