After a person was abducted and raped at gunpoint by an unknown assailant, which assessment finding best indicates the acute phase of the rape-trauma syndrome?
a. Decreased motor activity
b. Confusion and disbelief
c. Flashbacks and dreams
d. Fears and phobias
B
Reactions of the acute phase of the rape-trauma syndrome include shock, emotional numbness, confusion, disbelief, restless, and agitated motor activity. Flashbacks, dreams, fears, and phobias are seen in the long-term reorganization phase of the rape-trauma syndrome. Decreased motor activity by itself is not indicative of any particular phase.
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A 75-year-old client expresses concern over not being eligible for home health visits. The nurse explains to the client that the elderly are entitled to home care under which legislation?
1. Diagnosis-related groups (DRGs) 2. Omnibus Reconciliation Act 3. Medicare Act 4. Affordable Care Act
The nurse is assessing a client's wound and realizes that the second stage of the inflammatory process is characterized by which of the following?
a. Activation of the inflammation process b. Erythema c. Swelling d. Pus
Important actions the nurse takes to avoid "wrong site surgery" include (Select all that apply)
a. asking the surgeon to initial the marked site and operate through the initials. b. calling a time-out to verify right client, right surgical site before starting the oper-ation. c. having the client mark the surgical site with permanent marker. d. involving multiple surgeons in the case to check each other.
Interpersonal relationships are of no concern to the nursing assistant.
Answer the following statement true (T) or false (F)