A sexual assault nurse examiner (SANE) is a caring for a client who experienced sexual assault. Which of the following actions should the nurse take?

Request the police to gather evidence of the incident.

Require the client to call the police.

Provide legal testimony on behalf of the client.

Protect the client from further harm.

Answer and Explanation

The Correct Answer is D

D. In the immediate aftermath of a sexual assault, the primary focus of the SANE nurse is to ensure the safety and well-being of the client. This includes providing a safe and supportive environment for the client, assessing and treating any physical injuries, addressing immediate medical needs, and offering emotional support and crisis intervention.

A, B, and C involve aspects of legal procedures and involvement of law enforcement, but they may not be appropriate or feasible for every client in every situation. Additionally, the decision to involve law enforcement or pursue legal action should be made in collaboration with the client and should prioritize their safety, autonomy, and well-being.

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Correct Answer is B

Explanation

A. Opioid overdose typically results in pupillary constriction (miosis), rather than dilation.

B. Opioid overdose can, though not typically,cause an irregular rapid heart rate

C. Acute opioid toxicity cause respiratory depression.

D. Opioid overdose typically results in hypotension (low blood pressure) rather than hypertension.

A. "Regular physical examinations are commonly used to diagnose mental illness." B. "Screening for mental illness is difficult because most mental illnesses cannot be detected through laboratory testing." C. "Risk factors for developing a mental illness are unknown, making screening difficult." D. "Mental illnesses can be detected through regular blood tests."

Correct Answer is B

Explanation

B. Mental illnesses are primarily diagnosed through clinical assessments, interviews, and observation of symptoms by mental health professionals. While laboratory tests may be used to rule out other medical conditions that could mimic psychiatric symptoms or to monitor the effects of medication, they are not typically used as primary screening tools for mental illness.

A. Regular physical examinations are important for overall health and may help identify physical conditions that could contribute to or coexist with mental health symptoms. However, physical examinations alone are not sufficient for diagnosing mental illness.

C. There are known risk factors associated with the development of various mental health conditions.

D. There are no specific blood tests that can definitively diagnose most mental health disorders. Blood tests may be used to rule out physical conditions that could be contributing to symptoms or to monitor medication levels, but they are not direct diagnostic tools for mental illness.

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A sexual assault nurse examiner (SANE) is a caring for a client who experienced sexual assault. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is B

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