SANE P-63 Questions with Correct
Answers 2023
The SANE is called to see a 4-yo patient brought to the ED by her mother with
complaints of sexual
... [Show More] abuse by a male relative. Which of the following answers best
identifies an age-appropriate patient-centered approach?
A. Get through the exam as quickly as possible.
B. Don't explain each step of the exam process so as not to scare the chile.
C. Ask a nonoffending parent/guardian to wait outside the room during the exam
process.
D. Limit exposure, ait times, and provide developmentally appropriate toys and
distractions. - CORRECT ANSWER D
a 10 yo male tells his mother that he is bleeding from his bottom. Later n the ED he
discloses to his mother that his uncle has been sexually abusing him for the last five
years. The SANE observes that his mother is upset. She keeps repeating, "This couldn't
have happened or he would have told me sooner." Which of the following is most
probable regarding the child's disclosure?
A. This could not have happened since there is such a delay in the child's disclosure?
B. The patient must only have disclosed because of the injuries today.
C. This disclosure is consistent with a true disclosure of abuse.
D. The mother is covering for the uncle and knew all along. - CORRECT ANSWER C
A primary role of the pediatric SANE includes which of the following?
A. Performing a forensic interview to get to important information to guide the SANE's
medical examination.
B. Performing an ethical, compassionate, and objective medical forensic examination.
C. Performing a physical examination to confirm that sexual abuse has or has not
occured.
D. Performing a thorough forensic examination by analyzing clothing to find trace
evidence. - CORRECT ANSWER B
While performing a pediatric sexual-assault examination, the SANE notes that the 8-
month-old-girl has a septate hymen, which the SANE identifies as a normal variation of
the hymen. In which standard of practice is the identified?
A. Assessment
B. Diagnosis
C. Evaluation
D. Outcomes - CORRECT ANSWER B
The SANE is performing an examination on a 2-year-old female with her mother
present. The alleged perpetrator is the mother's boyfriend and the mother is insistent on
defending him during the examination. During the exam the SANE realizes she is
getting angry. The SANE later tells a coworker that she was angry with the mother for
not protecting her child. Using a patient-centered care model, which standard of practice
should the SANE review to improve the SANE's practice?
A. Assessment
B. Evaluation
C. Outcomes
D. Diagnosis - CORRECT ANSWER A
Which of the following statements best describes a pediatric sexual assault perpetrator
demonstrating the trait of cognitive distortion?
A. A 27 yo Black male electrician who tells the SANE that all women are evil.
B. A 30 yo Caucasian female middle school teacher who tells the SANE that many
students have wanted to have sex with her.
C. A 45 yo Caucasian male soccer coach who tells the SANE he sometimes
hallucinates, but is well-controlled on his bipolar medication.
D. A 60 yo Caucasian male pediatrician who tells the SANE he is secretly homosexual,
but married. - CORRECT ANSWER B
Grooming by a perpetrator can only occur if:
A. Parents aren't involved with their child's day-to-day lives.
B. The child is involved in sports or clubs.
C. Parents do not know the perpetrator.
D. The child trusts the perpetrator. - CORRECT ANSWER D
Lynn, the SANE's 10 yo female patient, has disclosed to her mother that her mother's
boyfriend has been sexually abusing her since she was 4 yo. She states that, "I am the
only one who can help him. Please don't be mad at him." The SANE knows this as
which sign of grooming?
A. Gaining trust
B. Secrecy
C. Power difference
D. Isolation - CORRECT ANSWER C
The SANE's 6 yo patient discloses to the SANE that her mother's boyfriend has been
sexually abusing her. She says that she loves him, and her mommy loves him, and she
does not want to get anyone in trouble. "He loves me and mommy and he would never
hurt us," she says. The SANE demonstrates a good understanding about
accommodation syndrome and grooming by saying:
A. "But he did hurt you and he should not get away with it."
B. If he loved you and your mommy, he would not have done this."
C. "He might love you mother but touching like this is not love."
D. Sometimes even people we love can do things that don't feel right." - CORRECT
ANSWER D [Show Less]