— 心理社會完整性 · HARD · MCQ —
一位親密伴侶暴力受害者即將出院，護理師應優先採取哪項行動？
A nurse is caring for a victim of intimate partner violence who is being discharged. Which action is the highest priority?
- ADevelop a safety plan with the client.✓ 正解與個案共同擬定安全計畫
- BProvide a list of local shelters.提供當地庇護所名單
- CEncourage the client to report the incident to the police.鼓勵個案向警方通報事件
- DRefer the client to a support group.轉介個案至支持團體
— Explanation · 中文詳解 —
暴力受害者出院時，生命安全為首要考量。制定安全計畫（Safety Plan）包含逃生路線、存放證件與必需品、緊急聯繫人，直接提升其離開危險環境時的存活機率。其他資源提供重要但不如建立具體的行動安全指引急迫。
When a victim of violence is being discharged, safety is the primary concern. Developing a safety plan—which includes escape routes, storing important documents and necessities, and emergency contacts—directly improves the client's chance of survival when leaving a dangerous environment. Other resources are important but not as urgent as establishing concrete, actionable safety guidance.
✦ 台美臨床差異
美國有嚴格的強制通報與保護性資源介入系統；台灣則需經專業評估後由社工介入，護理師角色多為通報與資源連結。