IAFN SANE-A Prep Exam 101 Questions with Verified Answers,100% CORRECT

IAFN SANE-A Prep Exam 101 Questions with Verified Answers Rape trauma syndrome (RTS) - CORRECT ANSWER two stage syndrome of response to a SA. specific type of PTSD. not gender specific. 2 stages of RTS - CORRECT ANSWER acute stage, and long term stage Acute Stage of RTS - CORRECT ANSWER lasts 3-7 days. has two phases 2 phases of Acute stage of RTS - CORRECT ANSWER impact/attack phase. acute reaction phase Impact/Attack phase of Acute stage of RTS - CORRECT ANSWER fight, flight, or freeze Acute Reaction Phase of Acute stage RTS - CORRECT ANSWER intrusion syndrome- nightmares and intrusive thoughts. may not have an expressed reaction. Long Term Stage of RTS - CORRECT ANSWER reorganization phase (may last a lifetime) and resolution phase DSM IV - Anxiety Disorders Acute length - CORRECT ANSWER psychological symptoms last <3 months DSM IV - Anxiety Disorders Chronic length - CORRECT ANSWER psychological symptoms last >3 months DSM IV - Anxiety Disorders - Delayed - CORRECT ANSWER psychological symptoms begin after 6 months Find bright red blood during ano-genital exam - CORRECT ANSWER swab to see if it is from the vulva or vagina Left lateral position with legs drawn up - CORRECT ANSWER position for anal exam Abrasion - CORRECT ANSWER superficial injuries to the skin caused by the application of blunt force Bruises - CORRECT ANSWER an area of haemorrhage beneath the skin Bite marks - CORRECT ANSWER oval or circular bruises with a pale central area; there may also be some abrasion Fingertip bruises - CORRECT ANSWER These usually appear as 1-2 cm oval or round shaped clusters of three to four bruises Patterned (imprint) bruises - CORRECT ANSWER a bruise takes on the specific characteristics of the weapon used Petechial bruises - CORRECT ANSWER pinpoint areas of haemorrhage and are caused by the rupture of very small blood vessels Trainline bruises - CORRECT ANSWER parallel linear bruises with a pale central area produced by forceful contact with a linear object Lacerations - CORRECT ANSWER ragged or irregular tears or splits in the skin, subcutaneous tissues or organs resulting from blunt trauma Incised wounds - CORRECT ANSWER injuries produced by sharp edged objects whose length is greater than their depth Stab wounds - CORRECT ANSWER incised wounds whose depth is greater than their length on the skin surface Gunshot wound - CORRECT ANSWER refer cases to more experienced practitioners for analysis Wound Description - Site - CORRECT ANSWER Record the anatomical position of the wound(s). Wound Description - Size - CORRECT ANSWER The dimensions of the wound(s) should be measured. Wound Description - Shape - CORRECT ANSWER Describe the shape of the wound(s) (e.g. linear, curved, irregular). Wound Description - Surrounds - CORRECT ANSWER Note the condition of the surrounding or the nearby tissues (e.g. bruised, swollen). Wound Description - Colour - CORRECT ANSWER Observation of colour is particularly relevant when describing bruises. Wound Description - Course - CORRECT ANSWER Comment on the apparent direction of the force applied (e.g. in abrasions). Wound Description - Contents - CORRECT ANSWER Note the presence of any foreign material in the wound (e.g. dirt, glass). Age of bruise - CORRECT ANSWER Comment on any evidence of healing. Note that accurate ageing is impossible Wound Description - Borders - CORRECT ANSWER The characteristics of the edges of the wound(s) may provide a clue as to the weapon used. Wound Description - Classification - CORRECT ANSWER Use accepted terminology wherever possible (see section 4.5.2 Classification of wounds). Wound Description - Depth - CORRECT ANSWER Give an indication of the depth of the wound(s); this may have to be an estimate. Gonorrhea prophylaxis - CORRECT ANSWER Ceftriaxone 250mg IM OR 2g Azithromycin PO and retest in 8 weeks Chlamydia prophylaxis - CORRECT ANSWER Azithromycin 1g PO OR Doxycycline 100 mg BID X 7 Days Trichomonas and BV prophylaxis - CORRECT ANSWER Metronidazole 2g PO Syphilis prophylaxis - CORRECT ANSWER Only if perp is known to have. PCN 2.4 M Units IM Cervix strawberry spots - CORRECT ANSWER Trichomonas Vaginalis Vaginal discharge etiology - CORRECT ANSWER BV, Candida, Trich, cervicitis, post menopause Fishy Smell could be? - CORRECT ANSWER BV - Frothy white or greenish discharge. Or Trich Gonorrhea symptoms for most women - CORRECT ANSWER None. Mild. Difference in herpes simplex vs primary syphilis - CORRECT ANSWER Hurt and discharge vs no hurt no discharge HBV prophylaxis - CORRECT ANSWER If no previous immunization give first dose 12 hrs of exposure plus HBIP if perp known positive. All 3 inj within 6 mos, second at 1-2 mos, third at 4-6 mos HIV prophylaxis - CORRECT ANSWER nHIV PEP within 1-2 hrs to 72 hrs. 28 days of meds. HIV antibody testing - CORRECT ANSWER Baseline, 6 weeks, 3mos, 6 mos HIV symptoms - acute - CORRECT ANSWER Fever, night sweats, rash, diarrhea, flu