SANE-A Exam with Verified Question and Answer
Which of the following best describes expert witness testimony in a sexual abuse
trial?
A. the witness presents the patient's medical history and physical findings while
advocating for the patient
B. the witness presents the patients’ medical history and physical exam findings and
can offer an opinion based on the witness's area of expertise.
c. The witness presents the patient's medical history and physical exam findings
while supporting the position of the prosecuting attorney
D. the witness presents the patient's medical history and physical exam findings,
making sure not to provide an opinion. - Correct Answer -B. Expert witnesses are
qualified by a court system based on their knowledge, skill, training, and experience.
An expert witness may testify about scientific, nursing, or medical concepts and may
offer an opinion based on the witness's expertise. Expert witness testimony does not
advocate for the patient and is not influenced by an attorney's position.
A sexual assault nurse examiner takes the witness stand and is asked questions that
highlight their qualifications (e.g., education, specialized training, relevant
experience, skills, publications, and prior experience teaching other SANEs). The
judge asks a couple of additional questions. What is the purpose of this line of
questioning? - Correct Answer -D. A witness must be established as an expert by
the presiding judge. The attorney asks questions of the witness to highlight the
witness's professional qualifications including education, specialized training, and
experience. A lay witness does not need to possess specific qualifications. Direct
examination is the initial questioning of a witness to obtain evidence on a case. Void
dire questioning is performed by the opposing counsel to challenge the witness's
qualifications.
What are the stages of grooming?
(Many stages happen insidiously and simultaneously) - Correct Answer -- Identify a
victim
- Increase role in victim's life
- Make assurance of power difference
- Gain trust
- Establish secrecy
- Isolate
- Slowly introduce nonsexual to sexual touch
An 18-year-old male patient is found by police unconscious in a car on the side of
the road with his pants and underwear off, and brought into the ED. The patient is
from a different country, speaks minimal English, and is having a difficult time
understanding the sexual assault nurse examiner (SANE), when the SANE arrives.
In order to provide patient-centered care, what is the most appropriate way to
communicate the medical forensic exam options for this patient?
,A. Obtain a professional medical language interpreter for communication
B. Speak more slowly and loudly to help the patient understand you better.
C. Print all materials in the preferred language for the patient to read before the
exam.
D. Provide a phone for the patient to call someone to help translate. - Correct
Answer -A. Obtain a professional medical language interpreter for communication.
An 18-year-old male patient was partying at a hotel and doesn't remember anything
after drinking a few mixed drinks he was given. He states that he thinks that he has
been sexually assaulted. Applying what the sexual assault nurse examiner (SANE)
knows regarding special challenges in vulnerable populations after the medical
forensic examination, what is the most important follow-up care for this patient?
A. A referral to a sexually transmitted infection clinic
B. A social work consult to offer an inpatient substance abuse treatment program
C. A referral to primary care provider to address alcohol use and other health
concerns.
D. Immediate contact with and ongoing support through advocacy services and
social support. - Correct Answer -D. Immediate contact with and ongoing support
through advocacy services and social support.
A very young-looking 19-year-old ED patients presents for the fifth time this month
with her aunt. Today she is treated for a urinary tract infection, but it is discovered
that she also has pelvic inflammatory disease and several unexplained contusions.
What is the most important way to proceed with her care?
A. Allow her aunt to stay in the room because the aunt is answering all the
questions.
B. Evaluate for risk of human trafficking and commercial sexual exploitation
C. Assess the patient's need for advocacy and counseling
D. Call law enforcement and child protective services immediately - Correct Answer -
Evaluate for risk of human trafficking and commercial sexual exploitation
What statement below best describes the role of a forensic nurse?
A. A static role that focuses on being the link between nursing science and the legal
system
B. A dynamic role that integrates nursing science, forensic science, and the legal
system
C. A dynamic role whose scope of practice is governed by the office of the district
attorney.
