— 心理社會完整性 · HARD · SATA —
護理師評估一位性暴力受害者時，應包含下列哪些內容？（選所有適合的）
Which of the following should be included in the assessment of a client who has experienced a sexual assault? (Select all that apply.)
- AEmotional status and psychological distress✓ 正解情緒狀態與心理痛苦
- BEvidence of physical injuries and documentation✓ 正解身體損傷的證據與紀錄
- CThe client's immediate safety and need for support✓ 正解病人的即時安全與支持需求
- DDetailed recollection of the event for forensic purposes為了法醫目的而詳細回憶事件經過
- EHistory of prior psychiatric diagnoses既往精神疾病診斷史
— Explanation · 中文詳解 —
性暴力受害者的護理首重心理安全與身體證據保全。評估應包含情緒狀況（A）、身體損傷（B）及立即的安全需求（C）。選項 D 雖重要，但通常由執法人員或法醫護理師在受害者情緒穩定後進行，非一般護理師的首要職責；選項 E 與本次急診危機處理關聯性較低。
Assessment of a sexual assault victim prioritizes establishing immediate safety, evaluating emotional status, and documenting physical injuries. Forensic interviews regarding detailed recollections are typically conducted by specialized personnel after the client's initial stability is ensured.
✦ 台美臨床差異
美國有專門的 SANE (Sexual Assault Nurse Examiner) 制度，台灣則多由急診與婦產科醫師協同處理。