# 一名9歲的個案揭露遭受成年照顧者的性虐待。哪些處置是適當的？請選出所有正確的選項。

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=375143&lang=zh-tw  
> language: zh-TW  
> subject: Safety and Infection Prevention and Control  
> category: SIPC

## 題目

一名9歲的個案揭露遭受成年照顧者的性虐待。哪些處置是適當的？請選出所有正確的選項。

1

提供私密安靜空間並運用創傷知情溝通

2

臨床指徵下提供STI檢驗與暴露後預防,經知情同意

3

為病歷反覆詢問兒童加害者細節

4

於適當時間窗內由小兒SANE/SAFE進行法醫檢查

5

以強制通報者身分通報CPS與執法機關

## 解析

兒童性虐待照護：作為強制通報者，無論所在州別或加害人身分，均須向兒童保護服務機構（CPS）和執法機關通報。採用創傷知情照護——提供隱私空間、保持鎮定、減少提問，以避免再度創傷和鑑識汙染。由受過訓練的兒科性侵害護理檢查員（SANE/SAFE）在州定時效內（通常72-120小時）進行鑑識檢查。討論性傳染病（STI）檢測和HIV暴露後預防（HIV PEP），以及依年齡和方案提供緊急避孕，並取得兒童的知情贊同和非加害者照顧者的知情同意。由多位提供者重複詢問會導致再度創傷，並破壞受訓兒童訪談員的鑑識訪談結果。

## 深入解析

急性照護重點:安全、醫療穩定、證據保存、強制通報、精神衛生連結。法醫面談由專家(CAC)非床邊RN。

## 臨床情境

72小時內揭露。學校輔導員陪同。母親趕來。

## 重要概念

- **SANE** — 性侵害護理檢查師 — 受過法醫與醫療照護專業訓練。
- **兒童倡議中心** — 多專業整合中心,進行虐待評估與法醫面談。
- **再創傷** — 因當前互動如反覆詢問而重新體驗創傷。

## 相同主題題目

- [A patient on day 8 of induction chemotherapy for acute myeloid leukemia has an absolute ne…](https://mymerci.kr/pages/nclex_q.php?qn_id=372846&lang=zh-tw)
- [A patient is admitted with a urine culture positive for Klebsiella pneumoniae carbapenemas…](https://mymerci.kr/pages/nclex_q.php?qn_id=373257&lang=zh-tw)
- [A nurse is implementing the IHI central-line-associated bloodstream infection (CLABSI) pre…](https://mymerci.kr/pages/nclex_q.php?qn_id=373865&lang=zh-tw)
- [A perioperative nurse is implementing the surgical site infection (SSI) prevention bundle …](https://mymerci.kr/pages/nclex_q.php?qn_id=374199&lang=zh-tw)
- [A nurse is administering doxorubicin (a vesicant chemotherapy agent) through a peripheral …](https://mymerci.kr/pages/nclex_q.php?qn_id=374920&lang=zh-tw)
- [A patient is admitted with confirmed Clostridioides difficile (C. diff) infection — profus…](https://mymerci.kr/pages/nclex_q.php?qn_id=374937&lang=zh-tw)
- [A home health nurse visiting a 78-year-old with dementia notices unexplained bruises in va…](https://mymerci.kr/pages/nclex_q.php?qn_id=374965&lang=zh-tw)
- [A client admitted 18 hours after the last alcohol drink has tremor, diaphoresis, BP 168/96…](https://mymerci.kr/pages/nclex_q.php?qn_id=374984&lang=zh-tw)

## 以其他語言閱讀

- [en](https://mymerci.kr/pages/nclex_q.php?qn_id=375143&lang=en)
- [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=375143&lang=ko)
- [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=375143&lang=ja)
- [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=375143&lang=zh-tw)
- [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=375143&lang=vi)

---

More free questions: [NCLEX-RN 題庫](https://mymerci.kr/pages/nclex_bank.php?lang=zh-tw)

_僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。_