A client, who was raped and refuses to see any male healthcare providers, tells the nurse that she had an "incident" that she does not want to talk about, and wants a bed by the door. Which nursing diagnosis is appropriate for the client?
A) Relocation Stress Syndrome
B) Readiness for Enhanced Power
C) Rape-Trauma Syndrome
D) Acute Confusion
Answer: C) Rape-Trauma Syndrome
Explanation: Rape-Trauma Syndrome can manifest itself in many ways depending on the client. Some clients, such as this one, exhibit fear, especially of individuals of the same gender as the attacker. Clients may also exhibit humiliation, shame, and distrust in others. This client is not displaying evidence of readiness for enhanced power. There is no evidence that the client is experiencing relocation stress syndrome or acute confusion.
You might also like to view...
A 59-year-old patient has been diagnosed with prostatitis and is being seen at the clinic for complaints of burning and pain during urination. He is experiencing:
a. Dysuria. b. Nocturia. c. Polyuria. d. Hematuria.
Patients often have recollections of the critical care experience. Which is likely the most common recollection from a patient who required endotracheal intubation and mechanical ventilation?
a. Difficulty communicating b. Inability to get comfortable c. Pain d. Sleep disruption
An older client with age spots is fearful of contracting skin cancer but wants to continue his hobby of outdoor gardening. Which statement by the client indicates a good understanding of the teaching about this issue?
a. "I will avoid staying outside during the day." b. "I can use only oil-based tanning lotion." c. "I have to start growing plants indoors." d. "I will wear a hat and gloves when gar-dening."
Which of the following is the most appropriate expected outcome when one is caring for a client with a nursing diagnosis Body image disturbance?
1. "Demonstrates attention to appearance, posture, and presentation of self." 2. "Appraises the situation realistically without distortions." 3. "Identifies personal strengths and positive attributes." 4. "Reduces the incidence of negative self-talk."