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NCLEX-RN

Category - Psychosocial

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A nurse in the emergency room is caring for an 18-year-old girl who is a victim of sexual assault. The client is withdrawn and becomes physically immobile at times. The nurse determines that:

The client is at risk for suicide.
The client is demonstrating normal reactions.
The client is showing signs of traumatic disorder.
An admission to the facility is necessary.

Explanation

Answer: B - Immediately after a crisis, in this case a sexual assault, the client can demonstrate a wide range of emotions and responses. The symptoms listed are normal reactions after a devastating experience.

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