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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 C

Explanation

Countertransference refers to the feelings and emotions that a healthcare provider may have towards a patient. In this case, the nurse is experiencing sadness and reﬂecting on their own personal experiences with their grandparents while assessing the confused older adult. This can lead to the nurse projecting their own feelings and emotions onto the patient.

A. Adverse eﬀect of antidepressant medication B. Attempt to reduce anxiety C. Narcissistic behavior D. Fear of rejection from staﬀ

Correct Answer is B

Explanation

Repetitive behaviors in individuals with OCD are often compulsions that are performed in an attempt to reduce anxiety or distress. These compulsions can take many forms, including repetitive actions such as applying and removing makeup. By engaging in these behaviors, the individual may feel a temporary reduction in anxiety or distress.

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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 registered nurse assesses a confused older adult, The nurse experiences sadness and reﬂects. "The patient is like one of my grandparents, so helpless." What feelings does the nurse describe? Select one:

Correct Answer is C

Explanation

A nurse Observes a client who has OCD repeatedly applying, removing, and then reapplying makeup. The nurse identifies that repetitive behavior in a client who has OCD is due to which of the following underlying reasons? Select one:

Correct Answer is B

Explanation

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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?