A victim of a violent rape was treated in the emergency ...

[JMatthes]

A victim of a violent rape was treated in the emergency department. As discharge preparation begins, the victim says softly, I will never be the same again. I can't face my friends. There is no reason to go on..
 
  Select the nurse's most appropriate response. a. Are you thinking of harming yourself?
  b. It will take time, but you will feel the same..
  c. Your friends will understand when you explain it was not your fault..
  d. You will be able to find meaning in this experience as time goes on..

Question 2

A patient shows a nurse the following advertisement for a product: Product X is a scientific breakthrough helpful for a wide range of ailments, including depression, anxiety, and sleeplessness.
 
  Made from an ancient formula, X stimulates circulation and doubles the body's ability to excrete toxins. Satisfaction is guaranteed or your money back. Only 45 for a 1-month supply. Order now and receive a free month's supply.. The nurse should assess this as most likely being: a. a bargain.
  b. worth a try.
  c. dangerous.
  d. worthless.

[joanwhite]

Answer to Question 1

A
The patient's words suggest hopelessness. Whenever hopelessness is present, so is suicide risk. The nurse should directly address the possibility of suicidal ideation with the patient. The other options attempt to offer reassurance before making an assessment.

Answer to Question 2

D
Advertisements indicating scientific breakthroughs or promising miracles for multiple ailments are usually for products that are useless and being fraudulently marketed. Some may even be harmful. Caution patients that things that sound too good to be true probably are, and that all substances ingested for health reasons should be researched or discussed with a trusted health care provider to prevent significant harm to the patient's health.