During a follow-up visit to the clinic, a victim of sexual assault reports that she has changed her job and moved to another town. She tells the nurse, "I pretty much stay to myself at work and at home
" The nurse interprets these findings to indicate that the client is in which phase of rape recovery? A) Disorganization
B) Denial
C) Reorganization
D) Integration
C
Response:
During the reorganization phase, the survivor attempts to make life adjustments by moving or changing jobs and uses emotional distancing to cope. The disorganization phase is characterized by shock, fear, disbelief, anger, shame, guilt, and feelings of uncleanliness. During the denial or outward adjustment phase, the survivor appears outwardly composed and returns to work or school and refuses to discuss the assault and denies the need for counseling. During the integration and recovery phase, the survivor begins to feel safe and starts to trust others.
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For the surgical patient who complains of excessive gas, the nurse will:
a. offer iced fluids. b. arrange for large meal servings. c. provide a straw for drinking fluids. d. ambulate the patient in the hall.
Which indicator should receive priority concern when monitoring an older adult for possible malnutrition?
a. The client's stated goal to 'lose 10 pounds in 6 weeks'. b. The client's weight loss of 3 pounds in the last 2 weeks. c. The client's weight, when compared to a weight chart, is below normal. d. The client's statement that, "I could save some money by cutting back on my food bills."
The nurse requests the client to sign a surgical informed consent form for an emergency appendectomy. Which statement by the client indicates further teaching is needed?
1. "I will be glad when this is over so I can go home today." 2. "I will not be able to eat or drink anything prior to my surgery." 3. "I can practice relaxing by listening to my favorite music." 4. "I will need to get up and walk as soon as possible."
A pregnant client asks, "What's the difference between the true pelvis and the false pelvis?" How should the nurse respond?
1. "The false pelvis helps support the weight of the pregnant uterus." 2. "The false pelvis consists of the inlet, the pelvic cavity, and the outlet." 3. "The true pelvis does not affect fetal passage during labor and childbirth." 4. "The true pelvis helps direct the presenting fetal part into the false pelvis."