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Mental Health - Sexual Assault
ATI NCLEX - RN Review
14
Nursing
Undergraduate 2
09/19/2009

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Cards

Term
Sexual Assault
Definition
  • Pressured or forced sexual contact, including sexually stimulated talk or actions
  • Inappropriate touching or intercourse, incest, and rape
Term
Rape is a crime of what?
Definition
  • Violence, aggression, anger, and power
Term
The majority of rapist are:
Definition
known to the person who is raped
Term
Phases of Rape-Trauma Syndrome
Definition
  • Acute Phase
  • Long-term reorganization phase
Term
What two reactions take place during the acute phase of rape-trauma syndrome?
Definition
  • Initial emotional reation - either expressed or controlled
  • Somatic reaction - occurs later and lasts about 2 weeks.
Term
When does the Acute phase of rape-trauma syndrome take place?
Definition
  • Immediately following the rape and lasts for about 2 weeks.
Term
Describe the intial emotional reaction of the acute phase of rape-trauma syndroms.
Definition
  • An expressed reaction is overt and consists of emotional outbursts, including crying, laughing, hysteria, anger, and incoherence.
  • A controlled reaction is ambiguous; the survivor may appear calm but may also be confused, have difficulty making decisions, and feel numb.
Term
When does the somatic reaction occur during the acute stage of rape-trama syndrome?
Definition
  • Occurs later than the acute phase and lasts about 2 weeks.
Term
Symptoms of somatic reaction of the acute stage of acute-trauma syndrome.
Definition
  • Bruising and soreness from the attack
  • Muscle tension, headaches, and sleep disturbances
  • Gastrointestinal symptoms
    • ex:  Nausea, anorexia, diarrhea, abdominal pain
  • Genitourinary symptoms
    • vaginal pain or discomfort
  • A variety of emotional reactions, including embarrassment, a desire for revenge, guilt, anger, fear, anxiety, and denial.
Term
When does long-term reorganization phase take place for rape-trauma syndrome?
Definition
  • Occurs 2 weeks or more after the attack.
Term
Long term psychological effects of sexual assault include:
Definition
  • Flashbacks and other intrusive thoughts about the assault
  • Increased activity -
    • The survivor may perform activities, such as visiting friends frequently or moving her residence, due to a fear that the assault will recur.
  • Increased emotional responses
    • Crying, anxiety, rapid mood swings
  • Fears and phobias
    • Fear of being alone, fear of sexual encounters
  • Difficulties with daily functioning, low self-esteem, depression, sexual dysfuntion, and somatic reports, such as headache or fatigue.
Term
Other reactions to rape-trauma may include:
Definition
  • Reliance on alcohol or drugs
  • Inablility to communicate any information about the rape experience
Term
Asses the client's
Definition
  • Level of anxiety
  • Coping mechanisms
  • Support systems
    • Personal and community supports (attorny)
Term
What is difference between a medical exam and a legal exam?
Definition
Legal exam provides forensic evidence for the police
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