A single woman who works from 3 to 11 PM as an aide in a nursing ...

[itsmyluck]

A single woman who works from 3 to 11 PM as an aide in a nursing home was grabbed from behind
  by a man who put a gun to her head as she walked home. The attacker warned her not to scream or
  he would blow her head off..
 
  He put tape over her mouth, tied her hands, forced her into his car,
  took her to an isolated spot, and raped her. When found, she was confused and disoriented. A rescue
  unit was called and she was taken to the hospital emergency department, where rape evidence was
  collected and she received treatment. During the emergency room stay the client sobbed
  incoherently for the first 30 minutes and intermittently thereafter. She appeared tense, restless, and
  agitated throughout the stay. The nurse correctly assessed the client's style of coping as
  a. controlled.
  b. expressed.
  c. suicidal.
  d. somatic.

Question 2

A new nurse tells a mentor I want to convey to my clients that I am interested in them and that I
  want to listen to what they have to say..
 
  The behaviors helpful in meeting the nurse's goal include
  the nurse (more than one answer may be correct)
  A. sitting behind a desk, facing the client.
  B. introducing herself to the client and identifying her staff role.
  C. using facial expressions that convey interest and encouragement.
  D. assuming an open body posture and sometimes mirror imaging.
  E. maintaining control of the topic under discussion by asking direct questions.

[perkiness]

Answer to Question 1

B
The expressed style includes such overt behaviors as crying, smiling, laughing, joking, restlessness,
agitation, hysteria, volatility, anger, confusion, incoherence, disorientation, and tenseness. Option A:
The controlled style involves confusion, incoherence, expressionless face, calm, subdued
appearance, shock, numbness, and difficulty making decisions. Option C: There is no suicidal
rape-trauma coping style. Option D: Somatic reactions involve physical symptoms such as
headaches, sleep disturbances, and gastrointestinal symptoms.

Answer to Question 2

ANS:
B, C, D
Rationale: Options B, C, and D are helpful behaviors. Trust is fostered when the nurse introduces
herself and identifies her role. Facial expressions that convey interest and encouragement support the
nurse's verbal statements to that effect and strengthen the message. An open body posture conveys
openness to listening to what the client has to say. Mirror imaging enhances client comfort. Option
A: The desk places a physical barrier between the nurse and client. A face-to-face stance should be
avoided when possible and a less intense 90- or 120-degree angle used to permit either party to look
away without discomfort. Option E: Once introductions have been accomplished the nurse should
turn the interview over to the client by using an open-ended question such as Where should we
start?

[itsmyluck]

TY

[perkiness]

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