SANE CERTIFICATION PRACTICE 77 Questions with Verified Answers,100% CORRECT

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SANE CERTIFICATION PRACTICE 77 Questions with Verified Answers Which of the following best describes expert witness testimony in a sexual abuse trial? a. the witness presents the patient's medic... al history and physical findings while advocating for the patient b. the witness presents the patients medical history and physical exam findings and can offer an opinion based on the witness's area of expertise. c. The witness presents the patient's medical history and physical exam findings while supporting the position of the prosecuting attorney d. the witness presents the patient's medical history and physical exam findings, making sure not to provide an opinion. - CORRECT ANSWER B. Expert witnesses are qualified by a court system based on their knowledge, skill, training, and experience. An expert witness may testify about scientific, nursing, or medical concepts and may offer an opinion based on the witness's expertise. Expert witness testimony does not advocate for the patient and is not influenced by an attorney's position. A sexual assault nurse examiner takes the witness stand and is asked questions that highlight their qualifications (e.g., education, specialized training, relevant experience, skills, publications, and prior experience teaching other SANEs). The judge asks a couple of additional questions. What is the purpose of this line of questioning? - CORRECT ANSWER D. A witness must be established as an expert by the presiding judge. The attorney asks questions of the witness to highlight the witness's professional qualifications including education, specialized training, and experience. A lay witness does not need to possess specific qualifications. Direct examination is the initial questioning of a witness to obtain evidence on a case. Voir dire questioning is performed by the opposing counsel to challenge the witness's qualifications. What are the stages of grooming? (Many stages happen insidiously and simultaneously) - CORRECT ANSWER - Identify a victim - Increase role in victim's life - Make assurance of power difference - Gain trust - Establish secrecy - Isolate - Slowly introduce nonsexual to sexual touch An 18-year-old male patient is found by police unconscious in a car on the side of the road with his pants and underwear off, and brought into the ED. The patient is from a different country, speaks minimal English, and is having a difficult time understanding the sexual assault nurse examiner (SANE), when the SANE arrives. In order to provide patient-centered care, what is the most appropriate way to communicate the medical forensic exam options for this patient? A. Obtain a professional medical language interpreter for communication B. Speak more slowly and loudly to help the patient understand you better. C. Print all materials in the preferred language for the patient to read before the exam. D. Provide a phone for the patient to call someone to help translate. - CORRECT ANSWER A. Obtain a professional medical language interpreter for communication. An 18-year-old male patient was partying at a hotel and doesn't remember anything after drinking a few mixed drinks he was given. He states that he thinks that he has been sexually assaulted. Applying what the sexual assault nurse examiner (SANE) knows regarding special challenges in vulnerable populations after the medical forensic examination, what is the most important follow-up care for this patient? A. A referral to a sexually transmitted infection clinic B. A social work consult to offer an inpatient substance abuse treatment program C. A referral to primary care provider to address alcohol use and other health concerns. D. Immediate contact with and ongoing support through advocacy services and social support. - CORRECT ANSWER D. Immediate contact with and ongoing support through advocacy services and social support. A very young-looking 19-year-old ED patients presents for the fifth time this month with her aunt. Today she is treated for a urinary tract infection, but it is discovered that she also has pelvic inflammatory disease and several unexplained contusions. What is the most important way to proceed with her care? A. Allow her aunt to stay in the room because the aunt is answering all the questions. B. Evaluate for risk of human trafficking and commercial sexual exploitation C. Assess the patient's need for advocacy and counseling D. Call law enforcement and child protective services immediately - CORRECT ANSWER Evaluate for risk of human trafficking and commercial sexual exploitation What statement below best describes the role of a forensic nurse? A. A static role that focuses on being the link between nursing science and the legal system B. A dynamic role that integrates nursing science, forensic science, and the legal system C. A dynamic role whose scope of practice is governed by the office of the district attorney. D. A static role that focuses on being the specialist in forensic collection of evidence and testifying on behave of the survivor. - CORRECT ANSWER B. A dynamic role that integrates nursing science, forensic science, and the legal system The sexual assault nurse examiner (SANE) is called to the ED for a 14-year-old female patient who was brought into the hospital with the primary complaint of sexual assault. The most effective communication strategy with this teenage patient includes: A. Ask the patient mostly closed-ended questions to help decrease anxiety