ENA forensic

Who is the most appropriate person to photograph evidence? A. Emergency nurse B. Social worker C. Patient advocate D. Security guard

A

Forensic nursing traces its origin to the care of which population? A. Rape victims B. Violent crime victims C. Elder abuse victims D. Pediatric abuse victims

A

What is the appropriate action to take if the emergency nurse notes a suspicious stain on the arm of a victim of a violent crime? A. Swab the stain with a sterile, cotton-tipped applicator that is moistened with sterile water. B. Place the swab immediately into the proper container to prevent cross-contamination. C. Label the container with patient's name and date of birth. D. Initial the container and then seal it with tape.

A

Which definition correctly describes an excited utterance by the victim of a violent crime? A. A spontaneous statement made under duress B. An expletive spoken by a patient impaired by substance abuse C. An unintentional curse word used by a healthcare team member D. A declaration of pain by the patient during an assessment or treatment

A

Which evidence is considered intangible? A. Excited utterances B. The medical record C. Deoxyribonucleic acid (DNA) D. Clothing

A

Which term should be used to document an injury on a patient's skin from a knife? A. Laceration B. Cut C. Ecchymosis D. Bruise

A

Which statement accurately characterizes documentation of care for the victim of a violent act? A. Paraphrasing conversations is acceptable. B. Treatment-related statements by the patient are admissible in court. C. A delay by the patient in seeking care should not be documented. D. Spontaneous utterances are irrelevant if the patient is intoxicated.

B

Which statement accurately characterizes manual strangulation? A. Visible injuries to the neck are usually present. B. It commonly causes incontinence. C. Point tenderness in the area rarely occurs. D. The patient usually can be discharged rapidly.

B

Which statement best describes forensic nursing? A. It is the application of nursing science to the care of trauma patients. B. It is the care of victims of violent events likely to lead to a civil or criminal proceeding, legal hearing, or arbitration. C. It is the provision of arbitration for injured patients. D. It assumes the role of mandated reporter.

B

Which technique reflects the best practice for evidence collection? A. Use adhesive tape to collect debris from the patient. B. Use sterile gauze to cushion items placed in rigid containers. C. Use an instrument, such as a Kelly clamp, to pick up loose items. D. Place all projectiles in a single rigid container.

B

Which term limits the bias and subjectivity when documenting the care of a victim of a violent crime? A. Alleged B. Suspected C. Claimed D. Refused

B

Which term should the emergency nurse use for an injury on a patient's skin from a crushing force? A. Bruise B. Ecchymosis C. Laceration D. Cut

B

An evidence recovery kit should contain which item or items? A. Polaroid camera B. Self-sealing plastic bags C. Glass slides D. Clean gauze

C

Mandatory reporting is not required in all states for which patients? A. Child abuse victims B. Elder abuse victims C. Victims of intimate partner violence D. Dependent adult victims of maltreatment

C

Which principle guides the documentation of care for the victim of a violent crime? A. All of the events should be documented as the nurse remembers them. B. The documentation should be handwritten. C. The documentation should be unbiased. D. Specimen collection is the only forensic documentation required.

C

Which statement accurately characterizes ligature strangulation? A. The assailant often uses a headlock for strangulation. B. A visible neck injury rarely occurs. C. The assailant can use long hair to strangle the victim. D. Petechiae usually appear on the victim's clavicles.

C

Which statement most accurately reflects evidence collection? A. Clothing is unlikely to yield deoxyribonucleic acid (DNA) more than 24 hours after the incident. B. The medical team is ultimately responsible for the maintenance of the evidence. C. The emergency nurse is instrumental to the preservation of the evidence. D. The collection of forensic evidence will have no value if collected 48 hours after the incident.

C

According to the Emergency Nurses Association position statement on forensic evidence collection, which action should emergency nurses perform? A. Serve as arbitrators for the victims of violent crime. B. Delegate evidence collection to law enforcement personnel. C. Act as expert witnesses in legal proceedings. D. Work with other professionals to develop the guidelines for forensic evidence collection.

D

For a hospital-based violence intervention program to succeed, which activity must be undertaken? A. Train all of the ED staff members in forensics. B. Maintain in-house referrals. C. Specialize in the care of one type of maltreatment. D. Establish multiple collaborative relationships.

D

What action should the emergency nurse take upon the discovery of a needle on the stretcher of the victim of a violent crime? A. Pick it up with clean gauze and place it in an airtight container. B. Dispose of it properly in a sharps container. C. Pick it up with Kelly clamps and place it in an appropriate box. D. Carefully place it in a gauze-filled container, using gloved hands.

D

What is the priority when caring for the victim of a violent crime? A. Lock down the department. B. Document objectively. C. Preserve the evidence. D. Ensure that the patient is medically stable.

D

Which action best documents the type of injury or evidence collected? A. Take photographs. B. Complete a body diagram. C. Maintain the chain of custody. D. Follow the standardized collection process.

D

Which action is most likely to ensure the chain of custody for evidence? A. Documenting the initial location of evidence and its location upon law enforcement pickup B. Having the nurse who collected the evidence maintain it in his or her possession C. Placing a key for the evidence storage area in a locked drawer in the nurses' station D. Having both parties sign a receipt when evidence must be transferred

D

Which method is appropriate to use when photographing evidence? A. Label each photograph with the patient's name and date of birth. B. Start photographing with a close-up of the injury. C. Turn off the lights before the photography begins. D. Take a close-up photograph with and without a scale.

D

Which procedure should you follow when collecting evidence from a gunshot victim? A. Staple bags that contain collected clothing evidence. B. Apply plastic bags over the hands of a gunshot victim. C. Place specimen swabs in self-sealing plastic bags. D. Swab the edges of a gunshot wound before cleaning the wound.

D