— 健康促進與維護 · HARD · MCQ —
在社區居家照顧的長者身上，哪項評估發現會讓護理師懷疑有長者虐待？
Which assessment finding should lead the nurse to suspect elder abuse in a community dwelling patient?
- AThe patient expresses a preference for living alone病人表示偏好獨自居住
- BA slightly messy living environment略顯凌亂的生活環境
- CThe patient is wearing worn-out clothing病人穿著破舊的衣物
- DUnexplained bruises in various stages of healing✓ 正解不明原因的瘀青，且處於不同的癒合階段
— Explanation · 中文詳解 —
虐待長者的跡象通常包含無法解釋的身體傷害。瘀青若處於不同的癒合階段（顏色不同），代表受傷時間點不同，暗示遭受重複性的肢體暴力。其他選項如穿著破舊或環境凌亂，可能與經濟困難或長者自主意願有關，較不具特異性。
Unexplained bruises in various stages of healing are a significant red flag for elder abuse, as they suggest repeated physical trauma over time. While factors like worn clothing or a messy home may indicate neglect or poverty, they are less specific indicators of abuse compared to injuries inconsistent with the patient's history or functional status.
✦ 台美臨床差異
台灣長照體系中，居家護理師有法律責任進行虐待通報，且有嚴格的社工轉介流程。