個案因家暴事件入院，為確保其安全與心理社會完整性，護理師應採取哪些措施？（選所有適合的）
A client is admitted following a domestic violence incident. Which actions should the nurse take to ensure the safety and psychosocial integrity of the client? (Select all that apply.)
- ADocument the client's statements and injuries with photographs✓ 正解以照片記錄個案的陳述與傷勢
- BProvide the client with information regarding local shelters✓ 正解提供當地庇護所的相關資訊給個案
- CEncourage the client to return home to confront the abuser鼓勵個案回家面對施暴者
- DMaintain the client's privacy and confidentiality✓ 正解維護個案的隱私與保密性
- EAssess for suicidal ideation and immediate safety risks✓ 正解評估自殺意念與立即的安全風險
家暴護理重點在於蒐證、資源連結與危機評估。詳細記錄傷勢與口述證據極其重要，同時必須保護隱私以防加害者干擾。評估自殺風險是危機介入的關鍵，並提供庇護所等後續支持。鼓勵個案返家與加害者對質是非常危險的行為，會置個案於死地。
Nursing care for domestic violence focuses on evidence collection, resource linkage, and crisis assessment. Detailed documentation of injuries and oral testimony is extremely important, while privacy must also be protected to prevent interference from the perpetrator. Assessing suicide risk is critical to crisis intervention, along with provision of follow-up support such as shelter information. Encouraging the client to return home to confront the abuser is highly dangerous and may place the client in mortal danger.
美國有強制的強制通報法規（Mandatory Reporting），台灣亦有相關法規，但護理師在美國法庭作證經驗較為常見。