護理師照護一位家庭暴力受害者，下列哪些護理措施適切？（選所有適合的）
A nurse is caring for a client who has been a victim of domestic abuse. Which interventions are appropriate for the nurse to include in the plan of care? (Select all that apply.)
- AAssess the client's immediate safety and risk for self-harm✓ 正解評估客戶的即時安全及自我傷害風險
- BEncourage the client to confront the abuser to express their feelings鼓勵客戶面對施暴者以表達其感受
- CProvide information about community resources and shelters✓ 正解提供社區資源和庇護所資訊
- DDocument the client's statements verbatim in the medical record✓ 正解在病歷中逐字記錄客戶的陳述
- EAdvise the client to contact family members to resolve the conflict建議客戶聯繫家人以解決衝突
處理家庭暴力（Domestic Abuse）時，護理師的首要任務是確保受害者的人身安全。護理計畫必須涵蓋安全評估、法律證據搜集與提供社會資源。護理師應以非批判的態度傾聽，並在病歷中精確記錄病人的敘述（Verbatim），這在未來的法律訴訟中具備關鍵證據力。絕對避免鼓勵病人與施暴者談判，因為這極可能引發進一步的暴力威脅。
When caring for a victim of domestic abuse, the nurse's first priority is to ensure the victim's personal safety. The plan of care must include safety assessment, collection of legal evidence, and provision of social resources. The nurse should listen with a nonjudgmental attitude and document the client's statements verbatim in the medical record, which is critical evidence in any future legal proceedings. Encouraging the client to confront the abuser must be avoided, as this is highly likely to provoke further violent threats.
美國法規對護理師的「強制通報責任（Mandatory Reporting）」非常嚴格，若懷疑家暴，護理師必須依照機構政策及州法規進行通報，這在 NCLEX 中是核心考點。