Question

Kim is a 27-year-old woman who recently moved from a small

town in Texas to work in the city of Dallas as a reporter for one

of the major newspapers. She is 5’6” tall and weighs 115 lb. To

keep in shape she likes to jog, which she did regularly in her

hometown. She doesn’t know anyone in Dallas and has been

lonely for her family since arriving. But she has moved into a

small apartment in a quiet neighborhood and hopes to meet

young people soon though her work and church.

On the first Saturday morning after she moved into her new

apartment, Kim decided to get up early and go jogging. It was

still dark out, but Kim was not afraid. She had been jogging

alone in the dark many times in her hometown. She donned her

jogging clothes and headed down the quiet street toward a nearby

park. As she entered the park, an individual came out from a

dense clump of bushes, put a knife to her throat, and ordered her

to the ground. She was raped and beaten unconscious. She

remained in that condition until sunrise when she was found by

another jogger who called emergency services, and Kim was

taken to the nearest emergency department. Upon regaining

consciousness, Kim was hysterical, but a sexual assault nurse

examiner (SANE) was called to the scene, and Kim was assigned

to a quiet area of the hospital, where the post-rape examination

was initiated.

Answer the following questions related to Kim:

1. What are the initial nursing interventions for Kim?

2. What treatments must the nurse ensure that Kim is aware

are available for her?

3. What nursing diagnosis would the nurse expect to focus on

with Kim in follow-up care?

Answer 1

What are the initial nursing interventions for Kim?

-Set up trust and affinity.

-Give strict privacy.

-Approach the customer in a nonjudgmental way.

-Never utilize judgmental dialect.

-Have somebody remain with the customer (companion, neighbor, or staff part) while she holding up to be dealt with.

-Stress through the best choice to spare their life.

Empower verbalization.

Disclose to the customer signs and side effects that numerous individuals encounter amid the long haul stage, for instance:

-Uneasiness, dejection.

A sleeping disorder.

-Bad dreams.

-Fears.

-Physical indications.

What treatments must the nurse ensure that Kim is aware are available for her?

-Evaluate the signs and side effects of physical injury.

-Influence a body to guide to distinguish size, shading, and area of wounds. Request that consent take photographs.

-Painstakingly clarify all systems previously doing them

-Clarify the criminological examples you intend to gather; advise customer that they can be utilized for distinguishing proof and arraignment of the attacker.

-Urge the customer to think about treatment and assessment for sexually transmitted sicknesses previously leaving the crisis office.

-Numerous centers offer prophylaxis to pregnancy with norgestrel.

-All lab tests ought to be noted.

-Point by point perceptions of physical injury.

-Point by point perceptions of enthusiastic status.

-Results from the physical examination.

-Verbatim proclamations.

What nursing diagnosis would the nurse expect to focus on with Kim in follow-up care?

-Rape injury disorder

-Recovery of rape casualty

-Intervention advisors

-Promote the casualty's smooth route of frameworks.