Intervention for the sexual abuse survivor is often not attempted by maternity and women's health nurses because of the concern about increasing the distress of the woman and the lack of expertise in counseling
Which of the following initial interventions is appropriate and most important in facilitating the woman's care? 1. Initiating a referral to an expert counselor
2. Setting limits on what the patient discloses
3. Listening and encouraging therapeutic communication skills
4. Acknowledging the nurse's discomfort to the patient as an expression of empathy
3
1. Incorrect. Referring this patient to a counselor would be an appropriate measure but not the most important initial intervention.
2. Incorrect. A patient should be allowed to disclose any information that she feels the need to discuss. As a nurse, you would want to provide a safe environment to do so.
3. Correct. The survivor needs support on many different levels, and a women's health nurse may be the first person to whom she relates her story. Therapeutic communication skills and listening are initial interventions.
4. Incorrect. Either verbal or nonverbal shock and horror reactions from the nurse are par-ticularly devastating. Professional demeanor and professional empathy are essential.
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