CFN Trauma-Informed Patient Care & Assessmen 2

Question 1

A patient discloses sexual assault but then recants the story mid-interview. What is the most trauma-informed nursing response?

Accepted Answer

Acknowledge the patient's ambivalence without judgment and allow them to set the pace

Answer

Document the recantation and close the case

Answer

Confront the patient about inconsistencies in their account

Answer

Immediately refer to law enforcement for clarification

Question 2

Which neurobiological phenomenon explains why a sexual assault survivor may have no memory of key details of the attack?

Accepted Answer

Tonic immobility causing dissociation and fragmented memory encoding

Answer

Malingering to avoid prosecution

Answer

Deliberate suppression of facts to gain sympathy

Answer

Alcohol-induced blackout regardless of substance use

Question 3

When conducting a head-to-toe forensic assessment on a trauma patient, which principle best reflects trauma-informed care?

Accepted Answer

Explain each step before it occurs and obtain ongoing consent throughout

Answer

Proceed quickly to minimize the patient's discomfort time

Answer

Complete the genital exam first to preserve the most critical evidence

Answer

Limit communication to reduce re-traumatization from verbal interaction

Question 4

A male patient presents after being sexually assaulted. He appears stoic and minimizes the event. The forensic nurse's priority is to:

Accepted Answer

Recognize that stoicism may reflect socialized coping and provide the same comprehensive care as any survivor

Answer

Accept his minimization and proceed with a brief exam

Answer

Challenge his reaction, as male victims typically underreport severity

Answer

Refer him to psychiatry immediately before proceeding

Question 5

Which of the following best describes the concept of 'secondary traumatic stress' in forensic nursing?

Accepted Answer

The nurse developing trauma symptoms from repeated exposure to patients' traumatic experiences

Answer

Physical injuries sustained while restraining a violent patient

Answer

A patient re-experiencing trauma during the forensic examination

Answer

Stress arising from documentation and legal testimony requirements

Question 6

A patient with a history of childhood abuse becomes agitated and combative during a pelvic examination. The most appropriate trauma-informed intervention is:

Accepted Answer

Stop the exam, validate the patient's response, and collaborate on how to proceed safely

Answer

Administer a sedative to complete the exam efficiently

Answer

Restrain the patient to prevent evidence contamination

Answer

Document non-compliance and discharge the patient

Question 7

The SAFE model in trauma-informed forensic nursing stands for:

Accepted Answer

Support, Advocacy, Follow-up, Empowerment

Answer

Screen, Assess, Facilitate, Evaluate

Answer

Safety, Acknowledgment, Forensic evidence, Education

Answer

Stabilize, Assess, Formulate, Execute