CRNE Exam Prep

Category - Changes in Health

A nurse in the emergency room is caring for an eighteen-year-old girl who is a victim of sexual assault. The client is withdrawn and at times, becomes physically immobile. The nurse determines that:
  1. The client is at risk for suicide.
  2. The client is demonstrating normal reactions.
  3. The client is showing signs of traumatic disorder.
  4. 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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