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    Ati Mental Health proctored Exam

    A nurse in an emergency department is caring for an adolescent client who reports being sexually assaulted just prior to admission. Which of the following actions should the nurse take?

    Explanation & Rationale

    Choice A reason: Allowing the client to describe the event in their own words is essential for initial assessment, evidence collection, and emotional support. Choice B reason: A bed bath would destroy physical evidence needed for forensic examination. Choice C reason: Discussing self-defense techniques at this time is inappropriate, as the focus should be on immediate safety, support, and care. Choice D reason: Photographs may be taken, but the nurse should not present them as required for police reporting, as this can increase trauma and coercion.

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