The SANE is called to see a 4-yo patient brought to the ED by her mother with complaints of sexual 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 t...
The SANE is called to see a 4-yo patient brought to the ED by her mother with complaints of sexual 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
answersD
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 answersC
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
answersB
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 answersB
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 answersA
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 answersB
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 answersD
, 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 answersC
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 answersD
The National Children's Alliance (NCA) was established in 1988 to provide all of the following except:
A. To be an accrediting body for CACs, ensuring quality assurance and technical assistance for members.
B. A multidisciplinary investigative team and coordinated forensic interviews.
C. Live-in shelter accommodations for children in need of a safe environment.
D. Medical evaluation, therapeutic intervention, and victim advocacy services. correct answersC
An elementary school-aged child tells her teacher that she was touched inappropriately by her
stepfather. The teacher tells the principal, who interviews the child and then calls 911. Law enforcement
responds and questions the child in the principal's office. The principal also notifies CPS and CPS
responds to the school and interviews the child. CPS takes custody of the child until the sase is resolved.
The child does not receive a medical exam. How might things have been different if a CAC existed in this
community?
A. CPS would not have removed the child from her home.
B. The child would have had interviews performed only by law enforcement and CPS.
C. Forensic interview would have been performed by a trained interviewer in a child friendly place.
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