Forensic and Correctional Nursing

​What health teaching will the nurse include for the client prior to the sexual assault medical forensic examination? Select all that apply.

"I will discuss all parts of the examination with you and please let me know if you have any questions throughout the examination." "I will escort you to the treatment room and we will discuss what happened to you in private." "I will assess for signs of injury, document any injuries, and collect evidence." "I will ask the prison correction officer what happened to you." "You have the right to accept or decline any medical care or treatment."

What is the priority action of the nurse?

Address safety concerns regarding suicidal ideation.

Which of the following clients require holistic medical and legal care? Select all that apply.

An 18-year-old adult who died in a work-related accident. A 4-year-old child who is sexually abused. A 35-year-old inmate with schizophrenia. An 80-year-old woman who is abused and neglected.

Highlight the assessment findings that require follow up by the nurse.​

Bruises laceration its all my fault I should have fought him off falt effect limited eye contact embarrased

Which credential will be most useful to Richard's goal of influencing policy changes in the corrections systems as it relates to a forensic nurse's role?

DNP

Match each forensic nursing educational opportunity to its correct description.

Forensic nurse generalist: Baccalaureate, associate degree, or diploma may acquire additional knowledge and skills by completing a certificate program; assessment and treatment of victims and perpetrators of violence. Advanced practice forensic nurse: Graduate education with a comprehensive focus in forensic nursing. Advanced practice forensic nurses may also have obtained credentials as a clinical nurse specialist, certified nurse-midwife, or nurse practitioner. Doctor of nursing practice (DNP): May evaluate and apply evidence-based forensic practice for the improvement of education, clinical practice, systems management, and nursing leadership. Doctor of philosophy (PhD): Prepares nurses to initiate and conduct research in an area of forensics to advance nursing science and to ultimately enhance the practice of forensic nursing.

Which of the following statements are true in how forensic nurses aim to improve the quality of life for individuals and communities who have experienced violence? Select all that apply.

Forensic nurses organize and participate in facilitating the development of policies and procedures that foster the implementation of prevention and intervention programs in response to violence. Forensic nurses recognize violence as a global, health care problem. Forensic nurses promote the development of a coordinated and culturally sensitive response and care for clients who have experienced violence or abuse. Forensic nurses have an ethical responsibility to serve, advocate for and empower patients, families, and their communities. Forensic nurses bring attention the effects of violence and the need to reduce immediate, intermediate, and long term physical and psychological injuries that are associated with violence.

Forensic nurses work in a variety of settings. Identify three primary work settings.

Hospitals Coroner's office Jails or prisons

Forensic nurses provide medical and legal care to clients who have experienced which of the following? Select all that apply.

Human trafficking Unintentional injury Interpersonal violence Sexual assault Child abuse

Select if the nursing actions listed below are indicated or not indicated for the client's care at this time.

Indicated: Obtain informed consent for the sexual assault examination and evidence collection. Complete a head-to-toe assessment and document signs of injury. Document the client's chief complaint and request an event history of the sexual assault in their own words. Use the sexual assault evidence collection kit for analysis by a forensic laboratory. Assess the client for suicidal ideation. Not indicated​: Collect blood and urine samples for forensic toxicology.

Which follow-up statement(s) verbalized by Joseph would indicate that trauma-informed nursing actions were effective? Select all that apply.

Joseph states, "I understand that my injuries will heal on their own within the next few weeks." Joseph states, "If I am feeling suicidal, I will immediately tell the prison guard or nurse in the infirmary."

Perform mental health competency evaluations.

Physiological effects Psychological trauma Physical injury Death

Identify if the Nursing Action would be performed by a Sexual Assault Nurse Examiner (SANE), Forensic Nurse Death Investigator (FNDI), Correctional Nurse, or Forensic Psychiatric Nurse. Each action may be performed by more than one role.

SANE: Employ trauma-informed practices. Perform nursing assessment and evidence collection. FNDI: Employ trauma-informed practices. Perform nursing assessment and evidence collection. Work under the direction of a coroner or medical examiner system. Correctional Nurse​: Employ trauma-informed practices. Perform nursing assessment and evidence collection. Provides direct nursing care for individuals who are incarcerated. Forensic Psychiatric Nurse​: Employ trauma-informed practices. Perform nursing assessment and evidence collection. Perform mental health competency evaluations.

Which clinical situation does the forensic nurse suspect?

The visible injuries are consistent with acts of force caused by another person.

Forensic nurses organize and participate in facilitating the development of policies and procedures that foster the implementation of prevention and intervention programs in response to violence. Forensic nurses recognize violence as a global, health care problem. Forensic nurses promote the development of a coordinated and culturally sensitive response and care for clients who have experienced violence or abuse. Forensic nurses have an ethical responsibility to serve, advocate for and empower patients, families, and their communities. Forensic nurses bring attention the effects of violence and the need to reduce immediate, intermediate, and long term physical and psychological injuries that are associated with violence.

are not law enforcement

Based upon client's history, the client's priority nursing diagnosis is

rape trauma syndrome sexual assault