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心理社會完整性 · MEDIUM · SATA

下列哪些跡象屬於護理師應通報的疑似虐待兒童徵兆?(選所有適合的)

Which of the following are considered indicators of potential child abuse that a nurse should report? (Select all that apply.)

  • ABruises in various stages of healing✓ 正解
    處於不同癒合階段的瘀青
  • BThe child explains an injury consistently with the physical findings
    兒童對傷勢的解釋與體徵一致
  • CThe child appears excessively fearful of their parents✓ 正解
    兒童對父母表現出過度恐懼
  • DFrequent emergency department visits for minor injuries✓ 正解
    因輕微傷勢頻繁前往急診
  • EThe parent provides an explanation that contradicts the developmental age of the child✓ 正解
    家長提供的解釋與兒童的發展年齡不符
Explanation · 中文詳解

兒童虐待的指標包含:多處不同癒合階段的傷痕(暗示長期受虐)、過度畏懼父母(恐懼性依附)、頻繁就醫(忽略或虐待)、解釋內容與發育階段不符(如嬰兒不會自行造成該類傷口)。B 若解釋與傷勢相符,則為正常現象,非虐待指標。

Indicators of child abuse include: multiple injuries in various stages of healing (suggesting ongoing maltreatment), excessive fearfulness of parents (fear-based attachment), frequent medical visits (neglect or abuse), and explanations inconsistent with the child's developmental level (for example, injuries that an infant could not produce). If the explanation in option B is consistent with the injury, it represents a normal accidental cause rather than an indicator of abuse.

✦ 台美臨床差異

美國強制通報(Mandatory Reporting)法律非常嚴格且與護理師執照掛鉤,台灣同樣有責任通報制度,但評估標準化流程略有差異。

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