Author Question: After a rape victim visited a rape crisis counselor weekly for 8 weeks, which finding best ... (Read 231 times)

james9437 · **on:** Jul 19, 2018

After a rape victim visited a rape crisis counselor weekly for 8 weeks, which finding best demonstrates that reorganization was successful?

a. Absence of signs or symptoms of posttraumatic stress disorder
b. Presence of mild somatic reactions
c. Moderate doubts about self-worth
d. Occasional episodic nightmares

Question 2

The nurse is to meet a family for the first family therapy session. The husband/father is an accountant who admits to being skeptical of the idea that talking can help the family strengthen its ability to cope with life stressors.

The wife/mother is a teacher who states she is not skillful in conflict resolution. The son, aged 15 years, defies parents and teachers and is in academic trouble. The daughter, aged 17 years, is trying to decide whether to attend a local college and live at home or attend an out-of-state university. During the first meeting, the nurse should plan to: a. elicit the perspective and feelings of each family member.
b. maintain the focus of all members on the here and now.
c. provide psychoeducation regarding oppositional defiant disorder.
d. state the expectation that members will support family coping.

mochi09 · **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 distracters suggest that the process is ongoing.

Answer to Question 2

A
The perspective of each family member must be elicited and heard. Not only does the nurse gain information with this technique, but family members may be hearing the information for the first time and will come to better understand the position and feelings of other members. Maintaining a focus on the here and now may not be appropriate, because a certain amount of history may be relevant at the first meeting. Education regarding a particular disorder would be premature; further assessment is needed to confirm the diagnosis. Outcomes should be negotiated by the entire family, not imposed by the nurse.