D. A static role that focuses on being the specialist in forensic collection of evidence
and testifying on behave of the survivor. - Correct Answer -B. A dynamic role that
integrates nursing science, forensic science, and the legal system
The sexual assault nurse examiner (SANE) is called to the ED for a 14-year-old
female patient who was brought into the hospital with the primary complaint of sexual
assault. The most effective communication strategy with this teenage patient
includes:
, A. Ask the patient mostly closed-ended questions to help decrease anxiety and
discomfort with the exam
B. Encourage the adolescent's parents to answer the difficult questions
C. Avoid using direct eye contact to help the adolescent feel more comfortable in
your presence
D. Ask open ended questions in a nonjudgmental way - Correct Answer -D. Ask open
ended questions in a nonjudgmental way
Which of the following statements about teenage dating violence (TDV) is correct?
A. Teenagers experiencing TDV are more likely to experience interpersonal violence
as adults
B. TDV involves physical and sexual violence, but does not include psychological
violence.
C. Teenagers who experience TDV will feel like their partner doesn't love them -
Correct Answer -A. Teenagers experiencing TDV are more likely to experience
interpersonal violence as adults
What are the 6 trauma-informed principles to assist in the recovery and healing
process of the acute sexual assault/abuse patient? - Correct Answer -1. Safety
2. Trustworthiness
3. Peer support
4. Collaboration
5. Empowerment
6. And cultural, historical, and gender issues
Statistically, which of the following is correct about Native American females and
sexual violence?
A. They experience a lower rate of sexual violence than their non-Hispanic white
counterparts.
B. They are more likely to report a sexual assault than their non-Hispanic white
counterparts.
C. They experience interracial sexual assault more than their non-Hispanic white
counterparts.
D. They have a lower chance of experiencing sexual violence in a lifetime than their
non-Hispanic white counterparts. - Correct Answer -C. They experience interracial
sexual assault more than their non-Hispanic white counterparts.
Which of the following is a forensic nursing standard of practice?
A. Ethics
B. Education
C. Evaluation
D. Evidence-based practice - Correct Answer -C. Evaluation
The sexual assault nurse examiner is assisting a young adult female survivor of
sexual assault. Through assessment the SANE realizes that she potentially could
identify at least five adverse childhood experiences (ACEs), including this assault.
Which of the following best describes expert witness testimony in a sexual abuse
trial?
A. the witness presents the patient's medical history and physical findings while
advocating for the patient
B. the witness presents the patients’ medical history and physical exam findings and
can offer an opinion based on the witness's area of expertise.
c. The witness presents the patient's medical history and physical exam findings
while supporting the position of the prosecuting attorney
D. the witness presents the patient's medical history and physical exam findings,
making sure not to provide an opinion. - Correct Answer -B. Expert witnesses are
qualified by a court system based on their knowledge, skill, training, and experience.
An expert witness may testify about scientific, nursing, or medical concepts and may
offer an opinion based on the witness's expertise. Expert witness testimony does not
advocate for the patient and is not influenced by an attorney's position.
A sexual assault nurse examiner takes the witness stand and is asked questions that
highlight their qualifications (e.g., education, specialized training, relevant
experience, skills, publications, and prior experience teaching other SANEs). The
judge asks a couple of additional questions. What is the purpose of this line of
questioning? - Correct Answer -D. A witness must be established as an expert by
the presiding judge. The attorney asks questions of the witness to highlight the
witness's professional qualifications including education, specialized training, and
experience. A lay witness does not need to possess specific qualifications. Direct
examination is the initial questioning of a witness to obtain evidence on a case. Void
dire questioning is performed by the opposing counsel to challenge the witness's
qualifications.
What are the stages of grooming?
(Many stages happen insidiously and simultaneously) - Correct Answer -- Identify a
victim
- Increase role in victim's life
- Make assurance of power difference
- Gain trust
- Establish secrecy
- Isolate
- Slowly introduce nonsexual to sexual touch
An 18-year-old male patient is found by police unconscious in a car on the side of
the road with his pants and underwear off, and brought into the ED. The patient is
from a different country, speaks minimal English, and is having a difficult time
understanding the sexual assault nurse examiner (SANE), when the SANE arrives.
In order to provide patient-centered care, what is the most appropriate way to
communicate the medical forensic exam options for this patient?
