— 照護管理 · MEDIUM · MCQ —
若護理師強迫病人服藥,違反了哪項倫理原則?
Which ethical principle is violated when a nurse forces a client to take medication against their will?
- AJustice正義
- BBeneficence行善
- CAutonomy✓ 正解自主
- DVeracity真實
— Explanation · 中文詳解 —
護理倫理的核心在於尊重病人的權利。自主權(Autonomy)是指病人有權決定自己的身體與醫療處置。除非病人失去決策能力(如精神錯亂或意識不清),否則醫療團隊不得在未經同意的情況下施加治療。強迫服藥直接侵犯了病人的身體自主權,屬於非法且違背倫理的強制行為。在臨床決策中,護理師應評估病人拒絕的原因,並透過溝通教育來協助病人做出知情選擇,而非使用強制手段。
Forcing a client to take medication against their will violates the ethical principle of autonomy, which recognizes the client's right to make decisions about their own body and treatment. Unless the client lacks decision-making capacity, healthcare providers must respect these choices and avoid coercive measures.
✦ 台美臨床差異
在美國,強制治療需嚴格遵循法律程序(如法院裁定或緊急精神評估),護理師若無法律授權擅自強制治療將面臨嚴重的法律訴訟(Battery/Assault)。