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 C

Explanation

A. Hyperkalemia. Clients with anorexia nervosa typically experience hypokalemia rather than hyperkalemia due to severe malnutrition, vomiting, and excessive diuretic or laxative use. Potassium depletion can lead to life-threatening cardiac complications.
B. Hyperglycemia. Anorexia nervosa is associated with hypoglycemia due to prolonged fasting, malnutrition, and depleted glycogen stores. Clients often have low blood glucose levels rather than elevated ones.
C. Lanugo. The development of fine, downy body hair (lanugo) is a classic sign of anorexia nervosa. This occurs as the body adapts to extreme weight loss and malnutrition by trying to conserve heat due to the lack of body fat.
D. Swollen parotid glands. While swollen parotid glands are common in bulimia nervosa due to frequent vomiting, they are not a defining feature of anorexia nervosa unless the client engages in purging behaviors.

A. Withdrawn B. Multiple hospitalizations C. Unexplained abdominal pain D. Excessive thinking about health E. Recent trauma

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

Explanation

A. Withdrawn: The child's withdrawn behavior, such as looking downcast and avoiding eye contact, may indicate emotional distress or a potential psychological issue, which can be associated with factitious disorder. Individuals with factitious disorder may exhibit emotional signs that reflect their internal struggles and manipulation of health-related situations.
B. Multiple hospitalizations: Frequent hospitalizations, especially without a clear medical diagnosis, can suggest factitious disorder. This pattern often reflects a behavior where an individual seeks medical attention and care, indicating a need to assume the sick role.
C. Unexplained abdominal pain: The presence of unexplained abdominal pain, particularly when combined with a history of seeking medical attention, aligns with factitious disorder. In this condition, individuals often feign or produce symptoms for psychological reasons, leading to repeated medical evaluations without a clear medical basis.
D. Excessive thinking about health: An intense preoccupation with health issues can be indicative of factitious disorder. This behavior demonstrates a focus on illness that may lead to manipulative behaviors in seeking attention or care.
E. Recent trauma: While trauma can contribute to various psychological conditions, it is not specifically indicative of factitious disorder. Many individuals may experience trauma without developing this disorder, making it less relevant in this context.

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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 is caring for a client who has anorexia nervosa. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is caring for a school-age client in an outpatient clinic. Exhibits The nurse should identify which of the client findings are manifestations of a factitious disorder? (Select all that apply.)

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

Explanation

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