Nokea
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.
You may also like to solve these questions
Which situation constitutes consensual sex rather than rape?
- A. After coming home intoxicated from a party, a person forces the spouse to have sex. The spouse objects.
- B. A person's lover pleads to have oral sex. The person gives in but then regrets the decision.
- C. A person is beaten, robbed, and forcibly subjected to anal penetration by an assailant.
- D. A physician gives anesthesia for a procedure and has intercourse with an unconscious patient.
Correct Answer: B
Rationale: Only the scenario where the person gives in to oral sex describes consensual sex, as it involves agreement, even if later regretted. The other scenarios involve force or lack of consent.
A nurse working in the county jail interviews a man who recently committed a violent sexual assault against a woman. Which comment from this perpetrator is most likely?
- A. She was very beautiful.'
- B. She wanted the sex.'
- C. I have issues with my mother.'
- D. I've been depressed for a long time.'
Correct Answer: B
Rationale: Rape involves a need for control, power, degradation, and dominance. The correct response shows a lack of remorse or guilt, common in antisocial personality. The other responses suggest appreciation, psychological conflict, or self-disclosure, not expected from a perpetrator.
The nurse cares for a victim of a violent sexual assault. What is the most therapeutic intervention?
- A. Use accepting, nurturing, and empathetic communication techniques.
- B. Educate the victim about strategies to avoid attacks in the future.
- C. Discourage the expression of feelings until the victim stabilizes.
- D. Maintain a matter-of-fact manner and objectivity.
Correct Answer: A
Rationale: Victims require unconditional acceptance, nurturing, and empathy to meet their needs and build trust. Focusing on avoidance strategies is premature, and the other options do not promote acceptance.
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.
A victim of a violent rape has been in the emergency department for 3 hours. Evidence collection is complete. As discharge counseling begins, the victim says softly, 'I will never be the same again. I can't face my friends. There is no sense of trying to go on.' Select the nurse's most important response.
- A. Are you thinking of suicide?'
- B. It will take time, but you will feel the same as before.'
- C. Your friends will understand when you tell them.'
- D. You will be able to find meaning in this experience as time goes on.'
Correct Answer: A
Rationale: The victim's words suggest hopelessness, indicating a risk for suicide. Directly addressing suicidal ideation is critical. The other options offer reassurance without assessing the risk.