and discomfort with the exam B. Encourage the adolescent's parents to answer the difficult questions C. Avoid using direct eye contact to help the adolescent feel more comfortable in your presence D. Ask open ended questions in a nonjudgemental way - CORRECT ANSWER D. Ask open ended questions in a nonjudgemental way Which of the following statements about teenage dating violence (TDV) is correct? A. Teenagers experiencing TDV are more likely to experience interpersonal violence as adults B. TDV involves physical and sexual violence, but does not include psychological violence. C. Teenagers who experience TDV will feel like their partner doesn't love them - CORRECT ANSWER A. Teenagers experiencing TDV are more likely to experience interpersonal violence as adults What are the 6 trauma-informed principles to assist in the recovery and healing process of the acute sexual assault/abuse patient? - CORRECT ANSWER 1. Safety 2. Trustworthiness 3. Peer support 4. Collaboration 5. Empowerment 6. and cultural, historical, and gender issues Statistically, which of the following is correct about Native American females and sexual violence? A. They experience a lower rate of sexual violence than their non-hispanic white counterparts. B. They are more likely to report a sexual assault than their non-hispanic white counterparts. C. They experience interracial sexual assault more than their non-hispanic white counterparts. D. They have a lower chance of experiencing sexual violence in a lifetime than their non-hispanic white counterparts. - CORRECT ANSWER C. They experience interracial sexual assault more than their non-hispanic white counterparts. Which of the following is a forensic nursing standard of practice? A. Ethics B. Education C. Evaluation D. Evidence-based practice - CORRECT ANSWER C. Evaluation The sexual assault nurse examiner is assisting a young adult female survivor of sexual assault. Through assessment the SANE realizes that she potentially could identify at least five adverse childhood experiences (ACEs), including this assault. The SANE understands that the ACE study predicts that the SANE's patient will have: A. Issues with chronic health problems and promiscuity in the future B. A higher chance of developing chronic health issues in the future C. Issues with depression, obesity, and promiscuity in the future D. No effects on her future health outcomes from experiencing these events - CORRECT ANSWER B. A higher chance of developing chronic health issues in the future Which of the following is true about bullying? A. Perpetrators of bullying will become perpetrators of sexual violence as an adult. B. Bullying is defined by physical violence that must leave a mark C. Most children in the United States will be bullied sometime in their lives. D. Bullying seems to occur equally by electronics or in person - CORRECT ANSWER D. Bullying seems to occur equally by electronics or in person A sexual assault nurse examiner (SANE) working in the ED is caring for a 15-year-old female patient who discloses that her coach of 10 years has been sexually abusing her since she was 8 years old. She states that she loves him, and the SANE considers that she may have been groomed by the perpetrator. Her parents are also at the bedside. What statement from her parents leads the SANE to believe that they may also have been groomed by the perpetrator? A. "He could not have touched her. They were never alone." B. "He is like a second father to her. He would never do that." C. "I suspected that he was hurting her. I just can't believe it." D. "If this happened, then why aren't there any marks? - CORRECT ANSWER B. "He is like a second father to her. He would never do that." As a sexual assault nurse examiner referring to standards of practice and competency, the SANE knows it is important to reach out and collaborate with colleagues. Which three standards focus on outreach to colleagues? A. Collaboration, leadership, and diagnosis B. Collaboration, leadership, and quality of practice C. Ethics, communication, and quality of practice D. Ethics, leadership, and diagnosis - CORRECT ANSWER B. Collaboration, leadership, and quality of practice A 36 year old transgender male patient with gender reassignment surgery is disclosing a violent sexual assault including vaginal penetration. For the patient's safety, the sexual assault nurse examiner should pay special attention to obtaining which of the following? A. Drugs and alcohol testing B. Testing and treatment for sexually transmitted disease C. Information regarding the assailant D. Counseling and advocacy - CORRECT ANSWER B. Testing and treatment for sexually transmitted disease The sexual assault nurse examiner (SANE) caring for a 68 year-old Muslim female patient who presents fully covered in a burka. Which of the following is the best culturally responsive care for this patient? A. Provide an explanation as to why she will have to change into a hospital gown for the exam. B. Ask the patient if she can take off the burka while you talk to her. C. Provide respect and privacy/modesty for the patient when changing and during the exam. D. Provide the opportunity for the patient to discuss why she wears a burka. - CORRECT ANSWER C. Provide respect and privacy/modesty for the patient when changing and during the exam. A 21 year old male patient is brought to the ED by ambulance after being found by police unconscious in a local park. The patient is stabilized medically and later discloses to the nurse that he remembers being sexually assaulted by someone after partying