A victim of a sexual assault occurring approximately 1 hour ago is sitting in the emergency
department cubicle, rocking back and forth and repeating over and over "I cannot believe he raped
me.".
This behavior should be assessed as characteristic of
a. the controlled impact reaction to rape-trauma syndrome.
b. the angry stage of rape-trauma syndrome.
c. the delayed reaction to rape-trauma syndrome.
d. phobic reaction to rape-trauma syndrome.
A
The victim's response is controlled rather than uncontrolled. Her response is immediate and does not
include a display of anger or the development of a phobia.
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Leslie Charleston admits that she has been having trouble staying awake on the night shift after she is found sleeping in the day room. She stated that her babysitter moved out of state and she has not found a new babysitter
Her husband leaves for work when she gets home, and she is left with a 1-year-old and a 3-year-old until after supper. She is not getting adequate rest and is exhausted. What is your initial response? a. Call together all of the night shift nursing assistants, explain Leslie's problem, and suggest that they excuse her from the 0100 and 0300 rounds until she can get some rest b. Offer to have your babysitter also watch Leslie's children during the day so she can sleep c. Review options with Leslie and give her a written warning. If she is found sleeping again on night shift, she will be terminated d. Encourage her to switch to working day shifts
A 66-year-old man has presented to the emergency department with complaints of crushing chest pain. Consequently, an electrocardiogram (ECG) has been ordered stat
Which of the following actions should the nurse prioritize when facilitating this diagnostic test? A) Providing patient education around the role of an ECG B) Providing reassurance to the patient's accompanying family members C) Landmarking and placing the ECG electrodes accurately D) Assisting the patient into a prone position to facilitate the ECG
The nurse is caring for an infant born with a congenital anomaly. Which of the following factors is likely to have the most influence on the mother's ability to cope with the infant's handicap?
A) The mother's age B) The gender of the infant C) The parent's amount of support D) The fact that this is a mental and not a physical challenge
The nurse is caring for a patient 6 hours after a thyroidectomy and notes the patient's temperature is 104°F, pulse is 144 beats per minute, respirations are 24 per minute, and blood pressure is 184/108 mm Hg
Which of the following orders does the nurse anticipate? a. Beta blockers and a cooling blanket b. Epinephrine and compression dressings c. Aspirin and bedrest d. Diphenhydramine (Benadryl) and Fowler's position