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Author Question: A nurse interviews a patient abducted and raped at gunpoint by an unknown assailant. The patient ... (Read 23 times)

cookcarl

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on: Jul 19, 2018
A nurse interviews a patient abducted and raped at gunpoint by an unknown assailant. The patient says, I can't talk about it. Nothing happened. I have to forget. What is the patient's present coping strategy?
 
  a. Compensation
  b. Somatization
  c. Projection
  d. Denial

Question 2

A nurse in the emergency department assesses an unresponsive victim of rape. The victim's friend reports, That guy gave her salty water before he raped her. Which question is most important for the nurse to ask of the victim's friend?
 
  a. Does the victim have any kidney disease?
  b. Has the victim consumed any alcohol?
  c. What time was she given salty water?
  d. Did you witness the rape?


karlss

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Reply #1 on: Jul 19, 2018
Answer to Question 1

ANS: D
The patient's statements reflect use of denial, an ego defense mechanism. This mechanism may be used unconsciously to protect the person from the emotionally overwhelming reality of the rape. The patient's statements do not reflect somatization, compensation, or projection.

Answer to Question 2

ANS: B
Salty water is a slang/street name for GHB (g-hydroxy-butyric acid), a Schedule III central nervous system depressant associated with rape. Use of alcohol would produce an increased risk for respiratory depression. GHB has a duration of 1-12 hours, but the duration is less important that the potential for respiratory depression. Seeking evidence is less important than the victim's physiologic stability.


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cookcarl

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Reply #2 on: Jul 19, 2018
Thank you


karlss

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Reply #3 on: Jul 19, 2018
No problemo


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