Question 1

A nurse assesses the factors that may place a client at risk for injury from a violent act by considering the role these factors play before,during,and after the violent act.The work of which theorist is being applied?
A) Matrix
B) Maslow
C) Haddon
D) Hammer

Accepted Answer

Haddon developed a matrix when examining methods to identify the risk of injury.The matrix looks at factors related to personal attributes,vector or agent attributes,and environmental attributes before,during,and after an injury or death.Hammer recognized that in forensic nursing practice,the caring component must address caring for oneself as well as caring for clients.Maslow's theory focuses on clients' meeting their hierarchy of needs.

Question 2

A nurse is providing direct client care while working in a correctional setting.Which of the following levels of prevention is being used?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Assessment

Accepted Answer

If disability,incarceration,or death occurs,tertiary prevention is applied in settings appropriate to address rehabilitation or identify factors that have put individuals at risk.Primary prevention focuses on preventing violence and injuries before they occur.Secondary prevention occurs following the occurrence of injuries and crime.This includes direct care provided to victims and perpetrators as well as the collection of evidence.

Question 3

What has been the focus of the majority of scientific research in forensic nursing?
A) Role of the forensic nurse and client population
B) Sexual assault team response
C) Client satisfaction with forensic nurses
D) Collaboration with other disciplines

Accepted Answer

Scientific research in forensic nursing is in its early stages.Currently,research is largely a description of the forensic nursing role and client population.

Question 4

A homicide has occurred in a community.To whom would this information need to be reported?
A) United States Public Health Service
B) World Health Organization (WHO)
C) Centers for Disease Control and Prevention (CDC)
D) National Violent Death Reporting System (NVDRS)

Accepted Answer

The NVDRS was initiated by the CDC in an effort to develop a national state-based surveillance system that could identify the cause and manner of death,leading to prevention efforts by pulling together data on violent deaths,unintentional firearm injury deaths,and deaths of undetermined intent.The United States Public Health Service and WHO have the goal of reducing injury,but homicides are not reported to these organizations.

Question 5

A nurse collects evidence from a victim following a sexual assault.Which of the following levels of prevention is being used?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Assessment

Accepted Answer

Secondary prevention occurs following the occurrence of injuries and crime.This includes direct care provided to victims and perpetrators as well as the collection of evidence.Primary prevention focuses on preventing violence and injuries before they occur.If disability,incarceration,or death occurs,tertiary prevention is applied in settings appropriate to address rehabilitation or identify factors that have put individuals at risk.

Question 6

A forensic nurse assesses a child who has injuries that indicate possible abuse.What is the best way to document the assessment findings?
A) Tape recorded statements from the child
B) Digital photographs of injuries
C) Video recording to record statements and show injuries
D) Written documentation and photography

Accepted Answer

Documentation of all forms of violence should include written documentation as well as photography.

Question 7

A forensic nurse implements a program aimed at preventing domestic abuse.Which of the following levels of prevention is being used?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Assessment

Accepted Answer

Primary prevention focuses on preventing violence and injuries before they occur-program focused on preventing domestic abuse.Secondary prevention occurs following the occurrence of injuries and crime.This includes direct care provided to victims and perpetrators as well as the collection of evidence.If disability,incarceration,or death occurs,tertiary prevention is applied in settings appropriate to address rehabilitation or identify factors that have put individuals at risk.

Question 8

A nurse is conducting a community assessment in a healthy community.Which of the following findings should the nurse anticipate?
A) Low crime rates
B) High rates of injury
C) Significant health disparities
D) Low mortality rates

Accepted Answer

The rate of injury and crime is lower in communities that promote good health.Where inequities of resources and education exist,health disparity,violence,and other crimes rise and accidental injuries occur more often.

Question 9

A nurse may need to use medical coercion with a client.Which of the following medical diagnoses would the client most likely have?
A) Human immunodeficiency virus (HIV)
B) Depression
C) Schizophrenia
D) Hypertension

Accepted Answer

Medical coercion may be necessary in certain situations.These situations include incapacity to make decisions and making decisions that could result in harm to self or harm to others in the absence of interventions.For instance,mentally ill inmates may be medically coerced to take psychotropic medications against their will if the mental disorder is serious,the inmate is dangerous to himself,and the medication prescribed is in the inmate's best medical interest.Schizophrenia is the diagnosis most likely to require medical coercion.

