Question 1

During a forensic interview, the interviewee tells the nurse about crimes committed not on record. He then tells the nurse that she can't tell anyone about this because of the nurse-client relationship, stating, "It's like going to confession." The nurse should
A) disregard what the interviewee said because he is only doing this to taunt the nurse.
B) not record the information because it would be a breach of nurse-client confidentiality.
C) record the information on a separate record for the purpose of treatment interventions.
D) document the comments and explain the limited nature of confidentiality in forensic interviews.

Accepted Answer

The nurse should document the comments made by the interviewee and explain the limited nature of confidentiality in forensic interviews. This is because, in forensic settings, the information disclosed may have legal implications, and the nurse has a duty to report certain information, especially if it pertains to crimes or potential harm to others.

Question 2

Civil competency focuses on the person's
A) mental status at the time of the offense.
B) state of mind during the criminal process.
C) ability to make certain decisions.
D) ability to take care of him or herself.

Accepted Answer

Civil competency refers to an individual's ability to make informed decisions regarding personal, legal, or financial matters.

Question 3

Competency is temporal and thus
A) must always be reevaluated and reinstated.
B) becomes a permanent issue over a specified time period.
C) fades over time and the decision automatically reverses.
D) must be evaluated on a monthly basis.

Accepted Answer

Competency can change over time due to various factors such as health, mental state, or new information. Therefore, it must be periodically reevaluated to ensure decisions are based on the current state of competency.

Question 4

The verdict of not guilty by reason of insanity is decided on by the
A) forensic examiner.
B) judge.
C) jury.
D) judge or jury.

Accepted Answer

The verdict of not guilty by reason of insanity is decided by either the judge or the jury, depending on the legal system and the specific circumstances of the case.

Question 5

The forensic psychiatric nurse makes the decision that a defendant is criminally not responsible based on which one of the following?
A) Mental status at the time of the offense
B) Mental state during the assessment
C) Diminished capacity
D) Presence of actus reus

Accepted Answer

The decision that a defendant is criminally not responsible is based on their mental status at the time of the offense, to determine if they were able to understand the nature and quality of the act or know that it was wrong.

Question 6

Persons following a sexually deviant pathway to offending
A) are unable to engage in normal sexual activity with their partners.
B) have daily sexual fantasies that stimulate arousal for masturbation.
C) have intense, specifically inappropriate fantasies for at least 6 months.
D) have a pattern of frequently violating the rights of others.

Accepted Answer

Persons following a sexually deviant pathway to offending often have intense, specifically inappropriate fantasies for at least 6 months, which is a characteristic identified in the diagnostic criteria for certain paraphilic disorders.

Question 7

Dynamic factors that place an offender at risk for sexually offending include
A) age at the time of the offense.
B) criminal history.
C) gender of the victims.
D) attitude favorable toward sexual offending.

Accepted Answer

Dynamic factors are those that can change over time and can potentially be modified through interventions. Attitudes favorable toward sexual offending are considered dynamic because they can be altered through therapy or other interventions, unlike static factors such as age at the time of the offense, criminal history, and gender of the victims, which cannot be changed.

Question 8

Forensic psychiatric mental health nurses may
A) act as ad litem guardian.
B) develop divorce decrees.
C) assess sexual assault victims.
D) assess the accused/defendant's competence to stand trial.

Accepted Answer

Forensic psychiatric mental health nurses can assess the accused/defendant's competence to stand trial.

Question 9

The decision that a defendant is not responsible for a criminal act is based on all of the following, EXCEPT
A) presence of actus reus.
B) absence of mens rea.
C) mental disease or defect.
D) inability to tell right from wrong.

Accepted Answer

The answer of The decision that a defendant is not...

Question 10

Demographic and public policy shifts in the United States have led to
A) reduction in number of incarcerated persons in federal facilities but growth in state facilities.
B) growth in number of incarcerated persons in federal facilities but reduction in state facilities.
C) stable but concerning numbers over the past 30 years.
D) projected growth of incarcerated population at three times that of the general population.

Accepted Answer

The answer of Demographic and public policy shifts in the...

Question 11

Correctional nursing practice is influenced by
A) lack of constitutional rights of inmates that limit health care provided to them.
B) health care that is a dire medical necessity.
C) principles of constitutional law that require provision of dental, medical, psychiatric and psychological care.
D) Eighth Amendment requirements to modify care to inmates when cost is in question.

Accepted Answer

Correctional nursing practice is influenced by principles of constitutional law that require the provision of dental, medical, psychiatric, and psychological care to inmates, ensuring their right to healthcare is met within the correctional system.

Question 12

Which of the following statements is true?
A) Personal values of the nurse have no impact on correctional nursing practice.
B) Clinical expertise in correctional nursing comes with seniority.
C) Expert knowledge and successful problem solving is the basis for correctional nursing.
D) Correctional nursing care is guided by law and access to care, not by evidence.

Accepted Answer

Expert knowledge and successful problem solving are crucial in correctional nursing, as nurses must navigate unique challenges and provide care in a complex environment. This requires a deep understanding of health issues specific to incarcerated populations and the ability to address these effectively.

Question 13

Which of the following is true regarding women's health in correctional facilities?
A) Six percent of the prison population are women, and the numbers are rapidly increasing.
B) Women's health in prison is the most highly researched.
C) Women who are incarcerated rarely have life-threatening health problems like the men.
D) Incarcerated women are generally more violent and dangerous that male prisoners.

