— 心理社會完整性 · MEDIUM · MCQ —
一位病人正遭受家庭暴力。下列何者是優先的介入措施？
A client is experiencing domestic violence. Which of the following is the priority intervention?
- AAssuming the client will take legal action假設病人會採取法律行動
- BEnsuring the client's safety and providing resources✓ 正解確保病人安全並提供資源
- CSuggesting that the client leave the partner immediately建議病人立即離開伴侶
- DAsking the partner why they are being violent詢問伴侶為何施暴
— Explanation · 中文詳解 —
面對家暴，護理師的優先責任是評估與建立安全防護網絡（Safety plan），提供資源（如庇護所、通報電話）。離開伴侶（C）涉及複雜的風險評估，不能強迫。問施暴者（D）無濟於事。假設法律行動（A）是護理師的臆測，應尊重病人的自主決策。
When facing domestic violence, the nurse's priority responsibility is to assess and establish a safety net (safety plan) and provide resources (e.g., shelters, hotlines). Leaving the partner (C) involves complex risk assessment and cannot be forced. Asking the abuser why (D) is unhelpful. Assuming legal action will be taken (A) is the nurse's presumption and the client's autonomous decision should be respected.
✦ 台美臨床差異
美國有完善的家暴受害者防護與庇護系統；台灣近年在相關法律與保護措施（如保護令）上也日益健全，護理師角色趨於積極。