A survivor of physical spousal abuse was treated... Which outcome should be met before discharge?

Correct Answer: B

Rationale: In the context of a survivor of physical spousal abuse being treated in a psychiatric emergency setting, the most appropriate outcome that should be met before discharge is for the individual to name two community resources for help (Option B). This is the correct choice because it demonstrates proactive engagement in seeking ongoing support and assistance beyond the immediate healthcare setting. Option A, facilitating counseling for the abuser, is not the most appropriate outcome before discharge for the survivor of abuse. The primary focus should be on the survivor's safety and well-being, rather than on interventions for the abuser at this stage. Option C, demonstrating insight into the abusive relationship, while important for the survivor's healing process, may not be an immediate requirement before discharge. Practical steps to ensure ongoing support and safety are more critical in the immediate aftermath of a psychiatric emergency. Option D, reexamining cultural beliefs about marital commitment, is also not the most pressing concern before discharge. While addressing cultural factors is important in the long term, the immediate priority is to ensure the survivor has access to necessary resources and support to address the abuse they have experienced. Educationally, this question highlights the importance of practical and immediate interventions to support individuals experiencing spousal abuse in psychiatric emergency settings. It underscores the significance of connecting survivors with community resources and support systems to ensure their safety and well-being beyond the clinical setting.

Correct Answer: A

Rationale: In a psychiatric emergency involving intimate partner abuse, ensuring the safety and well-being of the victim is the top priority. Option A, keeping a cell phone fully charged, is the correct choice because it allows the victim to quickly contact emergency services, a crisis hotline, or a trusted individual for help. In such situations, immediate access to communication is crucial for seeking assistance and protection. Option B, hiding money for new clothes, is not the most appropriate response as it focuses on material possessions rather than safety. While economic empowerment is important, it is secondary to ensuring the victim's immediate safety and access to support services. Option C, having the phone number for the nearest shelter, is a valuable resource for the victim to seek refuge and support. However, in the context of a psychiatric emergency, immediate communication through a fully charged cell phone takes precedence as it allows for real-time assistance. Option D, taking toys to amuse children for 2 days, although thoughtful, is not as critical in a psychiatric emergency involving intimate partner abuse. While addressing the needs of children is important, the primary focus should be on ensuring the safety and protection of the victim through immediate communication and access to support services. Educationally, this question emphasizes the importance of prioritizing safety and quick access to help in psychiatric emergencies, particularly in cases of intimate partner abuse. It highlights the significance of effective communication tools and resources in ensuring the well-being of individuals in vulnerable situations. By understanding and applying these principles, healthcare professionals can better support and advocate for victims of intimate partner abuse in psychiatric emergencies.

Correct Answer: B

Rationale: The correct answer is B) Confusion and disbelief. In the acute phase of rape-trauma syndrome, individuals commonly experience feelings of confusion and disbelief as they try to process and make sense of the traumatic event that has occurred. This initial reaction is a normal response to an overwhelmingly distressing situation such as an abduction and rape. Option A) Decreased motor activity is not indicative of the acute phase of rape-trauma syndrome. While some individuals may experience physical symptoms like immobilization or hyperactivity, decreased motor activity is not a specific hallmark of the acute phase. Option C) Flashbacks and dreams are more commonly associated with the reorganization phase of rape-trauma syndrome, which occurs after the acute phase. During this phase, survivors may experience intrusive memories of the traumatic event in the form of flashbacks or nightmares. Option D) Fears and phobias are symptoms that can occur in various phases of trauma recovery, but they are not specific indicators of the acute phase of rape-trauma syndrome. In the acute phase, individuals are more likely to be overwhelmed by feelings of confusion, disbelief, and emotional distress rather than specific fears or phobias. Educationally, understanding the different phases of rape-trauma syndrome is crucial for healthcare professionals, counselors, and first responders who may encounter survivors of sexual assault. Recognizing the symptoms associated with each phase can help in providing appropriate support and interventions tailored to the survivor's needs at different stages of their recovery process.

Correct Answer: A

Rationale: The correct answer is A) Support the victim to separate issues of vulnerability from blame. This response is the most therapeutic because it acknowledges the victim's feelings of vulnerability while emphasizing that the blame for the assault lies solely with the perpetrator. By validating the victim's emotions and helping them understand that they are not at fault, the nurse creates a safe space for the victim to process their experience and begin the healing process. Option B) Emphasizing the importance of using a buddy system in public places is not as therapeutic in this context because it focuses on prevention strategies rather than addressing the victim's current emotional needs. While safety measures are important, in a psychiatric emergency situation, the immediate concern is providing support and empathy to the victim. Option C) Reassuring the victim that the outcome will be positive may come across as dismissive of the victim's current emotional distress and can invalidate their feelings of fear, anger, or confusion. It is essential to acknowledge and address the victim's emotions rather than trying to prematurely assure them of a positive outcome. Option D) Posing questions about the rape and exploring why it happened can be potentially re-traumatizing for the victim, especially in a psychiatric emergency setting. Delving into the details of the assault without the victim's readiness or consent can exacerbate their distress and hinder the therapeutic communication process. In an educational context, it is crucial for healthcare providers to understand the principles of trauma-informed care and effective communication techniques when dealing with psychiatric emergencies, such as cases of sexual assault. Supporting individuals in a non-blaming and empathetic manner can help build trust, facilitate emotional healing, and empower victims to seek further help and support.

Correct Answer: B

Rationale: The correct answer is B) Male victims often experience physical injuries and are assaulted by more than one person. This response shows empathy, acknowledges the common experiences of male victims, and addresses potential physical injuries and multiple assailants, which are crucial aspects of assessing a psychiatric emergency involving a male victim of assault. Option A is incorrect as it perpetuates harmful gender stereotypes suggesting that men are better equipped to handle emotional pain than women, which is not supported by evidence and can further stigmatize male victims seeking help. Option C is not the best response as it redirects the focus to other male friends who may have been victims, potentially minimizing the individual's experience and needs in that moment. Option D is inappropriate as it places blame on the victim by asking why they think they became a victim of sexual assault, which can be retraumatizing and shift the responsibility away from the perpetrator. In an educational context, it is important for healthcare providers to approach psychiatric emergencies involving victims of assault with sensitivity, empathy, and a trauma-informed lens. Understanding the unique challenges and experiences faced by male victims of assault is crucial in providing appropriate care and support. Acknowledging physical injuries, the possibility of multiple assailants, and offering non-judgmental support are key components of effectively managing such situations.