— 健康促進與維護 · HARD · MCQ —
護理師諮詢一位家庭暴力個案。採取哪項行動最為適當？
A nurse is counseling a client about domestic violence. What is the most appropriate action?
- AProvide the client with information on local resources and safety planning✓ 正解提供個案當地資源資訊及安全計畫
- BFocus only on physical wounds, avoiding questions about the cause僅關注身體傷口，避免詢問原因
- CCall the police without asking for the client's consent未經個案同意即撥打警方電話
- DTell the client to leave the abuser immediately告訴個案立即離開施暴者
— Explanation · 中文詳解 —
家暴介入的核心是「賦能與安全」。護理師應提供資源與協助安全計畫（Safety plan），而非強制要求個案立刻離開（這往往是風險最高時刻）。C 錯誤：除非個案同意或法規強制，否則應尊重個案隱私；B 錯誤：護理師應主動詢問受傷原因，評估虐待風險。
The most appropriate action is to empower the client by providing information on local resources and assisting with safety planning. Forcing the client to leave immediately can be dangerous, and respecting confidentiality while assessing the situation supports the client's autonomy and safety.
✦ 台美臨床差異
台灣有嚴謹的家暴通報機制，護理師作為醫事人員有強制責任，這與美國部分州不同。