護理師為一位家庭暴力受害者制定照護計畫。下列哪些護理措施是適當的？（選所有適合的）
A nurse is developing a plan of care for a client who was a victim of domestic violence. Which nursing actions are appropriate? (Select all that apply.)
- AInterview the client in the presence of their partner to ensure transparency在伴侶陪同下對客戶進行訪談以確保透明
- BProvide the client with information about local shelters and support resources✓ 正解向客戶提供當地庇護所和支持資源的資訊
- CDocument the client's verbatim statements regarding the cause of injury✓ 正解記錄客戶關於受傷原因的逐字陳述
- DAssess the client for immediate safety and risk of homicide✓ 正解評估客戶的即時安全及謀殺風險
- EAdvise the client to file a police report immediately建議客戶立即報警
面對家庭暴力（Domestic violence）受害者，護理師的首要考量是病人的安全與隱私。訪談時必須確保加害者不在場，以防受害者因恐懼而不敢吐露實情。紀錄時應使用引號精確引用病人的原話，而非護理師的主觀詮釋。此外，評估立即性的生命安全風險（如殺害風險）並提供社會資源（如庇護所）是必要的照護內容。
When caring for a victim of domestic violence, the nurse's primary concerns are the client's safety and privacy. The interview must be conducted with the perpetrator absent, so that the victim is not too afraid to disclose the truth. Documentation should use quotation marks to record the client's exact words rather than the nurse's subjective interpretation. In addition, assessing the immediate risk to life (such as the risk of homicide) and providing social resources (such as shelters) are essential components of care.
美國法律對報案規定各州不同，但在醫療現場，護理師需確認當地法律是否強制通報（Mandatory reporting）。若未達強制通報標準，則需尊重病人的隱私與安全決定。