IAFN SANE-A Prep Exam 101 Questions with Verified Answers
Rape trauma syndrome (RTS) - CORRECT ANSWER two stage syndrome of response to a SA. specific
... [Show More] type of PTSD. not gender specific.
2 stages of RTS - CORRECT ANSWER acute stage, and long term stage
Acute Stage of RTS - CORRECT ANSWER lasts 3-7 days. has two phases
2 phases of Acute stage of RTS - CORRECT ANSWER impact/attack phase. acute reaction phase
Impact/Attack phase of Acute stage of RTS - CORRECT ANSWER fight, flight, or freeze
Acute Reaction Phase of Acute stage RTS - CORRECT ANSWER intrusion syndrome- nightmares and intrusive thoughts. may not have an expressed reaction.
Long Term Stage of RTS - CORRECT ANSWER reorganization phase (may last a lifetime) and resolution phase
DSM IV - Anxiety Disorders Acute length - CORRECT ANSWER psychological symptoms last <3 months
DSM IV - Anxiety Disorders Chronic length - CORRECT ANSWER psychological symptoms last >3 months
DSM IV - Anxiety Disorders - Delayed - CORRECT ANSWER psychological symptoms begin after 6 months
Find bright red blood during ano-genital exam - CORRECT ANSWER swab to see if it is from the vulva or vagina
Left lateral position with legs drawn up - CORRECT ANSWER position for anal exam
Abrasion - CORRECT ANSWER superficial injuries to the skin caused by the application of blunt force
Bruises - CORRECT ANSWER an area of haemorrhage beneath the skin
Bite marks - CORRECT ANSWER oval or circular bruises with a pale central area; there may also be some abrasion
Fingertip bruises - CORRECT ANSWER These usually appear as 1-2 cm oval or round shaped clusters of three to four bruises
Patterned (imprint) bruises - CORRECT ANSWER a bruise takes on the specific characteristics of the weapon used
Petechial bruises - CORRECT ANSWER pinpoint areas of haemorrhage and are caused by the rupture of very small blood vessels
Trainline bruises - CORRECT ANSWER parallel linear bruises with a pale central area produced by forceful contact with a linear object
Lacerations - CORRECT ANSWER ragged or irregular tears or splits in the skin, subcutaneous tissues or organs resulting from blunt trauma
Incised wounds - CORRECT ANSWER injuries produced by sharp edged objects whose length is greater than their depth
Stab wounds - CORRECT ANSWER incised wounds whose depth is greater than their length on the skin surface
Gunshot wound - CORRECT ANSWER refer cases to more experienced practitioners for analysis
Wound Description - Site - CORRECT ANSWER Record the anatomical position of the wound(s).
Wound Description - Size - CORRECT ANSWER The dimensions of the wound(s) should be measured.
Wound Description - Shape - CORRECT ANSWER Describe the shape of the wound(s) (e.g. linear, curved, irregular).
Wound Description - Surrounds - CORRECT ANSWER Note the condition of the surrounding or the nearby tissues (e.g. bruised, swollen).
Wound Description - Colour - CORRECT ANSWER Observation of colour is particularly relevant when describing bruises.
Wound Description - Course - CORRECT ANSWER Comment on the apparent direction of the force applied (e.g. in abrasions).
Wound Description - Contents - CORRECT ANSWER Note the presence of any foreign material in the wound (e.g. dirt, glass).
Age of bruise - CORRECT ANSWER Comment on any evidence of healing. Note that accurate ageing is impossible
Wound Description - Borders - CORRECT ANSWER The characteristics of the edges of the wound(s) may provide a clue as to the weapon used.
Wound Description - Classification - CORRECT ANSWER Use accepted terminology wherever possible (see section 4.5.2 Classification of wounds).
Wound Description - Depth - CORRECT ANSWER Give an indication of the depth of the wound(s); this may have to be an estimate.
Gonorrhea prophylaxis - CORRECT ANSWER Ceftriaxone 250mg IM
OR 2g Azithromycin PO and retest in 8 weeks
Chlamydia prophylaxis - CORRECT ANSWER Azithromycin 1g PO OR Doxycycline 100 mg BID X 7 Days
Trichomonas and BV prophylaxis - CORRECT ANSWER Metronidazole 2g PO
Syphilis prophylaxis - CORRECT ANSWER Only if perp is known to have. PCN 2.4 M Units IM
Cervix strawberry spots - CORRECT ANSWER Trichomonas Vaginalis
Vaginal discharge etiology - CORRECT ANSWER BV, Candida, Trich, cervicitis, post menopause
Fishy Smell could be? - CORRECT ANSWER BV - Frothy white or greenish discharge. Or Trich
Gonorrhea symptoms for most women - CORRECT ANSWER None. Mild.
Difference in herpes simplex vs primary syphilis - CORRECT ANSWER Hurt and discharge vs no hurt no discharge
HBV prophylaxis - CORRECT ANSWER If no previous immunization give first dose 12 hrs of exposure plus HBIP if perp known positive. All 3 inj within 6 mos, second at 1-2 mos, third at 4-6 mos
HIV prophylaxis - CORRECT ANSWER nHIV PEP within 1-2 hrs to 72 hrs. 28 days of meds.
