— 照護管理 · HARD · MCQ —
一位護理師照顧一位對於末期護理有倫理兩難的病人，護理師的主要角色為何？
A nurse is caring for a client with a suspected ethical dilemma regarding end-of-life care. What is the nurse's primary role in this situation?
- AProvide the client with information about assisted suicide.向病人提供關於協助自殺的資訊
- BRefer the client to legal services immediately.立即將病人轉介至法律服務
- CAct as an advocate to ensure the client's preferences are honored.✓ 正解扮演倡議者角色，確保尊重病人的偏好
- DAdvise the client to follow the family's wishes.建議病人順從家屬的意願
— Explanation · 中文詳解 —
護理師在倫理議題中的核心角色是病人代言人（Advocate）。護理師應確保病人的自主權得到保護，提供正確資訊讓病人表達意願，而非將個人的意見或家屬的意願強加於病人身上。協助病人表達自身偏好是護理倫理中最關鍵的要素。
The nurse's primary role is to act as an advocate to protect the client's autonomy and ensure their end-of-life preferences are respected. This involves facilitating communication and supporting the client's self-determination rather than imposing personal views, family wishes, or non-therapeutic legal referrals.
✦ 台美臨床差異
美國醫院設有專職倫理委員會（Ethics Committee）；台灣多由宗教輔導師或安寧團隊介入。