The nurse cares for a victim of a violent sexual assault. What is the most therapeutic intervention?

A. Educate the victim about strategies to avoid attacks in the future is not the most therapeutic intervention immediately after the assault. While prevention strategies can be helpful later, the immediate priority is providing emotional support and ensuring the victim feels heard and understood. This helps begin the process of healing.
B. Use accepting, nurturing, and empathetic communication techniques is the most therapeutic approach. Victims of sexual assault need a safe space to express their feelings and to feel supported without judgment. Using empathetic, compassionate communication helps to validate their feelings and begins to rebuild trust. It also allows the victim to process the trauma at their own pace.
C. Discourage the expression of feelings until the victim stabilizes is not a therapeutic approach. Bottling up emotions can lead to further psychological harm. Encouraging the victim to express their feelings when they are ready can be part of the healing process. Discouraging emotional expression may make the victim feel invalidated or isolated.
D. Maintain a matter-of-fact manner and objectivity might seem neutral, but it can come across as cold or distant, which could worsen the victim’s emotional state. While maintaining professionalism is important, the victim requires emotional support, which can be achieved through empathetic and compassionate communication

A. An acute medical condition is the most likely cause of delirium. Delirium is typically a temporary, acute confusional state that results from an underlying medical condition, such as infection (e.g., urinary tract infections), dehydration, medications, or metabolic imbalances. Delirium is often reversible once the underlying cause is treated.
B. Progressive deficits in memory of condition refers to conditions like Alzheimer's disease or other types of dementia, where memory loss is gradual and progressive over time. This is not characteristic of delirium, which usually occurs suddenly and may involve a fluctuating course of confusion.
C. Plaques found on the outside of dead and damaged neurons is characteristic of Alzheimer's disease and certain other neurodegenerative disorders. These plaques, made up of amyloid-beta protein, are not associated with delirium.
D. Progressive nerve degeneration describes the pathophysiology of chronic conditions like Alzheimer's disease or Parkinson's disease, where there is a gradual decline in cognitive function due to nerve degeneration. Delirium is an acute condition and does not involve the progressive degeneration seen in these diseases.