Question 1

A sexual assault nurse examiner is called to examine a college student who reports a date rape.Which is the priority nursing intervention?&#10;A)Take samples of potential evidence.&#10;B)Ensure medical stabilization.&#10;C)Take pictures of the wounds.&#10;D)Call law enforcement officials to report the rape.

Accepted Answer

The priority nursing intervention is to ensure medical stabilization of the patient. This includes assessing for and treating any injuries, providing prophylactic treatment for sexually transmitted infections and pregnancy prevention, and addressing the patient's emotional and psychological needs. Obtaining evidence and reporting the rape to law enforcement are important, but the patient's immediate physical and emotional needs must be addressed first. Taking pictures of the wounds may also be important for evidence collection, but it is not the priority intervention.

Question 2

A prison nurse is reviewing an inmate's health record.Which documentation indicates a dual diagnosis?&#10;A)Bipolar II and antisocial personality disorder&#10;B)Schizophrenia and alcohol dependence&#10;C)Attention-deficit disorder and conduct disorder&#10;D)Cocaine addiction and marijuana abuse

Accepted Answer

Schizophrenia and alcohol dependence is the only answer choice that indicates a dual diagnosis of a mental health disorder and a substance use disorder. Bipolar II and antisocial personality disorder are both mental health disorders and do not involve a substance use disorder. Attention-deficit disorder and conduct disorder both involve mental health disorders but do not necessarily indicate a co-occurring substance use disorder. Cocaine addiction and marijuana abuse are both substance use disorders but do not necessarily indicate a co-occurring mental health disorder.

Question 3

A forensic nurse collects a semen sample from a rape victim.Which nursing action maintains the proper chain of evidence?&#10;A)A collected sample is labeled,sealed,and kept in a locked refrigerator until given to police.&#10;B)The sample is locked in a special container and given to the pathologist.&#10;C)The sample is placed in the medication room refrigerator prior to police collection.&#10;D)The sample is sealed and immediately given to police to avoid contamination.

Accepted Answer

Option A is the correct action as it follows the proper chain of evidence. The sample needs to be properly labeled, sealed, and stored in a secure location until it can be given to the police. This ensures that the sample is not contaminated and the chain of custody is maintained. Option B is not appropriate as the sample should not be given to the pathologist but rather to the police. Option C is not appropriate as the sample should not be stored in a medication room and should be in a locked refrigerator. Option D is not appropriate as the sample needs to be properly labeled and sealed before given to the police to avoid contamination.

Question 4

The nurse providing health teaching to inmates of a correctional facility is most likely to include which of the following topics? Select all that apply.&#10;A)Benefits of exercise&#10;B)Ways to achieve optimum wellness&#10;C)Prevention of sexually transmitted diseases (STDs)&#10;D)Prevention of pregnancy&#10;E)Stress management

Accepted Answer

In a correctional facility, health teaching would focus on topics that are relevant and applicable to the inmate population, considering the constraints of the environment and the common health issues faced. Exercise (A) is important for physical health and can be encouraged within the facility's limitations. Achieving optimum wellness (B) is a broad goal that encompasses physical, mental, and emotional health, making it relevant. Prevention of sexually transmitted diseases (C) is crucial in any population, including inmates, due to the potential for high-risk behaviors. Stress management (E) is particularly relevant in a correctional facility due to the high-stress environment. Prevention of pregnancy (D) might not be as prioritized in a correctional facility setting, especially if the population is segregated by gender or if there are strict regulations limiting sexual activity.

Question 5

A rape victim is concerned about becoming pregnant.Which is the most appropriate intervention by the nurse practitioner?&#10;A)Refer the client to an abortion clinic.&#10;B)Refer the client to a spiritual counselor.&#10;C)Offer ethinyl estradiol/norgestrel (Ovral).&#10;D)Instruct the client to douche daily for 1 week.

Accepted Answer

Offering the client ethinyl estradiol/norgestrel (Ovral) is the most appropriate intervention as it is an emergency contraception that can be taken up to 72 hours after the sexual assault to prevent pregnancy. Referring the client to an abortion clinic is not appropriate as the client has not yet confirmed a pregnancy. Referring the client to a spiritual counselor is not relevant to the immediate concern of preventing pregnancy. Instructing the client to douche daily for 1 week is not appropriate as it does not prevent or address a potential pregnancy and may even increase the risk of infection.

Question 6

In a gang war,a member is wounded.The police have confiscated a switchblade.When assessing the victim,which type of injury should the forensic nurse expect to assess?&#10;A)Dicing injuries&#10;B)Sharp-force injuries&#10;C)Patterned injuries&#10;D)Defense wound injuries

Accepted Answer

When a switchblade is confiscated, it suggests that the injury was caused by a sharp object. Therefore, the forensic nurse should expect to assess sharp-force injuries, which are caused by weapons such as knives, razors, and glass shards. Dicing injuries involve a repetitive motion or multiple cuts in a criss-cross pattern and are less likely to be seen in a gang war. Patterned injuries are caused by objects with distinct shapes, such as a belt buckle, and defense wound injuries are caused by a victim trying to protect themselves from an attacker, but these types of injuries cannot be assumed in this scenario.

Question 7

For several years,the nurse has been working in the subspecialty field of forensic nursing.In this field,the nurse should recognize which current trend?&#10;A)A decrease in violent crime has resulted in a decreased need for forensic nurses.&#10;B)Medical examiners prefer to employ forensic nurses because of their medical background.&#10;C)With increasing numbers of violent crimes,forensic nurses are in greater demand than ever.&#10;D)Forensic nurses make up a dwindling subspecialty.

