Caring for Persons With Mental Illness and Criminal Behavior

Question 1 of 5

A nurse?s friend is considering going into forensic nursing and asks the nurse to explain the connection between mental illness and being convicted of a crime. Which response by the nurse would be most accurate?

A. Mentally ill men are less likely than nonmentally ill men to be convicted of a crime.

B. Mentally ill women are less likely than nonmentally ill women to be convicted of a crime.

C. Women who are incarcerated are more likely to receive mental health services than men.

D. African American offenders often receive more mental health treatment than other offenders.

Correct Answer:

Rationale:

Question 2 of 5

A nursing instructor is explaining to a group of nursing students that in addition to facing the stigma associated with being mentally ill, forensic clients who are mentally ill also experience the stigma associated with being a criminal. One of the students asks the instructor how the stigma associated with criminality might influence nursing care. Which response by the instructor would be most appropriate?

A. Nurses may be reluctant to care for mentally ill criminals because of unrealistic fears for their own safety and that of their other clients.

B. Nurses may prefer to care for forensic clients because they do not believe criminals can be mentally ill.

C. An example would be volunteering to work only with forensic clients because of the belief that forensic clients experience only mild mental health problems.

D. An example would be unfounded fear of what such clients might do after they are discharged from treatment.

Correct Answer:

Rationale:

Question 3 of 5

A nurse is giving a public presentation on the topic of forensic psychiatric care at a community center in a community that is considering building a forensic facility. The nurse is explaining about how someone who is found to be unfit to stand trial is subsequently hospitalized in a forensic mental health facility. A member of the audience asks, 'What is the purpose of the hospitalization?' Which response by the nurse would be most appropriate?

A. Basically, they are kept under protective custody as long as necessary.

B. Efforts are focused on helping the client become ?fit? to stand trial.

C. Treatment is focused on determining the correct diagnosis.

D. The main purpose is holding the client until a new trial date can be set.

Correct Answer:

Rationale:

Question 4 of 5

A psychiatric nursing instructor is trying to explain to a group of students how clients identified as guilty but mentally ill (GBMI) and not guilty by reason of insanity (NGRI) differ. Which of the following would be most appropriate for the instructor to include in the discussion?

A. GBMI clients are treated in a hospital setting, and they are often discharged sooner than NGRI clients.

B. NGRI clients are treated in a correctional setting, and they are discharged sooner than GBMI clients.

C. GBMI clients are treated in a hospital setting, and their discharge is handled through the correctional parole system.

D. NGRI clients are treated in a hospital setting, and their discharge is determined by the courts.

Correct Answer:

Rationale:

Question 5 of 5

When preparing the plan of care for a forensic client, a nurse determines not to investigate the details of the crime. Which of the following best supports the rationale for the nurse?s decision?

A. Knowing the crime details would be extremely frightening for the nurse.

B. Denying the crime details will help to protect the nurse from undue anxiety.

C. It will keep the nurse?s attitudes about the crime from influencing care.

D. It will help maintain proper professional boundaries between the nurse and the client.

Correct Answer:

Rationale:

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