A nurse visits a female victim of sexual assault for the fourth visit. The client expresses that she is unable to cope with the trauma. Even though the assault occurred quite some time ago, she feels as if it just happened yesterday

What is the most appropriate response by the nurse? A) "We should move on from the strong feelings associated with this incident."
B) "In reality, the rape did not occur yesterday; it has been over one month now."
C) "Tell me more about the aspects that makes you feel as if it happened yesterday."
D) "Can you do something to alleviate the fear of being assaulted again?"


C
Feedback:
The nurse should make statements that would facilitate an expression of feelings from the client. The nurse should encourage the client to express her fears and insecurity. This conveys that the nurse is there to provide support. The nurse should avoid giving an opinion and should in fact allow the client to hold on to the feelings; it is a nontherapeutic approach. Making the client realize that the rape occurred a month ago would block communication.

Nursing

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