Author Question: A victim of sexual abuse expresses the belief to the nurse that the abuse is a punishment for not ... (Read 54 times)

Tazate · **on:** Jul 19, 2018

A victim of sexual abuse expresses the belief to the nurse that the abuse is a punishment for not having lived a spiritually pure life prior to the event. The nurse:

1. Indicates to the victim that this is an incorrect view.
2. Makes it clear to the client that the rape was not a punishment for the client's own behavior.
3. Acknowledges the client's spiritual frustration and invites the client to express these feelings.
4. Explains that rape can happen even to the most religious people.

Question 2

A nursing student attempting to use a behavioral modification contract found in the textbook is having trouble getting the client to follow through with everything in the contract.

The nursing instructor knows to tell the student that behavioral contracts must be: 1. Affected by the functionality of the client.
2. Reflective of the client's mental illness.
3. Tailored for the individual.
4. Reflective of the characteristics within the client's family.

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

Answer to Question 1

3
Rationale: The nurse validates the client's spiritual struggle and at the same time invites the client to express these feelings. This allows the client to grieve and ultimately to heal. The other responses are nontherapeutic, offer judgment, minimize the client's spiritual struggle, and/or may inhibit the client's willingness to work through feelings of guilt and responsibility for the attack.

Answer to Question 2

3
Rationale: A behavioral contract is a behavior modification plan arranged as a specific agreement between the individual and the team of caregivers who identify the behavior and design the plan. To be effective, the behavioral contract is tailored for the individual client. A contract that is reflective of the client's illness, considers the client's functionality, and reflects characteristics within the family are all aspects of tailoring the contract for the individual.