Place the nursing actions in order after an adult privately … | MyMerci
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Crisis Intervention

Place the nursing actions in order after an adult privately discloses a recent sexual assault and requests help.

Ordered Response

Choose your responses, then check the answer.

Ask permission before sensitive questions or touch and explain why each immediate assessment step is needed
Document objective findings and the client's words, then arrange chosen follow-up, safety resources, and discharge support
Offer choices about advocacy, support persons, medical care, and a forensic examination without pressuring the client to report
Listen without demanding a detailed narrative, acknowledge the disclosure, and state that the assault was not the client's fault
Provide a private setting, address urgent physical safety and medical needs, and limit unnecessary staff interruptions
Explanation
Begin with privacy and urgent safety. Ask permission and explain each step so the client retains control. Listen and validate without conducting an unnecessary interrogation. Offer informed choices and specialized resources, then document objectively and coordinate the follow-up the client accepts within legal and policy requirements.
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For study reference only. Always follow current clinical guidelines and your institution’s protocols.

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