Author Question: A college student who was nearly raped while jogging, completes a series of appointments with a rape ... (Read 23 times)

storky111 · **on:** Jul 19, 2018

A college student who was nearly raped while jogging, completes a series of appointments with a rape crisis nurse. At the final session, which client statement most clearly suggests that the goals of crisis intervention have been met?

1. You've really been helpful. Can I count on your for continued support?
2. I work out in the college gym rather than jogging outdoors.
3. I'm really glad I didn't go home. It would have been hard to come back.
4. I carry mace when I jog. It makes me feel safe and secure.

Question 2

An involuntarily committed client when offered a dinner tray pushes it off the bedside table onto the floor. Which nursing intervention should a nurse implement to address this behavior?

1. Initiate forced medication protocol.
2. Help the client to explore the source of anger.
3. Ignore the act to avoid reinforcing the behavior.
4. With staff support and a show of solidarity, set firm limits on the behavior.

wuly · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

4
Rationale: The nurse should evaluate that the client who has developed adaptive coping strategies has achieved the goals of crisis intervention. The final phase of crisis intervention involves evaluating the outcome of the crisis intervention and anticipatory planning.

Answer to Question 2

4
Rationale: The most appropriate nursing intervention is to set firm limits on the behavior. Pushing food onto the floor should not warrant forced medication. This intervention may be too restrictive, considering the behavior. Exploring the source of anger may be more appropriate once the client has resolved the current emotion or in a therapeutic group setting. Ignoring the act may further upset the client and is not a method of teaching appropriate behavior.