— 心理社會完整性 · MEDIUM · SATA —
護理師照顧疑似親密伴侶暴力受害者時，應優先採取哪些行動？（選所有適合的）
Which of the following actions should the nurse prioritize when caring for a client who is exhibiting signs of intimate partner violence? (Select all that apply.)
- AConduct the interview in private✓ 正解在私密環境中進行訪談
- BAsk the partner to wait in the room to provide context要求伴侶在房間外等候，以便提供背景資訊
- CDocument findings with exact quotes and objective descriptions✓ 正解以精確引語和客觀描述記錄發現
- DAssess the client's immediate safety and risk for lethality✓ 正解評估病患的即時安全及致命風險
- EProvide information about community resources and shelters✓ 正解提供社區資源和庇護所資訊
— Explanation · 中文詳解 —
親密伴侶暴力照護關鍵為隱私與安全。必須將伴侶隔離，確保病人能自在發言。記錄需詳盡客觀（包括身體傷痕位置與引述說法），作為未來司法證據。評估自殺及他殺風險是核心，並主動提供社會資源（如庇護所、保護令資訊）。錯誤選項 B 會嚴重威脅病人安全，絕對禁止伴侶在場。
Care for intimate partner violence victims requires ensuring privacy by separating the partner to allow honest disclosure and assessing immediate lethality risks. Nurses should document findings objectively with exact quotes for legal evidence and provide resources like shelters, while never allowing the abuser to remain present during the assessment.
✦ 台美臨床差異
美國有嚴格的強制通報義務（Mandatory Reporting）；台灣針對親密暴力有完善的保護令機制，護理師需熟悉通報 SOP。