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Sexual Violence

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Question 1
Free
Multiple Choice

A nurse works with a person who was raped four years ago. This person says, "It took a long time for me to recover from that horrible experience." Which term should the nurse use when referring to this person?

Choose correct answer/s
A

Victim

B

Survivor

C

Plaintiff

D

Perpetrator

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Question 2
Free
Multiple Choice

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

Choose correct answer/s
A

Weak

B

Mild

C

Moderate

D

Severe

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Question 3
Free
Multiple Choice

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

Choose correct answer/s
A

Confusion and disbelief

B

Decreased motor activity

C

Flashbacks and dreams

D

Fears and phobias

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Question 4
Free
Multiple Choice

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

Choose correct answer/s
A

Somatic reaction

B

Repression

C

Projection

D

Denial

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Question 5
Free
Multiple Choice

A child was abducted and raped. Which personal reaction by the nurse could interfere with the child's care?

Choose correct answer/s
A

Anger

B

Concern

C

Empathy

D

Compassion

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Question 6
Multiple Choice

A nurse working in the county jail interviews a man who recently committed a violent sexual assault against a woman. Which comment from this perpetrator is most likely?

Choose correct answer/s
A
"She was very beautiful."
B
"I gave her what she wanted."
C
"I have issues with my mother."
D
"I've been depressed for a long time."
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Question 7
Multiple Choice

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?

Choose correct answer/s
A
Pose questions about the rape, helping the patient explore why it happened.
B
Reassure the victim that the outcome of the situation will be positive.
C
Make decisions for the victim because of the temporary confusion.
D
Support the victim to separate issues of vulnerability from blame.
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Question 8
Multiple Choice

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

Choose correct answer/s
A
"Rape can happen anywhere."
B
"Blaming yourself only increases your anxiety and discomfort."
C
"You believe this would not have happened if you had not been alone?"
D
"You are right. You should not have been alone on the street at night."
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Question 9
Multiple Choice

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

Choose correct answer/s
A
Patient states, "I feel safe and entirely relaxed."
B
Memory of the rape is less vivid and frightening.
C
Physical symptoms of pain and discomfort are no longer present.
D
Patient agrees to keep a follow-up appointment with the rape crisis center.
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Question 10
Multiple Choice

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

Choose correct answer/s
A
Use accepting, nurturing, and empathetic communication techniques.
B
Educate the victim about strategies to avoid attacks in the future.
C
Discourage the expression of feelings until the victim stabilizes.
D
Maintain a matter-of-fact manner and objectivity.
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Question 11
Multiple Choice

What is the primary motivator for most rapists?

Choose correct answer/s
A
Anxiety
B
Need for humiliation
C
Overwhelming sexual desires
D
Desire to humiliate or control others
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Question 12
Multiple Choice

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

Choose correct answer/s
A
arrange long-term counseling.
B
serve as a sympathetic listener.
C
obtain information to relay to the local police.
D
explain immediate steps that a victim of rape should take.
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Question 13
Multiple Choice

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:

Choose correct answer/s
A
arrange for the patient to shower.
B
explain that washing would destroy evidence.
C
give the patient a basin of hot water and towels.
D
instruct the victim to wash above the waist only.
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Question 14
Multiple Choice

Which situation constitutes consensual sex rather than rape?

Choose correct answer/s
A
After coming home intoxicated from a party, a person forces the spouse to have sex. The spouse objects.
B
A person's lover pleads to have oral sex. The person gives in but then regrets the decision.
C
A person is beaten, robbed, and forcibly subjected to anal penetration by an assailant.
D
A physician gives anesthesia for a procedure and has intercourse with an unconscious patient.
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Question 15
Multiple Choice

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

Choose correct answer/s
A
arrange support from the victim's family.
B
provide referral information verbally and in writing.
C
advise the victim to try not to think about the assault.
D
offer to stay with the victim until stability is regained.
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Question 16
Multiple Choice

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?

Choose correct answer/s
A
Anger phase
B
Acute phase
C
Outward adjustment phase
D
Long-term reorganization phase
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Question 17
Multiple Choice

A survivor in the long-term organization (delayed) phase of the rape trauma syndrome has experienced intrusive thoughts of the rape and developed a fear of being alone. Which finding demonstrates this survivor has made improvement? The survivor:

Choose correct answer/s
A
temporarily withdraws from social situations.
B
describes coping strategies for fearful situations.
C
uses increased activity to reduce fear.
D
expresses a desire to be with others.
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Question 18
Multiple Choice

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:

Choose correct answer/s
A
tell the patient, "You may not leave until you receive prophylactic treatment for sexually transmitted diseases."
B
provide written information concerning the physical and emotional reactions that may be experienced.
C
explain the need and importance of human immunodeficiency virus (HIV) testing.
D
offer verbal information about legal resources.
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Question 19
Multiple Choice

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:

Choose correct answer/s
A
maintaining gas exchange.
B
preserving rape evidence.
C
obtaining a description of the rape.
D
determining what drug was ingested.
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Question 20
Multiple Choice

A victim of a violent rape has been in the emergency department for 3 hours. Evidence collection is complete. As discharge counseling begins, the victim says softly, "I will never be the same again. I can't face my friends. There is no sense of trying to go on." Select the nurse's most important response.

Choose correct answer/s
A
"Are you thinking of suicide?"
B
"It will take time, but you will feel the same as before."
C
"Your friends will understand when you tell them."
D
"You will be able to find meaning in this experience as time goes on."
To unlock the question