A nurse working in an urgent care center is interviewing a woman with vague somatic complaints. When the nurse is alone with the client, however, the client states that she was raped a few weeks ago but still feels "as if it just happened to me
" The nurse should make which ther-apeutic response to the client? 1. "It is very, very hard to get over these types of feelings after being raped."
2. "What do you think you should do to reduce the likelihood that you will be raped again?"
3. "Tell me more about what happened, and what causes you to feel like the rape just
occurred."
4. "It's hard, but try to keep a sense of perspective. After all, it's been a while since the rape occurred."
3
Rationale: The correct option explores the client's thoughts and feelings directly and fully. At the same time, it conveys an unhurried, nonjudgmental, and supportive attitude that is therapeu-tic. The client needs reassurance that these feelings are normal and may be expressed in this safe care environment. "It is very, very hard to get over these types of feelings after being raped." places the client's feelings on hold, and "What do you think you should do to reduce the likeli-hood that you will be raped again?" blocks further communication. "It's hard, but try to keep a sense of perspective. After all, it's been a while since the rape occurred." is likely to increase the client's fear.
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