Which of the following best describes expert witness testimony in a sexual abuse trial?
a. the witness presents the patient's medical history and
... [Show More] physical findings while advocating for the patient
b. the witness presents the patients medical history and physical exam findings and can offer an opinion based on the witness's area of expertise.
c. The witness presents the patient's medical history and physical exam findings while supporting the position of the prosecuting attorney
d. the witness presents the patient's medical history and physical exam findings, making sure not to provide an opinion. - ✔✔ B. Expert witnesses are qualified by a court system based on their knowledge, skill, training, and experience. An expert witness may testify about scientific, nursing, or medical concepts and may offer an opinion based on the witness's expertise. Expert witness testimony does not advocate for the patient and is not influenced by an attorney's position.
A sexual assault nurse examiner takes the witness stand and is asked questions that highlight their qualifications (e.g., education, specialized training, relevant experience, skills, publications, and prior experience teaching other SANEs). The judge asks a couple of additional questions. What is the purpose of this line of questioning? - ✔✔ D. A witness must be established as an expert by the presiding judge. The attorney asks questions of the witness to highlight the witness's professional qualifications including education, specialized training, and experience. A lay witness does not need to possess specific qualifications. Direct examination is the initial questioning of a witness to obtain evidence on a case. Voir dire questioning is performed by the opposing counsel to challenge the witness's qualifications.
What are the stages of grooming?
(Many stages happen insidiously and simultaneously) - ✔✔ - Identify a victim
- Increase role in victim's life
- Make assurance of power difference
- Gain trust
- Establish secrecy
- Isolate
- Slowly introduce nonsexual to sexual touch
An 18-year-old male patient is found by police unconscious in a car on the side of the road with his pants and underwear off, and brought into the ED. The patient is from a different country, speaks minimal English, and is having a difficult time understanding the sexual assault nurse examiner (SANE), when the SANE arrives. In order to provide patient-centered care, what is the most appropriate way to communicate the medical forensic exam options for this patient?
A. Obtain a professional medical language interpreter for communication
B. Speak more slowly and loudly to help the patient understand you better.
C. Print all materials in the preferred language for the patient to read before the exam.
D. Provide a phone for the patient to call someone to help translate. - ✔✔ A. Obtain a professional medical language interpreter for communication.
An 18-year-old male patient was partying at a hotel and doesn't remember anything after drinking a few mixed drinks he was given. He states that he thinks that he has been sexually assaulted. Applying what the sexual assault nurse examiner (SANE) knows regarding special challenges in vulnerable populations after the medical forensic examination, what is the most important follow-up care for this patient?
A. A referral to a sexually transmitted infection clinic
B. A social work consult to offer an inpatient substance abuse treatment program
C. A referral to primary care provider to address alcohol use and other health concerns.
D. Immediate contact with and ongoing support through advocacy services and social support. - ✔✔ D. Immediate contact with and ongoing support through advocacy services and social support.
A very young-looking 19-year-old ED patients presents for the fifth time this month with her aunt. Today she is treated for a urinary tract infection, but it is discovered that she also has pelvic inflammatory disease and several unexplained contusions. What is the most important way to proceed with her care?
A. Allow her aunt to stay in the room because the aunt is answering all the questions.
B. Evaluate for risk of human trafficking and commercial sexual exploitation
C. Assess the patient's need for advocacy and counseling
D. Call law enforcement and child protective services immediately - ✔✔ Evaluate for risk of human trafficking and commercial sexual exploitation
What statement below best describes the role of a forensic nurse?
A. A static role that focuses on being the link between nursing science and the legal system
B. A dynamic role that integrates nursing science, forensic science, and the legal system
C. A dynamic role whose scope of practice is governed by the office of the district attorney.
D. A static role that focuses on being the specialist in forensic collection of evidence and testifying on behave of the survivor. - ✔✔ B. A dynamic role that integrates nursing science, forensic science, and the legal system
The sexual assault nurse examiner (SANE) is called to the ED for a 14-year-old female patient who was brought into the hospital with the primary complaint of sexual assault. The most effective communication strategy with this teenage patient includes:
A. Ask the patient mostly closed-ended questions to help decrease anxiety and discomfort with the exam
B. Encourage the adolescent's parents to answer the difficult questions
C. Avoid using direct eye contact to help the adolescent feel more comfortable in your presence
D. Ask open ended questions in a nonjudgemental way - ✔✔ D. Ask open ended questions in a nonjudgemental way
Which of the following statements about teenage dating violence (TDV) is correct?
A. Teenagers experiencing TDV are more likely to experience interpersonal violence as adults
B. TDV involves physical and sexual violence, but does not include psychological violence.
C. Teenagers who experience TDV will feel like their partner doesn't love them - ✔✔ A. Teenagers experiencing TDV are more likely to experience interpersonal violence as adults [Show Less]