A female patient tells the nurse that she has been having ...

[joe]

A female patient tells the nurse that she has been having nightmares and acute anxiety around men since being sexually assaulted 3 months ago. The most appropriate nursing diagnosis for the patient is
 
  a. anxiety related to effects of being raped.
  b. sleep deprivation related to frightening dreams.
  c. rape-trauma syndrome related to rape experience.
  d. ineffective coping related to inability to resolve incident.

Question 2

Which statement by the patient indicates that the nurse's teaching about treating vaginal candidiasis has been effective?
 
  a. I should clean carefully after each urination and bowel movement.
  b. I can douche with warm water if the itching continues to bother me.
  c. I will insert the antifungal cream right before I get up in the morning.
  d. I will tell my husband that we cannot have intercourse for the next month.

[sultana.d]

Answer to Question 1

ANS: C
The patient's symptoms are most consistent with the nursing diagnosis of rape-trauma syndrome. The nursing diagnoses of sleep deprivation, ineffective coping, and anxiety address some aspects of the patient's symptoms but do not address the problem as completely as the rape-trauma syndrome diagnosis.

Answer to Question 2

ANS: A
Cleaning of the perineal area will decrease itching caused by contact of the irritated tissues with urine and reduce the chance of further infection of irritated tissues by bacteria in the stool. Sexual intercourse should be avoided for 1 week. Douching will disrupt normal protective mechanisms in the vagina. The cream should be used at night so that it will remain in the vagina for longer periods of time.