Nokea
After assessing a victim of sexual assault, which terms could the nurse use in the documentation? (Select all that apply.)
- A. Alleged
- B. Reported
- C. Penetration
- D. Intercourse
- E. Refused
- F. Declined
Correct Answer: B,C,F
Rationale: Reported,' 'penetration,' and 'declined' are appropriate, avoiding pejorative language. 'Alleged,' 'intercourse,' and 'refused' are not recommended.
You may also like to solve these questions
A survivor in the long-term organization (delayed) phase of the rape trauma syndrome has experienced intrusive thoughts of the rape and developed a fear of being alone. Which finding demonstrates this survivor has made improvement?
- A. The survivor expresses a need to regularly withdraw from social situations.
- B. The survivor describes personal coping strategies for fearful situations.
- C. The survivor uses increased activity to reduce feelings of fear.
- D. The survivor expresses a deep desire to be with others.
Correct Answer: B
Rationale: Describing personal coping strategies shows a willingness and ability to address fear effectively. The other options demonstrate continued ineffective coping.
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 rape victim tells the nurse, 'I should not have been out on the street alone.' Which is the nurse's most therapeutic response?
- A. Rape can happen anywhere.'
- B. Blaming yourself only increases your anxiety and discomfort.'
- C. You believe this would not have happened if you had not been alone?'
- D. You are right. You should not have been alone on the street at night.'
Correct Answer: C
Rationale: A reflective communication technique helps the victim explore their role in the event, aiding understanding. The other options discount the victim's perceived role or interfere with further discussion.
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.