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    Mental health proctored exam

    Which activity is in the scope of practice of a sexual assault nurse examiner (SANE)

    Explanation & Rationale

    A. Collecting and preserving evidence: A SANE nurse is specially trained to perform forensic examinations, collect biological and physical evidence, and maintain chain of custody for legal proceedings. This activity falls directly within their scope of practice, as their role bridges both healthcare and forensic responsibilities. B. Providing long-term counseling for rape victims: While SANE nurses provide emotional support and crisis intervention during the exam, ongoing psychological counseling is outside their scope. Long-term counseling requires referral to mental health professionals. C. Requiring HIV testing of a victim: A SANE nurse can offer HIV testing and provide information about prophylaxis, but they cannot force or require a victim to undergo testing. Consent and autonomy are critical in sexual assault care. D. Encourage the victim to shower before the exam: A victim is specifically advised not to bathe, shower, or change clothes before evidence collection, as these actions may destroy or compromise forensic samples.

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