# 一位具備決定能力的個案要求護理師見證預立醫療指示。護理師應首先採取何項行動？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397305&lang=zh-tw  
> language: zh-TW  
> subject: Informed Consent  
> category: MOC

## 題目

一位具備決定能力的個案要求護理師見證預立醫療指示。護理師應首先採取何項行動？

## 選項

1. 因個案要求而簽名作為見證人。
2. 檢視機構政策，確保遵循正確的見證流程。 **✔ 正確答案**
3. 要求個案的醫療提供者選擇治療偏好。
4. 告知個案預立醫療指示僅在出院後完成。

**正確答案: 2**

## 解析

預立醫療指示的見證要求因政策和管轄權而異。護理師應首先確認正確的流程，以確保文件有效且自願。醫療提供者不應選擇個案的偏好，且預立醫療指示可在照護期間處理。

## 深入解析

臨床判斷
使用個案線索、時間點、檢驗數據及安全風險，選擇最符合「預立醫療指示見證要求」情境的回應。

記憶提示
將最強的線索群組與最安全的護理判斷配對。

KR vs US
NCLEX 考題獎勵基於線索的優先思考，而非單獨的記憶。

## 臨床情境

臨床實務指引
對於「預立醫療指示見證要求」，將完整的線索模式與個案當前的穩定性、醫囑數據及預期的護理範圍進行比較。

注意
當完整情境改變了優先順序或安全性時，切勿僅根據單一線索選擇行動。

## 重要概念

- **預立醫療指示** — 一份傳達未來健康照護偏好的法律文件。
- **自主權** — 個案對照護做出知情決定的權利。
- **見證要求** — 驗證簽名有效性的政策或法律標準。

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