— 照護管理 · HARD · SATA —
護理師照顧一位身體虐待的受害者，必須履行哪些法律與倫理義務？（選所有適合的）
A nurse is caring for a client who is a victim of physical abuse. Which legal and ethical obligations must the nurse fulfill? (Select all that apply.)
- AMandatory reporting to appropriate social services or law enforcement✓ 正解依法向相關社會服務機構或執法單位通報
- BProviding a safe and private environment for the client✓ 正解為個案提供安全且私密的環境
- CDocumenting specific statements made by the client using quotation marks✓ 正解使用引號記錄個案的原話
- DAttempting to confront the alleged abuser in the hospital嘗試在醫院內當面對質涉嫌施虐者
- EPhotographing injuries after obtaining the client's consent✓ 正解在獲得個案同意後拍攝傷口照片
— Explanation · 中文詳解 —
對於虐待案件，護理師有法律義務通報（A）、提供安全隱私（B）、精確記錄病人原話（C）以及徵得同意後拍照存證（E）。對抗施虐者（D）並非護理職責，且可能危及護理師與病人的安全。精確記錄是法律訴訟中的關鍵證據。
Nurses have a legal obligation to report suspected abuse to appropriate authorities and must ensure the client’s safety by providing a private environment. Documentation should include specific client statements in quotation marks for accuracy, and injuries may be photographed with consent to preserve evidence. Confronting the alleged abuser is unsafe and outside the nurse's scope of practice.
✦ 台美臨床差異
美國對通報義務（Mandatory Reporting）有非常嚴格的時效要求；台灣同樣有《家庭暴力防治法》規定醫事人員需在 24 小時內通報。