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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. Hallucinations, particularly visual hallucinations, are a common manifestation of alcohol withdrawal, typically occurring within 12 to 24 hours after the last drink. These hallucinations can be vivid and may involve seeing objects, people, or animals that are not actually present.
A. Hypertension (high blood pressure) is more commonly associated with alcohol withdrawal, especially during the acute phase.
B. Respiratory depression, characterized by slowed or shallow breathing, is not a typical feature of alcohol withdrawal.
C. Muscle aches are not typically associated with alcohol withdrawal. Instead, symptoms such as tremors, agitation, and insomnia are more common during alcohol withdrawal.
Correct Answer is C
Explanation
C. ACEs stands for Adverse Childhood Experiences. It refers to potentially traumatic events that occur during childhood, such as physical, emotional, or sexual abuse, neglect, or household dysfunction. ACES have been linked to negative health and social outcomes later in life.
A. The SE model typically refers to the Supported Employment model, which is an evidence- based approach used to help individuals with mental illness find and maintain competitive employment.
B. SMI stands for Serious Mental Illness. It refers to mental health disorders that significantly impair an individual's ability to function in daily life.
D. MLPS does not correspond to a recognized term or acronym commonly used in healthcare or social services contexts. It is likely not relevant to the scenario described in the question.
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