# 一位意識清楚、定向感正常的個案因新診斷癌症住院。個案的伴侶向護理師詢問診斷與治療計畫的細節。個案尚未表示是否可分享資訊。護理師應採取何項行動？ > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=498692&lang=zh-tw > language: zh-TW > subject: Client Rights > category: MOC ## 題目 一位意識清楚、定向感正常的個案因新診斷癌症住院。個案的伴侶向護理師詢問診斷與治療計畫的細節。個案尚未表示是否可分享資訊。護理師應採取何項行動？ ## 選項 1. 詢問個案是否可將相關資訊告知伴侶 **✔ 正確答案** 2. 給予伴侶完整更新，因為伴侶被視為代理人 3. 告知伴侶此次住院期間無法討論任何資訊 4. 請伴侶簽署保密同意書後再提供更新 **正確答案: 1** ## 解析 由於個案在場且有能力決定，護理師應先詢問是否可分享相關資訊。僅憑關係無法建立授權，且 HIPAA 並未要求在個案同意時永久拒絕。 ## 深入解析 快速解答 詢問個案是否可將相關資訊告知伴侶。有能力的個案掌控此揭露。 為什麼這是正確的 HIPAA 允許在個案同意或未反對時，與參與照護的家人或朋友進行相關溝通。因為個案在場且有決策能力，確認個案的偏好可在保護隱私的同時允許所需的支持。 簡單比喻或心智圖像 將健康資訊想像成一個房間，個案握有門的鑰匙。個案可以邀請伴侶進入，但此類比不取代個人代理人、緊急情況或法律要求揭露的例外。 記憶掛鉤 有能力的個案在場，表示先詢問，然後僅分享相關內容。 NCLEX 決策規則 當有能力的個案在場，而他人要求受保護的資訊時，在討論相關照護細節前，先確認個案的允許或反對。勿假設家人或伴侶關係自動授予存取權。 為什麼其他選項是錯的 給予完整更新是假設了尚未建立的權限。拒絕所有討論忽略了個案同意的能力，而由伴侶簽署的表格無法取代有能力的個案的決定。參考文獻 - [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing - [2]HHS: Communicating With a Patient's Family and FriendsU.S. Department of Health and Human Services ## 相同主題題目 - [A 45-year-old male is alert and oriented ×4 and is actively bleeding from a gastrointestin…](https://mymerci.kr/pages/nclex_q.php?qn_id=372683&lang=zh-tw) - [A 70-year-old Vietnamese-speaking woman is admitted for syncope evaluation. Her 18-year-ol…](https://mymerci.kr/pages/nclex_q.php?qn_id=372701&lang=zh-tw) - [A 56-year-old patient scheduled for an elective hip replacement tomorrow tells the nurse, …](https://mymerci.kr/pages/nclex_q.php?qn_id=372748&lang=zh-tw) - [A nurse is giving a handoff report for a client whose blood pressure is falling and urine …](https://mymerci.kr/pages/nclex_q.php?qn_id=397242&lang=zh-tw) - [A nurse receives a telephone prescription to administer potassium chloride by IV push for …](https://mymerci.kr/pages/nclex_q.php?qn_id=397302&lang=zh-tw) - [A client being evaluated for intermittent chest pain says, "I need to leave now." The clie…](https://mymerci.kr/pages/nclex_q.php?qn_id=497624&lang=zh-tw) - [A nurse realizes that an assessment completed earlier in the shift was not documented. Whi…](https://mymerci.kr/pages/nclex_q.php?qn_id=497913&lang=zh-tw) - [A medical unit wants to reduce client falls using the Plan-Do-Study-Act approach. Which ac…](https://mymerci.kr/pages/nclex_q.php?qn_id=498087&lang=zh-tw) ## 以其他語言閱讀 - [en](https://mymerci.kr/pages/nclex_q.php?qn_id=498692&lang=en) - [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=498692&lang=ko) - [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=498692&lang=ja) - [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=498692&lang=zh-tw) - [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=498692&lang=vi) --- More free questions: [NCLEX-RN 題庫](https://mymerci.kr/pages/nclex_bank.php?lang=zh-tw) _僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。_