The Nurse Educator in the Emergency Department is explaining to a group of student nurses, "What the primary role of a Sexual Assault Nurse Examiner (SANE) is when intervening with a victim of violence?" Student nurses reply that the primary role of the SANE nurse is:
Offering legal advice and assistance in filing a police report.
Providing emotional support and counseling to the victim.
Referring the victim to community support services for ongoing care and follow-up.
Collect forensic evidence and conduct a thorough medical examination.
The Correct Answer is D
A. Offering legal advice and assistance in filing a police report: While a SANE nurse may provide information about the legal process, their primary role is not to offer legal advice.
B. Providing emotional support and counseling to the victim: Emotional support is crucial, but the primary role of a SANE nurse involves the collection of forensic evidence and conducting a thorough medical examination.
C. Referring the victim to community support services for ongoing care and follow-up: Referrals to support services are important, but they are not the primary role of a SANE nurse during the initial intervention.
D. Collecting forensic evidence and conducting a thorough medical examination: This is the correct answer. SANE nurses are specially trained to gather evidence in a sensitive and thorough manner while ensuring the victim's medical needs are addressed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Amenorrhea: This is more commonly associated with anorexia nervosa rather than bulimia nervosa.
B. Hyperkalaemia: Bulimia nervosa is more likely to cause hypokalemia due to frequent vomiting, which leads to loss of potassium.
C. Dental decay: Frequent vomiting exposes teeth to stomach acid, leading to erosion of dental enamel and subsequent decay.
D. Lower than normal expected reference range of body weight: While some individuals with bulimia nervosa may have a low body weight, many maintain a normal weight or may even be overweight.
Correct Answer is C
Explanation
A. "I just don't remember what I did this morning." This statement reflects an inability to recall the events of the morning, which is a common symptom in Alzheimer's disease but does not constitute confabulation. It simply indicates memory loss.
B. "This morning, this morning, this morning..." Repetition of words or phrases can indicate a language or communication issue often seen in Alzheimer's disease but is not an example of confabulation. It may reflect confusion or perseverance.
C. "It was good. The Queen of England visited me there." Confabulation involves the creation of false memories or statements to fill in gaps in memory. The client's statement about the Queen of England visiting is a fabricated or distorted memory and is an example of confabulation. This choice is correct.
D. "Snip, snap. Take a nap." This phrase is nonsensical and may indicate disorganized thinking or speech, which can occur in Alzheimer's disease, but it is not an example of confabulation. It does not fill a memory gap with a fabricated story. Therefore, this choice is incorrect.
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