— 照護管理 · MEDIUM · SATA —
護理師照顧一名持有「不施行心肺復甦術 (DNR)」醫囑的病人，其家屬希望討論臨終照護。護理師應採取哪些行動？（選所有適合的）
A nurse is caring for a client who has a DNR order. The client's family wants to discuss end-of-life care. Which actions should the nurse take? (Select all that apply.)
- AListen actively to the family's concerns and feelings✓ 正解積極聆聽家屬的擔憂和感受
- BAssure the family that the client will receive comfort care✓ 正解向家屬保證個案將接受舒適護理
- CAdvise the family to change the DNR order if they feel uncertain如果家屬感到不確定，建議他們更改 DNR 醫囑
- DFacilitate a meeting with the interdisciplinary team and the family✓ 正解促進跨專業團隊與家屬舉行會議
- EProvide clear information about palliative care options✓ 正解提供關於安寧療護選項的明確資訊
— Explanation · 中文詳解 —
處理臨終照護需體現治療性溝通。護理師應傾聽家屬（A）、保證舒適護理（B）、協調多職系團隊（D）並解釋安寧照護資源（E）。C 為錯誤選項，護理師應尊重病人的自主權與已簽署的醫療決策，不應強行勸說更改，除非家屬主動提出疑慮時才給予諮詢。
Therapeutic communication is essential when discussing end-of-life care, requiring the nurse to listen actively to family concerns and assure them of comfort care priorities. The nurse should facilitate interdisciplinary meetings and provide clear information on palliative options while respecting the client’s existing DNR directive.
✦ 台美臨床差異
美國護理師常擔任家屬與醫療團隊間的主要溝通橋樑；台灣則多由醫師主導臨終討論，護理師參與程度隨醫院文化而異。