Sexual Assault Flashcards

1
Q

What is sexual violence?

A

It refers to any sexual act, attempted or completed, against a woman who has not freely given her consent.

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2
Q

How is sexual assault defined?

A

A violent act committed in the name of power and control, encompassing nonconsensual sexual acts or behaviors prohibited by law.

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3
Q

What is rape?

A

Completed or attempted nonconsensual vaginal, anal, or oral penetration, no matter how slight, with any body part or object.

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4
Q

When is someone unable to consent?

A

When they are intoxicated by drugs or alcohol, under the legal age of consent, unconscious, or have certain disabilities.

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5
Q

What percentage of women in the U.S. have experienced contact sexual violence?

A

1 in 3 women.

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6
Q

What percentage of U.S. women have been raped?

A

Nearly 1 in 5 women.

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7
Q

What percentage of women injured during a sexual assault receive treatment?

A

35%, with 80% of these treated in a hospital or clinic.

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8
Q

What are common reasons women delay seeking treatment after sexual assault?

A

Shame, embarrassment, fear, self-blame, or lack of insurance.

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9
Q

What are common physical injuries from sexual assault?

A

Genital lacerations, abrasions, bruising, or ecchymosis.

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10
Q

Which sexually transmitted infections (STIs) are most common after sexual assault?

A

Chlamydia, gonorrhea, trichomoniasis, and bacterial vaginosis.

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11
Q

What percentage of rapes result in pregnancy?

A

2% to 5%.

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12
Q

What is the medical forensic examination?

A

An evaluation that includes a complete history, physical exam, anogenital exam, and evidence collection.

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13
Q

What are the two types of consent required?

A

General consent: Agreement to medical evaluation and treatment.
Evidence consent: Permission to collect and release evidence.

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14
Q

What does evidence collection include?

A

Clothing, hair samples, body samples, oral and anogenital swabs, and maintaining the chain of custody.

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15
Q

What services do victim advocates provide?

A

Support, assistance with acute and chronic consequences, and referrals.

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16
Q

What does safety planning involve?

A

Identifying a safe place, contacting law enforcement, and providing legal advocacy.

17
Q

Who are Sexual Assault Forensic Examiners (SAFE) and Sexual Assault Nurse Examiners (SANE)?

A

SAFE: Clinicians trained in caring for sexual assault patients.
SANE: Nurses who perform forensic exams and provide psychological and physical management.

18
Q

What medications are provided for STI prevention?

A

Antibiotics and a three-dose HBV vaccine series.

19
Q

What is nPEP?

A

Non-occupational post-exposure prophylaxis given to prevent HIV.

20
Q

What is the timeframe for effective emergency contraception after assault?

A

Within 120 hours, with efficacy decreasing over time.

21
Q

What should patient education include?

A

Oral and written instructions for care, safety planning, and medical follow-up.

22
Q

When should medical follow-up occur?

A

Within 1 to 2 weeks, with additional contact 24 to 48 hours after the initial evaluation.

23
Q

What challenges exist for disabled individuals in sexual assault cases?

A

Difficulty reporting, informed consent issues, and the need for adaptive communication devices.

24
Q

How can clinicians support LGBTQ individuals who have experienced sexual assault?

A

By providing referrals to agencies skilled in LGBTQ care and avoiding judgment.

25
Q

What are common signs of sex trafficking in adolescents?

A

Frequent visits for reproductive health issues, multiple partners, and STI testing.

26
Q

How can sexual assault prevention be promoted?

A

Through education, challenging behaviors that promote violence, and identifying risk factors.