Nurs 522 Exam – Questions With Verified Solutions
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Terms in this set (321)
What are the three perspectives that Sociology (learned behavior), psychology (mental
shape our understanding of sexual pathology of the abuser), and feminism (cultural
violence? tolerance for sexual violence).
What is trauma-informed care in the An approach that provides emotional support, crisis
context of sexual assault? intervention, assesses emotional/mental state, and
develops individualized safety plans.
What should be included in the Relevant conditions affecting injury response,
medical history of a sexual assault treatment choices, and pediatric histories should be
victim? documented.
What is the recommended action for a Conduct a head-to-toe exam, prioritize urgent
physical examination after a sexual medical issues, and screen for strangulation and
assault? serious injuries.
,What is the eligibility criteria for Any reproductive-age patient up to 120 hours post-
emergency contraception after a assault, including prepubertal girls and
sexual assault? perimenopausal women.
What is the most effective emergency Copper IUD, which can be inserted up to 7 days post-
contraception option after sexual assault.
assault?
What is the effectiveness of 95% effective within 0-24 hours, 85% within 25-48
Levonorgestrel (Plan B) based on hours, and decreases to ~50% by 73-96 hours.
timing?
What should be considered when Plan B's effectiveness decreases if BMI > 25 kg/m²; Ella
prescribing emergency contraception is preferred for BMI > 25.
for patients with a higher BMI?
What are the STI testing Test based on all points of contact: oral, vaginal, and
recommendations for adults and rectal, using NAAT or culture.
adolescents after sexual assault?
What is the first-line treatment for Ceftriaxone 250 mg IM plus Azithromycin 1 g PO x 1.
gonorrhea in patients aged 9 and
older?
What are the management steps for Draw Hep B serology, administer HBIG, and start the
Hepatitis B exposure after sexual Hep B vaccine series.
assault?
What is the protocol for HIV exposure All patients must be counseled on HIV exposure risk
counseling after a sexual assault? and offered HIV PEP ideally within 72 hours.
What is the recommended treatment Azithromycin 1 g PO x 1 or Doxycycline 100 mg PO
for chlamydia in patients aged 9 and BID for 7 days.
older?
,What is the role of HPV vaccination in Not routinely provided as of Nov 2023; approval has
the context of sexual assault care? been requested by SA/DVTC network.
What is the significance of Ulipristal It prevents or delays ovulation even after LH rise
(Ella) in emergency contraception? begins and may alter the endometrium.
What should be done if starting Delay starting for at least 5 days and use backup
progestin contraception after taking contraception for an additional 14 days.
Ella?
What is the importance of assessing It involves evaluating risk to self, safety of the
safety in trauma-informed care? environment, and the need for shelter.
What is the recommended follow-up Arrange follow-up and support, especially for
for patients after a sexual assault? children and non-offending caregivers.
What should be documented during General health, urgent medical issues, and any
the physical examination of a sexual forensic evidence collection.
assault victim?
What are the considerations for STI Shared decision-making between immediate empiric
prophylaxis/treatment after sexual treatment and waiting for results.
assault?
What is the recommended testing for Testing is limited; urine NAAT for GC/CT and vaginal
prepubescent children after sexual swabs only if symptomatic.
assault?
What should be done for rectal and Offer testing regardless of reported contact,
pharyngeal testing after sexual including NAAT and culture for GC/CT.
assault?
What are the potential side effects of Nausea, vomiting, dizziness, headache, abdominal
Plan B and Ella? pain, fatigue, and menstrual changes.
, What is the role of emotional support It is crucial for crisis intervention and assessing the
in the care of sexual assault victims? emotional/mental state of the victim.
What is the focus of care for Cultural safety, inclusion, and diversity within health
2SLGBTQIA+ clients in sexual health? promotion and illness prevention.
What are some signs of strangulation? Head injury, ongoing heavy bleeding, child genital
injuries (expert review needed).
What is the recommended treatment Ceftriaxone 250 IM + Azithro 1g.
for Gonorrhea?
What is the recommended treatment Azithro 1g OR Doxy 100 BID for 7 days.
for Chlamydia?
What is the HIV PEP regimen? Truvada + Dolutegravir for 28 days.
What is the preferred emergency Ella.
contraception for women with a BMI
>25?
What is the most effective form of Copper IUD.
emergency contraception?
What testing should be done for Always test all contact sites: oral, vaginal, rectal.
sexual assault victims?
When should a speculum be used in Only if medically necessary.
children/adolescents?
What is the main test for prepubertal Urine NAAT.
children?
