Deck 38: Forensic Nursing

Question 1

A forensic nurse collects a semen sample from a rape victim. Which nursing action would maintain the proper chain of evidence?

A)A collected sample is labeled, sealed, and kept in a locked refrigerator until given to police.
B)The sample is locked in a special container and given to the pathologist.
C)The sample is placed in the medication room refrigerator prior to police collection.
D)The sample is sealed and immediately given to police to avoid contamination.

Answer 1

A collected sample is labeled, sealed, and kept in a locked refrigerator until given to police.

Question 2

In a gang war a member is wounded. The police have confiscated a switchblade. When assessing the victim, what type of injury should the forensic nurse expect to assess?

A)Dicing injuries
B)Sharp-force injuries
C)Patterned injuries
D)Defense wound injuries

Answer 2

Sharp-force injuries

Question 3

Which factor impedes the establishment of a therapeutic relationship between a nurse and a prison inmate?

A)The misinterpretation of relationships as sexual, based on sexual activity deprivation
B)The inmate's suspicion of the nurse's attempt to establish rapport
C)The wide socioeconomic gap between the nurse and inmate
D)The limited inmate freedom that might generate resentments

Answer 3

The inmate's suspicion of the nurse's attempt to establish rapport

Question 4

A nurse providing health teaching to inmates of a correctional facility is most likely to include which of the following topics? (Select all that apply.)

A)Benefits of exercise
B)Ways to achieve optimum wellness
C)Prevention of sexually transmitted diseases (STDs)
D)Prevention of pregnancy
E)Stress management

Question 5

Which inmate statement to the prison nurse describes the circumstances that have contributed to recidivism among the prison population?

A)"I was high on crack when I blew him away."
B)"I never finished high school."
C)"My upbringing was nonexistent."
D)"I'm a product of the foster care system."

Question 6

For several years, a nurse has been working in the subspecialty field of forensic nursing. In this field, the nurse should recognize which current trend?

A)A decrease in violent crime has resulted in a decreased need for forensic nurses.
B)Medical examiners prefer to employ forensic nurses because of their medical background.
C)With increasing numbers of violent crimes, forensic nurses are in greater demand than ever.
D)Forensic nurses make up a dwindling subspecialty.

Question 7

Which of following factors would impede an inmate from benefiting from a nurse-led educational program in a correctional facility?

A)Low reading level skills
B)Language barriers
C)Limited financial resources
D)Limited motivation to learn
E)Absent support systems

Question 8

A forensic nurse notices that a victim of a street mugging has bloody bruised hands and lower arms. The nurse should document this evidence as which type of wound?

A)Dicing wounds
B)Sharp-force wounds
C)Patterned wounds
D)Defense wounds

Question 9

A forensic nurse assesses patterned injuries on a 3-year-old child. What assessment data led to this conclusion?

A)Multiple minute cuts and abrasions
B)Generalized bruising of the buttock
C)Circular burn marks, the size of a lit cigarette
D)Stab wounds resulting from sharp object penetration

Question 10

A sexual assault nurse examiner (SANE) is called to examine a college student who reports a date rape. What should be the priority nursing intervention?

A)Take samples of potential evidence.
B)Ensure medical stabilization.
C)Take pictures of the wounds.
D)Call law enforcement officials to report the rape.

Question 11

An 18-year-old client is admitted to an emergency department reporting that she has just been raped. On physical assessment, a nurse notices no trauma to the genital region. What information would influence the forensic nurse's evaluation of this assessment data?

A)Between 60% and 80% of confirmed rapes show genital trauma.
B)Inconsistency of verbalized reports and collected evidence suggests deception.
C)Lack of genital trauma indicates consensual sex.
D)Between 40% and 60% of sexual assaults leave no visible injuries.

Question 12

Why is it important for the forensic nurse to maintain a proper chain of evidence?

A)Maintaining a proper chain of evidence will exonerate the perpetrator.
B)Maintaining a proper chain of evidence will assist in gathering enough data for conviction.
C)All evidence, if properly maintained, will convict the assailant.
D)Crime data maintained with a proper chain of evidence can be used in a court of law.

Question 13

A forensic nurse assesses hesitation wounds on a client diagnosed with borderline personality disorder. What assessment data led to this conclusion?

A)Bruising in various stages of discoloration
B)Deep cuts exposing muscle tissue of the wrist
C)Superficial, sharp-force wounds on the lower part of the client's body
D)Vertical lacerations of the face

Question 14

A prison nurse is reviewing an inmate's health record. Which documentation on Axis I would indicate a dual diagnosis?

A)Bipolar II and antisocial personality disorder
B)Schizophrenia and alcohol dependence
C)Attention deficit disorder and conduct disorder
D)Cocaine addiction and marijuana abuse

Question 15

A rape victim is concerned about becoming pregnant. Which is the most appropriate intervention by the nurse practitioner?

A)Refer the client to an abortion clinic.
B)Refer the client to a spiritual counselor.
C)Offer ethinyl estradiol/norgestrel (Ovral).
D)Instruct the client to douche daily for 1 week.

Question 16

A prison nurse overhears an inmate state, "Hey man, can I catch a ride?" How should the nurse interpret this prison slang?

A)The inmate wants to get high and asks a friend to provide drugs.
B)The inmate wants to elope and asks a friend to provide transportation.
C)The inmate wants to play basketball and needs a friend for the team.
D)The inmate wants to bum a cigarette.Multiple Response Identify one or more choices that best complete the statement or answer the question.