,A. Obtain a professional medical language interpreter for communication
B. Speak more slowly and loudly to help the patient understand you better.
C. Print all materials in the preferred language for the patient to read before the
exam.
D. Provide a phone for the patient to call someone to help translate. - Correct
Answer -A. Obtain a professional medical language interpreter for communication.
An 18-year-old male patient was partying at a hotel and doesn't remember anything
after drinking a few mixed drinks he was given. He states that he thinks that he has
been sexually assaulted. Applying what the sexual assault nurse examiner (SANE)
knows regarding special challenges in vulnerable populations after the medical
forensic examination, what is the most important follow-up care for this patient?
A. A referral to a sexually transmitted infection clinic
B. A social work consult to offer an inpatient substance abuse treatment program
C. A referral to primary care provider to address alcohol use and other health
concerns.
D. Immediate contact with and ongoing support through advocacy services and
social support. - Correct Answer -D. Immediate contact with and ongoing support
through advocacy services and social support.
A very young-looking 19-year-old ED patients presents for the fifth time this month
with her aunt. Today she is treated for a urinary tract infection, but it is discovered
that she also has pelvic inflammatory disease and several unexplained contusions.
What is the most important way to proceed with her care?
A. Allow her aunt to stay in the room because the aunt is answering all the
questions.
B. Evaluate for risk of human trafficking and commercial sexual exploitation
C. Assess the patient's need for advocacy and counseling
D. Call law enforcement and child protective services immediately - Correct Answer -
Evaluate for risk of human trafficking and commercial sexual exploitation
What statement below best describes the role of a forensic nurse?
A. A static role that focuses on being the link between nursing science and the legal
system
B. A dynamic role that integrates nursing science, forensic science, and the legal
system
C. A dynamic role whose scope of practice is governed by the office of the district
attorney.
D. A static role that focuses on being the specialist in forensic collection of evidence
and testifying on behave of the survivor. - Correct Answer -B. A dynamic role that
integrates nursing science, forensic science, and the legal system
The sexual assault nurse examiner (SANE) is called to the ED for a 14-year-old
female patient who was brought into the hospital with the primary complaint of sexual
assault. The most effective communication strategy with this teenage patient
includes:
, A. Ask the patient mostly closed-ended questions to help decrease anxiety and
discomfort with the exam
B. Encourage the adolescent's parents to answer the difficult questions
C. Avoid using direct eye contact to help the adolescent feel more comfortable in
your presence
D. Ask open ended questions in a nonjudgmental way - Correct Answer -D. Ask open
ended questions in a nonjudgmental way
Which of the following statements about teenage dating violence (TDV) is correct?
A. Teenagers experiencing TDV are more likely to experience interpersonal violence
as adults
B. TDV involves physical and sexual violence, but does not include psychological
violence.
C. Teenagers who experience TDV will feel like their partner doesn't love them -
Correct Answer -A. Teenagers experiencing TDV are more likely to experience
interpersonal violence as adults
What are the 6 trauma-informed principles to assist in the recovery and healing
process of the acute sexual assault/abuse patient? - Correct Answer -1. Safety
2. Trustworthiness
3. Peer support
4. Collaboration
5. Empowerment
6. And cultural, historical, and gender issues
Statistically, which of the following is correct about Native American females and
sexual violence?
A. They experience a lower rate of sexual violence than their non-Hispanic white
counterparts.
B. They are more likely to report a sexual assault than their non-Hispanic white
counterparts.
C. They experience interracial sexual assault more than their non-Hispanic white
counterparts.
D. They have a lower chance of experiencing sexual violence in a lifetime than their
non-Hispanic white counterparts. - Correct Answer -C. They experience interracial
sexual assault more than their non-Hispanic white counterparts.
Which of the following is a forensic nursing standard of practice?
A. Ethics
B. Education
C. Evaluation
D. Evidence-based practice - Correct Answer -C. Evaluation
The sexual assault nurse examiner is assisting a young adult female survivor of
sexual assault. Through assessment the SANE realizes that she potentially could
identify at least five adverse childhood experiences (ACEs), including this assault.
