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

Educate the victim about strategies to avoid attacks in the future.

Use accepting, nurturing, and empathetic communication techniques.

Discourage the expression of feelings until the victim stabilizes.

Maintain a matter-of-fact manner and objectivity

Answer and Explanation

The Correct Answer is B

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

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Correct Answer is B

Explanation

A. "Your friends will understand when you tell them." This response, while well-meaning, may minimize the victim's feelings and pressure them to disclose something they might not be ready to share. It does not directly address the immediate emotional crisis the victim is experiencing.
B. "Are you thinking of suicide?" This is the most important response, as it directly addresses the risk of self-harm or suicide, which is a critical concern for victims of violent trauma, especially after a violent assault. The victim's statement, "There is no sense of trying to go on," may indicate feelings of hopelessness or despair, which are warning signs for suicidal ideation. It is essential to assess for any thoughts of suicide immediately to ensure the patient's safety.
C. "It will take time, but you will feel the same as before." While this response is intended to provide reassurance, it is unrealistic and does not acknowledge the trauma and emotional distress the victim is experiencing. Recovery from such an event is complex and often involves long-term emotional and psychological adjustments.
D. "You will be able to find meaning in this experience as time goes on." This response may sound dismissive and may not resonate with the victim at this time. Finding meaning can be part of the healing process later, but this statement may feel like an oversimplification or invalidation of the victim's current emotions.

A. Helping the victim feel safe B. Notifying law enforcement C. Collecting forensic evidence D. Documenting the victim's comments

Correct Answer is A

Explanation

A. Helping the victim feel safe is the primary focus of initial care. It is essential to provide emotional support and ensure the victim feels protected and secure in the immediate aftermath of the trauma. Creating a safe environment is a critical first step in addressing the victim's physical and emotional needs.
B. Notifying law enforcement may be important, but it is not the primary focus of initial care. Victims should be given the option to make their own decisions about involving law enforcement and should not feel pressured.
C. Collecting forensic evidence is crucial for legal purposes but comes after ensuring the victim's immediate safety and emotional well-being. The victim's safety and support should always take precedence.
D. Documenting the victim's comments is important for legal reasons, but it should be done after the victim feels safe and supported. The victim should not be pressured into talking before they are ready.

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