Exam 22: Sexual Violence

A rape victim tells the nurse,"I should not have been out on the street alone." Which is the nurse's most therapeutic response?

An unconscious person is brought to the emergency department by a friend.The friend found the person in a bedroom at a college fraternity party.Semen is observed on the person's underclothes.The priority actions of staff members should focus on:

Which situation constitutes consensual sex rather than rape?

A nurse working a rape telephone hotline should focus communication to:

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

A rape victim asks an emergency department nurse,"Maybe I did something to cause this attack.Was it my fault?" Which response by the nurse is the most therapeutic?

A rape victim tells the emergency department nurse,"I feel so dirty.Please let me take a shower before the doctor examines me." The nurse should:

A victim of a sexual assault that occurred approximately 1 hour earlier sits in the emergency department rocking back and forth and repeatedly saying,"I can't believe I've been raped." This behavior is characteristic of which phase of the rape trauma syndrome?

A child was abducted and raped.In the emergency department,this victim is confused and crying.Which personal reaction by the nurse could interfere with this victim's care?

The nursing diagnosis rape trauma syndrome applies to a rape victim in the emergency department.Which outcome should occur before the patient's discharge?

A woman was grabbed by an attacker as she walked home from work.The attacker put a gun to her head,taped her mouth,tied her hands,took her to a remote location,and raped her.Which aspect of this crisis produced the greatest amount of psychologic trauma?

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

A person was abducted and raped at gunpoint by an unknown assailant.Which interventions should the nurse use while caring for this person in the emergency department? Select all that apply.

After assessing a victim of sexual assault,which terms could the nurse use in the documentation? Select all that apply.

A patient was abducted and raped at gunpoint by an unknown assailant.Which assessment finding best indicates the patient is in the acute phase of rape trauma syndrome?

The nurse cares for a victim of a violent sexual assault.What is the most therapeutic intervention?

A nurse cares for a rape victim who received flunitrazepam (Rohypnol)from the assailant.Which intervention has priority? Monitoring for:

Which assessment has priority when a nurse interviews a rape victim in the emergency department?

A patient comes to the hospital for treatment of injuries sustained during a rape.The patient abruptly decides to decline treatment and return home.Before the patient leaves,the nurse should:

A person was abducted and raped at gunpoint.The nurse observes this victim is confused,talks rapidly in disconnected phrases,and is unable to concentrate or make simple decisions.What is the patient's level of anxiety?