— 心理社會完整性 · HARD · MCQ —
一位護理師正在照護有兒童虐待病史的病人。最重要的護理介入為何？
A nurse is caring for a client with a history of child abuse. What is the most vital nursing intervention?
- ATelling the patient to move on with their life告訴病人繼續過自己的生活
- BAsking the patient for vivid details of the abuse to help document it詢問病人虐待的詳細細節以便記錄
- CProviding a sense of safety, consistency, and professional boundaries✓ 正解提供安全感、一致性和專業界限
- DForcing the patient to confront their abuser強迫病人面對施暴者
— Explanation · 中文詳解 —
對於有虐待史的病人，建立「信任與安全感」是護理的最高原則。一致的護理模式（Consistency）與堅定的專業界限（Boundaries）能讓病人感到安全。強制面對加害者（D）或追問創傷細節（B）極易導致二次創傷。
For clients with a history of abuse, establishing trust and a sense of safety is the highest priority. Consistent care and firm professional boundaries help the client feel safe. Forcing confrontation (D) or pressing for traumatic details (B) can cause re-traumatization, while dismissing the experience (A) invalidates the client.
✦ 台美臨床差異
美國近年強力推行創傷知情護理（TIC）；台灣醫療環境受限於診察時間，建議護理師在照顧此類病人時應先求「穩」再求「深」。