like symptoms. Return for evaluation Testing before PEP - CORRECT ANSWER HIV, pregnancy, CBC, LFT and renal function GFR and creatine PEP meds - CORRECT ANSWER Within 72 hrs of assault. Based on risk 2-3 meds combination. Provide access, starter pack -3 day supply Safe sex teaching with PEP - CORRECT ANSWER Condoms for 3mos. Condoms do not completely eliminate risk. Avoid pregnancy until 3 month f/u STI that can be transmitted by saliva - CORRECT ANSWER HSV 1 Hepatitis that has no vaccine - CORRECT ANSWER Hep C Follow-up appt. timeframe - CORRECT ANSWER 1-3 days - suspect bruise reevaluation 1-2 weeks - pregnancy, STI, health, counseling, 1-2 mos - HBV, forensic documentation of healing No Rocephin shot alternative treatment - CORRECT ANSWER double dose Azithromycin, Retest in 8 weeks Syphilis and HIV Serologic follow up testing - CORRECT ANSWER 6weeks, 3mos, 6mos SANE role in court - CORRECT ANSWER teach, educate judge and jury Fact witness - CORRECT ANSWER Explains facts, provide testimony to fact, chain of custody Teaching Witness - CORRECT ANSWER Explains theory or science Expert Witness - CORRECT ANSWER Draws opinions SANE - CORRECT ANSWER Unbiased, scientific examiners, educators, Expert consultant - CORRECT ANSWER Mechanisms of injury education, what questions to ask in court Hearsay rules may be part of fact witness - CORRECT ANSWER Exception is info gathered for medical diagnosis or treatment Can SANE talk to defense If subpeoned by prosecution - CORRECT ANSWER Yes, with prosecution present Subpoena - CORRECT ANSWER "under penalty" Latin Subpoena Duces Tecum - CORRECT ANSWER Order witness to appear in court with documents, records, or things. Follow hospital policy for release of records Order - CORRECT ANSWER Written direction or command delivered by a court or judge Search warrant - CORRECT ANSWER A judges written order authorizing a law-enforcement to obtain something Role - CORRECT ANSWER Care for individuals, family and community whose status and care is in part legal or forensic Scope of practice - CORRECT ANSWER Who what why when where how Standards of practice - CORRECT ANSWER Authoritative statements about values, priorities, direction, accountability, framework for evaluations Sources and Resources used by Forensic Nurses - CORRECT ANSWER Scientific research Clinical expertise Patient preference WHEEL (concept) - CORRECT ANSWER Wounding and Healing Ethics Evidence Law and legal practice Standards of forensic nursing practice: - CORRECT ANSWER Nursing Process Ethics - CORRECT ANSWER Autonomy Justice Fidelity Beneficence Non-Malfeasance Autonomy - CORRECT ANSWER independance Justice - CORRECT ANSWER conforming to the law Pt. decision making process is based on... - CORRECT ANSWER Values, background, Culture, past experience Fidelity - CORRECT ANSWER faithful or loyal Beneficence - CORRECT ANSWER action done to benefit others Marginalized groups - CORRECT ANSWER Age Language Culture Disability Intoxicated or Unconscious Communication barriers Patient outcomes - System - CORRECT ANSWER policy and procedures, cooperative agreements in place, respect pt., quality care, non-biased attitude Patient outcomes Barrier- Geography - CORRECT ANSWER resources not always available, limits extent of service Patient outcomes Barrier- Environment - CORRECT ANSWER homelessness, substance abuse Patient outcomes Barrier- Provider - CORRECT ANSWER stereotypes lead to cognitive shortcuts Patient outcomes Barrier- Patient - CORRECT ANSWER Hx with healthcare and legal system, personal endorsement of rape myths, understanding of sex acts Nurse Practice Act - CORRECT ANSWER laws which protect the public's health and welfare by overseeing and ensuring the safe practice of nursing Laws about mandatory reporting - CORRECT ANSWER Violence, communicable disease, age, public safety, Patient rights - CORRECT ANSWER confidentiality and limits of confidentiality, privacy, right to refuse VAWA 2005 - CORRECT ANSWER pt's do not have to report to get reimbursed FN Commitment to Science - CORRECT ANSWER advance FN, understand limits of knowledge, respect truth, conflicts of interest exposed FN Commitment to Peers - CORRECT ANSWER honesty, competency, safeguard information, treat colleagues with respect, give credit for contribution FN commitment to community - CORRECT ANSWER collaborate with all agencies, value dignity of all humans, prevent oppression FGM type1 - CORRECT ANSWER Clitoridectomy FGM type 2 - CORRECT ANSWER Excision Type 3 - CORRECT ANSWER Infibulation Type 4 - CORRECT ANSWER Other GC prophylaxis - CORRECT ANSWER Ceftriaxone 250 mg IM and AZITHROMYCIN 1 g PO OR 2 g Azithromycin Chlymidia And prophylaxis - CORRECT ANSWER Azithromycin 1 g BV and Trichomonas prophylaxis - CORRECT ANSWER Flagyl 2g PO If alcohol injestion then 500 mg bid for 7 days Posterior Commissure - CORRECT ANSWER The union of the two labia minora posteriorly Posterior Commissure - CORRECT ANSWER The union of the two labia minora posteriorly