— 照護管理 · MEDIUM · MCQ —
護理師照顧一位因宗教信仰拒絕輸血的病人。護理師的首要行動為何？
A nurse is caring for a client who refuses a blood transfusion due to religious beliefs. What is the nurse's priority action?
- AExplore the client's reasons and ensure they understand the risks of refusing✓ 正解探索病人的原因並確保其了解拒絕輸血的風險
- BNotify the provider that the client is being non-compliant通知醫師該病人不配合治療
- CContact the hospital chaplain to persuade the client聯絡醫院牧師以說服病人
- DDocument that the client is being difficult記錄該病人行為難搞
— Explanation · 中文詳解 —
護理倫理的核心在於尊重病人自主權（Autonomy）。當病人因宗教或其他理由拒絕治療時，護理師的首要行動是評估病人是否充分理解拒絕治療的風險，確保此決定是基於「知情同意」（Informed consent）的原則。護理師應提供資訊、釐清誤解，並將過程完整記錄，最後通報醫師尋求替代方案或進行諮商，切勿強迫或歧視病人。
Respecting patient autonomy requires ensuring the client fully understands the risks of refusing treatment before documenting the decision. The nurse should explore the client's reasons, clarify misconceptions, and notify the provider for alternative plans without coercion.