Answer Options:
a. Self-awareness protects one’s own mental health.
b. Strong negative feelings interfere with assessment and judgment.
c. Strong positive feelings lead to under involvement with the victim.
d. Positive feelings promote the development of sympathy for patients.
Answer: b. Strong negative feelings interfere with assessment and judgment.
Question: A patient diagnosed with schizophrenia tells the community mental health nurse, “I threw away my pills because they interfere with God’s voice.” The nurse identifies what as the likely cause of the patient’s ineffective management of the medication regimen?
Answer Options:
a. Inadequate discharge planning
b. Poor therapeutic alliance with clinicians
c. Impaired reasoning secondary to schizophrenia
d. Dislike of the side effects of antipsychotic medications
Answer: C
Question: Which referral is most appropriate for a woman who is severely beaten by her husband, has no relatives or friends in the community, is afraid to return home, and has limited financial resources?
Answer Options:
a. Support group
b. Law enforcement
c. Women’s shelter
d. Vocational counseling
Answer: c. Women’s shelter
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 Options:
a. Allow the person to talk at a comfortable pace.
b. Pose questions in nonjudgmental, empathic ways.
c. Reassure the person that a family member will arrive as soon as possible.
d. Initiate family members to the treatment room and involve them in taking the history.
e. Put an arm around the person to offer reassurance that the nurse is caring and compassionate.
Answer: a. Allow the person to talk at a comfortable pace.
b. Pose questions in nonjudgmental, empathic ways.
Question: A clinic nurse interviews an adult patient accompanied by a partner who reports fatigue, back pain, headaches, tension, and sleep disturbances. The patient then becomes reticent to provide more information and wants to leave. How can the nurse best serve the patient?
Answer Options:
a. Explore the possibility of patient social isolation.
b. Have the partner leave the patient alone to continue the assessment.
c. Ask whether the patient has ever had psychiatric counseling in the past.
d. Ask the patient to disrobe so that assessment for signs of physical abuse can occur.
Answer: b. Have the partner leave the patient alone to continue the assessment.
Question: Which activities are in the scope of practice of a sexual assault nurse examiner (SANE)? (Select all that apply.)
Answer Options:
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
Answer: b. Collecting and preserving evidence
d. Obtaining signed consents for photographs and examinations
e. Providing pregnancy and sexually transmitted disease prophylaxis
Question: When working with rape victims, what is the focus of initial care?
Answer Options:
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: A child was abducted and raped. Which personal reaction by the nurse could interfere with the child’s care?
Answer Options:
a. Disgust
b. Concern
c. Empathy
d. Compassion
Answer: a. Disgust
Question: A rape victim asks an emergency department nurse, “Maybe I did something to cause this attack. Was it my fault?” Which response by the nurse is the most therapeutic?
Answer Options:
a. Pose questions about the rape, helping the patient explore why it happened.
b. Reassure the victim that the outcome of the situation will be positive.
c. Make decisions for the victim because of the temporary confusion.
d. Support the victim to separate issues of vulnerability from blame.
Answer: d. Support the victim to separate issues of vulnerability from blame.
Question: Which situation constitutes consensual sex rather than rape?
Answer Options:
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: A woman whose husband is terminally ill says, “I don’t want to cry in front of him. I don’t want him to know how soon death will occur or how sad I am.” Which response by the nurse would be most therapeutic?
a. “I’m glad you are protecting him at a time when he is so vulnerable.”
b. “He might be more comforted than disturbed by your tears.”
c. “It’s important for you to know that time is running out.”
d. “You definitely need to be honest about your feelings.”
Answer: b. “He might be more comforted than disturbed by your tears.”