急診檢傷護理師評估一名來自大型照護機構的 82 歲虛弱女性。救護人員報告她在暴風雪的冰凍停車場遊蕩，全身只穿著破薄睡袍。基於專業倫理要求，護理師必須執行什麼步驟？
An ER triage nurse evaluates an 82-year-old frail female client arriving from a massive skilled nursing facility. EMS firmly reports the facility staff found her unpredictably wandering in the muddy frozen parking lot during a blizzard wearing only a torn thin nightgown. Based on professional ethical mandates, what step must the nurse execute?
- AAggressively warm the client entirely using a high-temperature heated blanket placed tightly against her frozen skin.使用高溫加熱毯緊密包裹患者全身以積極復溫
- BDischarge the client rapidly back exclusively directly efficiently to the exact same facility immediately actively.迅速且直接將患者遣返至原機構
- CInstruct the family rigorously to definitively sue the nursing facility entirely independently without hospital involvement.指示家屬完全獨立於醫院之外嚴厲起訴護理機構
- DMandatorily initiate a formal incident report notifying the state adult protective agency regarding highly suspected severe institutional neglect.✓ 正解強制啟動正式事故報告，通知州成人保護機構關於高度懷疑的嚴重機構忽視情況
本題測驗虐待老人、機構疏忽以及緊急通報倫理 (Elder Abuse/Neglect)。這名失智老奶奶在暴風雪中穿薄衣遊蕩，這絕對是安養機構嚴重的『照護疏忽 (Neglect)』與看管不當。護理師身為法定的『強制通報者 (Mandated reporter)』，最重要的法定動作就是向政府的成人保護機構 (Adult Protective Services) 提交虐待/疏忽通報，以利政府調查機構（選項 D 正確）。
This item tests elder abuse, institutional neglect, and mandatory reporting ethics (Elder Abuse/Neglect). This frail, cognitively impaired elderly woman wandering in a blizzard wearing only thin clothing is unequivocal evidence of severe 'neglect' and inadequate supervision by the nursing facility. As a legally designated 'mandated reporter,' the nurse's most important required action is to file an abuse/neglect report with the governmental Adult Protective Services agency so that the institution can be investigated (option D is correct).
發現虐待或疏忽，第一件事就是「通報 (Report to APS / CPS)」。不可知情不報，也不能自己扮演偵探或法官。