QUESTIONS WITH COMPLETE
SOLUTIONS
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. - ANS ✔✔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.
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. Voir dire questioning is performed by the opposing counsel to challenge the witness's
qualifications. - ANS ✔✔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?
- 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 - ANS ✔✔What are the stages of grooming?
(Many stages happen insidiously and simultaneously)
A. Obtain a professional medical language interpreter for communication. - ANS ✔✔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.
D. Immediate contact with and ongoing support through advocacy services and social support. -
ANS ✔✔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.
Evaluate for risk of human trafficking and commercial sexual exploitation - ANS ✔✔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
B. A dynamic role that integrates nursing science, forensic science, and the legal system - ANS
✔✔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.
D. Ask open ended questions in a nonjudgemental way - ANS ✔✔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: