A nurse is evaluating the effectiveness of the plan of care for a client who has experienced sexual assault. Which of the following findings indicates effectiveness of the plan of care?

Exhibits grief response behaviors

States a desire for revenge

Asks for advice about making life decisions

Demonstrates an increase in regressive behavior

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Exhibiting grief response behaviors may indicate the client is processing emotions related to the assault but may not necessarily indicate effectiveness of the plan of care.

Choice B rationale:

Stating a desire for revenge suggests unresolved anger and is not indicative of effective coping or progress.

Choice C rationale:

A sign of effectiveness in the plan of care for a client who has experienced sexual assault is the client's willingness to seek guidance and support in making important life decisions. This indicates a sense of trust in the nurse and a desire to move forward in a positive way.

Choice D rationale:

Demonstrating an increase in regressive behavior might indicate emotional distress but does not necessarily indicate effectiveness of the plan of care.

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Correct Answer is B

Explanation

Choice A rationale:

Referring the client to crisis intervention services might be necessary, but before doing so, the nurse should gather information to understand the client's current situation and coping mechanisms.

Choice B rationale:

Assessing the client's previous coping methods helps the nurse understand the client's strengths and provides insights into potential strategies for managing the crisis effectively.

Choice C rationale:

Discussing the cause of the crisis might be helpful, but it's important to first assess the client's current coping abilities and resources.

Choice D rationale:

Assisting the client in developing strategies to overcome the crisis is important, but it should come after a thorough assessment of the client's current coping mechanisms and situation.

A. "I should expect to have up to 12 treatments." B. "I should expect this treatment to cure my illness." C. "I will receive an antianxiety medication during the treatments." D. "I will wake up 2 hours after the treatment."

Correct Answer is A

Explanation

Choice A rationale:

Electroconvulsive therapy (ECT) is typically administered as a series of treatments, often ranging from 6 to 12 sessions, to achieve optimal therapeutic effects.

Choice B rationale:

ECT can provide relief from severe depressive symptoms, but it is not necessarily considered a "cure" for depression.

Choice C rationale:

ECT is not usually accompanied by antianxiety medication during the treatments.

Choice D rationale:

Recovery from ECT typically occurs within minutes after the treatment, not after 2 hours.

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A nurse is evaluating the effectiveness of the plan of care for a client who has experienced sexual assault. Which of the following findings indicates effectiveness of the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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