Ch 29

The emergency department nurse planning care for a rape survivor must realize that the emotional reaction displayed by many rape victims during the initial assessment and treatment is which emotion?

A Fear

B Eagerness

C Aggression

D Disinterest

A

Anticipatory teaching for a rape victim should include information addressing what common survivor problem?

A Denial of the event

B Headaches and fatigue

C Shock and numbness

D Intrusive thoughts

D

Which statement reflects a truth about rape?

A Some women want to be raped.

B Rapists are oversexed.

C Most rapes are planned.

D Most women are raped by strangers.

C

How is the act of rape is best described?

A An act of violence using sex as the weapon

B Assault by a stranger on an unsuspecting victim

C Sexual desire satisfied inappropriately

D An act prompted by early childhood neglect

A

Care planning for the rape victim is facilitated if the nurse understands that rape trauma syndrome is actually a variant of which psychiatric disorder?

A Posttraumatic stress disorder (PTSD)

B A maturational crisis

C A dissociative disorder

D Obsessive compulsive disorder (OCD)

A

To provide discharge treatment and support, the nurse should realize that the most common outcome of acquaintance rape is which psychosocial dysfunction?

A Sexual distress

B Fear of men

C Depression

D Anxiety

A

Which statement would be an appropriate long-term outcome for a rape client?

A Integrate of the rape event and resumption of an optimal level of functioning.

B Identify and develop coping skills necessary to reduce level of anxiety.

C Appropriately blame the rapist rather than blaming herself for the situation.

D Repress feelings of shame, embarrassment, and self-blame.

A

A sexual assault survivor tells the nurse, "I should have tried to fight him off! But I was so terrified that I could not move. I should have tried harder." Which response should the nurse make to reassure the client?

A "Try not to think about it. Put it out of your mind."

B "We each behave in characteristic ways in a crisis. That was your way."

C "Do you think others will think badly of you for not trying to fight?"

D "The way you behaved was the right thing to do at the time."

D

A sexual assault victim asks to be given "the morning-after pill" to prevent conception. The nurse does not believe in abortion. What action the nurse should take?

A Refer the woman for social services counseling.

B Report and document the request.

C Ask the supervising nurse to reassign the client.

D Ask the client to reevaluate her request after 24 hours.

B

During the immediate post-rape period what verbal nursing intervention would best lower client anxiety and increase feelings of well-being?

A "You are safe here. I will stay with you while you have your examination."

B "I know you feel confused. We will make all the necessary decisions for you."

C "Please tell me as much about the details of the rape as you can remember."

D "When you leave you will be given follow-up appointments for pregnancy and sexually transmitted disease screening."

A

When the nurse finishes addressing a group of college women about rape, the following comments are heard during the discussion period. Which comment calls for additional teaching by the nurse?

A "It makes sense that rape is a crime of violence, not a crime of sex."

B "Who would have guessed that most rape victims know the rapist?"

C "So if you dress conservatively, your risk of being raped is small."

D "I always thought rapes happened at night, but now I know that isn't true."

C

Which of the following are myths surrounding rape?

A Women are usually raped by a stranger.

B Women do not "ask" to be raped by their behavior or dress.

C Most rapes occur away from home areas such as alleys and behind buildings.

D Documented rape cases include women from 8 to 70 years old.

E Rape is an expression of aggression and anger.

F Rape is usually an impulsive, spur-of-the-moment decision by the rapist.

G Unless the assailant is armed, most women should be able to get away and avoid the rape.

ACDFG

It has been 6 months since a woman was raped. Which statement by the client would indicate that counseling has helped her to achieve an important long-term outcome?

A "I'm not having as many nightmares about the rape so I do get a little sleep at night."

B "My husband has been very supportive during this whole thing."

C "I am not going to let that rapist be in control of my life. I know things will keep getting better."

D "I am not pressing charges because I want this whole thing to be over with so I can move on."

C

Which of the following statements by a woman who was sexually assaulted a year ago would indicate that she has recovered from the trauma?

A "I don't walk home alone anymore because I am terrified it may happen again."

B "I am sleeping better but still only get about 5 hours of sleep at night because of bad dreams about the rape."

C "I realize that I was partly to blame for the rape because of walking in an unsafe neighborhood."

D "My husband and I are having sex again and I enjoy it."

D

Which statement best illustrates support in giving care to a patient who has just been sexually assaulted?

A "I'm so sorry for what you have been through."

B "Don't worry. It's hard now, but everything will be alright."

C "I am going to stay with you. We can talk as long as you want to."

D "Let's talk about new coping skills you can use."

C

A 28-year-old married client who is seeking treatment after being raped tearfully asks the nurse, "What if I am pregnant?" The nurse's response should be guided by what knowledge?

A The risk of pregnancy after rape is high, up to 50%.

B About 5% of women who are raped become pregnant as a result.

C Reproductive functions shut down during a violent attack, and as a result pregnancy does not occur.

D The client may be worried about how her spouse will accept the baby.

B