Actual Complete Exam |Already Graded A+
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 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
The National Children's Alliance (NCA) was established in 1988 to provide all of the following
except: