A client who has just been raped arrives at the Emergency Room. The client is crying, pacing and cursing their attacker. Which is the priority therapeutic statement for the nurse to make?

"The police will want to interview you."

"I will call your spouse."

"We'll have to take photographs of those wounds."

"You are safe now."

Answer and Explanation

The Correct Answer is D

D. This statement prioritizes the client's immediate emotional needs by providing reassurance, validation, and a sense of safety in a traumatic situation. It acknowledges the client's distress and communicates empathy and support, which are essential for building trust and rapport and facilitating the client's emotional healing process.
A. The client may feel overwhelmed by the prospect of speaking to the police at that moment, and it may not be the most therapeutic statement to prioritize.
B. Contacting the client's spouse may provide emotional support and assistance, but it may not be the priority therapeutic statement in this situation.
C. The client may already be feeling vulnerable and exposed, and discussing the need for photographs may exacerbate feelings of distress or discomfort.

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Correct Answer is C

Explanation

C. Pet therapy has been shown to have positive effects on mood by promoting feelings of happiness, calmness, and relaxation. Interacting with animals can increase the release of feel-good hormones such as oxytocin, serotonin, and dopamine, which can improve mood and reduce symptoms of stress and anxiety.
A. There is evidence to suggest that pet therapy, also known as animal-assisted therapy, can be beneficial for individuals with depression. Interacting with animals, such as petting a dog or spending time with a therapy animal, has been shown to reduce symptoms of depression, anxiety, and stress in some people.
B. Pet therapy primarily focuses on providing emotional support and companionship rather than directly targeting sensory functioning.
D. Pet therapy has been associated with reductions in blood pressure and heart rate. Interacting with animals, such as stroking a dog or cat, has been shown to have calming effects on the body and may help lower blood pressure and reduce cardiovascular reactivity to stress.

A. Assess for past history of suicide attempts. B. Determine whether the client has a specific plan to commit suicide. C. Identify coping mechanisms. D. Notify all members of the treatment team and place the client on suicide precautions.

Correct Answer is D

Explanation

D. Suicide precautions involve implementing safety measures and close monitoring to prevent the client from engaging in self-harm or suicide attempts. This may include continuous observation, removal of

potentially harmful objects or substances from the client's environment, and close supervision by staff members trained in suicide prevention.
A. Assessing for past suicide attempts can provide valuable information about the severity of the client's suicidal ideation, their previous experiences with suicidal behavior, and any patterns or triggers associated with suicidal crises. However, it is not a priority.
B. Assessing for a specific suicide plan allows the treatment team to evaluate the level of risk and urgency of intervention required to keep the client safe. However, with or without a plan, safety should be prioritized.
C. identifying coping mechanisms is important for overall mental health and well-being. However, it is not the priority intervention when a client reports current suicidal ideation.

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A client who has just been raped arrives at the Emergency Room. The client is crying, pacing and cursing their attacker. Which is the priority therapeutic statement for the nurse to make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client asks the nurse about pet therapy. Which response by the nurse provides the client with accurate information? "Pet therapy:

Correct Answer is C

Explanation

A client notifies a treatment team member of current suicidal ideation. Which nursing intervention would take priority?

Correct Answer is D

Explanation

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