— 心理社會完整性 · MEDIUM · SATA —
護理師照顧一位親密關係暴力（IPV）的倖存者，護理計畫應包含哪些措施？（選所有適合的）
A nurse is caring for a client who is a survivor of intimate partner violence. Which interventions should the nurse include in the care plan? (Select all that apply.)
- AConducting the assessment in private✓ 正解在私密環境下進行評估
- BAsking direct questions about safety at home✓ 正解直接詢問居家安全狀況
- CDocumenting verbatim quotes from the client✓ 正解記錄病人的逐字引文
- DProviding information about local domestic violence resources✓ 正解提供當地家庭暴力相關資源資訊
- ETaking photos of injuries with the client's consent✓ 正解在獲得病人同意後拍攝傷勢照片
— Explanation · 中文詳解 —
照顧 IPV 個案的首要原則是確保隱私與安全。護理師需在無旁人干擾下進行評估，直接詢問安全感。記錄時應使用案主原話（verbatim）以保留司法證據價值。提供社區資源支持個案脫離暴力循環。若取得同意，拍照保留證據也是重要的護理照護步驟。
The nurse must ensure privacy and safety by conducting assessments without interference and asking direct, non-judgmental questions to facilitate disclosure. Documentation should include verbatim quotes for legal validity, and the client should be connected to community resources for long-term support. Additionally, obtaining consent to photograph injuries provides crucial evidence for legal protection.
✦ 台美臨床差異
美國有強制通報法（Mandatory Reporting），需評估州法律規定；台灣亦需依家暴防治法通報及進行個案管理。