Nokea
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.
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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.
A person was abducted and raped at gunpoint. The nurse observes this person is confused, talks rapidly in disconnected phrases, and is unable to concentrate or make simple decisions. What is the person's level of anxiety?
- A. Minimal
- B. Mild
- C. Moderate
- D. High
Correct Answer: D
Rationale: Anxiety is the result of a personal threat to the victim's safety and security. The person's symptoms of rapid, dissociated speech, confusion, and indecisiveness indicate severe anxiety. 'Minimal' is not a level of anxiety. Mild and moderate levels allow the person to function at a higher level.
A patient comes to the hospital for treatment of injuries sustained during a rape. The patient abruptly decides to decline treatment and return home. Before theå?? patient leaves, the nurse should provide what support?
- A. Assure the patient, 'Before you leave you receive prophylactic treatment for sexually transmitted infections (STIs).'
- B. Provide written information concerning the physical and emotional reactions that may be experienced.
- C. Explain the need and importance of human immunodeficiency virus (HIV) testing in this situation.
- D. Offer to stay with the victim until stability is regained.
Correct Answer: B
Rationale: Providing written information about physical and emotional reactions helps the anxious patient who cannot retain verbal information. The other options are premature, violate privacy, or suggest a rescue fantasy.
A nurse works with a person who was raped 4 years ago. This person says, 'It took a long time for me to recover from that horrible experience.' Which term should the nurse use when referring to this person?
- A. Victim
- B. Survivor
- C. Plaintiff
- D. Perpetrator
Correct Answer: B
Rationale: A survivor is an individual who has experienced sexual assault, participated in interventions, and is moving forward in life. Victim refers to a person who experienced a recent sexual assault. Plaintiff refers to a person bringing a civil complaint to the court system. Perpetrator refers to a person who commits a crime.
A person was abducted and raped at gunpoint by an unknown assailant. Which assessment finding best indicates the person 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
Correct Answer: A
Rationale: 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. Decreased motor activity is not specific to any phase.