A patient, aged 16 years, comes to the crisis clinic and tells the nurse that an uncle tried to rape her yesterday. The patient had told her mother of the uncle's behavior, but the mother accused the daughter of lying and, contrary to the patient's hopes, indicated she would still allow the uncle to visit the family. The patient describes feeling "all confused" and shows minor lacerations on her forearms to the nurse, which she indicates she did out of desperation rather than a wish to die. Which nursing diagnosis would be most appropriate as her primary diagnosis?

A patient, aged 16 years, comes to the crisis clinic and tells the nurse that an uncle tried to rape her yesterday. The patient had told her mother of the uncle's behavior, but the mother accused the daughter of lying and, contrary to the patient's hopes, indicated she would still allow the uncle to visit the family. The patient describes feeling "all confused" and shows minor lacerations on her forearms to the nurse, which she indicates she did out of desperation rather than a wish to die. Which nursing diagnosis would be most appropriate as her primary diagnosis?



a. Powerlessness

b. Disturbed thought processes

c. Rape-trauma syndrome

d. Interrupted family process



Answer: A


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