with his friends but does not plan to report this to police. When the sexual assault nurse examiner (SANE) arrives the patient is upset, crying, and expressing concern that he was assaulted by another male and is worried about getting a disease and what other people will think. The best patient-centered response/approach as the SANE includes which of the following: A. "Don't worry about what people will think. It'll be fine. We'll take care of you." B. "Our conversation today is completely confidential. Can you tell me more about your concerns?" C. "I can call a family member or friend if you would like to talk with them." D. "You really should report this crime to - CORRECT ANSWER B. "Our conversation today is completely confidential. Can you tell me more about your concerns?" The caregiver of a 49 year old physically and developmentally disabled female patient who has been living in a residential facility has reported that her patient was sexually assaulted by a male employee in the facility overnight. She has no complaints of pain or visible signs of physical trauma upon exam. From the sexual assault nurse examiner's knowledge of vulnerable populations, the SANE understands that for this patient, the SANE should be aware of which of the following? A. The SANE should perform the examination as fast as possible due to a short attention span B. There is a high risk of revictimization, often by the same perpetrator C. Caregivers should be allowed in the room due to potential distraction D. Distraction like the use of television is the best way to complete the examination - CORRECT ANSWER B. There is a high risk of revictimization, often by the same perpetrator The sexual assault nurse examiner is asked to see an 18-year-old female patient who was brought to the ED by her parents. The patient explains to the SANE that she was forced to come to the hospital by her parents, who want to know if she had sex with her 19-year old boyfriend, and she doesn't want an exam. As the SANE providing patient-centered care, it is important to do which of the following? A. Perform the medical forensic exam only if the patient wants and consents to the exam. B. Get consent from the parents before starting the exam. C. Try and convince the patient that the forensic exam is in her best interest D. Collect the patient's clothing as evidence regardless if there is a consent signed. - CORRECT ANSWER A. Perform the medical forensic exam only if the patient wants and consents to the exam. As the sexual assault nurse examiner (SANE) assesses a 40-year-old female who has come to the hospital after a sexual assault, the patient discloses information to the SANE about her childhood. Which information helps the SANE correlate her childhood with the current assault? A. Your patient disclosed to having one adverse childhood event: her parent's divorce B. Her mother was stable and supportive throughout her childhood, but a strict disciplinarian C. She was diagnosed with diabetes at the age of 15 and was hospitalized for complications D. At the age of 6 she had an uncle who fondled her, but no one believed her. - CORRECT ANSWER D. At the age of 6 she had an uncle who fondled her, but no one believed her. A sexual assault nurse examiner is working in the ED when a 24-year old female arrives, stating that she has been sexually assaulted by her boyfriend. She has contusions on her arms, under both eyes, and across her right cheek. Knowing the scope of practice and standards of care, the SANE first applies the standard of assessment using the patient-centered care model by: A. Palpating her scalp and diagnosing her with a concussion, because she has contusions under both eyes and across her right cheek B. Preparing for her discharge from the ED, because she cannot be sexually assaulted by an intimate partner. C. Performing the sexual assault examination before the medical examination, because forensic collection is the most important thing. D. Collecting information relative to the patient's situation, because this is essential to perform trauma-informed care. - CORRECT ANSWER D. Collecting information relative to the patient's situation, because this is essential to perform trauma-informed care. A sexual assault nurse examiner believes that an adult patient is experiencing intimate partner violence. The SANE believes this because the patient shares that she : A. Does not like having sexual intercourse with her partner B. Has never been physically assaulted, but has a few bruises on her lower legs. C. Feels unsafe because he calls nonstop, which makes her anxious D. Sometimes thinks that her intimate partner gets mad too easily - CORRECT ANSWER C. Feels unsafe because he calls nonstop, which makes her anxious The sexual assault nurse examiner knows that delayed disclosure is common in elder sexual assault because: A. Little is known about the motive of perpetrators B. There are few resources supporting those who have experienced elderly abuse. C. Victims are often coerced or threatened when the perpetrator is also the caregiver D. Sexual abuse can be related to sexual attraction - CORRECT ANSWER C. Victims are often coerced or threatened when the perpetrator is also the caregiver Which is the following is true about elderly adults? A. They are a vulnerable population that often depend on others for basic care needs. B. They cannot communicate their needs to others and will be difficult to understand C. They cannot give consent for sexual contact and do not have an innate sexual drive. D. They are often subject to drug-facilitated assaults that do not happen more than once. - CORRECT ANSWER A. They are a vulnerable population that often depend on others for basic care needs. The sexual assault nurse examiner is assisting a 30-year-old male sexual assault victim. The patient states that he has known his perpetrator since he was 3 years old. The patient describes many experiences and qualities of his perpetrator. Which situations that he describes of his perpetrator's youth gives the SANE direct connection to this assault? A. The perpetrator was very angry when his parents divorced B. The perpetrator told your patient that he was exposed to intimate partner violence (IPV) C. The perpetrator ignored your patient when he found out that the patient was gay D. The perpetrator bullied your patient and teased him about being gay. - CORRECT ANSWER D. The perpetrator bullied your patient and teased him about being gay. Developing training for the local sexual assault response team (SART) regarding trauma-informed care is a competency for which standard of pratice? A. Collaboration B. Ethics C. Evaluation D. Communication - CORRECT ANSWER A. Collaboration The sexual assault nurse examiner and the SANE's team want to create a project to lessen intimate partner violence in the community through primary prevention. The SANE knows that the team is on the right track when the team members suggest that the team could: A. Help to build a home for women experiencing IPV B. Increase screening for IPV in the ED C. Attend lectures about how to identify IPV victims D. Create a special room for IPV victims and their kids - CORRECT ANSWER A. Help to build a home for women experiencing IPV A victim who has been assaulted by a male caregiver, has had a more violent assault, and is less likely to report than other victims is most likely to be a: A. Female child experiencing physical abuse B. Male experiencing intimate partner violence C. Female experiencing teen dating violence D. Female experiencing elderly sexual abuse. - CORRECT ANSWER D. Female experiencing elderly sexual abuse. The sexual assault response team (SART) in this community is considering the manner in which team members gather information about the assault from the victim. When considering each individual team member's role, what is the most important consideration the team should discuss? A. How many times the victim may need to repeat the details of the assault B. The importance of the victim's story remaining consistent across disciplines C. The impact joint interviews will have on admissibility at trial D. Whether the case is prosecutable - CORRECT ANSWER C. The impact joint interviews will have on admissibility at trial The advocate can assist the sexual assault nurse examiner during the examination and evidence collection by all of the following except: A. Providing emotional, trauma-informed support to the victim during the examination B. Acting as a scribe for the SANE in documenting injury C. Providing the patient with information about Crime Victims Compensation funds D. Letting the SANE know if anything done during the exam appears to be painful to the patient - CORRECT ANSWER B. Acting as a scribe for the SANE in documenting injury After the medical forensic exam, the SANE gives an update to law enforcement. Law enforcement asks the SANE to ask the patient more specific questions about the assault. The best response from the SANE is: A. The SANE should write down the questions that law enforcement wants the SANE to ask and ask the patient the specific questions B. The SANE should explain to law enforcement that follow-up questions regarding the investigation should be asked directly by the officer if they do not pertain to the exam. C. The SANE asks the advocate to ask the questions law enforcement has, as the SANE has completed the examination of the patient. D. The SANE refuses, as the medical forensic examination of the patient is completed. - CORRECT ANSWER B. The SANE should explain to law enforcement that follow-up questions regarding the investigation should be asked directly by the officer if they do not pertain to the exam. The four core disciplines that comprise a sexual assault response team (SART) are: A. Law enforcement, DNA analysis, prosecutors, and sexual assault nurse examiners (SANEs) B. Law enforcement, the crime lab, prosecutors, and hospital administrators C. Law enforcement, advocacy, SANE, and prosecutors D. Advocacy, SANE, the district attorney, and probation/parole officers - CORRECT ANSWER C. Law enforcement, advocacy, SANE, and prosecutors An advocate (usually present with a victim during a medical forensic examination may assist the SANE during the exam by: A. Acting as a scribe as the SANE does the head-to-toe examination of the victim, documenting injury as described by the SANE B. Reviewing the medical record with the SANE to ensure that what was heard by the SANE was also heard by the advocate C. Handing swabs to the SANE during the collection of evidence D. Providing emotional, trauma-informed support to the victim during the examination - CORRECT ANSWER D. Providing emotional, trauma-informed support to the victim during the examination A sexual assault nurse examiner is one of the core members of a sexual assault multidisciplinary team and as such as provides the following except: A. Evidence collection which may be utilized in the investigation and prosecution of a case B. Testimony if the case goes to the court C. Information about what a medical forensic examination comprises D. A diagnosis that a sexual assault has occurred - CORRECT ANSWER D. A diagnosis that a sexual assault has occurred A victim of sexual assault presents to the hospital ED. The ED staff call the on-call sexual assault nurse examiner to see the patient. The SANE calls the on-call advocate and she arrives before the SANE does. What should the ED staff do? A. Refuse to let the advocate see the patient as doing so would be a Health Insurance Portability and Accountability Act (HIPAA) violation B. Call the on-call SANE and tell the SANE that they have made a HIPAA violation by calling the advocate in to see the patient C. Ask the victim if they would like to talk to the advocate and if they agree, introduce the advocate to the victim D. Tell the advocate to leave the ED as the advocate is not an employee of the hospital - CORRECT ANSWER C. Ask the victim if they would like to talk to the advocate and if they agree, introduce the advocate to the victim During a sexual assault response team case review, the sexual assault nurse examiner remembers that the victim mentioned that she put a crucial piece of evidence in the hamper. The victim is cooperating with law enforcement. What should the SANE do? A. Assume that the patient will want this information shared with law enforcement and do so B. Dismiss it because it was not documented in the medical record. C. Contact the patient and ask if it is OK to share this information with police D. Contact advocacy to ask what they think the patient would want to do with this information. - CORRECT ANSWER C. Contact the patient and ask if it is OK to share this information with police The purposes of a sexual assault multidisciplinary team include all of the following except: A. Facilitate communication and good working relationships among team members B. Provide education to other members of the team C. Perform case analysis to determine if a crime occurred. D. Improve the responses of the team member to the victim of the sexual assault. - CORRECT ANSWER C. Perform case analysis to determine if a crime occurred. Which of the following is not a role of the advocate? A. Provide detailed documentation of the assault B. Provide short-and long-term counseling C. Provide information and referrals D. Support the patient at each step in the process - CORRECT ANSWER A. Provide detailed documentation of the assault A sexual assault nurse examiner who is working as an ED nurse is asked to provide information to a teen's non-offending parent who is being referred to the local child advocacy center. The SANE provides all of the following information except: A. The use of CACs has the potential to increase prosecution rates B. CACs have trained child forensic interviewers for children. C. The CAC is the only location that can properly serve children. D. The CAC will put the child at the center of care and ensure proper referral delivery of services - CORRECT ANSWER C. The CAC is the only location that can properly serve children. How does a sexual assault response team (SART) differ from a coordinated community response (CCR)? A. A SART is more involved in the prosecution of the crime and these communities usually have higher conviction rates B. A SART typically functions to serve only sexual assault victims C. The CCR only focuses on offender accountability D. A SART coordinates services for all victims of interpersonal violence just just victims of sexual assault - CORRECT ANSWER B. A SART typically functions to serve only sexual assault victims A "Dual" coordinated community response team (SART) may be the best for rural communities for all of the following reasons except: A. The needs and responses to sexual assault and domestic violence are essentially the same B. Many of the same people/responders are involved C. Combined resources can help with programming and overhead costs D. Such a response can create community-wide social change - CORRECT ANSWER A. The needs and responses to sexual assault and domestic violence are essentially the same A sexual assault nurse examiner who is a member of a sexual assault response team may be included in all of the following collaborative processes except: A. Cross-trainings with different responders on their roles and responsibilities B. Case review to discuss the responses of team members and identify areas of improvement. C. The development of policies/protocols outlining the charging and prosecution of offenders. D. Development and implementation of memoranda of understanding between different stakeholder groups. - CORRECT ANSWER C. The development of policies/protocols outlining the charging and prosecution of offenders. A sexual assault nurse examiner trained in the evaluation of the adult and child victim of sexual assault is working in the ED on Friday at 8p.m. The community has a Child Advocacy Center that is open Monday through Friday from 9a.m. to 5p.m. An 8 year old female is brought to the ED by her mother who reports that she just found her child being sexually assaulted (penis to mouth) by the mother's boyfriend. What is the SANEs most appropriate response? A. Report the case to Child Protective Services and/or law enforcement, give the mother information about the local CAC, and tell her that she should call the CAC on Monday to make an appointment for her daughter to be seen. B. Report the case to CPS and or law enforcement, obtain history from the mother, complete examination with evidence collection, and give the mother and child information about the CAC. C. Report the case to CPS and/or law enforcement, perform a for - CORRECT ANSWER B. Report the case to CPS and or law enforcement, obtain history from the mother, complete examination with evidence collection, and give the mother and child information about the CAC. The implementation of a sexual assault response team within a community improves all of the following except: A. Better understanding of one another's roles (SART members) B. Increased conviction rates and sentence lengths C. Improved communication and collective decision-making among SART members D. Increased information exchange among SART members - CORRECT ANSWER B. Increased conviction rates and sentence lengths There are variations in the development and implementation of multidisciplinary teams for all of the following reasons except: A. The focus and goals of the team may depend on the victim population to which the team responds. B. Resources differ from community to community C. Healthcare is not always available D. Response depends on the day of the week and time of the day - CORRECT ANSWER C. Healthcare is not always available Jane, a 24 year old female, is assaulted by a stranger in her apartment. She calls 911 as soon as the assailant leaves. Law enforcement decides that they do not believe Jane was sexually assaulted and when Jane is confronted by law enforcement, she recants. Law enforcement now wants to charge Jane for making a false report. What would be the ideal response by the sexual response team in this community? A. Members of the SART support one another and, therefore, support the decision by law enforcement to charge the victim for making a false report B. Members of the SART do a case review to discuss what happened, what went well, and what might be improved C. Members of the SART discuss the rationale behind a decision to charge the victim with a false report and discourage that approach D. Members of the SART do not support the decision made by law enforcement but do nothing, as disagreement among members would not be g - CORRECT ANSWER C. Members of the SART discuss the rationale behind a decision to charge the victim with a false report and discourage that approach Erin, a 24 year old female is assaulted by an acquaintance. The day after the assault, she calls the local Rape Crisis Center. The Rape Crisis Center advocate can appropriately assist Erin with which of the following items? A. Provide support and information about resources and tell her that she is not alone in being a victim of sexual assault. B. Determine the need for and schedule the medical forensic exam C. Notify law enforcement and provide them with details of the assault. D. Collect evidence from the victim's apartment and give it to law enforcement - CORRECT ANSWER A. Provide support and information about resources and tell her that she is not alone in being a victim of sexual assault. A 35 year old female is unsure if she wants to notify law enforcement of her sexual assault but does want to have a medical forensic exam. The SANE arrives and explains the examination. The patient does not want to notify law enforcement at this point but does want to have an exam and evidence collected. What is the most appropriate action of the SANE? A. Provide an examination and collect evidence to be stored at the hospital, but do not notify law enforcement B. Notify law enforcement and proceed with history and exam C. Discuss reporting and evidence collection options with the patient prior to history and exam D. Perform a medical and forensic exam but do not collect evidence or report to law enforcement - CORRECT ANSWER C. Discuss reporting and evidence collection options with the patient prior to history and exam Ten days after a 26 year old female patient has undergone a medical forensic examination, the sexual assault nurse examiner gets a call from law enforcement that the patient, who originally did not want to report the assault, has changed her mind and decided to report. Law enforcement wants a copy of the medical record and to discuss the case with the SANE. What is the SANE's most appropriate response? A. Fax a copy of the patient's medical record to law enforcement and tell law enforcement what the patient told the SANE about her sexual assault B. Tell law enforcement that permission from the victim is required to release her medical record to law enforcement and to discuss the case with law enforcement. C. Refuse to discuss anything with law enforcement because the patient states that she did not want to report when seen by the SANE D. Tell law enforcement that the SANE cannot comply as there is no signed medical - CORRECT ANSWER B. Tell law enforcement that permission from the victim is required to release her medical record to law enforcement and to discuss the case with law enforcement. Studies have shown that multidisciplinary teams improve all of the following except: A. The quality of relationships between team members B. Information sharing and communication C. Role definition D. Identification of false reports - CORRECT ANSWER D. Identification of false reports An 84 year old woman is sent to the ED from an assisted living facility with concerns about weakness and increasing dementia. The ED physician calls in the sexual assault nurse examiner because he noted unusual bruising to the patients arms and inner thighs during his examination. The patient tells the SANE that her grandson assaulted her because she refused to give him money. The daughter of the patient arrives (the grandson's mother), states that she has power of attorney, and that there will be no medical forensic exam done, as her son would not harm his grandmother. What is the most appropriate action to be taken by the SANE? A. Consult hospital administration and Adult Protective Services for assistance about how to proceed B. Call the assisted living facility to confirm that the daughter has POW C. Ask the patient what she wants to do and do what she decides D. Do not perform an examination as the daughter sta - CORRECT ANSWER A. Consult hospital administration and Adult Protective Services for assistance about how to proceed A victim is terrified of her attacker. Law enforcement knows the suspect is dangerous and wants him apprehended. Law enforcement suspect is dangerous and wants him apprehended. Law enforcement suspects that the victim has been using recreational drugs and wants the sexual assault nurse examiner to obtain blood and urine for a toxicology screen. Law enforcement assures the SANE that they do not intend to charge the victim with drug use but want to use results as a bargaining chip should she decline to cooperate with their investigation. The hospital's protocol allows the collection of blood and urine for toxicology if needed for patient care or if drug-facilitated sexual assault is suspected. The victim is not obviously intoxicated or "high." She is awake, alert, coherent, and denies DFSA. What should the SANE do? A. Collect the patient's blood and urine for toxicology as requested by law enforcement B. Follow the pr - CORRECT ANSWER B. Follow the protocol that the hospital has in place During a medical forensic examination, the reporting officer contacts the sex crimes supervisor at the police department. The suspect told the reporting officer that the victim was carrying drugs. The supervisor arrives at the hospital and orders the sexual assault nurse examiner to retrieve the victim's purse. What is the most appropriate action for the SANE to take? A. Retrieve the patient's purse and give it to the sex crimes supervisor B. Inform the patient that the purse needs to be collected as evidence and ask the patient to release it as evidence C. Inform law enforcement that it is not the role/responsibility of the SANE to take a purse from a patient even if it contains drugs D. Retrieve the patient's purse and give it to law enforcement and plan to discuss this at the next sexual assault response team meeting - CORRECT ANSWER C. Inform law enforcement that it is not the role/responsibility of the SANE to take a purse from a patient even if it contains drugs A sexual assault nurse examiner is discussing the examination performed on a patient with law enforcement. The patient is a 32-year old female who stated that she was sexually assaulted last night while on a date. She is unsure of specific details because she had a significant amount to drink. The SANE found no injuries on physical examination. The officer asks the SANE, "So was she raped?" The most appropriate response is: A. "I am not sure. I think this is a case for our MDT to review and decide" B. "She's pretty inconsistent so I don't think she was raped" C. "I didn't find any physical evidence of rape" D. "She stated that she was assaulted. The results of the SANE exam are consistent with her history." - CORRECT ANSWER D. "She stated that she was assaulted. The results of the SANE exam are consistent with her history." A 24-year old female is to have a medical forensic exam. The reporting officer insists on being in the room during the exam in case something is said that may be important to the investigation. The SANE explains to the officer that law enforcement may not be present for the exam for all of the following reasons except: A. The patient has a right to protection of private health information, which may be shared with the SANE during the course of the examination B. The presence of law enforcement during the exam has potential to jeopardize the medical exception to the hearsay rule under which the SANE testifies. C. The SANE will preserve the chain of custody during evidence collection and packaging. D. The SANE is uncomfortable with having law enforcement present - CORRECT ANSWER D. The SANE is uncomfortable with having law enforcement present The ED calls the on-call sexual assault nurse examiner to see a 23-year old female who has presented to the ED with a complaint of being sexually assaulted 48 hours ago. The SANE arrives and introduces herself to the patient. The patient reports that she is a college student and was sexually assaulted on her campus in a neighboring state. She has returned home and has come to the ED for treatment and wants to report the crime. The SANE is a member of a sexual assault response team (SART). What should the SANE tell the patient about how the SART will respond? A. SANE and advocacy can offer advocacy and medical forensic care. Law enforcement will not respond as the crime did not occur within their jurisdiction. If she wants evidence collected, she will need to return to the state in which the crime occurred. B. The SART members cannot respond as the crime occurred in another state. The SANE refers the patient to her P - CORRECT ANSWER C. The SART can respond to the patient's needs, such as options for care and reporting. Local law enforcement will gather information and take custody of evidence collected until it can be turned over to law enforcement who will be investigating the case in the jurisdiction in which the crime occurred. Law enforcement presents to the hospital and requests a medical forensic examination for an adult female patient who has been sexually assaulted. The patient speaks only Spanish. Law