Exam 27: Sexual Assault

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 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 rape victim tells the nurse,"I should not have been out on the street alone." Select the nurse's most helpful response.

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

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 is consensual sex rather than rape?

A person who was raped comes to the hospital for treatment.The person abruptly decides to decline treatment and leave the facility.Before this person leaves,the nurse should:

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 victim of a sexual assault 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:

A victim of rape says,"My family is not very supportive." Which belief contributes to a negative family response?

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

A rape victim asks a nurse,"How do I know whether this attack was my fault?" Which response by the nurse is therapeutic?

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

The nursing diagnosis Rape-trauma syndrome is established for a rape victim in the emergency department.Select the most important outcome to achieve before discharging the patient.

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 tells the emergency room nurse,"I feel so dirty.Help me take a shower before the doctor examines me." The nurse should:

A woman was bound,taken to a remote location,and raped at gunpoint.When found,she was examined and treated in the emergency department.Which aspect of this crisis produced the greatest amount of psychological trauma?

A patient in the long-term phase of the rape-trauma syndrome had intrusive thoughts of the attack and developed fears of being alone.Which finding best demonstrates the patient has improved? The patient:

Which aspect of assessment has priority when a nurse interviews a rape victim?

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