Nokea
A nurse working in the county jail interviews a man who recently committed a violent sexual assault against a woman. Which comment from this perpetrator is most likely?
- A. She was very beautiful.'
- B. She wanted the sex.'
- C. I have issues with my mother.'
- D. I've been depressed for a long time.'
Correct Answer: B
Rationale: Rape involves a need for control, power, degradation, and dominance. The correct response shows a lack of remorse or guilt, common in antisocial personality. The other responses suggest appreciation, psychological conflict, or self-disclosure, not expected from a perpetrator.
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A rape victim tells the emergency department nurse, 'I feel so dirty. Please let me take a shower before the doctor examines me.' How should the nurse respond to the request?
- A. Arrange for the patient to shower.
- B. Explain that washing would destroy evidence.
- C. Give the patient a basin of hot water and towels.
- D. Instruct the victim to wash above the waist only.
Correct Answer: B
Rationale: The patient should not bathe until the forensic examination is complete to preserve evidence critical for court proceedings. The other options would destroy evidence or are inappropriate.
The nurse cares for a victim of a violent sexual assault. What is the most therapeutic intervention?
- A. Use accepting, nurturing, and empathetic communication techniques.
- B. Educate the victim about strategies to avoid attacks in the future.
- C. Discourage the expression of feelings until the victim stabilizes.
- D. Maintain a matter-of-fact manner and objectivity.
Correct Answer: A
Rationale: Victims require unconditional acceptance, nurturing, and empathy to meet their needs and build trust. Focusing on avoidance strategies is premature, and the other options do not promote acceptance.
A patient comes to the hospital for treatment of injuries sustained during a rape. The patient abruptly decides to decline treatment and return home. Before theå?? patient leaves, the nurse should provide what support?
- A. Assure the patient, 'Before you leave you receive prophylactic treatment for sexually transmitted infections (STIs).'
- B. Provide written information concerning the physical and emotional reactions that may be experienced.
- C. Explain the need and importance of human immunodeficiency virus (HIV) testing in this situation.
- D. Offer to stay with the victim until stability is regained.
Correct Answer: B
Rationale: Providing written information about physical and emotional reactions helps the anxious patient who cannot retain verbal information. The other options are premature, violate privacy, or suggest a rescue fantasy.
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.
A person was abducted and raped at gunpoint. The nurse observes this person is confused, talks rapidly in disconnected phrases, and is unable to concentrate or make simple decisions. What is the person's level of anxiety?
- A. Minimal
- B. Mild
- C. Moderate
- D. High
Correct Answer: D
Rationale: Anxiety is the result of a personal threat to the victim's safety and security. The person's symptoms of rapid, dissociated speech, confusion, and indecisiveness indicate severe anxiety. 'Minimal' is not a level of anxiety. Mild and moderate levels allow the person to function at a higher level.