Discuss NCLEX NCLEX-RN Exam Topic 1 Question 22

The nurse has been caring for a 16-year-old female who recently experienced date rape. After having had crisis intervention and been hospitalized for 2 weeks, the nurse knows that the client is effectively coping with the rape when she tells the nurse:

A''I know it was my fault that it happened, because I shouldn't have been out so late.''

B''If I had not worn that sexy dress that night, he wouldn't have raped me.''

C''I know my date just had so much passion he couldn't handle me saying 'no.' ''

D''I know now that it was not my fault, but I want to continue counseling after my discharge.''

Suggested Answer: D

(A) This response does not show any insight; the client falsely assumes that she is responsible for the rape. (B) The client continues to falsely assume responsibility for the rapist's behavior. (C) The client believes falsely that rape is an act of passion, rather than one of violence, control, and domination. (D) The client has insight into the rape; she does not believe it was her fault and shows good judgment in deciding to continue with counseling after discharge.

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21 comments · newest first

Fidelia 2 days ago

Counseling is crucial for her recovery.

Andra 7 days ago

Exactly, D indicates she’s ready to move forward.

Lorenza 12 days ago

C is concerning too. It downplays the seriousness.

Hubert 17 days ago

Right? D is empowering. She understands it wasn't her fault.

Fidelia 23 days ago

A and B are so harmful. Victim-blaming is awful.

Princess 28 days ago

Agreed, she’s taking responsibility for her healing.

Yvonne 1 month ago

I think D shows real progress.

Dustin 1 month ago

Isn't it surprising how many still blame themselves?

Raylene 1 month ago

I disagree, she should be focusing on healing, not more counseling.

Viola 2 months ago

Wow, I thought she'd be more upset, but D shows growth.

Mozell 2 months ago

I can't believe some people still think it's the victim's fault.

Lai 2 months ago

D is definitely the healthiest response.

Carrol 2 months ago

Isn't it surprising how many still blame themselves?

Celia 2 months ago

I disagree, she should be focusing on healing, not more counseling.

Minna 2 months ago

Wow, I thought she'd be more upset, but D shows growth.

Ryan 3 months ago

I can't believe some people still think it's the victim's fault.

Filiberto 3 months ago

D is definitely the healthiest response.

Janella 3 months ago

I feel a bit confused about this. I thought all the options were about coping, but D seems to be the only one that promotes positive self-acceptance.

Glenna 3 months ago

I practiced a question similar to this in class, and I think D is definitely the healthiest response. It shows she's taking responsibility for her healing.

Caitlin 3 months ago

I'm not entirely sure, but I feel like options A, B, and C reflect victim-blaming, which is a sign of unhealthy coping.

Fletcher 4 months ago

I remember discussing how important it is for survivors to recognize that the assault is not their fault. I think D shows that understanding.

NCLEX-RN Exam - Topic 1 Question 22 Discussion