Chapter 22: Sexual Violence

Chapter 22: Sexual Violence

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A woman was grabbed by an attacker as she walked home from work. The attacker put a gun to her head, taped her mouth, tied her hands, took her to a remote location, and raped her. Which aspect of this crisis produced the greatest amount of psychologic trauma?

a.	Threat to her life
b.	Memory of the event
c.	Being in a remote location
d.	Physical pain experienced

 

 

ANS:  A

The psychologic trauma associated with rape is produced by a number of factors. Of the options given, the threat to life is by far the most traumatic aspect of the crisis. The other options may, however, add significantly to the trauma.

 

DIF:    Cognitive Level: Application           REF:   Page: 420|Pages: 428-429

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity

 

2. A person was abducted and raped at gunpoint. The nurse observes this victim is confused, talks rapidly in disconnected phrases, and is unable to concentrate or make simple decisions. What is the patient’s level of anxiety?

a.	Weak
b.	Mild
c.	Moderate
d.	Severe

 

 

ANS:  D

Anxiety is the result of a personal threat to the victim’s safety and security. In this case, the patient’s symptoms of rapid, dissociated speech, confusion, and indecisiveness indicate severe anxiety. “Weak” is not a level of anxiety. Mild and moderate levels of anxiety allow the patient to function at a higher level.

 

DIF:    Cognitive Level: Application           REF:   Pages: 428-429

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Physiological Integrity

 

3. A patient was abducted and raped at gunpoint by an unknown assailant. Which assessment finding best indicates the patient is in the acute phase of rape trauma syndrome?

a.	Confusion and disbelief
b.	Decreased motor activity
c.	Flashbacks and dreams
d.	Fears and phobias

 

 

ANS:  A

Shock, emotional numbness, confusion, disbelief, restlessness, and agitated motor activity depict the acute phase of rape trauma syndrome. Flashbacks, dreams, fears, and phobias occur in the long-term reorganization phase of rape trauma syndrome. Decreased motor activity, by itself, is not indicative of any particular phase.

 

DIF:    Cognitive Level: Application           REF:   Pages: 427-428

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity

 

4. A nurse interviews a person abducted and raped at gunpoint by an unknown assailant. The person says, “I can’t talk about it. Nothing happened. I have to forget!” What is the person’s present coping strategy?

a.	Somatic reaction
b.	Repression
c.	Projection
d.	Denial

 

 

ANS:  D

The patient’s statements reflect the use of the ego defense mechanism denial. This mechanism may be unconsciously used to protect the person from the emotionally overwhelming reality of rape. The patient’s statements do not reflect somatic symptoms, repression, or projection.

 

DIF:    Cognitive Level: Application           REF:   Pages: 427-428

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity