5. Discuss with the client whom to call for support or assistance. ● 4. Encourage the client to give an account of the assault. Lis-4. Client has initiated behaviors consistent with the grief Outcome Criteria 3. Client has received immediate attention to physical injuries. 2. Client demonstrates a degree of trust in the primary nurse. 1. Client is no longer experiencing panic anxiety. Provide information about referrals for aftercare. avenue for catharsis that the client needs to begin healing. A detailed account may be required for legal follow-up, and a caring nurse, as client advocate, may help to lessen the trauma of evidence collection.response. Additional people in the environment increase this feeling of vulnerability and may escalate anxiety.severe anxiety and fear, client may need assistance from oth-ers during this immediate postcrisis period. Provide referral information in writing for later reference (e.g., psychothera-pist, mental health clinic, community advocacy group).POWERLESSNESSten, but do not probe. evidence. The post-trauma client is extremely vulnerable. Problems Related to Abuse or Neglect Nonjudgmental listening provides an Because of ● 315
2 2506_Ch17_310-319.indd Sec1:315 506 Ch 17 310 - 319 .indd affect an outcome; a perceived lack of control over a current situa-tion or immediate happening.[Lack of support network of caring others][Lack of fiPossible Etiologies (“related to”)DefiLifestyle of helplessnessVerbal expressions of having no control [or infl[Low self-esteem][Living with, or in a long-term relationship with, an individ-Reluctance to express true feelingsPassivity[Verbalizations of abuse]SDefiecual who victimizes by inflthe intent to cause harm, and continues to do so over a long ation or outcomeperiod of time] 1 : nition: ning Characteristics (“evidenced by”) 315 nancial independence] Perception that one’s own action will not signifi cantly icting physical pain or injury with uence] over situ- 1 10/1/10 9:37:16 AM 0 / 1 / 10 9 : 37 : 16 AM