Practice Question
A nurse on a mental health unit is planning care for a client who is being admitted immediately following a sexual assault. Which of the following interventions should the nurse include in the plan of care?
Answer Choices:
Correct Answer:
Limit the number of staff members providing care for the client
Rationale:
🌸 After a sexual assault, the client is highly vulnerable and may experience fear, anxiety, and feelings of loss of control.
🌸 The priority nursing action is to minimize further trauma by limiting the number of staff interacting with the client, thereby creating a sense of safety and trust.
🌸 The nurse should avoid pressuring the client to provide details of the assault, as this may worsen trauma; instead, forensic specialists should conduct interviews if needed.
🌸 The client should not be instructed to shower or change clothes, as this could destroy crucial forensic evidence.
🌸 While reassurance about physical injuries is supportive, the emotional and psychological needs and protection of evidence are more urgent at this stage.
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This question is from RN Comprehensive Predictor 2023 (Sept 2025) which contains 172 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI EXIT Exam(s)
- Domain: RN ATI Comprehensive Predictor Exam(s)~2025
- Answer Choices: 4