— 心理社會完整性 · HARD · MCQ —
個案出現身體虐待跡象，護理師的優先行動為何？
A client presents with signs of physical abuse. Which action is the priority for the nurse?
- AEncourage the client to file a police report鼓勵病人提出警方報告
- BDocument the findings in detail with photographs詳細記錄發現並拍攝照片
- CReport the incident to the appropriate authorities向相關主管機關通報事件
- DEnsure the client is in a safe environment✓ 正解確保病人處於安全環境
— Explanation · 中文詳解 —
面對身體虐待（Physical abuse）個案，護理倫理的核心在於「不傷害原則（Non-maleficence）」與「保障安全」。在臨床護理優先級中，確保個案脫離受虐環境（Safety）是第一要務。若未確保安全即進行拍照、報告或勸說報警，可能導致個案在離開醫院後遭受更嚴重的報復或傷害。護理師必須先建立安全計畫，並評估個案是否需要立即脫離危險環境。
The priority nursing action for a client presenting with signs of physical abuse is to ensure their immediate safety. Establishing a safe environment takes precedence over documentation, reporting, or encouraging legal action, as premature interventions may increase the risk of retaliation or further harm.
✦ 台美臨床差異
美國各州對於虐待（Child/Elder/Domestic abuse）有嚴格的強制通報法規（Mandatory Reporting Laws），護理師若未按規定通報或未優先維護安全，將面臨極大法律風險。