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IAFN Sexual Assault Nurse Examiner - Adult - Adolescent Practice Test

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IAFN-SANE-A
IAFN Sexual Assault Nurse Examiner - Adult - Adolescent
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Question: 1108
rensic nurse is tasked with collecting evidence from a victim who has ry of substance abuse. What is the most significant consideration duri xamination?
ocusing primarily on physical evidence
onfronting her about her substance use to assess reliability ocumenting her substance abuse history in detail for legal purposes ecognizing that substance abuse may impact the victim's recollection ent
wer: D
anation: Recognizing that substance abuse may impact the victim's lection and consent is crucial for understanding her experience and ng the examination.
stion: 1109
is a common psychosocial issue faced by survivors from underserve
A fo a
histo ng
the e
1. F
2. C
3. D
4. R and
cons Ans
Expl recol guidi
Que
What d
populations regarding their access to care?
1. Abundant resources and support
2. High levels of trust in the healthcare system
3. Lack of understanding from healthcare professionals about their unique experiences
4. Immediate access to mental health services
Answer: C
Explanation: Survivors from underserved populations may experience a lack of understanding from healthcare professionals about their unique experiences, impacting their access to care.
Question: 1110
E during the patient examination?
collect as much evidence as possible regardless of patient comfort provide legal advice to the patient
ensure that the patient's physical and emotional needs are prioritized gathering necessary evidence
expedite the examination process for legal reporting wer: C
anation: The primary goal of the SANE is to prioritize the patient's ical and emotional needs while gathering necessary evidence, ensurin ortive environment during the examination process.
stion: 1111
When documenting the patient's response to trauma, which type of data sh
When responding to a sexual assault case, what is the primary goal of the SAN
1. To
2. To
3. To
while
4. To
Ans Expl
phys g a
supp
Que
you prioritize to ensure a comprehensive understanding of the patient's experience?
1. A combination of subjective and objective data, including the patient's narrative
2. Only objective data regarding physical injuries
3. Solely subjective data to reflect the patient's feelings
ould
Answer: A
Explanation: A combination of subjective and objective data provides a well- rounded understanding of the patient's experience and condition.
ng an examination, the nurse notes signs of acute inflammation in the nal area, including redness and swelling. What are these findings most
associated with?
ecent sexual activity
sexually transmitted infection ll of the above
n allergic reaction to a product wer: C
anation: Acute inflammation characterized by redness and swelling in nal area can be associated with exact sexual activity, sexually transmi tions, or allergic reactions to products. Each possibility should be idered in the assessment.
stion: 1113
Question: 1112
Duri vagi likely
1. R
2. A
3. A
4. A
Ans
Expl the
vagi tted
infec cons
Que
When evaluating a patient who has reported a sexual assault involving an object, what is the most critical detail to document?
1. The patient's emotional response to the assault
2. The type of object used
3. The duration of the assault
Answer: B
Explanation: Documenting the type of object used is essential for legal purposes and understanding the nature of the assault.
context of a forensic examination, what is the primary reason for ring that the patient understands the implications of consent, particula ontext of evidence collection?
fulfill legal requirements for evidence collection expedite the evidence collection process
allow the patient to feel empowered in her choices prepare for potential future legal proceedings
wer: C
anation: Ensuring the patient understands the implications of consent owers her choices, promotes autonomy, and enhances her comfort duri erable time.
stion: 1115
hat way can the concept of delayed disclosure impact the forensic nur
Question: 1114
In the
ensu rly in
the c
1. To
2. To
3. To
4. To
Ans Expl
emp ng a
vuln
Que
In w sing
assessment of a patient who has experienced sexual violence?
1. It suggests the victim is lying.
2. It indicates the need for immediate forensic evidence collection.
3. It has no relevance to the assessment process.
4. It requires nurses to understand the psychological factors at play and adjust their assessments accordingly.
Answer: D
Explanation: Understanding the psychological factors behind delayed disclosure helps nurses adjust their assessments and provide appropriate support to survivors.
Question: 1116
ext of a sexual assault examination?
understand any previous health issues that could complicate the curr tion
create a narrative for law enforcement
determine the patient's eligibility for insurance coverage compare the patient�s medical history with that of other victims
wer: A
anation: Documenting medical and surgical history helps identify any ous health issues or procedures that may complicate the current
mination or treatment, ensuring appropriate care.
stion: 1117
ng a forensic examination of a suspect, what is the primary reason for ucting a thorough assessment of trace evidence?
Why is it important to document a patient�s medical and surgical history in the cont
1. To ent
situa
2. To
3. To
4. To
Ans Expl
previ exa
Que
Duri cond
1. To create a comprehensive report for law enforcement
2. To gather information that may link the suspect to the crime scene or victim
3. To identify any potential witnesses to the crime
4. To fulfill hospital documentation requirements
Explanation: Conducting a thorough assessment of trace evidence is crucial for gathering information that may link the suspect to the crime scene or victim, which is essential for the investigation.
Question: 1118
ent and power dynamics?
exual violence encompasses a range of behaviors that violate an idual�s autonomy and involve an imbalance of power.
oercive sexual acts involve explicit consent, while exploitation occurs ensual relationships.
exual violence is limited to physical acts and does not include hological manipulation.
nly physical forms of sexual violence are recognized by law.
wer: A
