Author Question: A client was abducted and raped at gunpoint by an unknown assailant. When found she was confused ... (Read 87 times)

bio_gurl · **on:** Jul 19, 2018

A client was abducted and raped at gunpoint by an unknown assailant. When found she was
confused and disoriented. The intervention that would be appropriate for the nurse to implement
while caring for the client in the emergency department is

a. placing her in a private room and reassuring her that someone will be with her as
soon as possible.
b. putting an arm around her and reassuring her that a nurse will be there to help her
at all times.
c. posing questions in nonjudgmental, empathetic ways and allowing her to talk at a
comfortable pace.
d. allowing her family to be in the room and involving them in the history-taking
process.

Question 2

When the nurse and client construct a no-suicide contract, the preferable wording would be

a. I will not try to harm myself during the next 24 hours..
b. In the next 24 hours I will not, for any reason, accidentally or purposely, kill
myself..
c. I will not kill myself until I call you..
d. I will not make a suicide attempt while I am hospitalized..

pratush dev · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

C
Neutral, nonjudgmental care and emotional support are critical to crisis management for the rape
victim. Option A: The rape victim should not be left alone. Option B: The rape victim's anxiety may
escalate when touched by a stranger, even when the stranger is a nurse. Option C is not universally
appropriate. Some rape victims prefer not to have family involved.

Answer to Question 2

B
This statement leaves no loopholes. Option A: The wording about not harming oneself and not
making an attempt can be ignored by the client who thinks I am not going to harm myself, I am
going to kill myself or I am not going to attempt suicide, I am going to commit suicide.. Option C:
A client may call a therapist and leave the telephone to carry out the suicidal plan. Option D leaves a
huge loophole.