Nokea
A child was abducted and raped. Which personal reaction by the nurse could interfere with the child's care?
- A. Disgust
- B. Concern
- C. Empathy
- D. Compassion
Correct Answer: A
Rationale: Feelings of empathy, concern, and compassion are helpful. Disgust may make objectivity impossible and can increase the child's anxiety and shame.
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Which activities are in the scope of practice of a sexual assault nurse examiner (SANE)? (Select all that apply.)
- A. Requiring HIV testing of a victim
- B. Collecting and preserving evidence
- C. Providing long-term counseling for rape victims
- D. Obtaining signed consents for photographs and examinations
- E. Providing pregnancy and sexually transmitted disease prophylaxis
Correct Answer: B,D,E
Rationale: SANEs collect evidence, obtain consents, and provide prophylaxis. HIV testing is not mandatory, and long-term counseling is provided by other team members.
An unconscious person is brought to the emergency department by a friend. The friend found the person in a bedroom at a college fraternity party. Semen is observed on the person's underclothes. What is the priority action the staff members should focus on?
- A. Maintaining effective gas exchange
- B. Preserving all rape evidence
- C. Interviewing the friend for additional information
- D. Determining whether any alcohol or drugs were ingested
Correct Answer: A
Rationale: The unconscious patient is at risk for respiratory depression and airway obstruction, making gas exchange the priority. Other actions are secondary to preserving physiological functioning.
When working with rape victims, what is the focus of initial care?
- A. Collecting forensic evidence
- B. Notifying law enforcement
- C. Helping the victim feel safe
- D. Documenting the victim's comments
Correct Answer: C
Rationale: Helping the victim feel safe is the first focus, as the vulnerable individual may perceive assessments as intrusive or threatening. Other actions are secondary and may depend on the victim's decisions.
When an emergency department nurse teaches a victim of rape about reactions that may occur during the long-term organization (delayed) phase, which symptoms should be included? (Select all that apply.)
- A. Development of fears and phobias
- B. Decreased motor activity
- C. Feelings of numbness
- D. Flashbacks, dreams
- E. Syncopal episodes
Correct Answer: A,C,D
Rationale: Fears, phobias, numbness, flashbacks, and dreams are common in the long-term reorganization phase. Decreased motor activity and syncopal episodes are not expected.
Which situation constitutes consensual sex rather than rape?
- A. After coming home intoxicated from a party, a person forces the spouse to have sex. The spouse objects.
- B. A person's lover pleads to have oral sex. The person gives in but then regrets the decision.
- C. A person is beaten, robbed, and forcibly subjected to anal penetration by an assailant.
- D. A physician gives anesthesia for a procedure and has intercourse with an unconscious patient.
Correct Answer: B
Rationale: Only the scenario where the person gives in to oral sex describes consensual sex, as it involves agreement, even if later regretted. The other scenarios involve force or lack of consent.