Sexual Abuse & SANE Nurse Exam 4|24 Questions with Verified Answers
Sexual assault nurse examiner (SANE) - CORRECT ANSWER Role: forensic nurse
... [Show More] generalists who seek training in the care of adult and pediatric victims of sexual assault
-training course is typically 5 days (40 contact hours)
trauma - CORRECT ANSWER Most people who are raped suffer severe and long lasting emotional _____________.
psychological - CORRECT ANSWER Long term _____________________ effects of sexual assault may include depression, suicide, anxiety, and fear; difficulties with daily functioning; low self esteem; sexual dysfunction and somatic complaints.
incest - CORRECT ANSWER Victims of ______________ may experience a negative self image, depression, eating disorders, personality disorders, self destructive behavior and substance abuse.
psychiatric - CORRECT ANSWER A history of sexual abuse in ___________________ patients is associated with a characteristic pattern of sx that may include depression, anxiety disorders, chemical dependency, suicide attempts, self mutilation, compulsive sexual behavior and psychosis like symptoms.
sexual assault nurse examiner - CORRECT ANSWER An RN who has specialized training in caring for sexual assault patients, has demonstrated competency in conducting medical and legal evaluations, and has the ability to be an expert witness in court:
acute stress - CORRECT ANSWER ______________ ______________ disorder is a psychological reaction to a serious trauma, such as witnessing a death, suffering a serious injury, or a sexual violation. At increased risk for psychological problems as a result of that trauma.
traumatic - CORRECT ANSWER Sexual assault is deemed a _________________ event that may incite vivid dreams, flashbacks, illusions, recurring images, and marked avoidance of stimuli that provides recall of the event. Sx usually begin immediately after the sexual assault, persist at least 3 days, and can extend for up to one month.
PTSD - CORRECT ANSWER Acute stress can lead to this: ____________
-Reexperiencing: repeating reliving of the event; flashbacks; frightening thoughts; recurrent memories or dreams
-Avoidance: avoid places, events, or objects that remind them of the experience. Some have decreased ability to feel certain emotions, such as happiness.
-Hyperarousal: difficulty concentrating or falling asleep, being easily startled, feeling tense, and angry outbursts.
medical - CORRECT ANSWER The _______________ exam should include:
-info from the patient
-an examination
-documentation of biological and physical findings
-collection of evidence
-follow up as needed to document additional evidence
sexual assault - CORRECT ANSWER Three criteria:
1. Vagina, anal, or oral penetration by a penis, object or body part
2. Lack of consent
3. Threat or actual use of force or manipulation
rape trauma syndrome - CORRECT ANSWER Sustained and maladaptive response to a forced violent sexual penetration against the victim's will and consent:
rape trauma syndrome - CORRECT ANSWER Defining characteristics:
-shame and guilt
-helplessness/powerlessness
-dependence and low self esteem
-depression/mood swings
-aggression/anger/agitation/revenge
-substance abuse/suicide attempts
-anxiety and fear
-disturbed sleep/nightmares
-sexual dysfunction/muscle tension
-hyperalertness/dissociation
-disorganization
-shock and confusion
-phobias and paranoia
immediate - CORRECT ANSWER ___________________ reactions after sexual assault:
-No normal or abnormal response
-Most do not seek immediate attention
-Fear of death is the most intense fear after an assault
-shock, disbelief, self blame, anger
-crying, sobbing, quiet, anxious, grief
general assesmment - CORRECT ANSWER 1. Patient's level of anxiety
2. Pt's coping mechanisms
3. Pt's available support systems
4. Pt's signs and symptoms of emotional trauma
5. Pt's signs and symptoms of physical trauma
behavioral - CORRECT ANSWER _________________ responses to rape include crying, withdrawing, smoking, abusing alcohol and drugs, talking about the event, becoming extremely agitated, confused, disoriented, incoherent, and even laughing or joking.
sexual assault - CORRECT ANSWER Assessment Guidelines:
-Assess psychological trauma and document the patient's verbatim statements
-Assess level of anxiety. If in a severe to panic level of anxiety, the pt will not be able to problem solve or process information
-Assess physical trauma. Use a preprinted body map and ask permission to take photographs
-Assess available support system. Often partners or family members do not understand the trauma of rape, and they may not be the best supports to draw on at this time
-Identify community supports (attorneys, support groups and therapists) that work in the area of sexual assault
-Encourage the pt to talk about the experience, but do not press the patient to tell
rape trauma syndrome - CORRECT ANSWER Interventions:
-Provide support person to stay with patient
-Explain legal proceedings available to patient
-Explain rape protocol and obtain consent to proceed thru protocol
-Document whether patient has showered, douched, or bathed since incident
-Document mental state, physical state, history of incident, evidence of violence, and prior gynecological history
-Determine presence of cuts, bruises, bleeding, lacerations, or other signs of physical injury
-Implement rape protocol (label and save soiled clothing, vaginal secretions, and vaginal hair combings)
-Secure samples for legal evidence
-Implement crisis intervention counseling
-Offer medication to prevent pregnancy, as appropriate
-Offer prophylactic antibiotic medication against STDs
-Inform pt of availability of HIV testing, as appropriate
-Give clear, written instructions about medication use, crisis support services and legal support
-Refer pt to rape advocacy program
-Document according to agency policy
sexual assault diagnoses - CORRECT ANSWER -Disturbed personal identity
-Situational low self esteem
-Interrupted family processes
-Ineffective relationship
-Sexual identity
-Sexual dysfunction
-Anxiety
-Fear
-Social isolation
residual - CORRECT ANSWER The long term outcome includes the absence of any ________________ symptoms after the trauma.
improvement - CORRECT ANSWER Indicators for ____________________ include:
-expressions of the right to have been protected from abuse
-Healing of physical injuries
-Relief of anger in nondestructive ways
-Feelings of empowerment and expressions of hope
-Evidence of comfort in relationships
depression - CORRECT ANSWER ___________________ and suicidal ideation too frequently follow rape. These are more common in those who do not disclose assault to significant others because they have concerns about being stigmatized, have children living at home, or have a pending civil lawsuit.
group - CORRECT ANSWER _______________ therapy can make the difference between a person's coming out of the crisis at a lower level of functioning or gradually adapting to the experience with an increase in coping skills.
recovery - CORRECT ANSWER Signs of ___________________ include the following:
-sleeping well with few instances of episodic nightmares or broken sleep
-Eating as they did before the rape
-Being calm and relaxed or only mildly suspicious, fearful or restless
-Getting support from family and friends
-Generally positive self regard about themselves
-The absence or only mild instances of somatic reactions
-Returning to pre rape sexual functioning and interest [Show Less]