Chapter 26: Sexual Assault

Chapter 26: Sexual Assault

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1)   A single woman who works from 3 to 11 PM as an aide in a nursing home was grabbed from behind by a man who put a gun to her head as she walked home. The attacker warned her not to scream or he would “blow [her] head off.” He put tape over her mouth, tied her hands, forced her into his car, took her to an isolated spot, and raped her. When found, she was confused and disoriented. A rescue unit was called and she was taken to the hospital emergency department, where rape evidence was collected and she received treatment. During the emergency room stay the client sobbed incoherently for the first 30 minutes and intermittently thereafter. She appeared tense, restless, and agitated throughout the stay. The nurse correctly assessed the client’s style of coping as

ANS:   B

The expressed style includes such overt behaviors as crying, smiling, laughing, joking, restlessness, agitation, hysteria, volatility, anger, confusion, incoherence, disorientation, and tenseness. Option A: The controlled style involves confusion, incoherence, expressionless face, calm, subdued appearance, shock, numbness, and difficulty making decisions. Option C: There is no suicidal rape-trauma coping style. Option D: Somatic reactions involve physical symptoms such as headaches, sleep disturbances, and gastrointestinal symptoms.

DIF:    Cognitive Level: Application             REF:    Text Page: 533

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

2)   A woman who works from 3 to 11 PM was grabbed from behind by a man who put a gun to her head as she walked home. The attacker warned her not to scream or he would “blow [her] head off.” He put tape over her mouth, tied her hands, forced her into his car, took her to an isolated spot, and raped her. When found, she was confused and disoriented. A rescue unit was called and she was taken to the hospital emergency department, where rape evidence was collected and she received treatment. The nurse correctly assessed the aspect of the client’s crisis that produced the greatest amount psychological trauma as

ANS:   A

Psychological 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:    Text Page: 535

TOP:    Nursing Process: Assessment

MSC:   NCLEX: Safe, Effective Care Environment;

3)   A woman was abducted and raped at gunpoint by an unknown assailant. When found she was confused and disoriented. The nurse makes the following observations about the client. She is talking rapidly in disjointed phrases, is unable to concentrate, and is indecisive when asked to make simple decisions. The client’s level of anxiety can be assessed as

ANS:   A

Acute anxiety results from the personal threat to the victim’s safety and security. In this case, the client’s symptoms of rapid, dissociated speech, inability to concentrate, and indecisiveness indicate severe anxiety. Options B and C: Mild and moderate levels of anxiety would allow the client to function at a higher level.

DIF:    Cognitive Level: Analysis                  REF:    Text Page: 534

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

4)   A client was abducted and raped at gunpoint by an unknown assailant. When found she was confused and disoriented. What behaviors would indicate that the client is in the acute phase of the rape-trauma syndrome?

ANS:   A

Impact reactions of the acute phase of the rape-trauma syndrome include shock, emotional numbness, confusion, disbelief, restless, and agitated motor activity. Options B and D: Flashbacks, dreams, fears, and phobias are seen in the long-term reorganization phase of the rape-trauma syndrome. Option 3: Decreased motor activity, by itself, is not indicative of any particular phase.

DIF:    Cognitive Level: Application             REF:    Text Page: 532, Text Page: 533

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