enforcement wants to use their Spanish translator during the sane examination. The hospital has a policy that hospital translators be used for patients. The SANE and law enforcement are both members of a SART. What is the SANE's best response to this request? A. Use law enforcement's translator, as the translator has been working with law enforcement and the patient prior to coming to the ED. B. Tell law enforcement that the hospital that the SANE works for has a policy that only hospital translators can be used for patients C. To avoid confrontation, use law enforcement's translator and plan to discuss this at an upcoming SART meeting. D. Use a family member to translate so that the patient will feel more comfortable during the SANE ex - CORRECT ANSWER B. Tell law enforcement that the hospital that the SANE works for has a policy that only hospital translators can be used for patients What is the most appropriate way to explain a forensic exam to a 12-year-old female patient whose mother is present? - CORRECT ANSWER Explain the purpose and process of forensic evidence collection to both the patient and mother Which of the following statement/statements are true regarding the use of an alternate light source? - CORRECT ANSWER An alternate light source may be used to help guide the collection of evidentiary swabs A 14-year-old patient presents with concern of genital bleeding and pain. She was at a party 48 hours ago and was given a cup of beer. She states she drank about half of the cup. She states she does not remember anything about the party after drinking the beer. She woke up the next morning with her pants and underwear off. She experienced vaginal bleeding for 1 day and genital discomfort persists. What is the immediate concern for the sexual assault nurse examiner when caring for this patient? - CORRECT ANSWER drug-facilitated sexual assault What is the most appropriate action for the pediatric sexual assault nurse examiner who is concerned about an adolescent patient who may have experienced a drug-or-alcohol-facilitated sexual assault 20 hours ago? A. Collect a dirty urine specimen for a urine alcohol test B. Collect blood and urine specimens for alcohol and drug testing C. Collect a dirty urine specimen for drug testing D. Collect a blood specimen for drug testing - CORRECT ANSWER B. Collect blood and urine specimens for alcohol and drug testing What is the most appropriate action for the pediatric sexual assault nurse examiner who is concerned about an adolescent patient who may have experienced a drug-or alcohol-facilitated sexual assault 2 days ago? A. Collect a dirty urine specimen for a urine alcohol level B. Collect blood and urine specimens for alcohol and drug testing C. Collect a dirty urine specimen for drug testing D. Collect a blood specimen for drug testing - CORRECT ANSWER C. Collect a dirty urine specimen for drug testing The age of consent in your state is 16. A 15 year old female patient is sent to the ED by law enforcement due to concerns of sexual assault. During her medical interview she states that last night she had unprotected sexual intercourse (genital to genital contact) with her 20-year-old boyfriend. What is the most appropriate action for the pediatric SANE? - CORRECT ANSWER Explain forensic evidence collection procedure. Obtain patient assent. Collect forensic evidence using a standardized kit. What is the most common drug used to facilitate sexual abuse/assault? - CORRECT ANSWER alcohol A 14-year old menarcheal female presents to the ED for a concern of sexual abuse/assault. During the medical history, she discloses that her father has been sexually abusing her since age 10, and three nights ago he put his penis in her vagina and butt. What is the most appropriate action for the pediatric sexual assault nurse examiner related to evidence collection? - CORRECT ANSWER Offer evidence collection of the cervical os via the use of a vaginal speculum and anal swabs To collect blood for toxicology testing, two gray-top tubes containing which of the following should be used? - CORRECT ANSWER Sodium fluoride and potassium oxalate Which of the following is the correct way to perform the double swab technique? - CORRECT ANSWER Use a single moistened cotton swab, followed by a single dry cotton swab. The four general categories of evidence are: - CORRECT ANSWER physical, documentary, demonstrative, testimonial The greatest concentration of specimen is obtained by: - CORRECT ANSWER using the minimum number of swabs per site specimens for vaginal evidence collection are best collected from - CORRECT ANSWER the vaginal vault Recommended treatment for neisseria gonorrhoeae - CORRECT ANSWER Ceftriaxone 250mg intramuscular injection as a single dose one time recommended treatment for chlamydia - CORRECT ANSWER Azithromycin 1 g orally as a one time single dose or doxycycline 100 mg orally twice a day for 7 days treatment for trichomoniasis - CORRECT ANSWER metronidazole 2 g orally in a one-time single dose or tinidazole 2g orally in a one-time dose HPV - CORRECT ANSWER administer first dose of HPV vaccine series, administer second dose 1-2 months after first dose and administer third dose at 6 months. What meds are given to patients to after possible exposure to HIV - CORRECT ANSWER emtricitabine/tenofovir: one tablet orally every day for 28 days PLUS lopinavir/ritonavir: two tablets orally twice daily for 28 days. Patients with baseline abnormal renal function should not receive these medications [Show More]

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