Question 1

The nurse has been talking to a woman about the reorganization phase following a rape. Which response would indicate that the patient understands this phase?

Accepted Answer

The answer of The nurse has been talking to a...

Question 2

A young woman was a victim of a sexual assault. After the rape exam is finished, the patient requests emergency contraception. Which information should the nurse teach the patient regarding the therapy?

Accepted Answer

Emergency contraception is most effective when used within 72 hours of contact. It is not illegal in all 50 states, and it is not used to induce abortions. While excessive vaginal bleeding can be a side effect, it is not the most common side effect.

Question 3

A woman comes into the emergency department and states that her husband has abused her physically. She has a number of bruises, and is obviously pregnant. She states she is 7 months pregnant. She states that her husband arrived home drunk and just started hitting her. She states that her main concern at this time is her three young children, who are still in the home with her husband. She had a neighbor bring her in to emergency department. What can the nurse do to assist with this situation?

Accepted Answer

The nurse should follow the proper protocol for reporting domestic violence and suspected child abuse. The nurse should call the authorities and social service workers with the patient's permission to remove the children from harm's way. The nurse should not ask the neighbor to retrieve the children, as this could put the neighbor in danger. The nurse should also not call the husband to bring the children to the emergency department, as this could put the patient in further danger. The safest and most appropriate action is to involve the proper authorities and social workers to ensure the safety of both the patient and her children.

Question 4

A patient comes to the reproductive health clinic and reports that she woke up in a strange room this morning, that her perineal area is sore, and she can't clearly remember what happened the previous evening. The patient says that she is afraid that she was a victim of a drug-facilitated sexual assault. Which statement should the nurse include when discussing this possibility with the patient?

Accepted Answer

Option B is correct because it accurately describes the possibility of drug-facilitated sexual assault, which involves the use of drugs by perpetrators to impair their victims' ability to resist sexual assault. Options A and C could be perceived as blaming the victim or invalidating her experience, and option D suggests that forensic evidence is necessary to confirm the patient's experience, which may not be feasible or desired by the patient.

Question 5

The most important aspect of care for the nurse to remember when screening a woman for partner abuse is:

Accepted Answer

Ensuring privacy and confidentiality is crucial to make the woman feel safe and secure, encouraging her to disclose sensitive information about partner abuse.

Question 6

When evaluating the care given a battered woman, the nurse analyzes care plan components to see whether:

Accepted Answer

Compassionate and respectful care ensures the woman feels supported. Providing necessary information empowers her to make informed decisions. Identifying culturally appropriate resources helps in accessing relevant support systems.

Question 7

A patient arrives at the emergency department stating that she was raped, but she felt so "dirty" that she went home and showered. She states that she has on clean clothes but has her other clothes in a bag. What will the nurse tell the patient?

Accepted Answer

Option D acknowledges the patient's feelings and also provides information regarding the importance of preserving evidence. It also offers support by assuring the patient that the hospital will work with the authorities to help in any way possible. Options A and B focus more on blaming the patient, while option C assumes that emergency contraception is the patient's immediate concern. Option D is the most appropriate and sensitive response in this scenario.

Question 8

Vicarious trauma is a phenomenon nurses might experience. Signs the nurse should be aware of indicating this problem are:

Accepted Answer

Reduced sense of accomplishment and questioning of personal belief systems are common signs of vicarious trauma in nurses. This occurs when they bear witness to traumatic events and the suffering of patients, which can lead to their own distress and trauma. The other choices, such as a positive effect on commitment to work or frustration with the judicial system, are not typically associated with vicarious trauma.

Question 9

The nurse suspects that a patient has been physically abused, but the woman refuses to report the abuse to the police. Which statement by the patient suggests to the nurse that the relationship might be in the "honeymoon stage"?

Accepted Answer

The statement "My boyfriend says he will never hurt me again" suggests that the patient may be in the "honeymoon stage" of the cycle of abuse, where the abuser apologizes and makes promises to stop the abuse in order to manipulate the victim into staying in the relationship.

Question 10

In educating a group of women at a community center, the nurse talks about the myths surrounding sexual assault. Topics included are:

Accepted Answer

The answer of In educating a group of women at...

Question 11

When a woman who has been raped is admitted to the emergency department, the nurse caring for the woman knows that the priority nursing intervention is:

Accepted Answer

The priority nursing intervention when caring for a woman who has been raped is to create a safe, secure atmosphere for her. This can include offering emotional support, ensuring privacy, and calling in specialized personnel if necessary. The woman's physical and emotional needs take precedence over any legal considerations or notifying family members.

Question 12

The nurse is counseling a rape victim on her choices in pursuing legal action. The nurse will explain to the patient that:

Accepted Answer

The answer of The nurse is counseling a rape victim...

Question 13

The emergency department nurse is admitting a patient who has been sexually assaulted. The nurse is explaining how the physical evidence will be collected. Which statement made by the patient indicates that teaching has been effective?

Accepted Answer

This statement indicates that the patient understands that the physical evidence collected could help identify the attacker. The other options either suggest a misunderstanding of the purpose of the evidence collection or indicate a lack of knowledge about the process.

Question 14

The nurse is caring for an abused mother in the postpartum department. The patient is afraid to go home, but has no money to do anything else. What can the nurse do to assist this individual and her baby?

Accepted Answer

The nurse should work with social services to create a plan to get the patient and her baby to a safe place, provide them with temporary assistance, and assist her in obtaining long-term financial support. It is crucial to ensure the patient's safety and well-being, and social services can help provide resources and support to maintain her and her baby's physical and emotional health.

Question 15

The nurse is caring for a battered woman in the emergency department. Nursing interventions used in the care include:

Accepted Answer

Allowing the woman to share her story at her own pace can help her feel more in control and respected. Anticipating the woman's ambivalence can help the nurse approach the situation in a non-judgmental way and support her in making decisions. Acknowledging the woman's feelings as reasonable can help her feel validated and supported in her experiences. However, letting the woman figure out how to identify specific problems on her own may place an undue burden on her, and allowing the family to stay during the interview may not be safe or conducive to honest communication.

Question 16

The nurse is conducting a rape exam on a patient in the emergency department after a sexual assault. What specimens will the nurse collect?

Accepted Answer

The answer of The nurse is conducting a rape exam...

Quiz 9: Violence Against Women