anation: Sexual violence includes various behaviors that violate perso nomy and typically involve an imbalance of power, underscoring the rtance of understanding consent.
stion: 1119
context of an anal examination following a sexual assault, what is th opriate use of an anoscope according to the nurse's scope of practice?
Which of the following best describes the various forms of sexual violence, including coercive sexual acts and exploitation, and how they differ in terms of cons
1. S
indiv
2. C in
cons
3. S
psyc
4. O
Ans
Expl nal
auto impo
Que
In the e
appr
1. To visualize the rectal mucosa and identify any trauma
2. To assess for perianal abrasions only
3. To collect a tissue sample for biopsy
4. To perform a digital rectal exam
Explanation: The anoscope is used to visualize the rectal mucosa and identify any trauma, ensuring a thorough evaluation of potential injuries following a sexual assault. This technique falls within the scope of practice for trained forensic nurses.
Question: 1120
context of patient-centered care, what is a critical factor to consider ucting a forensic examination on a suspect?
he importance of treating the suspect with respect and dignity through xamination process
he need to prioritize law enforcement's interests over the suspect's rig he necessity of documenting only findings that support the charges ag uspect
he relevance of the suspect's prior criminal record to the examination wer: A
anation: Treating the suspect with respect and dignity throughout the mination process is essential for upholding ethical standards and ensuri
xamination.
stion: 1121
In the when
cond
1. T out
the e
2. T hts
3. T ainst
the s
4. T
Ans Expl
exa ng a
fair e
Que
Forensic scientists play a crucial role in the analysis of evidence collected in sexual assault cases. Which of the following tasks is primarily performed by forensic scientists?
1. Conducting interviews with victims
2. Providing immediate medical care to the victim
3. Analyzing biological samples for DNA and trace evidence
4. Securing the crime scene Answer: C
Explanation: Forensic scientists specialize in analyzing biological and physical evidence collected from the crime scene, which is vital for corroborating the victim's account and supporting legal proceedings.
stion: 1122
context of biases held by healthcare professionals, which belief can misinterpretation of a sexual assault victim's behavior during an
mination?
ictims will always present with physical injuries.
ll victims experience the same psychological responses.
ictims may exhibit a range of emotional responses, including calmnes chment.
ictims should always disclose their experiences immediately.
wer: A
anation: The belief that victims will always present with physical inju ead to misinterpretation of their behavior and undermine the validity o experiences, impacting the quality of care provided.
stion: 1123
ng a care planning meeting, a nurse discusses the importance of rstanding a patient's cultural beliefs regarding reproductive health. W
Que
In the lead
to the exa
1. V
2. A
3. V s or
deta
4. V
Ans
Expl ries
can l f
their
Que
Duri
unde hich
of the following questions would be most appropriate to ask the patient to guide this discussion?
1. How do your friends feel about contraception?
2. What are your family's views on pregnancy prevention?
3. What cultural practices influence your view on pregnancy?
4. Are you comfortable discussing birth control options?
Answer: C
Explanation: Asking about cultural practices that influence her view on pregnancy encourages her to share relevant beliefs and values that can impact care.
context of sexual assault examinations, what is the primary purpose a Foley catheter for visualization of the hymen?
collect urine for toxicology screening
facilitate direct visualization of potential injuries administer medications during the examination prevent contamination from external sources
wer: B
anation: A Foley catheter can be used to facilitate direct visualization ymen and surrounding structures, allowing for a more thorough sment of potential injuries. This technique enhances the accuracy of t
mination.
stion: 1125
Question: 1124
In the of
using
1. To
2. To
3. To
4. To
Ans
Expl of
the h
asses he
exa
Que
You are working with an adolescent patient who has experienced trauma. To establish rapport and facilitate disclosure, which strategy should be prioritized considering the patient's developmental level and social context?
1. Engaging in age-appropriate conversation and validating feelings
2. Using complex medical terminology to assert professionalism
3. Avoiding personal interaction to maintain professional boundaries
4. Rushing through the process to minimize discomfort Answer: A
stion: 1126
ng a forensic examination of a sexual assault survivor, you recognize rtance of obtaining informed consent. Which of the following best ribes the primary purpose of informed consent in this context?
ensure that the patient understands the nature, risks, and benefits of mination and any procedures involved
protect the healthcare provider from legal repercussions expedite the examination process and minimize discussion
document that the patient has been informed about the legal implica eir case
wer: A
anation: The primary purpose of informed consent is to ensure that th nt understands the nature, risks, and benefits of the examination and a
Explanation: Engaging in age-appropriate conversation helps build trust and creates a safe space for the patient to disclose sensitive information. Validating feelings is crucial for establishing rapport, especially with younger patients who may feel vulnerable.
Que
Duri the
impo desc
1. To the
exa
2. To
3. To
4. To tions
of th Ans
Expl e
patie ny
procedures involved, fostering trust and patient autonomy.
Question: 1127
In providing patient-centered outcomes for survivors of sexual violence, what is a crucial aspect for healthcare providers to consider?
1. The provider's personal beliefs about the case
2. A standardized treatment approach for all patients
3. The survivor's preferences, values, and cultural background
4. The urgency of the case over patient comfort
Answer: C
Explanation: Considering the survivor's preferences, values, and cultural background is essential for achieving patient-centered outcomes and respecting the individual needs of each survivor.

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IAFN Sexual Assault Nurse Examiner - Adult - Adolescent Practice Test

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