ATI LPN
Test Bank for Essentials of Psychiatric Mental Health Nursing: A Communication Approach to Evidence-Based Care, 4e 4th Edition
Chapter 22 Questions
Question 1 of 5
A nurse works with a person who was raped 4 years ago. This person says, 'It took a long time for me to recover from that horrible experience.' Which term should the nurse use when referring to this person?
Correct Answer: B
Rationale: A survivor is an individual who has experienced sexual assault, participated in interventions, and is moving forward in life. Victim refers to a person who experienced a recent sexual assault. Plaintiff refers to a person bringing a civil complaint to the court system. Perpetrator refers to a person who commits a crime.
Question 2 of 5
A person was abducted and raped at gunpoint. The nurse observes this person is confused, talks rapidly in disconnected phrases, and is unable to concentrate or make simple decisions. What is the person's level of anxiety?
Correct Answer: D
Rationale: Anxiety is the result of a personal threat to the victim's safety and security. The person's symptoms of rapid, dissociated speech, confusion, and indecisiveness indicate severe anxiety. 'Minimal' is not a level of anxiety. Mild and moderate levels allow the person to function at a higher level.
Question 3 of 5
A person was abducted and raped at gunpoint by an unknown assailant. Which assessment finding best indicates the person is in the acute phase of rape trauma syndrome?
Correct Answer: A
Rationale: Shock, emotional numbness, confusion, disbelief, restlessness, and agitated motor activity depict the acute phase of rape trauma syndrome. Flashbacks, dreams, fears, and phobias occur in the long-term reorganization phase. Decreased motor activity is not specific to any phase.
Question 4 of 5
A nurse interviews a person abducted and raped at gunpoint by an unknown assailant. The person says, 'I can't talk about it. Nothing happened. I have to forget!' What is the person's present coping strategy?
Correct Answer: D
Rationale: Disbelief is common during the acute stage following sexual assault. Denial is evidence of this disbelief, used unconsciously to protect the person from the emotionally overwhelming reality of rape. The statements do not reflect somatic symptoms, repression, or projection.
Question 5 of 5
A child was abducted and raped. Which personal reaction by the nurse could interfere with the child's care?
Correct Answer: A
Rationale: Feelings of empathy, concern, and compassion are helpful. Disgust may make objectivity impossible and can increase the child's anxiety and shame.