In the emergency department, a raped client appears calm and exhibits a blunt affect. The client answers a nurse's questions in a monotone using single words. How should the nurse interpret this client's responses?
A. The client may be lying about the incident.
B. The client may be experiencing a silent rape reaction.
C. The client may be demonstrating a controlled response pattern.
D. The client may be having a compounded rape reaction.
ANS: C
This client is most likely demonstrating a controlled response pattern. In a controlled response pattern, the client's feelings are masked or hidden, and a calm, composed, or subdued affect is seen. In the expressed response pattern, feelings of fear, anger, and anxiety are expressed through crying, sobbing, smiling, restlessness, and tension.
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