A nurse is speaking with a client who experienced physical assault. Which of the following actions should the nurse take?

Allow the client to control the conversation.

Ask the client a series of questions about who assaulted them.

Insist the client report the incident.

Touch the client for reassurance.

Answer and Explanation

The Correct Answer is A

A. Allowing the client to control the conversation empowers them to share their experience at their own pace and in their own way. This approach fosters trust and facilitates open communication between the nurse and the client.

B. While gathering relevant information about the assault may be necessary for documentation and reporting purposes, it's important to approach the topic with sensitivity and respect for the client's emotional well-being.

C. Pressuring the client to report the incident against their will can further traumatize them and undermine their sense of control. Reporting the assault is a personal decision that should be made by the client based on their individual circumstances and preferences.

D. Touch can be a powerful form of nonverbal communication that conveys empathy, support, and reassurance. However, it's important to obtain the client's consent before initiating any form of physical contact, especially considering the sensitive nature of the situation.

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Correct Answer is C

Explanation

C. Vulnerable populations, such as those with low socioeconomic status, the elderly, racial and ethnic minorities, and individuals with certain health conditions, may experience higher levels of health risks due to various factors such as limited access to healthcare, environmental exposures, social determinants of health, and underlying health disparities.

A. Although variability of response to stressors is important it is not the primary concern

B. Although older individuals are vulnerable to risk factors, the nurse should include all vulnerable groups.

D. While resilience can mitigate the impact of risk factors on health outcomes, it is not a determinant of health risk itself.

A. Dissociative amnesia B. Depersonalization/derealization C. Dissociative identity disorder D. Factitious disorder

Correct Answer is A

Explanation

A. Dissociative amnesia involves difficulty remembering important personal information, usually of a traumatic or stressful nature, that is inconsistent with ordinary forgetting. In the case of a client who has been sexually assaulted and is having difficulty remembering events related to the assault, dissociative amnesia is the likely experience.

B. Depersonalization/derealization disorder involves persistent feelings of detachment from oneself or one's surroundings. While this condition can occur in response to trauma, it typically involves a sense of detachment rather than memory loss.

C. Dissociative identity disorder (DID) involves the presence of two or more distinct personality states, each with its own pattern of perceiving and interacting with the world.

D. Factitious disorder involves the deliberate falsification or exaggeration of physical or psychological symptoms in oneself. It is not directly related to memory loss or difficulty remembering events.

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A nurse is speaking with a client who experienced physical assault. Which of the following actions should the nurse take?

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