護理師評估一位家庭暴力受害者，下列哪些項目應納入紀錄？（選所有適合的）
A nurse is assessing a client who has been a victim of domestic violence. Which assessment findings should the nurse document? (Select all that apply.)
- AVerbatim quotes from the client regarding the abuse✓ 正解關於虐待行為的個案原話引述
- BClear descriptions of physical injuries, including diagrams or photos✓ 正解清晰描述身體傷害，包括圖示或照片
- CThe nurse's subjective opinion about who is to blame護理師對誰該負責的主觀意見
- DA detailed history of the incident including timing and location✓ 正解包含時間和地點的事件詳細病史
- EThe client's level of safety and emergency support contacts✓ 正解個案的安全程度及緊急聯絡對象
護理紀錄應客觀、具體且保護個案安全。A、B、D 能提供完整的司法與醫療證據，E 是協助個案脫離暴力的重要評估。C 選項錯誤：護理紀錄應保持中立、專業，絕不可加入個人對責任歸屬的主觀臆測，以免造成法律風險。
Documentation for victims of domestic violence must be objective, specific, and protective. Verbatim quotes, clear injury descriptions (with diagrams or photos when permitted), incident history (timing, location), and safety assessment with emergency contacts all support medical and legal needs. The nurse must avoid subjective opinions about blame, which compromise the impartiality of the record and create legal risk.
美國法律明確規範強制通報（Mandatory Reporting）義務；台灣同樣有家暴防治法要求通報，但護理師在紀錄細節上常因防衛性醫療考量而趨於謹慎。