5 terms

(HL) 1538 Biophysical Health Care Concepts #7

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A nurse is discussing silent rape
reaction with a newly licensed
nurse. The nurse should identify
which of the following characteristics
as expected for this type of
reaction? (Select all that apply.)
A. Sudden development
of phobias
B. Development of
substance use disorder
C. Increased level of anxiety
during interview
D. Reactivation of a prior
physical disorder
E. Unwillingness to discuss
the sexual assault
A. CORRECT: Sudden onset of phobic reactions
is a characteristic of a silent rape reaction.
B. Development of substance use disorder is a
characteristic of a compound rape reaction.
C. CORRECT: Increased anxiety during interview
is a characteristic of a silent rape reaction.
D. Reactivation of a prior physical disorder is a
characteristic of a compound rape reaction.
E. CORRECT: No verbalization of the sexual assault
is a characteristic of a silent rape reaction.
A nurse is assessing a client who
experienced sexual assault. Which
of the following findings indicate
the client is experiencing an
emotional reaction of rape‑trauma
syndrome? (Select all that apply.)
A. Genitourinary soreness
B. Difficulties with low
self‑esteem
C. Sleep disturbances
D. Emotional outbursts
E. Difficulty making decisions
A. Genitourinary soreness indicates a somatic reaction.
B. Difficulties with low self‑esteem are an indication of a sustained
and maladaptive emotional response beyond the initial reaction.
C. Sleep disturbances indicates a somatic reaction.
D. CORRECT: Emotional outbursts indicate an expressed
initial reaction of rape‑trauma syndrome.
E. CORRECT: Difficulty making decisions indicates a
controlled initial reaction of rape‑trauma syndrome.
A nurse is discussing the care of
a client following a sexual assault
with a newly licensed nurse. Which
of the following statements by the
newly licensed nurse indicates
an understanding of teaching?
A. "I will administer prophylactic
treatment for sexually
transmitted infections,
like chlamydia."
B. "I am not required to obtain
informed consent before the
sexual assault nurse examiner
collects forensic evidence."
C. "I can expect manifestations of
rape‑trauma syndrome to be
similar to bipolar disorder."
D. "I should use narrative
documentation when
documenting subjective data."
A. CORRECT: The nurse should administer prophylactic treatment for infections such as chlamydia according to the Centers for Disease Control and Prevention.

INCORRECT:
B. T he nurse must obtain informed consent to collect data that can be used as legal evidence.
C. Manifestations of rape‑trauma syndrome are
similar to posttraumatic stress disorder.
D. T he nurse should document subjective data,
using the client's verbatim statements.
A nurse is caring for a client who
was recently raped. The client
states, "I never should have
been out on the street alone at
night." Which of the following
responses should the nurse make?
A. "Your actions had nothing to
do with what happened."
B. "You should focus on recovery
rather than blaming yourself
for what happened."
C. "You believe this wouldn't
have happened if you
hadn't been out alone?"
D. "Why do feel that you should
not have been alone on
the street at night?"
A. T his response offers the nurse's opinion, which is
a nontherapeutic communication technique.
B. T his responses indicates disapproval, which is a
nontherapeutic communication technique.
C. CORRECT: This response uses the therapeutic
communication technique of restating, which promotes
reflection and verbalization of feelings.
D. T his responses asks a "why" question, which is a
nontherapeutic communication technique.
A community health nurse is leading
a discussion about rape with a
neighborhood task force. Which
of the following statements by a
neighborhood citizen indicates an
understanding of the teaching?
A. "Rape is a crime of passion."
B. "Acquaintance rape often
involves alcohol."
C. "Young adults are the typical
victims of sexual assault."
D. "The majority of rapists are
unknown to the victims
A. Rape is a crime of violence, aggression, anger, and power.
B. CORRECT: Alcohol and other substances are often
associated with date or acquaintance rape.
C. Individuals of all ages are affected by sexual
assault and can be male or female.
D. T he majority of perpetrators are known to the vulnerable persons.