Question 10

What is the main purpose of the National Center for Injury Prevention and Control?
A) Assist victims of violence
B) Maintain records of the incidence of injuries
C) Coordinate the prevention of injuries, violence, and their consequences
D) Encourage collaboration among professionals from various disciplines

Accepted Answer

The National Center for Injury Prevention and Control was established to coordinate the prevention of injuries,violence,and their consequences.The work of this center includes providing grants that fund prevention programs,dissemination of research findings,and maintenance of a website,blogs,podcasts,and electronic newsletters.This funding helps to inform the public of the epidemiology of injury and to provide other resources for professionals.

Question 11

What is the extent of the economic burden of injuries in the United States?
A) It is extensive, including medical treatment and lost productivity.
B) It is minimal, as limited funds are spent treating injuries.
C) It varies depending on the extent of the injury.
D) It has been reduced through risk reduction strategies.

Accepted Answer

The economic burden of injuries in the United States is extensive,especially when considering the costs of medical care and treatment,productivity losses (lost wages,accompanying fringe benefits),and lost ability to perform normal household responsibilities.

Question 12

A nurse is providing emergency care to an assault victim.Which of the following would be the most appropriate action for the nurse to take?
A) Support the privacy of the victim
B) Assess the socioeconomic status of the victim
C) Question the victim about the details of the assault
D) Educate the victim about violence prevention

Accepted Answer

Supporting the privacy of the assault victim is the most appropriate action for the nurse to take when providing care.When providing emergency care,it is not the most appropriate time to assess the client's socioeconomic status or educate the victim about violence prevention.The forensic nurse will need to document the victim's account of the assault; however,there will be law enforcement involved to collect this data.

Question 13

A nurse is caring for an individual who has been a victim of trauma.Which of the following most likely describes the client that the nurse is caring for?
A) A middle-class, Caucasian female
B) A middle-class, African American male
C) A low-income, Caucasian male
D) A low-income, African American female

Accepted Answer

Trauma victims are overrepresented in minority,disenfranchised,and disadvantaged groups.Where inequities of resources and education exist,health disparity,violence,and other crimes rise and accidental injuries occur more often.

Question 14

A forensic nurse is demonstrating the role of advocate.Which of the following best describes the intervention being performed by the nurse?
A) Partner with public health professionals to implement programming
B) Promote programs that prevent injuries
C) Investigate injuries in the community
D) Provide holistic care to victims of violence

Accepted Answer

Forensic nurses can demonstrate the role of advocate by promoting programs that prevent injuries.Partnering with public health professionals to implement programming demonstrates collaboration.Investigating injuries in the community demonstrates the role of epidemiologist.Providing holistic care to victims of violence demonstrates the role of caregiver.

Question 15

Which setting is a forensic nurse most likely to be employed?
A) Physician's office
B) Urgent care center
C) School-based health center
D) Medical examiner's office

Accepted Answer

Practice arenas for forensic nurses include health care facilities such as private clinics and emergency departments,criminal justice centers for victims of crime,medical examiner offices,police departments,correctional facilities,and mental health centers.

Question 16

A forensic nurse is implementing Hammer's definition of caring.Which of the following actions would the nurse most likely perform?
A) Utilizing intuition when assessing a client
B) Providing self-care and care for the client
C) Assuring that the client's basic needs are met
D) Assessing the bio-psychosocial and spiritual characteristics of the client

Accepted Answer

Hammer recognized that in forensic nursing practice the caring component must address caring for oneself as well as caring for clients.A sense of self-worth must be cultivated and nurtured to the degree that caring is conscientious,objective,and demanding of the scientific truth.Caring must also be curious and questioning; it should be directed toward colleagues; and finally,caring should be about firm and valued concepts that inform practice.

