下列哪些評估發現暗示有老人虐待的可能?(選所有適合的)
Which assessment findings are indicative of elder abuse? (Select all that apply.)
- AMultiple bruises in different stages of healing✓ 正解不同癒合階段的多處瘀傷
- BUnexplained withdrawal from normal activities✓ 正解無法解釋的正常活動退縮
- CThe caregiver refuses to leave the room during the exam✓ 正解照護者在檢查期間拒絕離開房間
- DA well-groomed, alert, and oriented client儀容整潔、警覺且定向力正常的病人
- ESigns of dehydration or malnutrition✓ 正解脫水或營養不良的跡象
評估老人虐待(Elder abuse)需具備敏銳觀察力。身體虐待指標包括癒合程度不一的瘀青;心理壓迫可能導致病人出現社交退縮或表現出恐懼;照護者堅持在場可能是為了控制病人,防止其說出真相;疏忽(Neglect)則表現為脫水、營養不良或衛生狀況不佳。護理師應在評估時嘗試與病人單獨對話,以獲得真實資訊。這些指標需綜合評估,並依循機構程序進行通報。
Assessing for elder abuse requires keen observation. Indicators of physical abuse include bruises in different stages of healing; psychological abuse may cause social withdrawal or visible fear; a caregiver who insists on remaining in the room may be controlling the client and preventing disclosure; neglect manifests as dehydration, malnutrition, or poor hygiene. The nurse should attempt to interview the client alone to obtain accurate information. These indicators should be evaluated together and reported according to facility protocols.