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Chapter 4: Problem 298

A woman seeks assistance for recently remembering childhood sexual abuse. The nurse would include which goal? 1\. prosecuting the perpetrator 2\. managing symptoms of anxiety and fear 3\. determining whether memories are real 4\. corroborating the client's story

Short Answer

Expert verified
The most appropriate goal is managing symptoms of anxiety and fear.

Step by step solution

01

Understand the Scenarios and Options

The question presents a scenario where a woman seeks assistance for remembering childhood sexual abuse. The task is to choose the most appropriate goal from the given options. The options include prosecuting the perpetrator, managing symptoms of anxiety and fear, determining the reality of memories, and corroborating the story.
02

Analyze the Context

Consider the role of a nurse in such scenarios. A nurse primarily focuses on providing emotional support, helping the client manage immediate emotional issues, and referring to other professionals if necessary. Therefore, the main concern here is the client's emotional well-being.
03

Evaluate Each Option

1. Prosecuting the perpetrator is a legal action rather than a nursing goal. 2. Managing symptoms of anxiety and fear aligns with managing immediate emotional and psychological well-being. 3. Determining whether memories are real involves assessment beyond the scope of nursing. 4. Corroborating the client's story focuses on evidence, not immediate support.
04

Choose the Most Relevant Goal

Based on the analysis, the most appropriate goal for the nurse would be to manage the symptoms of anxiety and fear, as it directly addresses the client's current emotional state and aligns with nursing responsibilities.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Nursing Responsibilities
Nurses play a critical role in providing holistic care to patients, focusing on both physical and emotional well-being. In scenarios involving sensitive issues like childhood sexual abuse, the responsibilities of a nurse extend beyond basic medical care. Here are key aspects:
  • Emotional Assessment: Nurses assess the emotional state and mental health of their patients, identifying any signs of anxiety, depression, or distress that might need immediate attention. This assessment helps in understanding the depth and impact of a patient's experiences.
  • Patient Advocacy: Acting as advocates, nurses ensure that their patients' needs are communicated clearly to other healthcare providers. They also ensure that the patient's rights and preferences are respected, particularly in sensitive situations.
  • Coordination of Care: Nurses often serve as a bridge between the patient and specialized care providers like psychologists or social workers, ensuring the patient receives comprehensive care tailored to individual needs.

It is essential that nurses maintain a compassionate and empathetic approach, always prioritizing the dignity and autonomy of the patient.
Emotional Support
Providing emotional support is a cornerstone of nursing care, especially in situations that involve trauma. The goal is to create a safe and supportive environment that encourages healing. Consider these key points:
  • Active Listening: Nurses should practice active listening, which involves being present and fully engaged with what the patient is sharing. This helps patients feel valued and heard, which can be empowering.
  • Validating Feelings: It is crucial for nurses to validate the emotions of their patients by acknowledging their feelings and experiences as legitimate. This can help reduce feelings of isolation and confusion.
  • Providing Reassurance: Giving patients reassurance that they are not alone and that help is available can be comforting. This can be achieved by offering consistent support and being available when needed.

Ultimately, providing robust emotional support helps patients feel more in control and aids in their overall emotional recovery.
Nursing Care Goals
Nursing care goals are designed to address immediate and long-term needs of patients, with a primary focus on improving quality of life. In the context of dealing with traumatic memories, consider these goals:
  • Symptom Management: One of the primary goals is to manage symptoms such as anxiety, fear, and any other psychological distress. This involves creating a care plan that includes interventions like relaxation techniques or referrals to counseling.
  • Enhancing Coping Mechanisms: Nurses work to help patients identify and develop coping strategies that they can use to manage the challenges that arise from their experiences. Building resilience is key.
  • Facilitating Access to 91影视: Linking patients with resources such as support groups, legal advice, or specialized therapy, is crucial in ensuring they have access to comprehensive care.

By setting clear, achievable nursing care goals, nurses can offer targeted support that benefits their patients both immediately and in the long term.

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Most popular questions from this chapter

A client is admitted with a diagnosis of multiple drug use. The nurse plans care base upon knowledge that: 1\. multiple drug use is very uncommon. 2\. people may use more than one drug to enhance the effect or relieve withdrawal symptoms. 3\. alcohol and barbiturates used together are not dangerous because one is a stimulant and the other a depressant. 4\. assessment and intervention are easier with multiple drug use because of the synergistic effect.

A client has been receiving lithium for a diagnosis of bipolar disorder. The client reports new onset of hand trembling, dizziness, and stumbling. The nurse would: 1\. reassure the client these are temporary side effects. 2\. monitor these effects to make sure they do not worsen. 3\. notify the prescriber that the client is showing signs of toxicity. 4\. request the client return in three days when the prescriber is present.

When planning care of a client who has been diagnosed with amphetamine abuse, the nurse uses the knowledge that: 1\. amphetamines increase energy by increasing dopamine levels at neural synapses. 2\. amphetamines have low risk of tolerance or addiction. 3\. amphetamines produce a 10-20 second rush followed by a \(2-4\) hour high. 4\. addiction to barbiturates and amphetamines is rare because they have opposite effects.

Which of the following assessment findings is likely for a client with anorexia nervosa? 1\. hyperkalemia 2\. dysmenorrhea 3\. dehydration 4\. dental erosion

When working with a client who has been started on a psychotropic medication, the nurse would assist the client to adhere to the medical regime by: 1\. informing the client that side effects are temporary. 2\. using community and family support available to the client. 3\. requesting the client make an appointment in four weeks. 4\. maintaining a casual, social relationship with the client.
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