# 一位只會說有限英語的個案預定接受手術，並在手術同意書簽署前有疑問。下列哪一項行動最為適當？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=394068&lang=zh-tw  
> language: zh-TW  
> subject: Informed Consent  
> category: MOC

## 題目

一位只會說有限英語的個案預定接受手術，並在手術同意書簽署前有疑問。下列哪一項行動最為適當？

## 選項

1. 請個案的孩子翻譯手術風險。
2. 因為手術已排定，請個案現在就簽名。
3. 使用手勢快速解釋同意書內容。
4. 安排合格的醫療口譯員並通知醫師。 **✔ 正確答案**

**正確答案: 4**

## 解析

知情同意需要理解內容並有機會提問。對於英語能力有限的個案，應使用合格的醫療口譯員，且醫師應針對手術相關問題進行說明。使用家屬、手勢或施壓要求簽名都是不恰當的。

## 深入解析

臨床判斷
同意書不是簽名任務，而是理解的任務。

記憶提示
有限英語加上同意書等於合格口譯員。

## 臨床情境

臨床實務指引
病人權利與知情同意需要清晰的溝通、自願的決策，以及與醫師討論的機會。

注意事項
不應使用兒童來翻譯手術風險或同意書的討論。

## 重要概念

- **知情同意 (Informed Consent)** — 在了解風險、益處和替代方案後的自願性同意。
- **醫療口譯員 (Medical Interpreter)** — 在健康照護環境中，促進準確溝通的合格人員。
- **病人權利 (Patient Rights)** — 關於參與、隱私和安全照護的法律與倫理保障。

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