Author Question: A rape victim whose nursing diagnosis was rape-trauma syndrome received initial treatment in the ... (Read 83 times)

jayhills49 · **on:** Jul 19, 2018

A rape victim whose nursing diagnosis was rape-trauma syndrome received initial treatment in the
emergency department and has visited a rape crisis counselor weekly for 8 weeks.

The client report
that would support nursing evaluation that the long-term process of reorganization has been
successfully completed is
a. absence of signs or symptoms of posttraumatic stress disorder.
b. presence of mild somatic reaction.
c. occasional episodic nightmares.
d. moderate doubts about self-worth.

Question 2

An action the nurse can advise a family to take in the home setting to enhance safety for the client
with Alzheimer's disease who wanders at night is

a. place throw rugs on tile or wooden floors.
b. elevate bed on 6-inch blocks.
c. encourage daytime napping.
d. place locks at the tops of doors.

huda · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A
Rape-trauma syndrome is a variant of posttraumatic stress disorder. Reporting the absence of signs
and symptoms of posttraumatic stress disorder suggests that the long-term reorganization phase has
been successfully completed. The other options suggest that the process is ongoing.

Answer to Question 2

D
Placing door locks at the top of the door makes it more difficult for the client with dementia to
unlock the door because the ability to look up and reach upward is diminished. Option A: All throw
rugs should be removed to prevent falls. Option B: Placing a mattress on the floor to prevent falls is
a better intervention than raising the height of the bed. Option C: Day napping should be
discouraged with the hope that the client will sleep during the night.