CFN Trauma-Informed Patient Care & Assessmen 3

Question 1

A patient who experienced intimate partner violence (IPV) refuses to leave the abusive relationship. The forensic nurse's best response is:

Accepted Answer

Respect the patient's autonomy, provide harm reduction information, and ensure follow-up resources

Answer

Discharge the patient and document refusal of services

Answer

Call the abuser's family to intervene on the patient's behalf

Answer

Alert law enforcement to remove the patient from the home immediately

Question 2

Which assessment tool is validated for screening intimate partner violence in emergency and forensic nursing settings?

Accepted Answer

HITS (Hurt, Insult, Threaten, Scream)

Answer

PHQ-9

Answer

AUDIT-C

Answer

GCS (Glasgow Coma Scale)

Question 3

During a forensic interview, a pediatric patient suddenly goes silent and stares blankly. The forensic nurse should recognize this as a potential sign of:

Accepted Answer

Dissociation, a protective trauma response

Answer

Boredom with the interview process

Answer

Deliberate non-cooperation

Answer

Neurological emergency requiring immediate intervention

Question 4

Which of the following environmental modifications best supports a trauma-informed forensic examination suite?

Accepted Answer

Private, calming space with adjustable lighting and access to a support person

Answer

Bright overhead lighting to improve visibility for evidence collection

Answer

Restraint equipment visibly mounted for staff efficiency

Answer

Open-bay design to allow rapid staff response

Question 5

A survivor of human trafficking presents for care but denies being trafficked when asked directly. The forensic nurse's best approach is:

Accepted Answer

Use indirect, trauma-informed questions and build rapport before addressing trafficking

Answer

Accept the denial and proceed with routine care only

Answer

Confront the patient with trafficking indicators observed during assessment

Answer

Immediately notify law enforcement of suspected trafficking

Question 6

The concept of 'universal precautions for trauma' in healthcare means:

Accepted Answer

Assuming any patient may have a trauma history and adjusting care accordingly

Answer

Assuming all patients have communicable diseases

Answer

Using PPE during all forensic examinations

Answer

Screening only high-risk patients for traumatic exposure

Question 7

A forensic nurse is documenting injuries on a patient who experienced strangulation. Which symptom is most commonly missed due to its delayed or subtle presentation?

Accepted Answer

Petechiae and voice changes

Answer

Facial bruising

Answer

Subconjunctival hemorrhage

Answer

Lacerations of the neck