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A student nurse has been asked by the mental health nursing instructor to plan educational interventions for a forensic client with whom the student has been working. Which of the following would be most important for the student nurse to include in the plan?
- A. Explanation of the genetic and neurologic factors associated with criminal behavior
- B. Description of information about pertinent legal and court proceedings that are pending
- C. Explanation of how nutrition and exercise can promote physical and mental well-being
- D. A list of community providers the client?s family members can contact for assistance and support
Correct Answer: C
Rationale: Educating the client on how nutrition and exercise promote physical and mental well-being (C) is most relevant, as it empowers the client to manage health post-discharge. Genetic factors (A) are not directly actionable, legal proceedings (B) are outside nursing scope, and provider lists for family (D) are less client-focused.
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A nurse is working with a forensic client on de-escalation techniques. Which activity would be most appropriate as a grounding physical activity?
- A. Drumming
- B. Rocking in a rocking chair
- C. Aerobic exercise
- D. Yoga
Correct Answer: B
Rationale: Rocking in a rocking chair (B) is a calming, grounding activity that helps reduce agitation in forensic clients. Drumming (A) and aerobic exercise (C) may be stimulating, and yoga (D) requires more focus, making them less effective for immediate de-escalation.
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: D
Rationale: NGRI clients are treated in a hospital setting with discharge determined by courts (D), as their mental illness prevented criminal responsibility. GBMI clients (A, C) are typically managed in correctional settings with parole oversight, not hospital discharge. NGRI clients are not discharged sooner (B).
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: C
Rationale: Avoiding crime details prevents the nurse?s attitudes about the crime from influencing care (C), ensuring unbiased, therapeutic treatment. Fear (A) and anxiety (B) are less relevant, and boundaries (D) are maintained through other professional practices, not just avoiding crime details.
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: A
Rationale: Stigma associated with criminality can lead nurses to be reluctant to care for forensic clients due to unrealistic safety fears (A). Option B is incorrect, as nurses do not typically deny mental illness in criminals. Option C misrepresents nurses? motivations, and option D focuses on post-discharge fears, which is less relevant to direct care.
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: B
Rationale: Hospitalization for those unfit to stand trial aims to restore competency (B) through treatment, enabling them to participate in their legal defense. Protective custody (A) is not the primary goal, diagnosis (C) is secondary, and holding for a trial date (D) oversimplifies the purpose.