The nurse in the emergency department is helping care for a young female victim of sexual assault. The client's physical assessment is complete, and physical evidence has been collected. The nurse notes that the client is withdrawn, confused, and, at times, physically immobile. The nurse interprets these behaviors as which type of reaction?

A. Signs of depression
B. Normal reactions to a devastating event
C. Indicative of the need for hospital admission
D. Evidence that the client is at high risk for suicide


Answer: B. Normal reactions to a devastating event

Nursing

You might also like to view...

A new mother is concerned that she will not have enough breast milk because of small breasts. What should the nurse respond to the mother?

A) "Have you discussed this concern with your physician?" B) "The size of breasts does not impact the amount of breast milk that is made.". C) "The baby's diet can be supplemented with formula beginning on the second day.". D) "No woman has to worry about milk production as long as she feeds the baby frequently.".

Nursing

Who first described pulmonary tuberculosis in detail?

A) Hippocrates of Cos B) Aretaeus the Cappadocian C) Claudius Galen D) Susruta

Nursing

A teenage boy was deer hunting 2 weeks ago with his best friend. His friend was accidentally killed by another hunter

The boy whose friend was killed experienced decreased appetite, insomnia, and inability to func-tion at his previous level in school, so his parents consulted their physician. They report that he seems obsessed with his friend's death, talking about the accident repeatedly. What is the best problem formulation? He is: 1. Attempting to avoid dealing with his pain 2. Feeling responsible for his friend's death 3. Experiencing a normal grief reaction 4. At risk for self-harm in an attempt to be with his friend

Nursing

A patient receiving large doses of opioids is lethargic and difficult to arouse, with a respiratory rate of 6 per minute and constricted pupils. Which medication should the nurse anticipate being prescribed?

a. Naloxone (Narcan) b. Furosemide (Lasix) c. Diazepam (Valium) d. Flumazenil (Romazicon)

Nursing