A 19-year-old college student, Jan, is taken to the ED by her friend. Her friend states that she was sexually assaulted at a frat party. Jan has given permission for a forensic examination (photos and specimens). Choose the nursing action you would take when working with a victim of sexual assault.1. Sugest she should clean up before the vaginal exam in order to feel less violated2. Explain that everything will be okay, and that is usually takes a month or two to get over, in order to calm her down3. Try and get her to tell you as much about the assault that she can remember, so you can put the information in your report to the police4. Explain all procedures before doing them (e.g. vaginal and rectal exams, obtaining forensic specimens (e.g. semen samples, debris pubic hair, ect).
4. Explain all procedures before doing them (e.g. vaginal and rectal exams, obtaining forensic specimens (e.g. semen samples, debris pubic hair, ect).
In the medical record of a victim of rape, which of the following types of data are inappropriate to document?1. Observations of the patient's physical trauma using a body map2. Assessment of signs and symptoms of emotional trauma3. Verbatim statements made by the patient4. Details of the patient's sexual history
4. Details of the patient's sexual history
When an ED nurse is providing care to a rape victim, which two of the following are important elements of care?1. Providing nonjudgmental care2. Conveying disgust that this would happen3. Aligning with her sense of blaming herself4. Assuring confidentiality
1. Providing nonjudgmental care4. Assuring confidentiality
Which of the following observations, if found in the medical record of a sexual assault survivor, would indicate that "reorganization" after a rape crisis was not yet complete? The patient is:1. free from somatic reactions2. generally positive about self3. calm and relaxed during interactions4. experiencing frequent nightmares
4. experiencing frequent nightmares
A patient asks the nurse if she should leave her husband who has been sexually violent to her. The best response by the nurse would be:1. "It will be safer for you to divorce your husband."2. "Often women are in more danger during the separation period."3. "He will appreciate you more after you leave him."4. "I cannot professionally respond to your question.
4. "I cannot professionally respond to your question.