Exam 29: Sexual Assault

A nurse interviews a patient abducted and raped at gunpoint by an unknown assailant.The patient says,"I can't talk about it.Nothing happened.I have to forget." What is the patient's present coping strategy?

A nurse works a rape telephone hotline.Communication with potential victims should focus on:

When an emergency department nurse teaches a victim of rape-trauma syndrome about reactions that may occur during the long-term phase of reorganization,which symptoms should be included? Select all that apply.

A patient was abducted and raped at gunpoint by an unknown assailant.Which nursing interventions are appropriate while caring for the patient in the emergency department? Select all that apply.

Which situation describes consensual sex rather than rape?

A victim of a violent rape was treated in the emergency department.As discharge preparation begins,the victim says softly,"I will never be the same again.I can't face my friends.There is no reason to go on." Select the nurse's most appropriate response.

A rape victim visited a rape crisis counselor weekly for 8 weeks.At the end of this counseling period,which comment by the victim best demonstrates that reorganization was successful?

A rape victim tells the emergency nurse,"I feel so dirty.Help me take a shower before I get examined." The nurse should: (select all that apply)

Which aspects of assessment have priority when a nurse interviews a rape victim in an acute setting? Select all that apply.

A nurse cares for a rape victim who was given a drink that contained flunitrazepam (Rohypnol)by an assailant.Which intervention has priority? Monitoring for:

Before a victim of sexual assault is discharged from the emergency department,the nurse should:

An emergency department nurse prepares to assist with examination of a sexual assault victim.What equipment will be needed to collect and document forensic evidence? Select all that apply.

A rape victim says to the nurse,"I always try to be so careful.I know I should not have walked to my car alone.Was this attack my fault?" Which communication by the nurse is most therapeutic?

An unconscious teenager is treated in the emergency department.The teenager's friends suspect a rape occurred at a party.Priority action by the nurse should focus on:

An emergency department nurse prepares to assist with evidence collection for a sexual assault victim.Prior to photographs and pelvic examination,what documentation is important?

A victim of a sexual assault who sits in the emergency department is rocking back and forth and repeatedly saying,"I can't believe I've been raped." This behavior is characteristic of which stage of rape-trauma syndrome?

The nurse at a university health center leads a dialogue with female freshmen about rape and sexual assault.One student says,"If I avoid strangers or situations where I am alone outside at night,I'll be safe from sexual attacks." Choose the nurse's best response.

After an abduction and rape at gunpoint by an unknown assailant,which assessment finding best indicates that a patient is in the acute phase of the rape-trauma syndrome?

A victim of a sexual assault comes to the hospital for treatment but abruptly decides to decline treatment and leaves the facility.While respecting the person's rights,the nurse should:

A woman was found confused and disoriented after being abducted and raped at gunpoint by an unknown assailant.The emergency department nurse makes these observations about the woman: talking rapidly in disjointed phrases,unable to concentrate,indecisive when asked to make simple decisions.What is the woman's level of anxiety?