Question 17

A nurse vocalizes a concern that a group of refugees in the community is not receiving equal access to health care services when compared to the other residents in the community.Which of the following concepts is being applied?
A) Victimization
B) Perceptivity
C) Questioning
D) Beneficence

Accepted Answer

Victimization occurs when individuals or groups are treated unfairly; generally when there is an imbalance of power.Perceptivity,as an element of intuitiveness,is one tool the forensic nurse uses to investigate injury; it involves an increased awareness of human behavior and environment that is interpreted by knowledge and lived experience in making expert decisions.Questioning has led to a greater understanding of what most would consider the unexplainable and unimaginable.Beneficence is an ethical principle that relates to caring.

Question 18

A nurse is employed as a forensic nurse during the 1950s.Which of the following tasks would the nurse most likely have been implementing?
A) Working in a sexual assault clinic
B) Identifying indicators of assault
C) Implementing protocols for sexual assault care
D) Receiving sexual assault nurse examiners (SANE) training

Accepted Answer

During the 1940s through the 1960s,nurses became aware of their role in identifying indicators of assault.The first nurse-run sexual assault clinic opened in 1974,with subsequent development of the first protocols for sexual assault care.SANE programs appeared in the 1990s.

Question 19

A forensic nurse has collected trace evidence.Which of the following best describes what has been collected?
A) Fingerprints
B) Bloodstains
C) Hand gun
D) Autopsy report

Accepted Answer

The most common types of trace evidence from victims of violence are clothing,bullets,bloodstains,hairs,fibers,and small pieces of material,such as fragments of metal,glass,paint,and wood.

Question 20

A nurse uses the scope and standards for forensic nursing practice to differentiate this practice from other nursing specialties.Which parameter best describes the practice of forensic nursing?
A) Assessment includes assessing the community for potential violence.
B) Identification of outcomes of care are accomplished by collaborating with health care professionals.
C) Coordination of care involves education and other strategies to prevent injuries well after the occurrence.
D) Evaluation of outcomes relates to program evaluation.

Accepted Answer

Coordination of care relevant to forensic outcomes often involves education and other strategies to prevent injuries well after the occurrence,perhaps after the death of an individual who has been injured.Assessment includes the collection of forensic data,identification of realistic outcomes of care are most commonly performed in collaboration with a team of professionals outside of nursing and medicine,and evaluation of outcomes may involve dissemination of results to the client and the community.

Quiz 44: Forensic Nursing in the Community

A nurse assesses the factors that may place a client at risk for injury from a violent act by considering the role these factors play before,during,and after the violent act.The work of which theorist is being applied?

A nurse is providing direct client care while working in a correctional setting.Which of the following levels of prevention is being used?

What has been the focus of the majority of scientific research in forensic nursing?

A homicide has occurred in a community.To whom would this information need to be reported?

A nurse collects evidence from a victim following a sexual assault.Which of the following levels of prevention is being used?

A forensic nurse assesses a child who has injuries that indicate possible abuse.What is the best way to document the assessment findings?

A forensic nurse implements a program aimed at preventing domestic abuse.Which of the following levels of prevention is being used?

A nurse is conducting a community assessment in a healthy community.Which of the following findings should the nurse anticipate?

A nurse may need to use medical coercion with a client.Which of the following medical diagnoses would the client most likely have?

What is the main purpose of the National Center for Injury Prevention and Control?

What is the extent of the economic burden of injuries in the United States?

A nurse is providing emergency care to an assault victim.Which of the following would be the most appropriate action for the nurse to take?

A nurse is caring for an individual who has been a victim of trauma.Which of the following most likely describes the client that the nurse is caring for?

A forensic nurse is demonstrating the role of advocate.Which of the following best describes the intervention being performed by the nurse?

Which setting is a forensic nurse most likely to be employed?

A forensic nurse is implementing Hammer's definition of caring.Which of the following actions would the nurse most likely perform?

A nurse vocalizes a concern that a group of refugees in the community is not receiving equal access to health care services when compared to the other residents in the community.Which of the following concepts is being applied?

A nurse is employed as a forensic nurse during the 1950s.Which of the following tasks would the nurse most likely have been implementing?

A forensic nurse has collected trace evidence.Which of the following best describes what has been collected?

A nurse uses the scope and standards for forensic nursing practice to differentiate this practice from other nursing specialties.Which parameter best describes the practice of forensic nursing?