Chapter 29

Question 1

According to protocol, the medical exam should include the following what?

Answer 1

1. information from the patient
2. an exam
3. documenting biological and physical findings
4. collecting evidence
5. follow-up as needed to document additional evidence

Question 2

List the 3 main drugs associated with date rape.

Answer 2

1. GHB
2. Rohypnol (flunitrazepam)
3. Ketamine

Question 3

What are long term psychological effects of sexual assault?

Answer 3

depression, suicide, anxiety, fear, difficulty w/ ADL’s, low self-esteem, sexual dysfunction, somatic complaints.

Question 4

What’s an example of a positive cognitive response?

Answer 4

“at least I am alive and will get to see my children again”

Question 5

What’s an example of a negative cognitive response?

Answer 5

“it’s my fault this happened; my mother warned me about working in such a trashy place”

Question 6

characteristic physical signs of sexual assault.

Answer 6

injuries to the face, head, neck, and extremities.

Question 7

How does emergency contraception act?

Answer 7

on follicular development to inhibit ovulation (do not cause abortion)

Question 8

Rape-Trauma Syndrome

Answer 8

sustained and maladaptive response to a forced violent sexual penetration against the victim’s will and consent.

Question 9

What are some of the defining characteristics of Rape-Trauma syndrome?

Answer 9

shame, guilt, powerlessness, low self-esteem, depression, anger, aggression, nightmares, suicide attempts, substance abuse, revenge, paranoia, shock, fear, anxiety, phobias

Question 10

How long after discharge from the hospital should the emotional state and other psychological needs of a patient be reassessed by telephone or personal contact?

Answer 10

24-48 hours after discharge

Question 11

What is a best initial verbal response to the victim?

Answer 11

“you are safe here”