— 照護管理 · HARD · MCQ —
一位末期病人要求簽署「不施行心肺復甦術」（DNR）。護理師優先採取的行動為何？
A nurse is caring for a client with terminal illness who requests 'Do Not Resuscitate' (DNR) status. What is the nurse's priority action?
- ANotify the physician to discuss and document the order✓ 正解通知醫師以討論並記錄醫囑
- BDocument the client's request in the nursing progress notes在護理進度記錄中記載病人的請求
- CExplain the implications of a DNR order to the family向家屬解釋DNR醫囑的影響
- DAsk the client to sign a waiver immediately請病人立即簽署免責聲明
— Explanation · 中文詳解 —
DNR 是醫療命令（Medical Order），必須由醫師開立且有明確的書面依據。護理師的角色是確認病人的自主意願，並立即通知醫師進行評估與執行法律程序。醫師需確認病人具備決策能力或有代理人同意後，方可完成法律效力。
A Do Not Resuscitate (DNR) order is a medical directive that requires a physician's signature to be legally valid. The nurse's priority is to notify the physician so the client's wishes can be discussed, assessed for decision-making capacity, and formally documented. Nursing notes alone do not constitute a valid DNR order.
✦ 台美臨床差異
台灣有《安寧緩和醫療條例》，簽署 DNR 需符合法定程序與見證人，護理師在確認簽署過程的角色極為關鍵。