CFN Trauma-Informed Patient Care & Assessmen 5

Question 1

An elderly patient presents with multiple bruises in various stages of healing and appears fearful when the caregiver is present. The forensic nurse's priority is:

Accepted Answer

Separate the patient from the caregiver and conduct a private assessment for elder abuse

Answer

Interview the patient with the caregiver present for accuracy

Answer

Attribute the bruises to age-related skin fragility without further investigation

Answer

Contact the caregiver to obtain the history of injury

Question 2

Which of the following is an example of a trauma-informed approach to obtaining a patient's assault history?

Accepted Answer

Allowing the patient to share their experience at their own pace without interruption

Answer

Asking why the patient did not resist the assault

Answer

Using a structured narrative timeline starting with the most traumatic moment

Answer

Requiring complete chronological recall before documenting

Question 3

A patient who experienced childhood sexual abuse is now undergoing a forensic exam as an adult survivor. She freezes and stops responding partway through. This is most consistent with:

Accepted Answer

A somatic flashback triggered by the exam re-activating childhood trauma

Answer

Faking a reaction to strengthen a legal case

Answer

Drug intoxication masking her true response

Answer

Deliberate non-compliance with the examination

Question 4

Cultural humility in forensic nursing practice primarily requires the nurse to:

Accepted Answer

Recognize personal biases and approach each patient as the expert on their own cultural experience

Answer

Learn the specific cultural practices of every patient population in advance

Answer

Apply generalized cultural knowledge uniformly to patients from similar backgrounds

Answer

Defer all cross-cultural assessments to social work

Question 5

A forensic nurse working with a survivor of trafficking notices she is becoming overly emotionally involved and dreams about the patient's case. This is best described as:

Accepted Answer

Vicarious trauma requiring self-care, supervision, and possible debriefing

Answer

Professional misconduct requiring immediate termination

Answer

Normal compassion that improves patient outcomes

Answer

Transference that must be disclosed to the patient

Question 6

Which of the following best explains why trauma survivors frequently delay reporting assault for days, weeks, or months?

Accepted Answer

Fear of disbelief, shame, self-blame, and concerns about confidentiality impede timely disclosure

Answer

They fabricated the assault and needed time to refine their story

Answer

They were unaware assault had occurred due to intoxication

Answer

Medical treatment is unavailable in rural communities until symptoms worsen

Question 7

In the context of trauma-informed care, 'empowerment' as a core principle means the nurse should:

Accepted Answer

Focus on the patient's strengths and support their decision-making throughout the encounter

Answer

Make clinical decisions on behalf of the patient to reduce their burden

Answer

Empower the patient by ensuring they understand the legal consequences of their choices

Answer

Transfer power to advocacy organizations to manage the patient's care