sexual assault

Question 1

sexual assault and sexual violence

Answer 1

Unwanted sexual advances and sexual harassment

• Stranger rape
• Marital rape
• Date rape
• Drug-facilitated sexual assault
• Incest
• Human sex trafficking
• Female genital mutilation

Question 2

rape

Answer 2

• Nonconsensual activity
• Any penetration of the vagina or anus with any object or body part, or the oral penetration by a sex organ of another person
• Second most violent crime (FBI, 2008)

Question 3

epidemiology

Answer 3

• 1 in 5 women and 1 in 71 men in the United States have been raped at some time in their lives
• Race and ethnicity

Question 4

sexual offenders and relationships with victims

Answer 4

• Spousal (or marital) rape

- Acquaintance (or date) rape (social/party setting)

Question 5

can lead to

Answer 5

acute stress disorder:

• short term
• intrusive thoughts, negative thoughts, shame, blame, dissociative symptoms, blocking, avoidance of people and places, arrosal symtoms, difficulty sleeping, angry outburst, derealization and depersonalization

posttraumatic stress disorder
- month or more

Question 6

Psychological Effects of Sexual Assault

Answer 6

Depression
Suicide
Anxiety
Fear
Difficulties with daily functioning
Low self-esteem
Sexual dysfunction
Somatic complaints

Question 7

Effects of Incest

Answer 7

Incest victims may experience

• Negative self-image
• Depression
• Eating disorders
• Personality disorders
• Self-destructive behaviors
• Substance abuse

Question 8

specialized sexual assault services

Answer 8

sexual assault nurse examiners (SANEs)

sexual assault response team (SART)

Question 9

sexual assault nurse examiners (SANEs)

Answer 9

RNs with specialized training in caring for sexual assault patients
Demonstrated competency in conducting medical and legal evaluations
Ability to be an expert witness in court

Question 10

Sexual assault response team (SART)

Answer 10

multipdisipinary team

- social worker, nurse, doctor, pt. advocate, forensic team

Question 11

general assessment

Answer 11

• Level of anxiety: how often causing impairment of function, any triggers, coping mechanisms
• Coping mechanisms
• Available support systems
• Signs and symptoms of emotional trauma: listen to them, lower self esteem, feel numb
• Signs and symptoms of physical trauma

Self assessment

Question 12

best practice guidelines

Answer 12

Examination involves five steps

1. Head-to-toe physical assessment for signs of injury
2. Detailed genital examination
3. Evidence collection and preservation
4. Documentation of physical findings
5. Treatment, discharge planning, and follow-up care

• last period
• identifying sti
• plan b if concerned about getting preg

Question 13

diagnosis

Answer 13

Rape-trauma syndrome: maladaptive response to penatration against response

Question 14

outcome identification

Answer 14

• absence of any risidual symtoms after the trauma

- help them recover from sexual assult

Question 15

interventions

Answer 15

Counseling
Promotion of self-care activities
Case management

Question 16

advanced practice interventions

Answer 16

Psychotherapy

Question 17

CPI

Answer 17

• feed the bite, pinch nose, eyes

hair grab:

• grab hand and elbows in
• unwind fingers
• back into a wall
• know their triggers to prevent crisis
• give direct answers to questions