Author Question: A patient, aged 16 years, comes to the crisis clinic and tells the nurse that an uncle tried to rape ... (Read 55 times)

mwit1967 · **on:** Jul 19, 2018

A patient, aged 16 years, comes to the crisis clinic and tells the nurse that an uncle tried to rape her yesterday.

The patient had told her mother of the uncle's behavior, but the mother accused the daughter of lying and, contrary to the patient's hopes, indicated she would still allow the uncle to visit the family. The patient describes feeling all confused and shows minor lacerations on her forearms to the nurse, which she indicates she did out of desperation rather than a wish to die. Which nursing diagnosis would be most appropriate as her primary diagnosis? a. Powerlessness
b. Disturbed thought processes
c. Rape-trauma syndrome
d. Interrupted family process

Question 2

An obese patient has schizophrenia. Medications that block which receptors would contribute to further weight gain?

a. H1
b. 5 HT2
c. GABA
d. Acetylcholine

anyusername12131 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A
The patient, a teenager, has relatively little control over her circumstances compared to her parents. However, when she approached her parent seeking support and protection, she was instead rebuffed and identified as the perpetrator rather than the victim. The patient made an effort to exert the power available to her by reporting the attempted assault, only to be accused herself and have the protection she desired withheld. Of the diagnoses listed, the most applicable would be powerlessness. There are no data to support an alteration in thought processes or interruption in family process. Rape-trauma syndrome involves posttraumatic stress disorderlike symptoms that include flashbacks and intrusive thoughts, none of which are documented here.

Answer to Question 2

A
H1 receptor blockade results in weight gain, which is undesirable for an obese patient. Blocking of the other receptors would have little or no effect on the patient's weight.