— 心理社會完整性 · MEDIUM · SATA —
護理師評估個案是否有身體虐待的跡象，哪些發現符合此疑慮？（選所有適合的）
A nurse is assessing a client for signs of physical abuse. Which findings are consistent with this suspicion? (Select all that apply.)
- ABruises in various stages of healing✓ 正解處於不同癒合階段的瘀青
- BInjury pattern inconsistent with the explanation provided✓ 正解傷勢模式與提供的解釋不一致
- CDelayed seeking of medical care✓ 正解延遲尋求醫療照護
- DThe client is accompanied by the alleged abuser during the assessment✓ 正解評估期間疑似施虐者陪同在旁
- EA single minor abrasion on the knee膝蓋上單一輕微擦傷
— Explanation · 中文詳解 —
身體虐待的警訊指標包括：傷口呈現不同恢復階段（代表反覆受傷）、傷勢解釋與臨床檢查不符、刻意延遲就醫，以及陪同者傾向控制病人的敘述或全程陪同。單一輕微擦傷通常是意外，不具指標意義。專業護理師應嘗試將陪同者隔離後再進行評估，以確認個案真實狀況。
Signs of physical abuse include bruises in various stages of healing, injuries inconsistent with the provided history, and delayed medical care. The presence of an alleged abuser during assessment may inhibit the victim from disclosing the truth, whereas a single minor abrasion is typically accidental and not indicative of abuse.
✦ 台美臨床差異
美國針對虐待有強制通報義務（Mandatory Reporting），且護理教育訓練扎實；台灣目前也落實通報制度，但對隱性家庭暴力仍需提高警覺。