— 基本照護與舒適 · EASY · MCQ —
一位病人即將進行診斷性檢查,誰負責取得知情同意書?
A client is scheduled for a diagnostic procedure. Who is responsible for obtaining informed consent?
- AThe unit secretary病房秘書
- BThe nursing supervisor護理督導
- CThe physician performing the procedure✓ 正解執行該程序的醫師
- DThe nurse caring for the client負責照顧病人的護理師
— Explanation · 中文詳解 —
知情同意書(Informed consent)的法律責任在於執行該項醫療行為的醫師。醫師有義務向病人解釋檢查目的、風險、副作用及替代方案。護理師的角色在於確認病人是否理解(若病人有疑慮應聯絡醫師)、協助簽署文件,並擔任見證人(Witnessing the signature)。護理師不應代為解釋醫療專業內容,以避免承擔法律責任。
The healthcare provider performing the procedure is legally responsible for obtaining informed consent by explaining the risks, benefits, and alternatives. The nurse's role is to witness the signature and ensure the client is competent and voluntary, but not to provide the medical explanation.
✦ 台美臨床差異
在美國臨床實務中,醫師對知情同意(Informed Consent)的法律責任界定極嚴。台灣部分情境下護理師有時會被要求協助解釋,但在美國執照考試中,必須堅持「醫師說明、護理師見證」的原則,否則視為跨越護理執業範疇。