A nurse is assisting a sexual assault nurse examiner (SANE) with the care of a client who has experienced sexual assault. The nurse should identify which of the following as the role of the SANE?

Request the police to gather evidence of the incident.

Provide legal testimony on behalf of the client.

Protect the client from further harm.

Require the client to call the police.

Answer and Explanation

The Correct Answer is B

A. The SANE does not directly request police involvement; their role is to provide forensic evidence collection and medical care while supporting the client’s choices. Law enforcement involvement depends on the client’s consent and legal requirements.

B. A key role of the SANE is to provide factual, expert testimony in legal proceedings regarding the evidence collected during the examination. This helps ensure that the findings are accurately presented in court and supports the legal process without acting as an advocate or attorney.

C. While protecting the client from further harm is part of nursing care, the SANE specifically focuses on forensic evaluation and documentation rather than general protective actions. Safety is addressed, but the legal testimony role is the distinguishing responsibility.

D. The SANE cannot require the client to report the assault to the police; reporting is voluntary unless mandated by state law. Respecting client autonomy is essential in sexual assault care.

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Correct Answer is ["A","B","C","D","E"]

Explanation

A. The client complains of pelvic soreness. Pelvic soreness is a common physical symptom following sexual abuse due to trauma, forced penetration, or muscle tension from psychological distress.
B. The client's urine sample is positive for chlamydia. Sexually transmitted infections (STIs), such as chlamydia, can be a result of sexual abuse. A positive test in a client who has not engaged in consensual sexual activity raises concern for recent or past assault.
C. The client has anal bleeding. Anal trauma, including bleeding, is a strong indicator of possible sexual abuse, especially if there is no medical history of other conditions like hemorrhoids or anal fissures.
D. The client has bruising around the breasts. Unexplained bruising in sensitive areas such as the breasts may suggest physical force during a sexual assault, making this a concerning finding.
E. The client's underwear is bloody. Bloodstains on underwear can indicate genital or anal trauma, which may occur during sexual abuse. This finding warrants further medical and forensic evaluation.
F. The client has a scar on their inner thigh. While scars may suggest past trauma or injury, they do not necessarily indicate recent sexual abuse. Unlike fresh injuries, scars do not provide evidence of a recent assault and are not specific to sexual abuse.

A. School-age B. Older adulthood C. Young adulthood D. Preschooler

Correct Answer is C

Explanation

A. School-age. While some early signs of schizophrenia may appear in childhood, the diagnosis is generally not made during this age group. Schizophrenia typically manifests later, with more distinct symptoms.
B. Older adulthood. Schizophrenia is not commonly diagnosed in older adulthood. While some individuals may experience late-onset schizophrenia, the majority of cases are diagnosed earlier in life, typically in young adulthood.
C. Young adulthood. Schizophrenia is most commonly diagnosed in late adolescence to early adulthood, usually between the ages of 18 and 30. This age group is critical as the onset of symptoms tends to occur during this developmental period.
D. Preschooler. Schizophrenia is extremely rare in preschool-aged children. Diagnosing schizophrenia in this age group is challenging, as many of the behaviors associated with the disorder can overlap with typical developmental variations.

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A nurse is assisting a sexual assault nurse examiner (SANE) with the care of a client who has experienced sexual assault. The nurse should identify which of the following as the role of the SANE?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is caring for a client who reports having experienced sexual abuse. The nurse should identify that which of the following findings are consistent with the client's report? (Select All that Apply.)

Correct Answer is ["A","B","C","D","E"]

Explanation

A nurse is assisting with an in-service to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?

Correct Answer is C

Explanation

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