# 一名22歲的個案抵達急診室，主訴2小時前遭受性侵害。個案流著淚說：「我只想回家。」哪些護理措施是適當的？請選出所有正確選項。

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=505791&lang=zh-tw  
> language: zh-TW  
> subject: Psychosocial Integrity  
> category: PSI

## 題目

一名22歲的個案抵達急診室，主訴2小時前遭受性侵害。個案流著淚說：「我只想回家。」哪些護理措施是適當的？請選出所有正確選項。

1

要求個案詳細描述侵害過程，以準確記錄事件。

2

說明身體檢查是強制性的，以便收集證據。

3

提供性侵害專科護理師進行檢查的選項。

4

在評估過程中觸碰個案前，先取得口頭同意。

5

提供當地倡議與諮商資源的資訊。

6

允許個案在檢查前淋浴並更換衣物。

## 解析

提供性侵害專科護理師可提供專業且具創傷知情的照護，並妥善保存證據。觸碰前取得口頭同意尊重個案的自主權並強化安全感，這是創傷知情照護的核心原則。提供倡議與諮商資源支持個案持續的情緒需求，並促進知情決策。要求個案詳細描述侵害過程可能造成再次創傷，且非初始照護所需；簡要病史即足夠。身體檢查並非強制性；個案有權拒絕檢查的任何部分。在證據收集前允許個案淋浴或更換衣物可能破壞法醫證據，若個案同意收集證據，應延至檢查後進行。

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