sexual assault

flashbacks, frightening thoughts, recurrent memories, or dreams are associated with which category of symptoms of PTSD? a. intrusive symptoms b. dissociative symptoms c. avoidance symptoms d. arousal symptoms

a

which racial identification places a woman at the greatest risk for being sexually assaulted in her lifetime? a. multiracial b. American indian c. black non-hispanic d. caucasian

a

at a local bar, a man slipped GHB into the drink of his date. he could not convince the woman to leave her friends and go home with him. what type of rape is this an example of?

attempted because he slipped a medication into her drink with the intention of doing something to her.

you are working at a telephone hotline center when abby, a rape victim, calls. abby states she is afraid to go to the hospital. what is your best response? a. im here to listen, and we can talk about your feelings b. you don't need to go to the hospital if you don't want to c. if you don't go to the hospital, we can't collect evidence to help you convict your rapist d. why are you afraid to seek medical attention

a

the nurse is reviewing means of sexual violence. the nurse understands that which of the following are also examples of sexual violence? sata a. denying emergency contraception b. denying measures to prevent STI c. organized rape during conflict d. sexual homicide

a, b, c, d sexual violence includes ALL of the following.

when should informed consent be obtained per best practice guidelines?

-before photographs are taken -a physical exam occurs -any other procedures that might be needed to collect evidence and provide tx.

s/s of rape trauma syndrome

1. anger 2. aggression 3. agitation 4. anxiety 5. confusion 6. dependence 7. depresssion 8. dissociation 9. disturbed sleep 10. disorganization 11. fear 12. guilt 13. helplessness 14. hyperalertness 15. low self esteem 16. mood swings 17. muscle tension 18. nightmares 19. paranoia 20. phobia 21. powerlessness 22. revenge 23. shame 24. substance abuse 25. suicide attempts 26. sexual dysfunction 27. shock

sexual assault assessment guidelines

1. assess psychological trauma and document the patients verbatim statements 2. assess level of anxiety. if in a sever-to-panic level of anxiety, the pt will not be able to problem solve or process information 3. assess physical trauma. use a preprinted body map and ask permission to take photographs. 4. assess available support systems. often partners or family members do not understand the trauma of rape, and they may not be the best supports to draw on at this time. 5. identify community supports (attorneys, support groups, therapists) that work in the area of sexual assault 6. encourage, but not pressure, the patient to talk about the experience.

important of follow up exams for sexual assault victims

1. detect new infections acquired during or after the assault 2. complete hep b vaccination (if indicated) 3. complete counseling and tx for other STD 4. monitor side effects and adherence to post exposure prophylactic medication, if prescribed.

nursing diagnosis for the victim of sexual assault

1. disturbed personal identity 2. situational low self-esteem 3. interrupted family processes 4. sexual identity 5. sexual dysfunction 6. anxiety 7. fear 8. social isolation

what information must be obtained during the initial medical exam?

1. documenting biological and physical findings 2. collecting evidence 3. arranging follow-up as needed to document additional evidence.

examples of sexual assault and sexual violence

1. stranger rape 2. marital rape 3. date rape 4. drug-facilitated sexual assault 5. incest 6. human sex trafficking 7. female genital mutilation

which s/s are associated with acute stress do and often observed in pt who have been sexually assaulted? sata a. outburst of anger b. depression c. auditory hallucinations d. flashbacks e. amnesia for the event

a, b, d, e

somatic symptoms

Somatic symptom disorder is characterized by an extreme focus on physical symptoms — such as pain or fatigue — that causes major emotional distress and problems functioning. You may or may not have another diagnosed medical condition associated with these symptoms, but your reaction to the symptoms is not normal

a 28 y/o married client who is seeking tx after being raped tearfully asks the nurse, "what if I am pregnant?" the nurse's response should be guided by what knowledge? a. the risk of pregnancy after rape is high, up to 50% b. about 5% of women who are raped become pregnant as a result c. reproductive functions shut down during a violent attack, and as a result pregnancy does not occur d. the client may be worried about how her spouse will accept the baby

b

which statement is an accurate depiction of sexual assault? a. rape is a sexual act b. most rapes occur in the home c. rape is usually and impulsive act d. women are usually raped by strangers

b

which statement made by a sexually assaulted pt strongly suggests the drug GHB was involved in the attack? a. I remember everything that happened, but felt too tired to fight back b. the drink I was given had a salty taste to it c. they tell me I was unconscious for 24 hours d. I heard that I was fighting the nursing Staff and saying that they were trying to kill me

b

the nurse is assessing the patient who has come in after being raped. what question is least therapeutic for the nurse to ask regarding immediate care of the patient? a. have you thought about harming yourself b. why were you walking home alone c. you can talk at the pace you would like d. would you like this to be reported

b ALWAYS avoid "why" questions because they are inherently evaluative.

