What are the focal roles of certified sexual assault nurse examiners in the emergency room?
Coordinating with law enforcement and providing counseling services.
Administering medication and performing surgical procedures.
Assessing vital signs and triaging patients.
Providing expert care, collecting and documenting evidence, and advocating for sexual assault survivors.
The Correct Answer is D
Choice A rationale
While SANE nurses may interact with law enforcement and facilitate connections to counseling services, their primary role extends beyond simple coordination. The SANE role is highly specialized, encompassing forensic evidence collection and documentation, which is distinct from general law enforcement liaison or counseling provision. Their specific training focuses on the intricate process of preserving evidence to support potential legal proceedings.
Choice B rationale
SANE nurses do not perform surgical procedures. While they are registered nurses and can administer medications within their scope of practice, their specialized role is focused on the forensic examination and care of sexual assault survivors, not on surgical interventions. Surgical procedures require a different level of training and licensure.
Choice C rationale
Assessing vital signs and triaging patients are fundamental nursing skills performed by all nurses in the emergency department. While SANE nurses perform these tasks as part of a comprehensive assessment, their unique and specialized role is centered on the forensic aspect of care, including evidence collection and documentation.
Choice D rationale
The focal roles of a SANE nurse are to provide specialized, compassionate care to sexual assault survivors, which includes a comprehensive forensic examination, meticulous evidence collection and documentation, and acting as a staunch advocate for the patient's physical and psychological well-being. This multifaceted role is crucial for both the patient's recovery and the legal process
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Overseeing daily operations is the role of a nurse manager or administrator. While a mentor may have managerial experience, their primary function is focused on professional development and career guidance, not on the administrative oversight of the facility's day-to-day operations and resource management.
Choice B rationale
Administering medication and performing medical procedures are direct patient care responsibilities. While mentors are often experienced clinicians, their role in mentorship is to teach and guide others in these tasks, not to perform them as their primary function when acting as a mentor.
Choice C rationale
Conducting research and publishing scholarly articles are roles of a nurse researcher or academic. While a mentor may be involved in these activities, their mentorship role is specifically about sharing knowledge and providing professional development support to a mentee rather than focusing on scholarly pursuits.
Choice D rationale
A mentor's role is to be a knowledgeable and experienced guide who helps a less experienced nurse navigate their career, develop skills, and build confidence. This relationship is built on trust and provides a safe space for the mentee to ask questions, receive constructive feedback, and grow professionally. *.
Correct Answer is A
Explanation
Choice A rationale
This patient is in diabetic ketoacidosis (DKA), a life-threatening condition. The respiratory rate of 32 is consistent with Kussmaul respirations, a compensatory mechanism to blow off excess carbon dioxide and correct the metabolic acidosis. The low blood pressure and high heart rate indicate hypovolemia and a compensatory response to shock. This patient is at high risk for cardiovascular collapse and requires immediate intervention.
Choice B rationale
The patient with a respiratory infection and productive cough is stable. The vital signs are within a range that indicates a non-emergent state, and while a respiratory rate of 25 is elevated, it is not as critical as the patient in DKA. This patient is a priority but can wait for treatment after more critical patients are stabilized.
Choice C rationale
The patient with a fractured tibia has a severe injury, but the vital signs are stable. The respiratory rate of 18 and heart rate of 86 are within normal limits (RR: 12-20, HR: 60-100). This indicates that there is no immediate threat to life. While the patient is in pain and needs treatment, they are not a high priority for triage and can be seen after more unstable patients.
Choice D rationale
Burns to the face and chest can lead to airway compromise, but the vital signs are stable and do not indicate immediate distress. The patient's respiratory rate of 24 is elevated but not critical, and the blood pressure and heart rate are within a stable range. Airway patency is the primary concern, but without signs of impending collapse, this patient is not the highest priority compared to the DKA patient
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