A rape victim says to the nurse, "I always try to be so careful. I know I should not have walked to my car alone. Was this attack my fault?" Which communication by the nurse is most therapeutic?
a. Support the victim to separate issues of vulnerability from blame.
b. Emphasize the importance of using a buddy system in public places.
c. Reassure the victim that the outcome of the situation will be positive.
d. Pose questions about the rape and help the patient explore why it happened.
ANS: A
Although the victim may have made choices that made her vulnerable, she is not to blame for the rape. Correcting this distortion in thinking allows the victim to begin to restore a sense of control. This is a positive response to victimization. The distracters do not permit the victim to begin to restore a sense of control or offer use of non-therapeutic communication techniques. In this interaction, the victim needs to talk about feelings rather than prevention.
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