A nurse was battered by an assaultive client. Although no bones were broken, she sustained several
facial contusions.
Afterward she had difficulty sleeping, startled easily, admitted to being
preoccupied with thoughts about the incident, and stated she dreaded having to face intimidating
clients. Which response would be considered the most urgent reason to seek supervision?
a. Sleep pattern disturbance
b. Startle reactions
c. Preoccupation with the incident
d. A wish for revenge
D
The first three symptoms the nurse experienced re considered normal in a client who has been
battered. They are similar to the symptoms experienced by clients with posttraumatic stress disorder
but are usually are relieved with crisis intervention and follow-up designed to give support, help the
individual regain a sense of control, and make sense of the event. The desire for revenge signals an
urgent need for professional supervision to work through anger and counteraggressive feelings.
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