— 心理社會完整性 · HARD · SATA —
護理師評估一位家暴受害者，下列哪些護理措施是合適的？（選所有適合的）
A nurse is assessing a client who has been a victim of domestic violence. Which nursing interventions are appropriate? (Select all that apply.)
- AInterview the client in a private setting without family present✓ 正解在沒有家屬在場的私密環境中訪談個案
- BDocument the client's exact words regarding the abuse✓ 正解記錄個案關於受虐的確切用語
- CTake photographs of injuries with the client's consent✓ 正解在獲得個案同意的情況下拍攝受傷照片
- DConfront the abuser to ensure the victim's safety與施暴者對峙以確保受害者的安全
- EProvide information about local shelters and crisis hotlines✓ 正解提供當地庇護所和危機專線資訊
— Explanation · 中文詳解 —
護理家暴受害者需極度謹慎。保護個案隱私（A）可避免加害者干預；紀錄原話（B）具法律效力；紀錄傷勢（C）需知情同意；提供資源（E）協助個案建立離開的安全網。選項D極度危險，護理師不應直接對抗加害者，以免導致個案回家後遭受更嚴重報復。
Caring for a victim of domestic violence requires great caution. Privacy (A) avoids interference by the abuser; documenting exact words (B) has legal weight; photographing injuries (C) requires consent; providing resources (E) helps the client build a safety net for departure. Option D is extremely dangerous—the nurse must not confront the abuser, which can lead to severe retaliation after the client returns home.
✦ 台美臨床差異
在美國強制通報制度非常嚴格；台灣護理師同樣受家暴防治法規範，必須執行強制通報，兩者在法律責任上高度相似。