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健康促進與維護 · HARD · SATA

護理師在入院評估時,應篩檢哪些家庭暴力跡象?(選所有適合的)

Which signs of domestic abuse should a nurse screen for during intake assessments? (Select all that apply.)

  • AUnexplained injuries in various stages of healing✓ 正解
    無法解釋且處於不同癒合階段的創傷
  • BPartner refusing to leave the client's side✓ 正解
    伴侶拒絕離開客戶身邊
  • CClient avoiding eye contact when the partner speaks✓ 正解
    當伴侶說話時,客戶避免眼神接觸
  • DClient having a well-paying job
    客戶擁有高薪工作
  • EReports of frequent "accidents"✓ 正解
    經常報告發生「意外」
Explanation · 中文詳解

家庭暴力篩檢是護理師評估的重要範疇。臨床紅旗指標包括:病人身上出現無法解釋、且癒合程度不一的傷口(顯示長期反覆傷害);施暴者表現出過度控制(如不願離開病人的身邊);病人出現畏懼反應(如不敢眼神接觸);以及頻繁以「意外」為由的就醫紀錄。護理師應在隱私環境下進行篩檢,並保持警覺,因為暴力可能發生在任何社經地位的家庭中。

Screening for domestic violence is an important area of nursing assessment. Clinical red-flag indicators include: unexplained injuries on the client in various stages of healing (suggesting chronic, repeated injury); a perpetrator showing excessive control (such as refusing to leave the client's side); fearful behavior in the client (such as avoiding eye contact); and frequent visits for "accidents." The nurse should conduct screening in a private setting and remain alert, as violence can occur in households of any socioeconomic background.

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