— 安全與感染控制 · HARD · SATA —
哪些評估發現顯示老年病人可能遭受身體虐待？（選所有適合的）
Which assessment findings are indicative of physical abuse in an elderly client? (Select all that apply.)
- ABruises in various stages of healing✓ 正解不同癒合階段的瘀青
- BBilateral symmetrical fractures雙側對稱性骨折
- CPressure ulcers that appear neglected✓ 正解看似遭忽視的壓力性潰瘍
- DRepeated emergency room visits✓ 正解反覆急診就醫
- EPresence of restraining marks on wrists✓ 正解手腕上有束縛痕跡
— Explanation · 中文詳解 —
虐待評估需觀察傷勢的「不一致性」。多樣癒合階段的瘀傷暗示多次受傷；受忽視的壓瘡（未適當翻身或清潔）屬照護疏忽；反覆就醫與束縛痕跡皆為常見虐待指標。對稱性骨折通常非虐待常態，多為疾病（如骨質疏鬆）所致。
Abuse assessment requires observing for "inconsistencies" in injuries. Bruises in multiple stages of healing suggest repeated trauma; neglected pressure ulcers (from inadequate repositioning or hygiene) constitute caregiver neglect; repeated emergency visits and restraint marks are also common indicators of abuse. Symmetrical fractures are typically not characteristic of abuse and are more often attributable to disease processes (such as osteoporosis).
✦ 台美臨床差異
美國護理師有法律義務強制通報（Mandatory Reporter）；台灣護理師亦有通報責任，但對於家庭內部的隱私界線認知有時較為模糊。