HIV antibody testing - CORRECT ANSWER Baseline, 6 weeks, 3mos, 6 mos
HIV symptoms - acute - CORRECT ANSWER Fever, night sweats, rash, diarrhea, flu like symptoms. Return for evaluation
Testing before PEP - CORRECT ANSWER HIV, pregnancy, CBC, LFT and renal function GFR and creatine
PEP meds - CORRECT ANSWER Within 72 hrs of assault. Based on risk 2-3 meds combination. Provide access, starter pack -3 day supply
Safe sex teaching with PEP - CORRECT ANSWER Condoms for 3mos. Condoms do not completely eliminate risk. Avoid pregnancy until 3 month f/u
STI that can be transmitted by saliva - CORRECT ANSWER HSV 1
Hepatitis that has no vaccine - CORRECT ANSWER Hep C
Follow-up appt. timeframe - CORRECT ANSWER 1-3 days - suspect bruise reevaluation
1-2 weeks - pregnancy, STI, health, counseling,
1-2 mos - HBV, forensic documentation of healing
No Rocephin shot alternative treatment - CORRECT ANSWER double dose Azithromycin, Retest in 8 weeks
Syphilis and HIV Serologic follow up testing - CORRECT ANSWER 6weeks, 3mos, 6mos
SANE role in court - CORRECT ANSWER teach, educate judge and jury
Fact witness - CORRECT ANSWER Explains facts, provide testimony to fact, chain of custody
Teaching Witness - CORRECT ANSWER Explains theory or science
Expert Witness - CORRECT ANSWER Draws opinions
SANE - CORRECT ANSWER Unbiased, scientific examiners, educators,
Expert consultant - CORRECT ANSWER Mechanisms of injury education, what questions to ask in court
Hearsay rules may be part of fact witness - CORRECT ANSWER Exception is info gathered for medical diagnosis or treatment
Can SANE talk to defense If subpeoned by prosecution - CORRECT ANSWER Yes, with prosecution present
Subpoena - CORRECT ANSWER "under penalty" Latin
Subpoena Duces Tecum - CORRECT ANSWER Order witness to appear in court with documents, records, or things.
Follow hospital policy for release of records
Order - CORRECT ANSWER Written direction or command delivered by a court or judge
Search warrant - CORRECT ANSWER A judges written order authorizing a law-enforcement to obtain something
Role - CORRECT ANSWER Care for individuals, family and community whose status and care is in part legal or forensic
Scope of practice - CORRECT ANSWER Who what why when where how
Standards of practice - CORRECT ANSWER Authoritative statements about values, priorities, direction, accountability, framework for evaluations
Sources and Resources used by Forensic Nurses - CORRECT ANSWER Scientific research
Clinical expertise
Patient preference
WHEEL (concept) - CORRECT ANSWER Wounding and
Healing
Ethics
Evidence
Law and legal practice
Standards of forensic nursing practice: - CORRECT ANSWER Nursing Process
Ethics - CORRECT ANSWER Autonomy
Justice
Fidelity
Beneficence
Non-Malfeasance
Autonomy - CORRECT ANSWER independance
Justice - CORRECT ANSWER conforming to the law
Pt. decision making process is based on... - CORRECT ANSWER Values, background,
Culture, past experience
Fidelity - CORRECT ANSWER faithful or loyal
Beneficence - CORRECT ANSWER action done to benefit others
Marginalized groups - CORRECT ANSWER Age
Language
Culture
Disability
Intoxicated or Unconscious
Communication barriers
Patient outcomes - System - CORRECT ANSWER policy and procedures, cooperative agreements in place, respect pt., quality care, non-biased attitude
Patient outcomes Barrier- Geography - CORRECT ANSWER resources not always available, limits extent of service
Patient outcomes Barrier- Environment - CORRECT ANSWER homelessness, substance abuse
Patient outcomes Barrier- Provider - CORRECT ANSWER stereotypes lead to cognitive shortcuts
Patient outcomes Barrier- Patient - CORRECT ANSWER Hx with healthcare and legal system, personal endorsement of rape myths, understanding of sex acts
Nurse Practice Act - CORRECT ANSWER laws which protect the public's health and welfare by overseeing and ensuring the safe practice of nursing
Laws about mandatory reporting - CORRECT ANSWER Violence, communicable disease, age, public safety,
Patient rights - CORRECT ANSWER confidentiality and limits of confidentiality, privacy, right to refuse
VAWA 2005 - CORRECT ANSWER pt's do not have to report to get reimbursed
FN Commitment to Science - CORRECT ANSWER advance FN, understand limits of knowledge, respect truth, conflicts of interest exposed
FN Commitment to Peers - CORRECT ANSWER honesty, competency, safeguard information, treat colleagues with respect, give credit for contribution
FN commitment to community - CORRECT ANSWER collaborate with all agencies, value dignity of all humans, prevent oppression
FGM type1 - CORRECT ANSWER Clitoridectomy
FGM type 2 - CORRECT ANSWER Excision
Type 3 - CORRECT ANSWER Infibulation
Type 4 - CORRECT ANSWER Other
GC prophylaxis - CORRECT ANSWER Ceftriaxone 250 mg IM and AZITHROMYCIN 1 g PO OR 2 g Azithromycin
Chlymidia And prophylaxis - CORRECT ANSWER Azithromycin 1 g
BV and Trichomonas prophylaxis - CORRECT ANSWER Flagyl 2g PO
If alcohol injestion then 500 mg bid for 7 days
Posterior Commissure - CORRECT ANSWER The union of the two labia minora posteriorly
Posterior Commissure - CORRECT ANSWER The union of the two labia minora posteriorly [Show Less]