Add to calendar
Play your way to mastery with fun games
Match Blocks Charms NEW
Terms in this set (321)
What are the three perspectives that Sociology (learned behavior), psychology (mental
shape our understanding of sexual pathology of the abuser), and feminism (cultural
violence? tolerance for sexual violence).
What is trauma-informed care in the An approach that provides emotional support, crisis
context of sexual assault? intervention, assesses emotional/mental state, and
develops individualized safety plans.
What should be included in the Relevant conditions affecting injury response,
medical history of a sexual assault treatment choices, and pediatric histories should be
victim? documented.
What is the recommended action for a Conduct a head-to-toe exam, prioritize urgent
physical examination after a sexual medical issues, and screen for strangulation and
assault? serious injuries.
,What is the eligibility criteria for Any reproductive-age patient up to 120 hours post-
emergency contraception after a assault, including prepubertal girls and
sexual assault? perimenopausal women.
What is the most effective emergency Copper IUD, which can be inserted up to 7 days post-
contraception option after sexual assault.
assault?
What is the effectiveness of 95% effective within 0-24 hours, 85% within 25-48
Levonorgestrel (Plan B) based on hours, and decreases to ~50% by 73-96 hours.
timing?
What should be considered when Plan B's effectiveness decreases if BMI > 25 kg/m²; Ella
prescribing emergency contraception is preferred for BMI > 25.
for patients with a higher BMI?
What are the STI testing Test based on all points of contact: oral, vaginal, and
recommendations for adults and rectal, using NAAT or culture.
adolescents after sexual assault?
What is the first-line treatment for Ceftriaxone 250 mg IM plus Azithromycin 1 g PO x 1.
gonorrhea in patients aged 9 and
older?
What are the management steps for Draw Hep B serology, administer HBIG, and start the
Hepatitis B exposure after sexual Hep B vaccine series.
assault?
What is the protocol for HIV exposure All patients must be counseled on HIV exposure risk
counseling after a sexual assault? and offered HIV PEP ideally within 72 hours.
What is the recommended treatment Azithromycin 1 g PO x 1 or Doxycycline 100 mg PO
for chlamydia in patients aged 9 and BID for 7 days.
older?
,What is the role of HPV vaccination in Not routinely provided as of Nov 2023; approval has
the context of sexual assault care? been requested by SA/DVTC network.
What is the significance of Ulipristal It prevents or delays ovulation even after LH rise
(Ella) in emergency contraception? begins and may alter the endometrium.
What should be done if starting Delay starting for at least 5 days and use backup
progestin contraception after taking contraception for an additional 14 days.
Ella?
What is the importance of assessing It involves evaluating risk to self, safety of the
safety in trauma-informed care? environment, and the need for shelter.
What is the recommended follow-up Arrange follow-up and support, especially for
for patients after a sexual assault? children and non-offending caregivers.
What should be documented during General health, urgent medical issues, and any
the physical examination of a sexual forensic evidence collection.
assault victim?
What are the considerations for STI Shared decision-making between immediate empiric
prophylaxis/treatment after sexual treatment and waiting for results.
assault?
What is the recommended testing for Testing is limited; urine NAAT for GC/CT and vaginal
prepubescent children after sexual swabs only if symptomatic.
assault?
What should be done for rectal and Offer testing regardless of reported contact,
pharyngeal testing after sexual including NAAT and culture for GC/CT.
assault?
What are the potential side effects of Nausea, vomiting, dizziness, headache, abdominal
Plan B and Ella? pain, fatigue, and menstrual changes.
, What is the role of emotional support It is crucial for crisis intervention and assessing the
in the care of sexual assault victims? emotional/mental state of the victim.
What is the focus of care for Cultural safety, inclusion, and diversity within health
2SLGBTQIA+ clients in sexual health? promotion and illness prevention.
What are some signs of strangulation? Head injury, ongoing heavy bleeding, child genital
injuries (expert review needed).
What is the recommended treatment Ceftriaxone 250 IM + Azithro 1g.
for Gonorrhea?
What is the recommended treatment Azithro 1g OR Doxy 100 BID for 7 days.
for Chlamydia?
What is the HIV PEP regimen? Truvada + Dolutegravir for 28 days.
What is the preferred emergency Ella.
contraception for women with a BMI
>25?
What is the most effective form of Copper IUD.
emergency contraception?
What testing should be done for Always test all contact sites: oral, vaginal, rectal.
sexual assault victims?
When should a speculum be used in Only if medically necessary.
children/adolescents?
What is the main test for prepubertal Urine NAAT.
children?