a patient who visits the clinic stated that she was a victim of rape 3 months ago. she stated that she often feels like she is in a haze and that time is moving slow. what disorder and characteristic would the nurse apply to this patient? a. acute stress do, avoidance b. ptsd, depersonalization c. ptsd, derealization d. acute stress do, arousal

b ptsd begins once a pt acute symptoms extend longer than 1 month. depersonalization is feeling detached from one's mental processes or body. they may fee like that are in a dream, that their bodies are not real, or that time is moving slowly.

race and ethnicity are associated with rape. which race/ethnicity is most likely to experience rape? sata a. caucasian b. identify as multiracial c. American indian d. alaskan native e. black non-hispanic d. hispanic

b, c, d, e

a young woman named carly was raped behind the restaurant where she works after closing shift. six months have passed and carly has not been able to return to work, refuses to go out to eat, and feels that she has less value as a woman now that she has been raped. carly's clinical presentation suggests: a. re-experiencing b. hyperarousal c. avoidance d. physical effects

c

it has been 6 months since a woman was raped. which statement made by the client would indicate that counseling has helped her achieve an important long-term outcome? a. im not having as many nightmares about the rape so I do get a little sleep at night b. my husband has been very supportive during this whole thing c. I am not going to let that rapist be in control of my life. I know things will keep getting better d. I am not pressing charges because I want this whole thing to be over with so I can move on

c

perpetrator of sexual assault are often incarcerated but frequently do not undergo therapy. Samuel, convicted of rape and sentenced to 15 years in prison, has requested to see a therapist. the psychiatric nurse practitioner is surprised to learn of the request as many perpetrators: a. boast of their assault hx b. feel regret and remorse c. do not acknowledge the need for change d. are unable to recognize rape as a crime

c

ron is a victim of assault and has reveled to his family and friends the fact that he was raped. the family reacts with horror and disgust, and the nurse caring for Ron recognizes: a. Ron's family is being judgmental b. Ron's family should leave the hospital c. Ron's family will also need support d. dysfunction family dynamics

c

the nurse explains to the victim of rape that they need to collect evidence. the patient stated that she refuses to give them evidence because she does not want to make a lawsuit towards her perpetrator. the nurse is correct when she makes which statement: a. yes ma'am, I understand your wishes. b. we will throw away the evidence since she don't want to take him to court. c. we can store the evidence, in case on a later date you decide to take him to court. d. you have to pay for the examination yourself

c

which statement best illustrates support in giving care to a patient who has just been sexually assaulted a. I am so sorry for what you have been through b. don't worry. it is hard now, but everything will be all right c. I am going to stay with you. we can talk as long as you want to d. lets talk about new coping skills you can use

c

a teenager has just been raped, but she is concerned about telling her parents because she doesn't think they will believe her. she decides not to go to the hospital. what other options does the teenager have? a. call suicide hotline b. she has to go to the hospital c. call RAINN d. tell her parents and they will decide

c rape, abuse, incest national network. this provides direct communication with volunteers trained in rape crisis support. it focuses on helping the person through the period of acute distress by assessing what has happened and determining what kind of assistance is needed.

a female is talking with her friend about being at a party the night before. her friend stated that when she woke up, her friends stated that they found her in the bathroom naked after a male had walked out. her friends asked her if she had sex with him, and she stated that she did not know. they then went to the clinic to get her a pill and the nurse performed a rape kit. the rape kit indicated semen in the vaginal canal. what type of rape would this be an example of?

completed because the female did not consent to him penetrating her.

considering the guilt that women feel after being sexually assaulted, which nursing assessment question has priority? a. do you want the police to be called b. did you recognize the person who assaulted you c. do you have someone you trust that can stay with you d. do you have any thoughts about harming yourself

d

the stress of being raped often results in suffering similar to people who have witnessed a murder or had a physiological reaction to trauma, resulting in: a. ptsd b. anxiety c. depression d. all of the above

d

which of the following statements by a woman who was sexually assaulted a year ago would indicate that she has recovered from the trauma? a. I don't walk home alone anymore because I am terrified it may happen again b. I am sleeping better but still only get about 5 hours of sleep at night because of bad dreams about the rape c. I realize that I was partly to blame for the rape because of walking in an unsafe neighborhood d. my husband and I are having sex again and I enjoy it

d

t/f by virtue of the legal definition of the relationship, rape cannot occur within a marriage

false

t/f sexual assault will only involve adult males assaulting adult females

false it includes any combination of females, males, adults, and children