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A young female client is admitted to the emergency room because she was raped that evening by her date.
How should the registered nurse record the client's chief complaint in the medical record?

Gent clams that she was forced to participate in sexual intercourse by a friend

Client States “my date raped me tonight."

Client has been sexually assaulted last night at 10 pm

Client reported that she had sexual relations against her Will and she feels very bad

Answer and Explanation

The Correct Answer is B

This statement clearly and accurately conveys the client's complaint of being raped by her date.

Option a uses colloquial language and may not accurately convey the severity and trauma of the situation.

Option c uses vague language that does not clearly state the nature of the incident.

Option d uses subjective language that may not be helpful for accurately documenting the client's complaint.

It's important for healthcare providers to use appropriate language when documenting sensitive situations like sexual assault to ensure clear communication among the healthcare team and accurate documentation for legal and forensic purposes.

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Correct Answer is A

Explanation

This response acknowledges the client's interest in complementary therapies and opens up a conversation about the diﬀerent types available. It also allows the nurse to provide education and information about the potential benefits and risks of complementary therapies and how they may interact with the planned treatment.

A. Compensation B. Suppression C. Rationalization D. Reaction-formation

Correct Answer is C

Explanation

Rationalization is a defence mechanism in which a person attempts to justify or explain their behavior or actions in a way that makes them seem more acceptable or reasonable. In this case, the client is using rationalization by attributing their alcohol abuse to their job and the need to drink with clients at parties.

Option a. Compensation is a defense mechanism in which a person attempts to make up for a perceived weakness or deficiency by excelling in another area.

Option b. Suppression is a defense mechanism in which a person consciously chooses to avoid thinking about or dealing with unpleasant thoughts or feelings.

Option d. Reaction-formation is a defense mechanism in which a person behaves in a way that is opposite to their true feelings or desires.

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A young female client is admitted to the emergency room because she was raped that evening by her date. How should the registered nurse record the client's chief complaint in the medical record?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is diagnosed with cancer and is told that surgery followed by chemotherapy will be necessary. The client states to the nurse, "l have read a lot about complementary therapies. Do you think I should try any?" The nurse should respond by making which appropriate statement? Select one:

Correct Answer is A

Explanation

A registered nurse is admitting a client to an alcohol abuse program. The client states, here because of my boss. It was part of my job to go to parties and drink with clients. The client's statement is an example of which of the following defense mechanisms? Select one:

Correct Answer is C

Explanation

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A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following responses is an indication the client is in the denial phase of the grief process?

A young female client is admitted to the emergency room because she was raped that evening by her date.
How should the registered nurse record the client's chief complaint in the medical record?