A client who was raped refuses to see any male physicians, tells the nurse that she had an "incident" that she does not want to talk about, and wants a bed by the door
The nurse identifies which of the following diagnoses as being appropriate for the client at this time? 1. Rape-Trauma Syndrome
2. Readiness for Enhanced Power
3. Relocation Stress Syndrome
4. Acute Confusion
1. Rape-Trauma Syndrome
Rationale:
The nursing diagnosis of rape-trauma syndrome applies if the client experiences high levels of anxiety, an inability to discuss the trauma, abrupt changes in relationships with men or changes in sexual behavior, and the onset of phobic reactions. This client is not displaying evidence of readiness for enhanced power. There is no evidence that the client is experiencing relocation stress syndrome or acute confusion.
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