— 照護管理 · HARD · MCQ —
下列何者展現了護理實務中的倫理衝突？
Which of the following demonstrates an ethical conflict in nursing practice?
- AA nurse refusing to administer a medication due to a dosage error因劑量錯誤拒絕給藥的護理師
- BA nurse documenting an incident report after a fall跌倒後記錄事故報告的護理師
- CThe nurse advocating for a client's right to refuse treatment倡導客戶拒絕治療權利的護理師
- DA family member requesting that the client not be informed of a terminal diagnosis✓ 正解家屬要求不告知客戶末期診斷
— Explanation · 中文詳解 —
這涉及「真實原則」（Veracity）與「自主權」（Autonomy）相衝突。家屬要求隱瞞病情與病人知的權利（自主權）產生矛盾。護理師需在尊重家屬意願與履行對病人的誠實義務之間尋求平衡，這屬於典型的倫理衝突。
This scenario presents an ethical conflict between the family's request and the client's right to autonomy and truth-telling. The nurse must balance respecting family wishes with the ethical obligation of veracity, which supports the client's right to know their medical diagnosis.
✦ 台美臨床差異
美國非常強調預立醫療計畫與病人的知情權；台灣受傳統文化影響，家屬隱瞞病情的情況相對常見，倫理衝突更為顯著。