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A woman was found confused and disoriented after being abducted and raped at gunpoint by an unknown assailant. The emergency department nurse makes these observations about the woman: talking rapidly in disjointed phrases, unable to concentrate, indecisive when asked to make simple decisions. What is the woman's level of anxiety?


A) Weak
B) Mild
C) Moderate
D) Severe

E) B) and C)
F) All of the above

Correct Answer

verifed

verified

An unconscious teenager is treated in the emergency department. The teenager's friends suspect a rape occurred at a party and tell the nurse the teenager received ketamine. Priority action by the nurse should focus on which of the following?


A) Preserving rape evidence
B) Maintaining physiologic stability
C) Determining what drugs were ingested
D) Obtaining a description of the rape from a friend

E) A) and D)
F) A) and C)

Correct Answer

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verified

A rape victim says to the nurse, "I always try to be so careful. I know I should not have walked to my car alone. Was this attack my fault?" Which communication by the nurse is most therapeutic?


A) Support the victim to separate issues of vulnerability from blame.
B) Emphasize the importance of using a buddy system in public places.
C) Reassure the victim that the outcome of the situation will be positive.
D) Pose questions about the rape and help the patient explore why it happened.

E) B) and C)
F) A) and D)

Correct Answer

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verified

A nurse in the emergency department assesses an unresponsive victim of rape. The victim's friend reports, "That guy gave her salty water before he raped her." Which question is most important for the nurse to ask of the victim's friend?


A) "Does the victim have any kidney disease?"
B) "Has the victim consumed any alcohol?"
C) "What time was she given salty water?"
D) "Did you witness the rape?"

E) B) and D)
F) C) and D)

Correct Answer

verifed

verified

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