New
VarcarolisChapter 22
Sexual Violence
2023-2024 With
Rationales
A nurse works with a person who was raped
four 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 - ANSWER-ANS: B
A survivor is an individual who has experience
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.
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. Weak
b. Mild
c. Moderate
d. Severe - ANSWER-ANS: D
Anxiety is the result of a personal threat to the
victim's safety and security. In this case, the
person's symptoms of rapid, dissociated
speech, confusion, and indecisiveness indicate
severe anxiety. "Weak" is not a level of anxiety.
Mild and moderate levels of anxiety allow the
person to function at a higher level.
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 - ANSWER-ANS: A
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 of rape trauma syndrome. Decreased
motor activity, by itself, is not indicative of any
particular phase.
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 - ANSWER-ANS: D
Disbelief is a common finding during the acute
stage following sexual assault. Denial is
evidence of the disbelief. This mechanism may
be unconsciously used to protect the person
from the emotionally overwhelming reality of
rape. The patient's statements do not reflect
somatic symptoms, repression, or projection.
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