A victim of a violent rape has been in the emergency department ...

[big1devin]

A victim of a violent rape has been in the emergency department for 3 hours. Evidence collection is complete. As discharge counseling begins, the patient says softly, I will never be the same again. I can't face my friends.
 
  There is no sense of trying to go on. Select the nurse's most important response.
 
  a. Are you thinking of suicide?
  b. It will take time, but you will feel the same as before.
  c. Your friends will understand when you tell them.
  d. You will be able to find meaning in this experience as time goes on.

Question 2

An unconscious person is brought to the emergency department by a friend. The friend found the person in a bedroom at a college fraternity party. Semen is observed on the person's underclothes. The priority actions of staff members should focus on:
 
  a. maintaining the airway.
  b. preserving rape evidence.
  c. obtaining a description of the rape.
  d. determining what drug was ingested.

[LegendaryAnswers]

Answer to Question 1

ANS: A
The patient's words suggest hopelessness. Whenever hopelessness is present, so is the risk for suicide. The nurse should directly address the possibility of suicidal ideation with the patient. The other options attempt to offer reassurance before making an assessment.

Answer to Question 2

ANS: A
Because the patient is unconscious, the risk for airway obstruction is present. The incorrect options are of lower priority than preserving physiologic functioning.

[big1devin]

Gracias!

[jomama]

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