— 健康促進與維護 · HARD · MCQ —
護理師評估老年人受虐徵象，哪項發現是潛在受虐的臨床指標？
A nurse is assessing a client for signs of elder abuse. Which finding is a clinical indicator of potential abuse?
- AThe client expresses concern about the high cost of medications客戶表達對藥物高昂費用的擔憂
- BThe client is wearing clean, seasonal clothing客戶穿著乾淨且符合季節的衣物
- CThe client has a small bruise on their shin from gardening客戶小腿脛骨處有一塊園藝造成的瘀傷
- DThe caregiver answers all questions for the client✓ 正解照顧者代客戶回答所有問題
— Explanation · 中文詳解 —
照護者強勢主導發言，不讓長者表達，常與控制行為或心理虐待相關。其餘選項分別為意外小傷、經濟焦慮與外觀整潔，雖需關注，但通常不構成虐待的直接證據。虐待的徵兆常伴隨著長者退縮、無法單獨與醫護對談或與身體狀況不符的傷勢。
When a caregiver answers all questions for an older adult, it may indicate psychological control or abuse, as it prevents the client from expressing themselves independently. While other factors like medication costs or minor bruises require attention, this over-involvement is a specific red flag for potential maltreatment.
✦ 台美臨床差異
美國法規強制護理師通報受虐事件（Mandatory Reporting）；台灣亦有嚴格的兒少及老人保護通報義務。