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NURS 355 FINAL Exam Review, answers explained

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NURS 355 FINAL Exam Review, answers explained-Rape is best described as? an act of violence using sex as the weapon. Rape is a violent crime. Sex is only the medium for perpetrating the crime. Text page: 610 Which statistic concerning rape is true? Most male rape victims do not report the ...

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  • March 6, 2022
  • 11
  • 2022/2023
  • Exam (elaborations)
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NURS 355 FINAL Exam Review, answers
explained
Rape is best described as?
an act of violence using sex as the weapon.

Rape is a violent crime. Sex is only the medium for perpetrating the crime.
Text page: 610

Which statistic concerning rape is true?
Most male rape victims do not report the crime.

Text page: 610

To provide discharge treatment and support, the nurse should realize that the most common sequelae
of acquaintance rape is the development of
symptoms of sexual distress.

Women who have been raped by acquaintances frequently develop symptoms that prevent them from
participating in normal sexual relations. Sexual distress is more common among women who have
been sexually assaulted by intimates; fear and anxiety are more common in those assaulted by
strangers. Depression occurs in both groups.
Text page: 611

Care planning for the rape victim is facilitated if the nurse understands that the rape trauma syndrome
is actually a variant of
post-traumatic stress disorder.

Most of those who have been raped are eventually able to resume their previous lives after supportive
services and crisis counseling. However, many carry with them a constant emotional trauma:
flashbacks, nightmares, fear, phobias, and other symptoms associated with posttraumatic stress
disorder.
Text page: 612

What reaction is most commonly displayed by rape victims in the immediate aftermath of the rape?
Disorganization

The acute phase of the rape trauma syndrome occurs immediately after the assault and may last for a
few weeks. This stage is seen by emergency department personnel. Nurses are the ones most involved
in dealing with these initial reactions. During this phase a great deal of disorganization in the person's
lifestyle and somatic symptoms are common.
Text page: 612

Which statement reflects a truth about rape?
Most rapes are planned.

, Many myths about rape exist. Most rapes are not impulsive, spur-of-the-moment acts, but are carefully
planned and orchestrated.
Text page: 616

Anticipatory teaching of a rape victim should include information that a common survivor problem
often developing during the long-term reorganization phase of rape trauma syndrome is
intrusive thoughts.

Just as in posttraumatic stress disorder, intrusive thoughts haunt the rape victim in the weeks and
months during which long-term reorganization is occurring. Knowing this is a common occurrence is
reassuring to the client, who often is frightened by the symptom.
Text page: 613

A rape victim in the emergency department repeats "I don't know why he did it." Although the nurse
does not necessarily give the answer at this juncture, the nurse correctly identifies the motivation for
most perpetrators of rape as
a desire to dominate and humiliate.

Power and domination as well as humiliation of the victim are the motivations for rape. In this
scenario the nurse understands that rape is not a sexual act. Rape is a violent expression of aggression,
anger, and the need for power.
Text page: 616

The emergency department nurse planning care for a rape victim must realize that the emotional
reaction displayed by many rape victims during assessment and treatment while in the emergency
department is
fear.

Rape is an act of violence, and sex is the weapon used by the perpetrator. Rape engulfs its victims in
fear and anxiety, resulting in withdrawal for some and causing severe panic reactions in others. After
being traumatized, the person raped often carries an additional burden of shame, guilt, fear, anger,
distrust, and embarrassment.
Text page: 614

In the acute phase of the rape trauma syndrome, nursing interventions should focus on
providing client support and safety.

Helping the client feel safe and giving emotional support are two important interventions to combat
the disorganization common during the acute phase of the rape trauma syndrome.
Text page: 612

A client tells the college health nurse she was raped by her date several weeks ago. Which reason is
the client most likely to give for waiting to tell someone?
Feeling guilty for somehow having caused it

Many rape victims feel that they are somehow at fault for the rape and harbor feelings of guilt. This
guilt stands in the way of reporting the rape to the authorities.
Text page: 618

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