— 心理社會完整性 · HARD · SATA —
護理師評估剛經歷性侵害的個案時，應執行下列哪些行動？（選所有適合的）
Which of the following actions should the nurse perform when assessing a client who has just experienced a traumatic sexual assault? (Select all that apply.)
- AEnsure privacy and provide a non-judgmental atmosphere✓ 正解確保隱私並提供非評判性的氛圍
- BEncourage the client to take a shower before the forensic exam鼓勵個案在法醫檢查前淋浴
- CCollect and document evidence with the client's consent✓ 正解在取得個案同意後收集並記錄證據
- DSuggest that the client avoids discussing the details to move on faster建議個案避免討論細節以更快走出陰影
- EProvide information about local support groups and counseling✓ 正解提供當地支持團體和諮詢服務的資訊
— Explanation · 中文詳解 —
性侵害案件中，保存證物與保護隱私至關重要。B 選項絕對禁止，因為淋浴會洗掉生物跡證。D 選項錯誤，鼓勵個案談論感受是心理復原的關鍵，而非強迫遺忘。護理師應提供資源，並建立不受評斷的環境以協助個案重建自我。
The nurse must ensure privacy and provide a non-judgmental atmosphere to build trust and safety, while also collecting and documenting evidence with the client's consent to preserve the chain of custody. Showering should be discouraged to prevent the loss of forensic evidence, and the client should be encouraged to discuss feelings rather than suppress them. Providing resources for support groups aids in the recovery process.
✦ 台美臨床差異
美國多由 SANE 護理師執行採證；台灣由一般急診護理師在醫師監督下協助，採證流程標準化程度在醫學中心較高。