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Which of the following best describes expert counsel to challenge the witness's qualifications.
witness testimony in a sexual abuse trial?
a. the witness presents the patient's medical
history and physical findings while advocating for What are the stages of grooming?
the patient (Many stages happen insidiously and
b. the witness presents the patients medical simultaneously) - ANSWER -- Identify a
history and physical exam findings and can offer victim
an opinion based on the witness's area of - Increase role in victim's life
expertise. - Make assurance of power difference
c. The witness presents the patient's medical - Gain trust
history and physical exam findings while - Establish secrecy
supporting the position of the prosecuting - Isolate
attorney - Slowly introduce nonsexual to sexual touch
d. the witness presents the patient's medical
history and physical exam findings, making sure
not to provide an opinion. - ANSWER -B.
Expert witnesses are qualified by a court system An 18-year-old male patient is found by police
based on their knowledge, skill, training, and unconscious in a car on the side of the road with
experience. An expert witness may testify about his pants and underwear off, and brought into the
scientific, nursing, or medical concepts and may ED. The patient is from a different country,
offer an opinion based on the witness's speaks minimal English, and is having a difficult
expertise. Expert witness testimony does not time understanding the sexual assault nurse
advocate for the patient and is not influenced by examiner (SANE), when the SANE arrives. In
an attorney's position. order to provide patient-centered care, what is
the most appropriate way to communicate the
medical forensic exam options for this patient?
A sexual assault nurse examiner takes the A. Obtain a professional medical language
witness stand and is asked questions that interpreter for communication
highlight their qualifications (e.g., education, B. Speak more slowly and loudly to help the
specialized training, relevant experience, skills, patient understand you better.
publications, and prior experience teaching other C. Print all materials in the preferred language for
SANEs). The judge asks a couple of additional the patient to read before the exam.
questions. What is the purpose of this line of D. Provide a phone for the patient to call
questioning? - ANSWER -D. A witness someone to help translate. - ANSWER -A.
must be established as an expert by the Obtain a professional medical language
presiding judge. The attorney asks questions of interpreter for communication.
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 An 18-year-old male patient was partying at a
examination is the initial questioning of a witness hotel and doesn't remember anything after
to obtain evidence on a case. Voir dire drinking a few mixed drinks he was given. He
questioning is performed by the opposing states that he thinks that he has been sexually
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assaulted. Applying what the sexual assault between nursing science and the legal system
nurse examiner (SANE) knows regarding special B. A dynamic role that integrates nursing science,
challenges in vulnerable populations after the forensic science, and the legal system
medical forensic examination, what is the most C. A dynamic role whose scope of practice is
important follow-up care for this patient? governed by the office of the district attorney.
D. A static role that focuses on being the
A. A referral to a sexually transmitted infection specialist in forensic collection of evidence and
clinic testifying on behave of the survivor. -
B. A social work consult to offer an inpatient ANSWER -B. A dynamic role that integrates
substance abuse treatment program nursing science, forensic science, and the legal
C. A referral to primary care provider to address system
alcohol use and other health concerns.
D. Immediate contact with and ongoing support
through advocacy services and social support. -
ANSWER -D. Immediate contact with and The sexual assault nurse examiner (SANE) is
ongoing support through advocacy services and called to the ED for a 14-year-old female patient
social support. who was brought into the hospital with the
primary complaint of sexual assault. The most
effective communication strategy with this
teenage patient includes:
A very young-looking 19-year-old ED patients
presents for the fifth time this month with her A. Ask the patient mostly closed-ended questions
aunt. Today she is treated for a urinary tract to help decrease anxiety and discomfort with the
infection, but it is discovered that she also has exam
pelvic inflammatory disease and several B. Encourage the adolescent's parents to answer
unexplained contusions. What is the most the difficult questions
important way to proceed with her care? C. Avoid using direct eye contact to help the
adolescent feel more comfortable in your
A. Allow her aunt to stay in the room because the presence
aunt is answering all the questions. D. Ask open ended questions in a
B. Evaluate for risk of human trafficking and nonjudgemental way - ANSWER -D. Ask
commercial sexual exploitation open ended questions in a nonjudgemental way
C. Assess the patient's need for advocacy and
counseling
D. Call law enforcement and child protective
services immediately - ANSWER -Evaluate Which of the following statements about teenage
for risk of human trafficking and commercial dating violence (TDV) is correct?
sexual exploitation
A. Teenagers experiencing TDV are more likely
to experience interpersonal violence as adults
B. TDV involves physical and sexual violence,
What statement below best describes the role of but does not include psychological violence.
a forensic nurse? C. Teenagers who experience TDV will feel like
their partner doesn't love them - ANSWER -
A. A static role that focuses on being the link
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A. Teenagers experiencing TDV are more likely
to experience interpersonal violence as adults
The sexual assault nurse examiner is assisting a
young adult female survivor of sexual assault.
What are the 6 trauma-informed principles to Through assessment the SANE realizes that she
assist in the recovery and healing process of the potentially could identify at least five adverse
acute sexual assault/abuse patient? - childhood experiences (ACEs), including this
ANSWER -1. Safety assault. The SANE understands that the ACE
2. Trustworthiness study predicts that the SANE's patient will have:
3. Peer support
4. Collaboration A. Issues with chronic health problems and
5. Empowerment promiscuity in the future
6. and cultural, historical, and gender issues B. A higher chance of developing chronic health
issues in the future
C. Issues with depression, obesity, and
promiscuity in the future
Statistically, which of the following is correct D. No effects on her future health outcomes from
about Native American females and sexual experiencing these events - ANSWER -B. A
violence? higher chance of developing chronic health
issues in the future
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 Which of the following is true about bullying?
than their non-hispanic white counterparts.
C. They experience interracial sexual assault A. Perpetrators of bullying will become
more than their non-hispanic white counterparts. perpetrators of sexual violence as an adult.
D. They have a lower chance of experiencing B. Bullying is defined by physical violence that
sexual violence in a lifetime than their non- must leave a mark
hispanic white counterparts. - ANSWER -C. C. Most children in the United States will be
They experience interracial sexual assault more bullied sometime in their lives.
than their non-hispanic white counterparts. D. Bullying seems to occur equally by electronics
or in person - ANSWER -D. Bullying seems
to occur equally by electronics or in person
Which of the following is a forensic nursing
standard of practice?
A sexual assault nurse examiner (SANE) working
A. Ethics in the ED is caring for a 15-year-old female
B. Education patient who discloses that her coach of 10 years
C. Evaluation has been sexually abusing her since she was 8
D. Evidence-based practice - ANSWER -C. years old. She states that she loves him, and the
Evaluation SANE considers that she may have been
groomed by the perpetrator. Her parents are also