A client was abducted and raped at gunpoint by an unknown assailant. When found she was
confused and disoriented. What behaviors would indicate that the client is in the acute phase of the
rape-trauma syndrome?
a. Confusion and disbelief
b. Flashbacks and dreams
c. Decreased motor activity
d. Fears and phobias
A
Impact reactions of the acute phase of the rape-trauma syndrome include shock, emotional
numbness, confusion, disbelief, restless, and agitated motor activity. Options B and D: Flashbacks,
dreams, fears, and phobias are seen in the long-term reorganization phase of the rape-trauma
syndrome. Option 3: Decreased motor activity, by itself, is not indicative of any particular phase.
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The client's family states, "We don't understand what is happening to Dad. He seems better earlier in the day and then in the evening his confusion and agitation really increase
" What is the best explanation for what the client is experiencing? 1. Sundowner syndrome 2. Delirium 3. Anxiety 4. Psychosis
A nurse follows the protocol of SAMPLE when speaking to a victim of a fall in the parking lot of the hospital. What does the P stand for?
a. Pills taken today b. Personal physician c. Past illnesses d. Preference for emergency transportation
When planning discharge teaching with a patient who has undergone a total mastectomy with axillary dissection, the nurse knows to instruct the patient that she should report what signs or symptoms to the physician immediately?
A) Tightness and tingling across the chest wall B) Temperature of 98.5ºF C) Gross swelling and large amount of output from the drainage device D) Swelling in the arm on the side of the mastectomy
A woman who is a carrier of an X-linked recessive genetic disorder has a child with a man who is not affected by the disorder. The chance that a son born to this couple will have the disease is ________ percent. Standard Text:
Fill in the blank(s) with correct word