— 照護管理 · MEDIUM · MCQ —
病人預計進行手術，但拒絕簽署同意書。護理師應採取何種行動？
A client is scheduled for a procedure but refuses to sign the consent form. Which action should the nurse take?
- AAsk the family to persuade the client to sign請家屬說服病人簽署
- BExplain the risks of the surgery to the client向病人解釋手術風險
- CContact the physician to provide further explanation✓ 正解聯絡醫師提供進一步說明
- DInform the client that the surgery is mandatory告知病人手術是強制性的
— Explanation · 中文詳解 —
同意書簽署必須奠基於「知情同意」（Informed Consent）。若病人拒簽，顯示對手術內容或風險認知不足。護理師角色為協調者與見證者，而非解釋者，應請醫師回病房再次解釋，以確保病人知情並受尊重。
The nurse should contact the physician because informed consent requires the provider to explain the procedure, risks, and benefits. Since the client refused to sign, they likely lack sufficient understanding, and it is the physician's legal responsibility to clarify these details before the client can make an informed decision.
✦ 台美臨床差異
台美對知情同意觀念一致，但台灣臨床常出現家屬代替簽署的習俗，美國則非常嚴格執行自主權。