UNIT 10 Sexual Assault Chapter 29 Flashcards

1
Q

What is Sexual assault

A

Sexual assault and sexual violence are broad terms that encompass unwanted sexual advances , rape, harassment, sexual trafficking and much
more.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is Rape

A

– Completed Rape – Completed rape is defined as “penetration, no matter how slight, of the vagina or anus with any body part or object, or oral penetration by a sex organ of another person, without the consent of the victim”
– Attempted Rape – Threats of rape or intention to rape that is unsuccessful are referred to an attempted rape.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Date Rape

A

– Date Rape Drugs – often combined with alcohol
– Victim loses the ability to fight off the perpetrator
– Develop amnesia and become unreliable witnesses
– Symptoms mimic those of alcohol consumption so the victim is often not
screened
– If a patient has symptoms that resemble alcohol intoxication and physical
presentation that sexual assault may have occurred – treat this like a rape

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Drugs commonly used for Date Rape

A

**GHB (gamma-hydroxybutyric acid) Also known as G, Georgia home boy,
liquid ecstasy, salty water, scoop,

Rohypnol (flunitrazepam)a

Ketamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Patient’s experience after a traumatic event

A

Acute Stress Disorder
– Intrusive symptoms – flashbacks, memories
– Negative thoughts/mood
– Dissociative symptoms – depersonalization, derealization
– Avoidance
– Arousal symptoms –hyperactive reflex response

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Specialized sexual assault
services/Forensic Examinations

A

Sexual Assault Nurse Examiners (SANE)
– Providing patient centered care w/o judgment or violation of rights
– Culturally responsive care

– Support, age-appropriate language, keeping the patient informed
Providing a safe and private environment (not leaving the patient alone)
– Registered Nurse – Head to toe assessment

SANE NurseCompleting a Forensic Exam
– Prevent revictimization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

If you patient who has been SA’d decides she does not want pictures of her taken. What is the nurses next action?

A. insist to be taken to so enough evidence is available
B. respect the patients’ autonomy

A

B. respect the patients’ autonomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Should you leave a SA victim alone as nurse?

A. yes
B.NO

A

B.NO

Providing a safe and private environment (not leaving the patient alone)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the nurses priority for a victim of SA?

A

PROVIDE SAFETY AND TEND TO THEIR PHYSICAL NEEDS

MASLOWS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

SANE

A

Who is a SANE? A Sexual Assault Nurse Examiner (SANE) is a Registered Nurse who has received special training so that s/he can provide comprehensive care to sexual assault victims. In addition s/he is able to conduct a forensic exam and may provide expert testimony if a case goes to trial.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Rape-Trauma Syndrome

A

Sustained and maladaptive response to rape

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Rape and Trauma characteristics

A

Shame
Guilt Helplessness Powerlessness Dependence Low self-esteem Depression
Mood swings Aggression Anger
Agitation Revenge Substance misuse Suicide attempts
Anxiety
Fear
Disturbed sleep Nightmares Sexual dysfunction Muscle tension Hyperalertness
Dissociation Disorganization Shock Confusion Phobias Paranoia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What can a SA victim feel after an event

A

Sexual assault is often followed by feelings of fear, degra-
dation, anger, and rage. Helplessness, anxiety, sleep distur- bances, disturbed relationships, flashbacks, depression, and somatic complaints are also common.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the most common date rape drug?

A

Psychoactive substances play a major role in sexual assault, and alcohol is the most commonly used date-rape drug.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Should nurses repeat questions during an medical evaluation for a SA victim?

A. yes
B. no

A

B. no

Nurses can minimize repetition of questions and support the patient as she goes through the medical and legal evaluation.

-The initial medical evaluation may be frightening and stressful. A police interview, repeated questioning by health profession- als, and the physical examination itself all have the potential to add to the trauma and revictimization of the sexual assault.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Do SA victims benefit from Group therapy and treatment?

A. No
B.Yes

A

B.Yes

Rape victims benefit from group therapy or support groups. Group therapy can make the difference between a person’s com- ing out of the crisis at a lower level of functioning or gradually adapting to the experience with an increase in coping skills. Support groups are available locally or online.

17
Q

Long term therapy

A

Survivors require long-term healthcare that can include counseling to minimize long-term effects of the rape and assisting in a return to a normal living pattern.

18
Q

Perpetrators for Sa

A

Psychotherapy is essential for perpetrators of sexual assault if behavioral change is to occur. Unfortunately, most perpetrators do not acknowledge the need for behavioral change, and no single method or program of treatment has been found to be totally effective. The nurse’s awareness of personal feelings and reactions will be crucial to avoid interference with the therapeu- tic process.

19
Q

Signs the Sexual assault survivor is in Recovery:

A

Signs the Sexual assault survivor is in Recovery:
– Sleeping well with few instances of episodic nightmare or
broken sleep
– Eating as if they did before the rape
– Calm and relaxed or only mildly suspicious, fearful or restless
– Getting support from family and friends
– Generally positive self-regard about themselves
– The absence or only mild instances of somatic reactions
– Returning to pre-rape sexual functioning and interest

20
Q

Considering the guilt that women feel after being sexually
assaulted, which nursing assessment question has priority? a. “Do you want the police to be called?”
b. “Did you recognize the person who assaulted you?”
c. “Do you have someone you trust that can stay with you?”
d. “Do you have any thoughts about harming yourself?”

A

d. “Do you have any thoughts about harming yourself?”

21
Q

Which statement is an accurate depiction of sexual assault?
a. Rape is a sexual act.
b. Most rapes occur in the home.
c. Rape is usually an impulsive act.
d. Women are usually raped by strangers.

A

b. Most rapes occur in the home.

22
Q

Which signs and symptoms are associated with rape-
trauma and rape-trauma response? Select all that apply.
a. Outbursts of anger
b. Major depressive disorder
c. Auditory hallucinations
d. Flashbacks
e. Amnesia for the event

A

a.b.d.e

23
Q

The stress of being raped often results in suffering similar to
people who have witnessed a murder or had a physiological reaction to trauma, resulting in which of the following?
a. Posttraumatic stress disorder
b. Anxiety
c. Depression
d. All of the above

A

d. All of the above

24
Q

A young woman named Carly was raped after closing
shift behind the restaurant where she works. Six months have passed and Carly has not been able to return to work, refuses to go out to eat, and feels that she has less value as a woman now that she has been raped. Carly’s clinical pre- sentation suggests:
a. Reexperiencing
b. Hyperalertness
c. Avoidance
d. Physical effects

A

c. Avoidance

25
Q

Perpetrators of sexual assault are often incarcerated but frequently do not undergo therapy. Samuel, convicted of rape and sentenced to 15 years in prison, has asked to see a therapist. The psychiatric nurse practitioner is surprised to learn of the request, as many perpetrators
a. Boast of their assault history.
b. Feel regret and remorse.
c. Do not acknowledge the need for change.
d. Are unable to recognize rape as a crime.

A

c. Do not acknowledge the need for change.

26
Q

You are working at a telephone hotline center when Abby, a rape victim, calls. Abby states she is afraid to go to the hospital. What is your best response?
a. “I’m here to listen, and we can talk about your feelings.”
b. “You don’t need to go to the hospital if you don’t want
to.”
c. “If you don’t go to the hospital, we can’t collect evidence
to help convict your rapist.”
d. “Why are you afraid to seek medical attention?”

A

a. “I’m here to listen, and we can talk about your feelings.”