Accepted Answer

Women make up a smaller percentage of the prison population, but their numbers have been increasing at a significant rate. This has brought more attention to the specific health needs and challenges faced by women in correctional facilities.

Question 14

The majority of adolescents in correctional facilities
A) just need discipline and guidelines for behavior disorders.
B) are not in need of serious medical or mental health care.
C) have access to abundant services that exist but are seldom used for their health care.
D) should be prudently screened for post-traumatic stress disorder (PTSD) that could lead to violent behavior.

Accepted Answer

Adolescents in correctional facilities often have a history of trauma, which can lead to PTSD. This condition can influence their behavior, including potential for violence, thus necessitating careful screening to identify and address it.

Question 15

Core elements of correctional health care are categories for organizing knowledge for practice, and include all of the following, EXCEPT that
A) there is a legal obligation to provide care and avoid deliberate indifference.
B) theory, knowledge, and protocol have little place in standards of correctional nursing care.
C) laboratory, diagnostic, and emergency care are mandatory components of correctional health care.
D) awareness of patient assignment to staff ratios is mandatory for safety.

Accepted Answer

B is incorrect because theory, knowledge, and protocol are fundamental to establishing and maintaining high standards of correctional nursing care, contrary to the statement that they have little place.

Question 16

Special issues that are experienced by correctional nurses do not include
A) culture shock that reflects the stress of caring for the disadvantaged.
B) supportive and collaborative nature of prison and jail administration, staff, and patients.
C) limitation of resources for health care provision, including staff.
D) role socialization for nurses working in secure environments.

Accepted Answer

Correctional nurses often face challenges such as culture shock, limited resources, and the need for role socialization due to the unique environment of prisons and jails. However, the supportive and collaborative nature of prison and jail administration, staff, and patients is not typically highlighted as a special issue or challenge in correctional nursing literature. Instead, the environment can be more adversarial and stressful, making B the incorrect choice.

Question 17

Boundary violations are a breakdown in professionalism and may result when which of the following occurs?
A) A previously trustworthy and cooperative inmate demands to be seen by one nurse only.
B) Sexual intimacy occurs between inmate and staff.
C) The nurse refers and discharges a patient when patient is clearly ready.
D) Both A and B are violations.

Accepted Answer

Boundary violations in a professional setting, such as between staff and inmates, include both demanding to see only one specific nurse, which can lead to an inappropriate level of personal involvement, and sexual intimacy, which is a clear breach of professional ethics.

Question 18

Fraternization is
A) not a crime, but an ethical issue.
B) an inmate-staff relationship, such as sexual relationship.
C) the same thing as favoritism or familiarity.
D) seldom addressed in correctional policies.

Accepted Answer

Fraternization refers to inappropriate relationships between staff and inmates, such as sexual relationships, which are often prohibited in correctional settings.

Question 19

The United States Constitution prohibited cruel and unusual punishment for inmates, which has led to the emergence of the following inmates' rights.
A) Access to care, ordered care, and surgical care equal to the public at large.
B) Access to care, ordered care, and professional judgment.
C) Ordered care, professional judgment, and reasonable emergency care.
D) Access to cost effective care, reasonable preventive care, and care mandated by correctional personnel.

Accepted Answer

The correct answer is based on the principle that inmates have the right to access care when it is needed, that care must be ordered by a professional exercising sound judgment, and that the care provided must meet professional standards. This reflects the legal and ethical standards set forth in cases such as Estelle v. Gamble, which established the requirement for providing medical care to inmates under the Eighth Amendment's prohibition against cruel and unusual punishment.

Question 20

Legal nurse consulting is the
A) evaluation and analysis of facts and the rendering of informed evidence-based opinions related to the delivery of nursing and health care.
B) analysis and diagnosis of facts and giving opinions related to the delivery of health care.
C) review, analysis, and synthesis of facts and rendering opinions related to the health-care event.
D) presentation of facts and rendering of opinions related to the cascade of events in a health-care setting.

Accepted Answer

Legal nurse consulting specifically involves the evaluation and analysis of facts and the rendering of informed, evidence-based opinions related to the delivery of nursing and health care services. This definition captures the essence of what legal nurse consultants do, which is to apply their nursing knowledge in legal contexts to inform on matters related to health care delivery.

Quiz 1: Forensic Nursing Evidence Based Principles and Practice

During a forensic interview, the interviewee tells the nurse about crimes committed not on record. He then tells the nurse that she can't tell anyone about this because of the nurse-client relationship, stating, "It's like going to confession." The nurse should

Civil competency focuses on the person's

Competency is temporal and thus

The verdict of not guilty by reason of insanity is decided on by the

The forensic psychiatric nurse makes the decision that a defendant is criminally not responsible based on which one of the following?

Persons following a sexually deviant pathway to offending

Dynamic factors that place an offender at risk for sexually offending include

Forensic psychiatric mental health nurses may

The decision that a defendant is not responsible for a criminal act is based on all of the following, EXCEPT

Demographic and public policy shifts in the United States have led to

Correctional nursing practice is influenced by

Which of the following statements is true?

Which of the following is true regarding women's health in correctional facilities?

The majority of adolescents in correctional facilities

Core elements of correctional health care are categories for organizing knowledge for practice, and include all of the following, EXCEPT that

Special issues that are experienced by correctional nurses do not include

Boundary violations are a breakdown in professionalism and may result when which of the following occurs?

Fraternization is

The United States Constitution prohibited cruel and unusual punishment for inmates, which has led to the emergence of the following inmates' rights.

Legal nurse consulting is the