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降低風險 · HARD · MCQ

病人預計進行手術,護理師發現知情同意書尚未簽署。護理師的主要角色為何?

A client is scheduled for a surgical procedure. The nurse discovers the informed consent form is not signed. What is the nurse's primary role?

  • ANotify the physician to come and explain the procedure✓ 正解
    通知醫師前來解釋手術程序
  • BExplain the risks and benefits of the surgery to the client
    向病人說明手術的風險與益處
  • CAdvise the client to postpone the surgery
    建議病人延後手術
  • DObtain the client's signature on the form
    取得病人在表格上的簽名
Explanation · 中文詳解

知情同意書須由執行手術的醫師解釋程序、風險與替代方案,護理師的職責是「見證(witness)」簽署過程,而非解釋醫療細節。若病人對手術內容仍有疑問,護理師應通知醫師前來解釋,而非由護理師代為說明或強迫病人簽名。

The physician is legally responsible for explaining the procedure, risks, and alternatives to obtain informed consent. The nurse's role is to witness the signature and ensure the client is competent to sign, so the nurse should notify the physician if the consent form is unsigned.

✦ 台美臨床差異

台灣醫院常有護理師協助遞交同意書之情況,但法律與醫療倫理上,醫師的解釋義務在台美兩地均相同。

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