ENA Sex assault

For a patient who was sexually assaulted, what is the purpose of a follow-up examination? A. To detect new infections B. To complete human immunodeficiency virus immunization C. To provide psychiatric counseling D. To perform a pregnancy test

A

When called to testify in a sexual assault case, what is the staff nurse's responsibility? A. Review facility policies and protocols related to the case. B. Volunteer as much information as possible to support the survivor. C. Refer to personal notes taken at the time of the ED visit. D. Provide an expert opinion on what occurred during the assault.

A

According to the Centers for Disease Control and Prevention (CDC), a sexual assault victim should receive prophylactic treatment for which disorder? A. Syphilis B. Human immunodeficiency virus infection C. Hepatitis B D. Trichomoniasis

B

A sexual assault response team is responsible for which intervention? A. Provide appropriate prophylaxis. B. Collect forensic evidence. C. Provide multidisciplinary care. D. Document findings.

C

After collecting evidence from a patient who was sexually assaulted, which intervention is appropriate? A. Have the patient sit in the waiting room for discharge instructions. B. Have the patient remain in the examination room in case more tests are needed. C. Provide clean clothing for the patient to wear. D. Keep the patient from eating or drinking until cleared by law enforcement officials.

C

Men may be victims of sexual assault for which reason? A. Sexual orientation of the victim B. Martial status of the victim C. Dominance of the aggressor D. Socioeconomic disparity

C

Which prophylactic medication should be avoided if the patient has had an alcoholic drink in the last 24 hours? A. Levonorgestrel (Plan B One-Step) B. Metronidazole (Flagyl) C. Ceftriaxone (Rocephin) D. Azithromycin (Zithromax)

B

Which drug is considered a date-rape drug? A. Marijuana B. Ketamine C. Cocaine D. Phencyclidine

B

When caring for a sexual assault patient, you should keep which statement in mind? A. The nurse should document patient statements in the patient's own words. B. Sexual assault is a medical determination, not a legal one. C. The healthcare provider's opinion is integral to the examination process. D. The documentation of the patient's findings should remain subjective.

A

Which fact is pertinent when caring for a victim of a drug-facilitated sexual assault? A. The patient reports feeling intoxicated 15 minutes after drinking a beverage. B. Most date-rape drugs have a long half-life. C. The patient has a detailed recollection of the assault. D. The patient awakens clothed but sore 1 hour later.

A

Which factor significantly increases the likelihood that a sexual assault victim will report the event? A. Availability of victim services B. Desire to keep the assault private C. Fear of retaliation by the perpetrator D. Feelings about the criminal justice system

A

Which information should be part of the ED record for a sexual assault patient? A. Sexual orientation B. Activity in the hours before the assault C. Place of the assault D. Number of alcoholic beverages consumed

A

Which procedure best preserves clothing evidence for a patient who has been sexually assaulted? A. Have the patient undress over the paper sheet on top of a clean hospital sheet. B. Place each piece of the patient's clothing in a separate plastic bag. C. Cut out any areas of the clothing that are stained or bloodied. D. Wrap the clothing in paper towels prior to placing in a paper bag.

A

Which statement is the best reason for having a sexual assault nurse examiner collect evidence from a sexual assault patient? A. The documentation of all injuries by a sexual assault nurse examiner helps convict offenders. B. A sexual assault nurse examiner can independently prescribe prophylactic antibiotics. C. Patients who receive care from a sexual assault nurse examiner are the most likely to go to trial. D. The sexual assault nurse examiner can determine innocence or guilt.

A

For a patient who has been sexually assaulted, which intervention related to consent and reporting is appropriate? A. Respect the patient's decision to decline evidence collection and offer no further information about it. B. Explain to the patient what is required for a forensic examination before it is performed. C. If the patient does not want to inform law enforcement officials, comply with this decision.

B

Legally, which factor differentiates sexual assault from consensual behavior? A. Cultural beliefs and values B. Contact without explicit consent C. Sexual orientation D. Marital status

B

Using the Emergency Severity Index, the triage nurse should classify patients who have been sexually assaulted in which category? A. 1 B. 2 C. 3 D. 4

B

Which medication is administered to prevent pregnancy? A. Ceftriaxone (Rocephin) B. Levonorgestrel (Plan B One-Step) C. Metronidazole (Flagyl) D. Azithromycin (Zithromax)

B

Which procedure preserves evidence for a patient who has been sexually assaulted? A. Use a flashlight to identify stains that are not immediately visible. B. Have the patient provide the first-voided urine specimen without cleansing first. C. Using a specialized dry swab, brush the penis and scrotum. D. Obtain a swab from the oral cavity after the patient rinses with 5 mL of saline solution.

B

hen caring for a sexual assault patient, you should keep which statement in mind? A. The time limit for evidence collection is consistent in all states. B. Forensic evidence cannot be obtained more than 24 hours after the assault. C. Agents used in drug-faciliated rape are detectable on standard urine drug testing. D. The patient's history should be assault-specific.

B

Which intervention is the priority when treating a patient who was sexually assaulted? A. Obtain the support of a rape crisis team member. B. Gather evidence and identify the perpetrator. C. Identify physical trauma that requires immediate treatment. D. Report the event to local law enforcement officials.

C

Which statement accurately characterizes the term statutory rape? A. The term does not apply to married couples. B. It assures single women of special legal protection. C. It refers to the age of the sexual assault victim. D. The laws related to this term are the same in all states.

C

Which statement best reflects care for patients who have been sexually assaulted? A. All patients with this complaint should be immediately placed in a private waiting room. B. These patients probably will not remember their ED experience. C. These patients need to hear that they have the right to decide what to do with their bodies. D. Joke telling and laughing are uncharacteristic behaviors in these patients.

C

Which practitioner can perform a medical screening examination for a sexual assault patient who presents to the emergency department? A. Registered nurse B. Sexual assault nurse examiner C. Law enforcement official D. Nurse practitioner

D

Which statement accurately describes the chain of custody? A. If the patient declines any part of the evidence collection kit, enclose the empty containers in the kit. B. Expect the police officer to verify the whereabouts of the evidence at all times. C. Place the swabs on the counter to dry before packaging them as evidence. D. Seal and label the evidence collection kit in front of the patient.

D

Which statement best reflects the psychological effects of a sexual assault? A. Rape-trauma syndrome is a common, short-term effect. B. The emotional response among individuals is consistent. C. Panic attacks may be a late reaction to the assault. D. A fear of death may persist after the assault.

D

Which statement most accurately describes sexual assault? A. It is triggered by sexual arousal. B. It may be encouraged by provocative behavior. C. It is a crime of passion. D. It is a crime of humiliation.

D