— 照護管理 · MEDIUM · MCQ —
下列哪項行動體現了護理師對於病人保密權（Confidentiality）的責任？
Which of the following actions demonstrates a nurse's responsibility regarding patient confidentiality?
- ALogging off the computer after entering notes✓ 正解輸入病歷後登出電腦
- BLeaving the patient's chart on the bedside table將病歷留在床頭櫃上
- CDiscussing a patient's case with colleagues in the cafeteria在餐廳與同事討論病人案例
- DSharing the patient's record with a worried friend與擔心的朋友分享病人病歷
— Explanation · 中文詳解 —
維護病人隱私是專業倫理的重要義務。登出電子紀錄系統（Logging off）可防止未經授權者存取病歷，這是基本的資訊安全作為。反觀在公眾場所討論案例、將病歷留置於公共空間或隨意告知非家屬者，皆是嚴重的隱私洩露行為。
Logging off the computer after entering notes secures electronic health records and prevents unauthorized access, upholding patient confidentiality. Leaving charts unattended, discussing cases in public areas like cafeterias, or sharing information with friends violates privacy standards. Protecting client data is a fundamental ethical obligation in nursing practice.
✦ 台美臨床差異
美國對於資訊保護規範極度嚴格（HIPAA）；台灣在電子病歷系統中亦有完整的權限管理與稽核機制。