A client seen by the rape crisis nurse 1 month after the incident ...

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A client seen by the rape crisis nurse 1 month after the incident states, I'm confused and just not myself.
 
  I have mood swings during the day, and I have nightmares at night. Sometimes I think I'm at fault and feel ashamed and want to be alone. Other times I'm just plain afraid to be alone. When will I get back to being myself? The nurse diagnoses rape-trauma syndrome. Which of the fol-lowing would be an appropriate outcome for this client?
  1. Client will sleep 8 hours without medication by week 6 of therapy
  2. Client will develop better self-esteem by week 8 of therapy
  3. Client will accept nurse's word that her reactions are normal
  4. Client will verbalize that recovery may take up to a year

Question 2

A client in her early teens who is being treated for irritable bowel syndrome has just disclosed that she has been the victim of child abuse for 8 years following her mother's remarriage.
 
  For what other condition should the nurse assess this client?
  1. Schizophrenia
  2. Agoraphobia
  3. Obsessive-compulsive disorder
  4. Posttraumatic stress disorder

[dantucker]

Answer to Question 1

ANS: 4
Rape trauma victims require time to process what has happened to them and to reorganize their lives, just as an individual who is grieving must do. 1. This may not be realistic. 2. This may be too soon. 3. Her reactions are typical of a victim of rape trauma.

Answer to Question 2

ANS: 4
The state of chronic hyperarousal caused by the abuse is the basis for three common outcomes of childhood abuse: PTSD, depression, and irritable bowel syndrome. The conditions mentioned in the other options are not related to child abuse.

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Excellent

[yeungji]

TYSM