체험은 만족하셨나요?
방금 푼 그 흐름,
합격까지 이어보세요
지식 자료를 소장하고 멋진 의료인으로 성장하세요
학습 자료 둘러보기 →When a client exhibits fearful behavior or flinching in the presence of a specific caregiver, this signals an active, ongoing threat. This dynamic cue indicates the source of harm is present, requiring immediate intervention to prevent further psychological trauma or physical violence.
Physical signs like bruises in various healing stages or unexplained burns are critical indicators of past abuse, but they are static findings. In a prioritization framework, an immediate safety risk takes precedence over investigating historical injuries.
The nurse's first action upon observing a fearful response is to ensure the client's immediate safety by discreetly separating them from the suspected abuser. Document all objective findings, including direct quotes of the client's behavior, without confronting the caregiver directly.
학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요.