CFN Trauma-Informed Care Strategies 2

Question 1

A forensic nurse is caring for a sexual assault survivor who becomes silent and dissociates during the exam. What is the most appropriate immediate response?

Accepted Answer

Pause, gently ground the patient using sensory techniques, and ask if they want to continue

Answer

Continue the exam quickly to minimize total time

Answer

Document the dissociation and proceed without interruption

Answer

Administer a sedative to calm the patient

Question 2

Which of the following best defines 'secondary traumatic stress' as it relates to forensic nurses?

Accepted Answer

Emotional distress resulting from indirect exposure to a patient's traumatic experiences

Answer

Physical injury sustained while restraining a patient

Answer

Burnout caused by excessive workload

Answer

Stress from conflicts with hospital administration

Question 3

When obtaining consent from a domestic violence survivor for forensic photography, the nurse should:

Accepted Answer

Obtain written informed consent and explain how images will be used and stored

Answer

Obtain verbal consent only, as written forms can re-traumatize

Answer

Proceed without consent if injuries are severe, for evidentiary purposes

Answer

Delegate consent to the attending physician

Question 4

A trauma-informed approach to interviewing child abuse victims prioritizes which of the following?

Accepted Answer

Using non-leading, open-ended questions in a child-friendly environment

Answer

Using leading questions to quickly identify perpetrators

Answer

Conducting interviews with parents present to reduce child anxiety

Answer

Completing the interview in one session regardless of child fatigue

Question 5

The SAMHSA framework for trauma-informed care includes six key principles. Which principle ensures patients feel physically and emotionally safe during forensic encounters?

Accepted Answer

Safety

Answer

Empowerment

Answer

Collaboration and mutuality

Answer

Peer support

Question 6

A forensic nurse notices that a trafficking victim becomes hostile and refuses care. The most trauma-informed response is to:

Accepted Answer

Recognize hostility as a possible trauma response and offer to continue care at the patient's own pace

Answer

Involve security personnel to ensure compliance

Answer

Document refusal and discharge the patient immediately

Answer

Request a psychiatric consult before proceeding with any forensic exam

Question 7

Which environmental modification best supports a trauma-informed forensic examination space?

Accepted Answer

A private room with patient-controlled lighting, a gown option, and access to a support person

Answer

Bright overhead lighting to improve visibility during exams

Answer

Mirrors placed strategically to allow the nurse to monitor the patient

Answer

Locked doors to ensure confidentiality during the exam