Question: What is the primary motivator for most rapists?

Answer Choices: a. Anxiety b. Need for humiliation c. Overwhelming sexual desires d. Desire to inflict violence or control others

Answer: d. Desire to inflict violence or control others

Question: A nurse working a rape telephone hotline should focus communication with callers toward what intervention?

Answer Choices: a. Arranging long-term counseling b. Serving as a sympathetic listener c. Obtaining information to relay to the local police d. Explaining immediate steps that a victim of rape should take

Answer: d. Explaining immediate steps that a victim of rape should take

Question: A rape victim tells the emergency department nurse, “I feel so dirty. Please let me take a shower before the doctor examines me.” How should the nurse respond to the request?

Answer Choices: a. Arrange for the patient to shower. b. Explain that washing would destroy evidence. c. Give the patient a basin of hot water and towels. d. Instruct the victim to wash above the waist only.

Answer: b. Explain that washing would destroy evidence.

Question: Which situation constitutes consensual sex rather than rape?

Answer Choices: a. After coming home intoxicated from a party, a person forces the spouse to have sex. The spouse objects. b. A person’s lover pleads to have oral sex. The person gives in but then regrets the decision. c. A person is beaten, robbed, and forcibly subjected to anal penetration by an assailant. d. A physician gives anesthesia for a procedure and has intercourse with an unconscious patient.

Answer: b. A person’s lover pleads to have oral sex. The person gives in but then regrets the decision.

Question: When a victim of sexual assault is discharged from the emergency department, the nurse should arrange for which intervention?

Answer Choices: a. Secure support from the victim’s family. b. Provide referral information verbally and in writing. c. Advise the victim to try not to think about the assault. d. Offer to stay with the victim until stability is regained.

Answer: b. Provide referral information verbally and in writing.

Question: A victim of a sexual assault that occurred approximately 1 hour earlier sits in the emergency department rocking back and forth and repeatedly saying, “I can’t believe I’ve been raped.” This behavior is characteristic of which phase of the rape trauma syndrome?

Answer Choices: a. Anger phase b. Acute phase c. Outward adjustment phase d. Long-term reorganization phase

Answer: b. Acute phase

Question: A survivor in the long-term organization (delayed) phase of the rape trauma syndrome has experienced intrusive thoughts of the rape and developed a fear of being alone. Which finding demonstrates this survivor has made improvement?

Answer Choices: a. The survivor expresses a need to regularly withdraw from social situations. b. The survivor describes personal coping strategies for fearful situations. c. The survivor uses increased activity to reduce feelings of fear. d. The survivor expresses a deep desire to be with others.

Answer: b. The survivor describes personal coping strategies for fearful situations.

Question: A patient comes to the hospital for treatment of injuries sustained during a rape. The patient abruptly decides to decline treatment and return home. Before the patient leaves, the nurse should provide what support?

Answer Choices: a. Assure the patient, “Before you leave you will receive prophylactic treatment for sexually transmitted infections (STIs).” b. Provide written information concerning the physical and emotional reactions that may be experienced. c. Explain the need and importance of human immunodeficiency virus (HIV) testing in this situation. d. Offer both verbal and written information about locally available legal resources.

Answer: b. Provide written information concerning the physical and emotional reactions that may be experienced.

Question: An unconscious person is brought to the emergency department by a friend. The friend found the person in a bedroom at a college fraternity party. Semen is observed on the person’s underclothes. What is the priority action they staff members should focus on?

Answer Choices: a. Maintaining effective gas exchange b. Preserving all rape evidence c. Interviewing the friend for additional information d. Determining whether any alcohol or drug were ingested

Answer: a. Maintaining effective gas exchange

Question: A victim of a violent rape has been in the emergency department for 3 hours. Evidence collection is complete. As discharge counseling begins, the victim says softly, “I will never be the same again. I can’t face my friends. There is no sense of trying to go on.” Select the nurse’s most important response.

Answer Choices: a. “Are you thinking of suicide?” b. “It will take time, but you will feel the same as before.” c. “Your friends will understand when you tell them.” d. “You will be able to find meaning in this experience as time goes on.”

Answer: a. “Are you thinking of suicide?”

Question: A nurse cares for a rape victim who was given flunitrazepam by the assailant. Which for which condition has priority?

Answer Choices: a. Decreased consciousness b. Seizure activity of any kind c. Hypotonia of voluntary muscles d. Signs and symptoms of respiratory depression

Answer: d. Signs and symptoms of respiratory depression

Question: When working with rape victims, what is the focus of initial care?

Answer Choices: a. Collecting forensic evidence b. Notifying law enforcement c. Helping the victim feel safe d. Documenting the victim’s comments

Answer: c. Helping the victim feel safe

Question: When an emergency department nurse teaches a victim of rape about reactions that may occur during the long-term organization (delayed) phase, which symptoms should be included? (Select all that apply.)

Answer Choices: a. Development of fears and phobias b. Decreased motor activity c. Feelings of numbness d. Flashbacks, dreams e. Syncopal episodes Correct Answers: a. Development of fears and phobias c. Feelings of numbness d. Flashbacks, dreams

Answer: Not provided in source.

Question: A person was abducted and raped at gunpoint by an unknown assailant. Which interventions should the nurse use while caring for this person in the emergency department? (Select all that apply.)

Answer Choices: a. Allow the person to talk at a comfortable pace. b. Pose questions in nonjudgmental, empathic ways. c. Place the person in a private room with a caregiver. d. Reassure the person that a family member will arrive as soon as possible. e. Invite family members to the examination room and involve them in taking the history. f. Put an arm around the person to offer reassurance that the nurse is caring and compassionate. Correct Answers: a. Allow the person to talk at a comfortable pace. b. Pose questions in nonjudgmental, empathic ways. c. Place the person in a private room with a caregiver.

Answer: Not provided in source.

Question: Which activities are in the scope of practice of a sexual assault nurse examiner (SANE)? (Select all that apply.)

Answer Choices: a. Requiring HIV testing of a victim b. Collecting and preserving evidence c. Providing long-term counseling for rape victims d. Obtaining signed consents for photographs and examinations e. Providing pregnancy and sexually transmitted disease prophylaxis Correct Answers: b. Collecting and preserving evidence d. Obtaining signed consents for photographs and examinations e. Providing pregnancy and sexually transmitted disease prophylaxis

Answer: Not provided in source.

Question: After assessing a victim of sexual assault, which terms could the nurse use in the documentation? (Select all that apply.)

Answer Choices: a. Alleged b. Reported c. Penetration d. Intercourse e. Refused f. Declined Correct Answers: b. Reported c. Penetration f. Declined

Answer: Not provided in source.

Question: Which change in brain biochemical function is most associated with suicidal behavior?

Answer Choices: a. Dopamine excess b. Serotonin deficiency c. Acetylcholine excess d. Gamma-aminobutyric acid deficiency

Answer: b. Serotonin deficiency

Question: After failing two tests, a college student cried for hours and then tried to telephone a parent but got no answer. The student then gave several expensive sweaters to a roommate. Which behavior provides the strongest clue of an impending suicide attempt?

Answer Choices: a. Calling parents b. Excessive crying c. Giving away sweaters d. Staying alone in a dorm room

Answer: c. Giving away sweaters