A single woman who works from 3 to 11 PM as an aide in a nursing home was grabbed from behind
by a man who put a gun to her head as she walked home. The attacker warned her not to scream or
he would "blow [her] head off.".
He put tape over her mouth, tied her hands, forced her into his car,
took her to an isolated spot, and raped her. When found, she was confused and disoriented. A rescue
unit was called and she was taken to the hospital emergency department, where rape evidence was
collected and she received treatment. During the emergency room stay the client sobbed
incoherently for the first 30 minutes and intermittently thereafter. She appeared tense, restless, and
agitated throughout the stay. The nurse correctly assessed the client's style of coping as
a. controlled.
b. expressed.
c. suicidal.
d. somatic.
B
The expressed style includes such overt behaviors as crying, smiling, laughing, joking, restlessness,
agitation, hysteria, volatility, anger, confusion, incoherence, disorientation, and tenseness. Option A:
The controlled style involves confusion, incoherence, expressionless face, calm, subdued
appearance, shock, numbness, and difficulty making decisions. Option C: There is no suicidal
rape-trauma coping style. Option D: Somatic reactions involve physical symptoms such as
headaches, sleep disturbances, and gastrointestinal symptoms.
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