# 將經口譯的程序同意過程中的每項行動拖曳至負有主要責任的團隊成員。

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=395495&lang=zh-tw  
> language: zh-TW  
> subject: Informed Consent  
> category: MOC

## 題目

將經口譯的程序同意過程中的每項行動拖曳至負有主要責任的團隊成員。

**1.** 說明程序的重大風險、預期效益及合理替代方案

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RN
Procedural clinician
Qualified medical interpreter

**2.** 回答個案關於程序特定併發症的新問題

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RN
Procedural clinician
Qualified medical interpreter

**3.** 確認個案在說明後自願簽署，若政策允許則見證簽名

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RN
Procedural clinician
Qualified medical interpreter

**4.** 當個案顯得鎮靜或提出未獲回答的臨床問題時，暫停程序並通知臨床醫師

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RN
Procedural clinician
Qualified medical interpreter

**5.** 以個案偏好的語言準確且公正地口譯完整的風險效益討論

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RN
Procedural clinician
Qualified medical interpreter

**6.** 保留語氣與意義，不增加建議、省略細節或代個案回答

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RN
Procedural clinician
Qualified medical interpreter

## 解析

程序臨床醫師說明程序、重大風險、效益、替代方案，並回答程序特定的問題。RN 確認自願性與完成度，若政策允許則見證簽名，並在出現疑問、脅迫、鎮靜或能力疑慮時停止程序。合格口譯員準確且公正地傳達完整的對話內容，不取代臨床醫師的說明。

## 深入解析

快速解答
臨床醫師說明；RN 確認並保護程序；合格口譯員準確傳達。

正確原因
僅有簽名不構成知情同意。個案需要可理解的資訊、自願性、決策能力及提問的機會。語言協助是保護而非轉移個案的決策權。

NCLEX 決策規則
若個案提出新的程序特定問題或顯得受脅迫、困惑或功能受損，暫停並通知程序臨床醫師。絕不要求口譯員獨立說明臨床風險或決定可省略的內容。參考資料
1HHS 第 1557 條語言可及性指引
2NCSBN 2026 NCLEX-RN 測驗計畫知情同意與個案權利

## 臨床情境

有語言協助的程序同意
一位具決策能力的成年人偏好使用西班牙語。機構使用合格醫療口譯員。程序臨床醫師、RN 及口譯員各自保留其獨特角色；機構政策規範簽名見證。

## 重要概念

- **知情同意** — 具決策能力者在獲得可理解的相關風險、效益及替代方案說明後，所做的自願性決定。
- **決策能力** — 理解相關資訊、體認後果、就選項進行推理，並表達選擇的能力。
- **自願性** — 一種同意條件，在此條件下，個人的選擇是在不受脅迫或不當壓力的情況下做出的。

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