Sane/Safe and Forensic Nursing Exam 28 Questions with Verified Answers,100% CORRECT

Sane /Safe and Forensic Nursing Exam 28 Questions with Verified Answers SANE-A title - CORRECT ANSWER sexual assault nurse examiner- adolescent/adult what is SART (sexual assault response team)? - CORRECT ANSWER multi-disciplinary response team promotes communication among community and professional agencies that respond to sexual violence supports the safety, justice, and autonomy of victims team members include FNE/SANE, law enforcement, prosecution, and advocates what is the role of advocacy/social work? - CORRECT ANSWER support the victim crisis intervention emotional grounding provide information provide referrals provide follow-up resources provide safety planning what is the role of law enforcement? - CORRECT ANSWER safety of the victim safety of the nurse and ED conduct investigation apprehend suspect coordination of services what is a victim advoacte? - CORRECT ANSWER support and guide victims through trial counsel victims and their families keep them informed on progress of investigation prepare them for trial refer them to needed services explain court proceedings act as a liaison w/ state and local agencies what is a patient advocate? - CORRECT ANSWER represent pt when they receive health care focus on needs and issues involving quality of care ensure that pts voice is heard include pt in the decision making health care process things nurses should keep in mind as advocates - CORRECT ANSWER nurses are patient advocates, not victim advocates nurses should only use the term pt, not victim keep the word "victim" out of documentation and courtroom documentation must include objective findings if pt gives description, document what was said in quotes remain non-biased things to note about forensic nurses - CORRECT ANSWER do not work for prosecutor or for the police should not sit in for police interview should not do a police interview take a medical- forensic history MD training to become a forensic nurse - CORRECT ANSWER 18 months clinical experience take an approved FNE-A course complete clinical requirements within 12 months of completing course how do FNE maintain their certification in MD? - CORRECT ANSWER must practice for a minimum of 200 hrs within 12 months must perform 3 exams on adult pts by simulation evidence of a minimum of 8 hrs in education per year in forensics at least 3 cases submitted for peer review what is the role of FNE/SANE? - CORRECT ANSWER on call 24/7 one hour hospital response time adult and pediatric exams suspect exams community outreach DNA collection collaboration w/ MD non-fatal strangulation exams expert testimony what should you do when patient refuses care? - CORRECT ANSWER pt must be advised of consequences of the refusal have pt sign a "refusal of treatment" form informed consent for sexual assault forensic exam (SAFE) - CORRECT ANSWER first step before anything can occur related to SAFE consent must be specific to SAFE informed refusal- pt refuses a SAFE age of informed consent in MD for a SAFE: 14+ yrs old what is implied consent? - CORRECT ANSWER consent is inferred from signs, actions, facts, or inaction (silence) used for emergency medical treatment/life saving measures non-threatening measures cannot be performed w/out consent- like SAFE what is the House Bill 2120? - CORRECT ANSWER authorizes healthcare professional to perform a physical evidence recovery kit exam done if person is believed to be a victim of sexual assault individual must be incapable of making an informed decision for exam to be conducted what is VAWA (violence against women act)? - CORRECT ANSWER when person presents to SAFE hospital, an advocate will represent the victim victim has 3 options: receive a SAFE and report to police receive a SAFE w/ an anonymous report receive medical tx only w/out a safe what is sexual assault? - CORRECT ANSWER for victims 17 and under: sexual contact that occurs by using force or w/out consent sexual activities include intercourse, forcible sodomy, fondling, attempted rape *assault must NOT committed by someone who has custody over the victim* *sexual assault is not a mandated report* what is abuse? - CORRECT ANSWER for those < 18 yrs old: *abuse committed by parents, caregiver, or family of child* *must report if incident occurred w/ a household member* when is mandatory reporting for adults allowed w/out their consent? - CORRECT ANSWER a vulnerable adult: adults w/ mental illness adults who are developmentally disabled residents of nursing homes and similar institutions *report to adult protective services (APS)* how long from the time of assault can a patient have a forensic examination? - CORRECT ANSWER 120 hours/ 5 days up to 96 hrs for children 12 and under what is included in the medical-forensic exam? - CORRECT ANSWER obtain a history head to toe nursing assessment perform a detailed genital examination provide medical tx provide medications collaborate w/ medical team types of injuries seen with sexual assault/violence - CORRECT ANSWER *TEARS* tear ecchymosis abrasions redness: subjective unless re-evaluated at follow-up swelling: subjective unless re-evaluated at follow-up what is toluidine blue dye? - CORRECT ANSWER for external use only aqueous blue dye used as a nuclear stain adheres to abraded skin and microlacerations identifies abrasions not seen by the naked eye use prior to speculum exam does not adhere to active bleeding- RBC's dont have nucleus what is the foley catheter technique during the exam? - CORRECT ANSWER aids FNE to visualize redundant tissue in hymen always photograph prior to insertion use 12-16 gauge foley w/ a 5cc balloon allows edges of hymen to be visualized for trauma what is an ALS (alternative light source)? - CORRECT ANSWER used to enhance photographs of abrasions or bruises must be used in conjunction w/ an assessment document areas of injury as "absorption" what are standard prophylactic medications given to sexual assault victims? - CORRECT ANSWER zofran 8 mg PO flagyl 2 g PO ceftriaxone 250 mg IM azithromycin 1 g PO levonorgestrel (plan B) 1 tab PO HIV PeP what is included in the discharge planning? - CORRECT ANSWER written instructions clear, concise, consistent referrals: ED, PCP/GYN, counseling instructions regarding meds handouts regarding STI's permission to follow-up (phone call) follow-up exam when necessary ages for consent - CORRECT ANSWER informed consent for SAFE: 14 yrs old age of consent for sexual relations (MD): 16 yrs old mandated reporting of suspected abuse to CPS: under 18 if perpetrator has custody over victim mandated reporting of suspected abuse to APS: pt is vulnerable adult > 18