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4) CH 27 Sex Assault
Psychiatric Nursing - FSCJ Nursing program 2012
17
Nursing
Undergraduate 3
02/22/2012

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Term
define sexual assault
Definition
any type of sexual activity to which the victim does not consent, and it ranges from inappropriate touching to penetration (i.e., intercourse). Sexual assault also can occur verbally over the telephone or online.
Term
define Rape
Definition
one type of sexual assault. Rape is nonconsensual vaginal, anal, or oral penetration, obtained by force or by threat of bodily harm or when a person is incapable of giving consent.
Term
most rape assailants are under what age?
Definition
under 30 (53%)
Term
what are the Long-term psychological effects of sexual assault
Definition
depression, suicide, anxiety, and fear; difficulties with daily functioning; low self-esteem; sexual dysfunction; and somatic complaints. Victims of incest may experience a negative self-image, depression, eating disorders, personality disorders, self-destructive behavior, and substance abuse.
Term
What is GHB?
Definition
Liquid, white powder, or pill with a salty taste.

It Produces relaxation, euphoria, and disinhibition

Incoordination, confusion, deep sedation, and amnesia
Term
Name the 3 most common date rape drugs?
Definition
GHB, Rohypnol, Ketamine
Term
What is rape-trauma syndrome
Definition
a variant of posttraumatic stress disorder (PTSD) and consists of an acute phase and a long-term reorganization process that occurs after an actual or attempted sexual assault. Each phase has separate symptoms.
Term
What is rape-trauma syndrome's acute phase?
Definition
occurs immediately after the assault and may last for 2 to 3 weeks.During this phase, there is a great deal of disorganization in the person's lifestyle, and somatic symptoms are common.
The most common initial reactions are shock, numbness, and disbelief.
Term
What is rape-trauma syndrome's Long-Term Reorganization Phase
Definition
ccurs 2 or more weeks after the rape. Nurses who initially care for survivors can help them anticipate and prepare for the reactions they are likely to experience, which include:

1)Intrusive thoughts of the rape like flashbacks

2)Increased activity, such as moving, taking trips, changing telephone numbers, and making frequent visits to old friends. This activity stems from the fear that the assailant will return.

3)Increased emotional lability, including intense anxiety, mood swings, crying spells, and depression.
Term
What are hospital "SANEs"?
Definition
sexual assault nurse examiners
Term
What are some of the things you, as a nurse, assess for on the patient that was sexually assaulted?
Definition
1. Assess psychological trauma, and document the patient's verbatim statements.
2. Assess level of anxiety
3. Assess physical trauma.
4. Assess available support system.
5. Identify community supports (e.g., attorneys, support groups, therapists) that work in the area of sexual assault.
6. Encourage the patient to talk about the experience, but do not press the patient to tell.
Term
What is the main NOC nursing diagnosis for sexual assault?
Definition
Rape-trauma syndrome applies to the physical and psychological effects of a sexual assault.
Term
1. The nurse is caring for a patient in the emergency department who has been raped just hours earlier. Which behaviors should the nurse expect if the patient were exhibiting controlled-style reactions?

1. Shock, numbness

2. Volatility, anger

3. Crying, sobbing

4. Smiling, laughing
Definition
1
Term
2. The nurse is caring for a patient who has just been raped. Which is the appropriate initial nursing response?

1. “I will get you the number for the crisis intervention specialist.”

2. “May I get your consent to test you for pregnancy and HIV?”

3. “You are safe here.”

4. “I need to look at your bruises and cuts.”
Definition
3
Term
3. A patient who has been raped has chosen to accept pregnancy prophylaxis medication. If the nurse does not believe in abortion, what is the appropriate nursing action?

1. Examine own feelings about abortion before entering the patient's room.

2. Encourage patient to take more time to consider her options.

3. Provide the patient with the number to Planned Parenthood.

4. Administer the pregnancy prophylaxis medication as ordered.
Definition
1
Term
4. The nurse is working at a telephone hotline center when a rape victim calls. If the rape victim states she is fearful of going to the hospital, what is the appropriate nursing response?

1. “You don't need to go to the hospital if you don't want to.”

2. “I'm here to listen to you, and we can talk about your feelings.”

3. “Did you do something to make the other person attack you?”

4. “Why are you afraid to seek medical attention?”
Definition
2
Term
5. The nurse is caring for a patient who is in the long-term reorganization phase of rape-trauma syndrome. Which symptom(s) should the nurse anticipate? Select all that apply.

1. Development of fear of locations that resemble the rape location

2. Emergence of acceptance of the rape

3. Dreams with violent content

4. A shift from anxiety to calm

5. Onset of phobia of being alone
Definition
1 3 5
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