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A rape victim tells the nurse, 'I should not have been out on the street alone.' Which is the nurse's most therapeutic response?
- A. Rape can happen anywhere.'
- B. Blaming yourself only increases your anxiety and discomfort.'
- C. You believe this would not have happened if you had not been alone?'
- D. You are right. You should not have been alone on the street at night.'
Correct Answer: C
Rationale: A reflective communication technique helps the victim explore their role in the event, aiding understanding. The other options discount the victim's perceived role or interfere with further discussion.
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What is the primary motivator for most rapists?
- A. Anxiety
- B. Need for humiliation
- C. Overwhelming sexual desires
- D. Desire to inflict violence or control others
Correct Answer: D
Rationale: Rape is a crime of power, control, and violence, not sex. The perpetrator aims to subjugate the victim. The other options are not the primary motivators for rape.
When an emergency department nurse teaches a victim of rape about reactions that may occur during the long-term organization (delayed) phase, which symptoms should be included? (Select all that apply.)
- A. Development of fears and phobias
- B. Decreased motor activity
- C. Feelings of numbness
- D. Flashbacks, dreams
- E. Syncopal episodes
Correct Answer: A,C,D
Rationale: Fears, phobias, numbness, flashbacks, and dreams are common in the long-term reorganization phase. Decreased motor activity and syncopal episodes are not expected.
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
Correct Answer: D
Rationale: Disbelief is common during the acute stage following sexual assault. Denial is evidence of this disbelief, used unconsciously to protect the person from the emotionally overwhelming reality of rape. The statements do not reflect somatic symptoms, repression, or projection.
When working with rape victims, what is the focus of initial care?
- A. Collecting forensic evidence
- B. Notifying law enforcement
- C. Helping the victim feel safe
- D. Documenting the victim's comments
Correct Answer: C
Rationale: Helping the victim feel safe is the first focus, as the vulnerable individual may perceive assessments as intrusive or threatening. Other actions are secondary and may depend on the victim's decisions.
A rape victim asks an emergency department nurse, 'Maybe I did something to cause this attack. Was it my fault?' Which response by the nurse is the most therapeutic?
- A. Pose questions about the rape, helping the patient explore why it happened.
- B. Reassure the victim that the outcome of the situation will be positive.
- C. Make decisions for the victim because of the temporary confusion.
- D. Support the victim to separate issues of vulnerability from blame.
Correct Answer: D
Rationale: The victim is not to blame for the rape, though they may have made choices that increased vulnerability. Supporting the victim to separate vulnerability from blame is therapeutic. The other options suggest nontherapeutic communication, assume outcomes, or do not address control restoration.