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Author Question: A nurse visits a female victim of sexual assault for the fourth visit. The client expresses that she ... (Read 38 times)

berenicecastro

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A nurse visits a female victim of sexual assault for the fourth visit. The client expresses that she is unable to cope with the trauma. Even though the assault occurred quite some time ago, she feels as if it just happened yesterday.
 
  What is the most appropriate response by the nurse? A) We should move on from the strong feelings associated with this incident.
  B) In reality, the rape did not occur yesterday; it has been over one month now.
  C) Tell me more about the aspects that makes you feel as if it happened yesterday.
  D) Can you do something to alleviate the fear of being assaulted again?

Question 2

A nurse is assessing a client's neuromuscular status by having the client perform movements that correlate with muscular functions controlled by the upper spine and peripheral nerve roots. Which of the following was applied to the client?
 
  A) Cervical collar
  B) Pelvic belt
  C) Molded splint
  D) Bivalved cast



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kusterl

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Answer to Question 1

C
Feedback:
The nurse should make statements that would facilitate an expression of feelings from the client. The nurse should encourage the client to express her fears and insecurity. This conveys that the nurse is there to provide support. The nurse should avoid giving an opinion and should in fact allow the client to hold on to the feelings; it is a nontherapeutic approach. Making the client realize that the rape occurred a month ago would block communication.

Answer to Question 2

A
Feedback:
During recovery from a slipped disc, the nurse assesses the client's neuromuscular status by having him or her wear a cervical collar. The nurse also performs movements that correlate with muscular functions controlled by the cervical spine and peripheral nerve roots. A pelvic belt is a part of skin traction, which is applied to the skeletal system with devices. A molded splint is used for chronic injuries or diseases. A bivalved cast is not applied to the neck.





 

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