Accepted Answer

The trend in forensic nursing is an increasing demand due to the rising numbers of violent crimes. This is because forensic nurses are needed to provide specialized care for victims of trauma, collect and preserve evidence, and appear as expert witnesses in court proceedings. While medical examiners may prefer to employ forensic nurses because of their medical background, this is not necessarily a current trend in the field. The other options are also incorrect as there is no evidence to suggest a decrease in violent crime or a dwindling subspecialty.

Question 8

A forensic nurse identified patterned injuries on a 3-year-old child.Which assessment data led to this conclusion?&#10;A)Multiple minute cuts and abrasions&#10;B)Generalized bruising of the buttock&#10;C)Circular burn marks the size of a lit cigarette&#10;D)Stab wounds resulting from sharp-object penetration

Accepted Answer

Circular burn marks the size of a lit cigarette are a patterned injury that could strongly suggest child abuse. It is important for the forensic nurse to recognize and document all such injuries to provide appropriate care for the child and help prosecute the perpetrator. Other injuries such as multiple minute cuts and abrasions or stab wounds resulting from sharp-object penetration may not necessarily indicate a pattern of abuse. Generalized bruising of the buttock may or may not be indicative of abuse and may require further investigation.

Question 9

Which inmate statement to the prison nurse describes the circumstances that have the strongest correlation with recidivism among the prison population?&#10;A)&#34;I was high on crack when I blew him away.&#34;&#10;B)&#34;I never finished high school.&#34;&#10;C)&#34;My upbringing was nonexistent.&#34;&#10;D)&#34;I'm a product of the foster care system.&#34;

Accepted Answer

The answer of Which inmate statement to the prison nurse...

Question 10

A forensic nurse assesses hesitation wounds on a client diagnosed with Borderline Personality Disorder.Which assessment data led to this conclusion?&#10;A)Bruising in various stages of discoloration&#10;B)Deep cuts exposing muscle tissue of the wrist&#10;C)Superficial,sharp-force wounds on the lower part of the client's body&#10;D)Vertical lacerations of the face

Accepted Answer

Hesitation wounds are shallow cuts that indicate hesitance or uncertainty during self-harm attempts. Superficial, sharp-force wounds on the lower part of the body can be an indicator of hesitation wounds, particularly in individuals with Borderline Personality Disorder who may engage in self-harm behaviors. Bruising and deep cuts exposing muscle tissue of the wrist are not necessarily indicators of hesitation wounds, and vertical lacerations of the face are more likely to be indicative of intentional self-harm rather than hesitation wounds.

Question 11

An 18-year-old client is admitted to an emergency department,reporting that she has just been raped.On physical assessment,the nurse notices no trauma to the genital region.Which information should influence the forensic nurse's evaluation of this assessment data?

A)Between 60 and 80 percent of confirmed rapes show genital trauma.
B)Inconsistency of verbalized reports and collected evidence suggests deception.
C)Lack of genital trauma indicates consensual sex.
D)Between 40 and 60 percent of sexual assaults leave no visible injuries.

Accepted Answer

The answer of An 18-year-old client is admitted to an...

Question 12

A prison nurse overhears an inmate state,&#34;Hey,man.Can I catch a ride?&#34; How should the nurse interpret this prison slang?&#10;A)The inmate wants to get high and asks a friend to provide drugs.&#10;B)The inmate wants to elope and asks a friend to provide transportation.&#10;C)The inmate wants to play basketball and needs a friend for the team.&#10;D)The inmate wants to bum a cigarette.

Accepted Answer

The answer of A prison nurse overhears an inmate state,&#34;Hey,man.Can...

Question 13

Which of following factors would impede an inmate from benefiting from the nurse-led educational program in a correctional facility? Select all that apply.&#10;A)Low reading level skills&#10;B)Language barriers&#10;C)Limited financial resources&#10;D)Limited motivation to learn&#10;E)Absent support systems

Accepted Answer

The answer of Which of following factors would impede an...

Question 14

Which indicates the most important reason for the forensic nurse to maintain a proper chain of evidence?&#10;A)Maintaining a proper chain of evidence will exonerate the perpetrator.&#10;B)Maintaining a proper chain of evidence will assist in gathering enough data for conviction.&#10;C)All evidence,if properly maintained,will convict the assailant.&#10;D)Crime data maintained with a proper chain of evidence can be used in a court of law.

Accepted Answer

The answer of Which indicates the most important reason for...

Question 15

A forensic nurse notices that a victim of a street mugging has bloody,bruised hands and lower arms.The nurse should document this evidence as which type of wound?&#10;A)Dicing wounds&#10;B)Sharp-force wounds&#10;C)Patterned wounds&#10;D)Defense wounds

Accepted Answer

The answer of A forensic nurse notices that a victim...

Question 16

Which factor impedes the establishment of a therapeutic relationship between the nurse and a prison inmate?&#10;A)The misinterpretation of relationships as sexual based on sexual activity deprivation&#10;B)The inmate's suspicion of the nurse's attempt to establish rapport&#10;C)The wide socioeconomic gap between the nurse and inmate&#10;D)The limited inmate freedom that might generate resentments

Accepted Answer

The answer of Which factor impedes the establishment of a...

Deck 42: Forensic Nursing