NURS 355 FINAL Exam Review, answers explained

NURS 355 FINAL Exam Review, answers explained-Rape is best described as? an act of violence using sex as the weapon. Rape is a violent crime. Sex is only the medium for perpetrating the crime. Text page: 610 Which statistic concerning rape is true? Most male rape victims do not report the crime. Text page: 610 To provide discharge treatment and support, the nurse should realize that the most common sequelae of acquaintance rape is the development of symptoms of sexual distress. Women who have been raped by acquaintances frequently develop symptoms that prevent them from participating in normal sexual relations. Sexual distress is more common among women who have been sexually assaulted by intimates; fear and anxiety are more common in those assaulted by strangers. Depression occurs in both groups. Text page: 611 Care planning for the rape victim is facilitated if the nurse understands that the rape trauma syndrome is actually a variant of post-traumatic stress disorder. Most of those who have been raped are eventually able to resume their previous lives after supportive services and crisis counseling. However, many carry with them a constant emotional trauma: flashbacks, nightmares, fear, phobias, and other symptoms associated with posttraumatic stress disorder. Text page: 612 What reaction is most commonly displayed by rape victims in the immediate aftermath of the rape? Disorganization The acute phase of the rape trauma syndrome occurs immediately after the assault and may last for a few weeks. This stage is seen by emergency department personnel. Nurses are the ones most involved in dealing with these initial reactions. During this phase a great deal of disorganization in the person's lifestyle and somatic symptoms are common. Text page: 612 Which statement reflects a truth about rape? Most rapes are planned. Many myths about rape exist. Most rapes are not impulsive, spur-of-the-moment acts, but are carefully planned and orchestrated. Text page: 616 Anticipatory teaching of a rape victim should include information that a common survivor problem often developing during the long-term reorganization phase of rape trauma syndrome is intrusive thoughts. Just as in posttraumatic stress disorder, intrusive thoughts haunt the rape victim in the weeks and months during which long-term reorganization is occurring. Knowing this is a common occurrence is reassuring to the client, who often is frightened by the symptom. Text page: 613 A rape victim in the emergency department repeats "I don't know why he did it." Although the nurse does not necessarily give the answer at this juncture, the nurse correctly identifies the motivation for most perpetrators of rape as a desire to dominate and humiliate. Power and domination as well as humiliation of the victim are the motivations for rape. In this scenario the nurse understands that rape is not a sexual act. Rape is a violent expression of aggression, anger, and the need for power. Text page: 616 The emergency department nurse planning care for a rape victim must realize that the emotional reaction displayed by many rape victims during assessment and treatment while in the emergency department is fear. Rape is an act of violence, and sex is the weapon used by the perpetrator. Rape engulfs its victims in fear and anxiety, resulting in withdrawal for some and causing severe panic reactions in others. After being traumatized, the person raped often carries an additional burden of shame, guilt, fear, anger, distrust, and embarrassment. Text page: 614 In the acute phase of the rape trauma syndrome, nursing interventions should focus on providing client support and safety. Helping the client feel safe and giving emotional support are two important interventions to combat the disorganization common during the acute phase of the rape trauma syndrome. Text page: 612 A client tells the college health nurse she was raped by her date several weeks ago. Which reason is the client most likely to give for waiting to tell someone? Feeling guilty for somehow having caused it Many rape victims feel that they are somehow at fault for the rape and harbor feelings of guilt. This guilt stands in the way of reporting the rape to the authorities. Text page: 618 K calls a rape crisis hotline and reports having been raped. The nurse advises K to go to the nearest emergency department for treatment. K states "I'll think it over while I take a shower." The nurse should explain that showering or changing clothes will destroy evidence. Showering, washing, and changing clothes will destroy evidence such as semen and hairs shed from the perpetrator's body. Victims should be advised regarding what to do to preserve evidence. Text pages: 613 and 617