A nurse is performing an assessment on a client who has been raped. Which of the
following findings would identify that the client is exhibiting an emotional response to
rape trauma syndrome? (Select all that apply)
A. Genitourinary discomfort
B. Self-esteem problems
C. Sleep disturbances
D. Emotional explosions
E. Inability to make decisions - Answer D, E
A nurse is planning the care of a client who has been sexually assaulted. Which of the
following statements does the newly licensed nurse say about this client? Which of the
following statements by the newly licensed nurse demonstrates an understanding of
teaching?
A. "I will administer prophylaxis against sexually transmitted infections, such as
chlamydia"
B. "I do not need to obtain consent before the sexual assault nurse examiner collects
evidence" - Answer A
A nurse is providing care for a client who was sexually assaulted. The client says, "I
never should have been out on the street alone at night." Which of the following
responses should the nurse provide?
A. "Your actions had nothing to do with what happened"
B. "You should focus on recovery rather than blaming yourself for what happened"
C. "You believe this wouldn't have happened if you hadn't been out alone"
,D. "Why do feel that you should not have been alone on the street at night?" - Answer C
A community health nurse is leading a discussion about rape with a neighborhood task
force. Which of the following statements by a neighborhood citizen indicates an
understanding of the teaching?
A. "Rape is a crime of passion"
B. "Acquaintance rape often involves alcohol"
C. "Young adults are the typical victims o sexual assault"
D. "The majority of rapists are unknown to the victims" - Answer B
Sertraline is a. - Answer SSRI
FDA approved drug for PTSD - Answer SSRIs
Adverse effects are headache, nausea, anxiety and dry mouth - Answer SNRI
List three adverse reactions to an SSRI - Answer 1. Black box warning
2. SI
3. Insomnia
4. Decreased sex drive
5. Serotonin syndrome
6. Agitation
Adverse Reactions to an SNRI - list 3 Answer 1. Cannot take if pregnant
2. cannot take with hepatic disease
3. cannot take with alcohol
4. cannot do abrupt cessation
Assessment tool used to assess for PTSD in children - what is the answer to this
,question Child dissociative checklist
Trauma symptoms checklist for children
Children sexual behavior inventory combined with developmental assessment
Three symptoms of PTSD in children - Answer Reduction in play
Self blame
Detachment
Estrangement
Mood changes
Sleep disturbances
Hyper-vigilance
Loss of concentration
Stage of catch up developmental and social skills that children undergo - Answer Stage
3
Most significant treatment evaluation in children - Answer Ensuring child is safe
Having these at night may signify PTSD - Answer Nightmares
A screening tool utilized to identify signs and symptoms of PTSD - Primary care PTSD
screen
PTSD checklist
Avoid discussing trauma, activities, people, places that remind one of the traumatic
event - Avoidance
Elevated state of constantly monitoring for potential threats around you - Hypervigilance
, Dissociative experiences - Flashbacks
Describe the type of care nurses should utilize when caring for a client who experienced
trauma - AnS Trauma informed care
Name three common places nurses will utilize trauma informed care - AnS Homeless
shelters
Inpatient mental health facilities
Child welfare practice
Primary health care settings
Emergency departments
Name three coping strategies nurses can do to help combat PTSD - AnS Number of
support system
Stress relief activities
Coworker relationships
List three reactions of nurses' reaction to stress - Answer Burnout
Compassion fatigue
Compassion satisfaction
List three reasons why nurses are exposed to traumatic events - Answer Years in
nursing
Years in current role
Percent direct patient care
Hours per shift
Hours per week
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