# 一位護理師正在對一位有親密伴侶暴力史、前來進行常規骨盆腔檢查的個案實施創傷知情照護。下列哪些措施反映了創傷知情的原則？（選擇所有適用選項）

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=374978&lang=zh-tw  
> language: zh-TW  
> subject: Basic Care and Comfort  
> category: BCC

## 題目

一位護理師正在對一位有親密伴侶暴力史、前來進行常規骨盆腔檢查的個案實施創傷知情照護。下列哪些措施反映了創傷知情的原則？（選擇所有適用選項）

1

讓病人掌控節奏(包括暫停或中止)

2

要求病人為病歷揭露過去受虐細節

3

使病人能看見門與逃生路徑的姿勢擺位

4

提供施作者性別選擇與支持者陪同

5

每一步驟執行前先說明並確認同意

## 解析

創傷知情照護建立在六項原則之上：安全、信任、同儕支持、協同合作、賦權，以及文化回應性。實際應用包括解釋每個檢查步驟並取得持續的同意、讓倖存者掌控檢查步調、提供醫療人員性別和陪伴者的選擇，以及安排檢查室讓出口清晰可見。要求揭露過去的受虐史會造成二度創傷並剝奪選擇權——揭露應是邀請，絕不強迫。紀錄應僅限於臨床上必要的資訊。

## 深入解析

核心轉變:問你經歷了什麼,而非你哪裡有問題。普遍預防 — 假設任何病人都可能有創傷史。

## 臨床情境

病人焦慮、避眼神、詢問可否讓門開著。病歷記載6個月前曾住家暴庇護所。

## 重要概念

- **創傷知情照護** — 體認創傷普遍存在並最小化再創傷之照護框架。
- **再創傷** — 當前照護互動觸發過去創傷反應。
- **親密伴侶暴力** — 現任或前任伴侶造成的身體、性、心理傷害。

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