Which intervention demonstrates the SANE nurse's unique attention to the assessment of a sexual assault?

a. Conducting the assessment in the most private exam room
b. Not directly questioning the patient about the attack or the attacker
c. Identifying that the patient is showing signs of anxiety by withdrawing
d. Meticulously assessing the patient for signs of any resulting physical trauma


ANS: C
Throughout the physical examination, the SANE nurse will be attuned to the victim's mental status and monitor him or her for signs and symptoms of anxiety, panic, and grief. The event and the assailant are topics that must be discussed. The remaining options identify interven-tions that are considered a nursing responsibility and not unique to the role of the SANE nurse.

Nursing

You might also like to view...

Most anxiolytic medications have their greatest effect by influencing which neurotransmitter?

a. dopamine b. epinephrine c. gamma-aminobutyric acid d. serotonin

Nursing

A patient's pulse rate may be affected by which of the following?

A) Age B) Gender C) Cigarette smoking D) All of the above

Nursing

The nurse of the family who is assuming the role of care coordinator is providing education regarding the use of a healthcare log. Which will the nurse encourage the family to include on this log? Select all that apply

1. Role of each provider 2. Date of each appointment 3. Prescribed interventions 4. Future treatments 5. Out-of-pocket cost

Nursing

When performing a venipuncture, the nurse should:

a. inject with the needle at a 45-degree angle. b. select a vein that is rigid and cordlike, and that rolls when palpated. c. perform the needle insertion immediately after cleansing the skin with alcohol. d. place the thumb of the nondominant hand about 1 inch below the site and pull the skin taut.

Nursing