After an abduction and rape at gunpoint by an unknown assailant, which assessment finding best indicates that a patient is in the acute phase of the rape-trauma syndrome?
a. Decreased motor activity
b. Confusion and disbelief
c. Flashbacks and dreams
d. Fears and phobias
ANS: B
Reactions of the acute phase of the rape-trauma syndrome are shock, emotional numbness, confusion, disbelief, restlessness, 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.
You might also like to view...
The healthcare team consists of personnel whose goal is to
1. Work well together 2. Keep healthcare costs down 3. Restore clients' health and promote wellness 4. Make sure the client does what each provider prescribes 5.
The nurse in the clinic is caring for a patient who has seasonal rhinitis and the patient wants to know what causes this to occur. What is the nurse's best response?
A) "You are experiencing symptoms because bacteria have entered the nose and caused an infection." B) "Your upper airways are experiencing an inflammatory response to an inhaled antigen that is causing you to have sneezing and watery eyes." C) "Your sympathetic nervous system is responding to an acute amount of stress in your life causing you to have nasal congestion." D) "Your runny nose and sneezing have occurred because a portion of your lung has collapsed."
A 46-year-old patient is receiving propranolol (Inderal), a nonselective beta-adrenergic blocker for his heart condition. The nurse would teach the patient to:
1. sit or lie down when taking the drug. 2. limit caffeine intake. 3. double the dose if symptoms occur. 4. not stop the drug abruptly.
A client undergone a traditional cholecystectomy with T-tube placement is preparing for discharge. What statement made by the client indicates a need for further teaching regarding the care of the T-tube?
A. "I will inspect the T-tube drainage site for signs of infection." B. "I will clamp the T-tube for 1 to 2 hours before and after meals." C. "I will irrigate the T-tube with normal saline if the drainage appears too slow." D. "I will call my health care provider if I note a sudden increase in bile output."