SANE P question with answers
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. - -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. - -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. - -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 - -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 - -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. - -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. - -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 - -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." - -D
-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. - -C
-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
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. - -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. - -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. - -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 - -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 - -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. - -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. - -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 - -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." - -D
-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. - -C
-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
