A nurse is providing care for a client who experienced sexual assault. Which of the following communication strategies should the nurse use?
Ask open-ended questions about the perpetrator.
Speak softly to the client.
Provide direct eye contact with the client.
Sit next to the client.
The Correct Answer is B
A. While it's important to gather relevant information about the assault, asking open-ended questions about the perpetrator may not be the most appropriate approach initially.
B. Speaking softly helps to convey empathy and can make the client feel more comfortable and less threatened.
C. Direct eye contact can be perceived as intrusive or threatening, especially for individuals who have experienced trauma such as sexual assault.
D. Sitting next to the client rather than directly across can create a more relaxed and less intimidating atmosphere. This approach can help establish a sense of partnership and support, making the client feel more at ease.
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Related Questions
Correct Answer is B
Explanation
B. Trauma during the developmental years, especially in early childhood, is considered a significant risk factor for the development of DID. Trauma disrupts normal psychological development and can lead to the fragmentation of identity as a coping mechanism to dissociate from overwhelming or traumatic experiences.
A. A history of self-injurious behavior is often associated with various mental health conditions, such as borderline personality disorder, post-traumatic stress disorder (PTSD), or depression but it is not a primary risk factor for dissociative identity disorder (DID).
C. Individuals with BPD may experience dissociative symptoms, particularly during times of stress or intense emotional arousal but BPD itself is not considered a primary risk factor for dissociative identity disorder (DID).
D. Individuals with schizophrenia may experience dissociative symptoms, such as depersonalization or derealization but these symptoms are typically secondary to psychotic experiences rather than being indicative of dissociative identity disorder (DID).
Correct Answer is C
Explanation
C. The nurse should address the client's inappropriate and boundary-crossing behavior first. The client's statement, "Kiss me baby! You know you want to!" is suggestive and inappropriate in a professional healthcare setting. It indicates a lack of understanding or disregard for appropriate social boundaries and may be a manifestation of the client's serious mental illness.
A, B, D- While the client's vital signs (blood pressure, heart rate, respiratory rate, and temperature) and clothing choice (wearing a heavy coat and scarf in warm weather) may be important to assess and address, the immediate priority is to address the client's inappropriate behavior and ensure a safe and therapeutic environment for both the client and the nurse.
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