Adolescent and Adult Sexual Assault Assessment – Intermediate-Level

The next book in our self-assessment series on sexual assault, Intermediate-Level Adolescent and Adult Sexual Assault Assessment, provides more intricate and situation-specific case studies to educate both novice and experienced nurses.

E-pub available on Kindle and iBooks

Available Options:

Intermediate-Level Adolescent and Adult Sexual Assault Assessment
SANE/SAFE Forensic Learning Series

The Intermediate-Level Adolescent and Adult Sexual Assault Assessment is designed to give both novice and experienced sexual assault examiners the opportunity to learn, apply, and demonstrate competency in sexual assault evaluations of adolescents and adults.

Within the test portion of the workbook, readers are challenged with identifying normal anatomical variants in addition to other patient-specific factors that should be considered during the process of medical evaluations, evidence collection, treatment, and patient education.

Features and Benefits:

  • Authored by internationally known SANE/SAFE experts
  • Endorsed by the International Association of Forensic Nurses
  • Formatted for self-study and group instruction
  • Written for a broad audience to capture the diversity and scope of practice of sexual assault examiners
Product Details:

Perfect Bound 11 x 8.5 inches
128 pages, 56 images, 17 contributors



Law Enforcement, Attorneys, Physicians, ER Personnel, Pediatricians, EMTs, Nurses, Clinical Researchers, Social Service Personnel, Mental Health Professionals, Domestic Violence Experts, Child Advocates, Child Abuse Prevention Professionals, Child Protective Services Members

Publication date:

October 2012


978-1-936590-17-9 (Print)
978-1-936590-24-7 (eBook)

Table of Contents

Section I: Anatomical Review
1. 28-year-old Female Patient with Limited Memory
2. 23-year-old Female Patient from the Military Base
3. 16-year-old Female Patient with a 25-year-old Male Partner
4. 24-year-old Female Patient Assaulted by a Stranger
5. 16-year-old Female Patient Following a Party
6. 33-year-old Female Patient and Intimate Partner Violence
7. 24-year-old Female Patient Following a Party
8. 38-year-old Female Patient Assaulted by an Acquaintance
9. 19-year-old Female Patient Assaulted by Two Strangers
10. 16-year-old Male Patient Assaulted by His Athletic Instructor
11. Documenting a History and Reviewing a Case

Section II: Recommended Reading

Section III: Answer Key

Section IV: Test Questions


Diana Faugno, a Minnesota native, graduated from the University of North Dakota in 1973 with a degree in nursing and obtained an MSN in 2006. Her professional experience includes nursing in the Medical/Surgical, Labor and Delivery, Pediatrics, and Neonatal Intensive Care departments. Ms. Faugno obtained her certification in pediatric nursing in 1990, began a career as a sexual assault nurse examiner in 1991, and became a certified sexual assault nurse examiner in 2002. She is the former director of Forensic Health Services, which includes a child abuse program, sexual assault team, and a family violence program in North San Diego County. Currently, Ms. Faugno is a board director for End Violence Against Women International. She has made several presentations to the scientific community and has led workshops on sexual assault presented at the American Academy of Science.

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Rachell A. Ekroos, PhD, APRN, FNP-BC, AFN-BC, DF-IAFN, FAAN

Rachell Ekroos (formerly Copeland), a board certified family nurse practitioner, specializes in forensic nursing and serves populations affected by violence. As a recognized expert in sexual violence across the lifespan, she has provided more than 1,500 medical forensic evaluations for patients and completed more than 5,000 peer reviews. In addition to her clinical practice, she provides case consultation and educational services for forensic and general health care providers, members of interdisciplinary response teams, task forces, and advisory committees. Through her service as a medical volunteer with an international organization, Rachell Ekroos provides medical evaluations for victims of torture seeking asylum in the United States.

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Jill L. Crum, BSN, RN, SANE-A

Jill Crum received her nursing degree in 1997 from College of the Desert in Palm Desert, California. She began her nursing career as a medical-surgical nurse at Eisenhower Medical Center and has since become an emergency department nurse, forensic controller for the Center’s Tennity Emergency Department, and co-founder of its sexual assault response team. In 2009, she earned her Bachelor of Science in Nursing from the University of Phoenix and was inducted into Sigma Theta Tau International Honor Society of Nursing.

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Patricia Speck is an internationally recognized family nurse practitioner who specializes in public health and forensic nursing. She graduated from the University of Tennessee Health Science Center, College of Nursing and later completed her doctoral dissertation on sexual assault program evaluation. As a board certified family nurse practitioner, Patricia’s clinical practice focuses on the health aftermath of violence and her research centers on forensic nursing practice topics. She is a consultant, author, and lecturer on forensic nursing and has earned more than 20 local, national, and international awards and professional honors for her work. Patricia chairs the American Public Health Association’s Family Violence Forum and is a former president of the International Association of Forensic Nurses.

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The Intermediate-Level SANE/SAFE Adolescent and Adult Sexual Assault Assessment is a tool that is of value to forensic nurses at all levels. The learning activities demonstrate sound educational precepts and build on existing knowledge. This book presents advanced cases that challenge the reader’s critical thinking. The forensic clinician is engaged in slightly more complex patient management throughout the learning process in this workbook. The case study format in this book is a great adjunct to support classroom learning and allows for discussions with colleagues and mentors with peer review or in actual practice. Progressive practice promotes efficiency that affects clinical thinking and improves patient outcomes while building clinician confidence from the start of a forensic career. Sound forensic nurse leaders and experts are more likely to develop the expertise and knowledge that leads to collaborative interprofessional relationships that are built on trust—all of which lead to improved justice outcomes. I would highly recommend the use of the Intermediate-Level SANE/SAFE Adolescent and Adult Sexual Assault Assessment in a classroom or clinical setting, or for personal growth.

Patricia A. Crane, PhD, MSN, RN, WHNP-BC, DF-IAFN
Alpha Delta Chapter of Sigma Theta Tau
International Nursing Honor Society
Assistant Professor, School of Nursing
University of Texas Medical Branch
Galveston, Texas

This is a highly specialized workbook for medical professionals who encounter victims of sexual assault. It is highly rated by experts in the field, and I concur with the experts.

Anna L. Jarrett, PhD, ACNP-ACNS
University of Arkansas

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