A 22-year-old woman has presented to the emergency department early in the morning and tearfully admitted to the triage nurse that she was sexually assaulted by two men after being drugged in a club the night before
The nurse would prioritize which of the following nursing diagnoses in the care of this client?
A) Spiritual distress
B) Anxiety
C) Ineffective coping
D) Rape trauma syndrome
Ans: D
The nursing diagnosis of rape trauma syndrome is used when a client experiences a forced, violent sexual assault against his or her will and without his or her consent. The trauma syndrome develops as a result of the attack or attempted attack. Ineffective coping is not evidenced by the client's response to the gravity of the assault, and anxiety and spiritual distress may be components of rape trauma syndrome.
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