Author Question: A patient was abducted and raped at gunpoint by an unknown assailant. Which nursing interventions ... (Read 109 times)

james9437 · **on:** Jul 19, 2018

A patient was abducted and raped at gunpoint by an unknown assailant. Which nursing interventions are appropriate while caring for the patient in the emergency department? Select all that apply.

a. Allow the patient to talk at a comfortable pace.
b. Place the patient in a private room with a caregiver.
c. Pose questions in nonjudgmental, empathetic ways.
d. Invite the patient's family members to the examination room.
e. Put an arm around the patient to demonstrate support and compassion.

Question 2

A victim of a sexual assault comes to the hospital for treatment but abruptly decides to decline treatment and leaves the facility. While respecting the person's rights, the nurse should:

a. say, You may not leave until you receive prophylactic treatment for sexually transmitted diseases.
b. provide written information about physical and emotional reactions the person may experience.
c. explain the need and importance of infectious disease and pregnancy tests.
d. give verbal information about legal resources in the community.

meganlapinski · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

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

Answer to Question 2

ANS: B
All information given to a patient before he or she leaves the emergency department should be in writing. Patients who are anxious are unable to concentrate and therefore cannot retain much of what is verbally imparted. Written information can be read and referred to later. Patients may not be kept against their will or coerced into treatment. This constitutes false imprisonment.