— 照護管理 · MEDIUM · MCQ —
護理長觀察新進護理師進行交班報告。下列哪項行為顯示需要介入指導？
A charge nurse is observing a newly hired nurse perform handoff report. Which behavior by the new nurse indicates a need for intervention?
- ADiscussing the client's upcoming diagnostic procedures討論病人即將進行的診斷程序
- BMentioning the client's personal disagreement with their roommate in front of visitors✓ 正解在訪客面前提及病人與室友的個人爭議
- CIncluding the client's current medication administration record包含病人目前之用藥紀錄
- DUsing the SBAR format to provide a concise update使用 SBAR 格式提供簡明更新
— Explanation · 中文詳解 —
護理交班必須遵守隱私原則（HIPAA）。在訪客面前討論病人的個人隱私或情緒糾紛，違反了病人的權利與隱私保護。交班應在隱蔽處或不讓無關人員聽到的地方進行。選項 C、A、D 均為交班正確內容（醫囑與檢查進度）及規範溝通格式（SBAR），屬於專業表現。
Discussing a client's personal conflicts or private information in front of visitors violates HIPAA privacy regulations and professional ethical standards. Handoff reports must be conducted in a private setting to protect client confidentiality, whereas topics like diagnostic status, medications, and using SBAR format are appropriate components of professional communication.
✦ 台美臨床差異
美國對 HIPAA 隱私規範極為嚴謹；台灣交班雖亦重視隱私，但病房空間狹窄，常需護理人員更警覺防範旁人側耳傾聽。