ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 42 : Caring for Persons With Mental Illness and Criminal Behavior Questions
Question 1 of 5
A group of nurses who have recently been hired to work in the mental health division of a large federal prison system are undergoing orientation. A nurse is discussing medication administration for the clients. Which statement would the nurse most likely include in this presentation?
Correct Answer: D
Rationale: In a prison setting, if inmates refuse medications, a court order may be required to mandate compliance (
D), especially for mental health treatment in forensic clients. Dissolving medications (
A) or using injections (
C) to prevent cheeking is not standard practice, and inmates retain some rights to refuse (
B) unless a court order is obtained.
Question 2 of 5
A nurse is discussing follow-up care with a forensic client who is being discharged the following week. The client asks the nurse what problems to expect regarding his follow-up care. Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: Forensic clients may face difficulty finding community providers due to safety and liability concerns (
D) stemming from their criminal history. No difficulty (
A) is overly optimistic, returning to the inpatient unit (
B) is not typical, and long waiting lists (
C) are less specific than safety concerns.
Question 3 of 5
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?
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.
Question 4 of 5
A nurse is working with a forensic client on de-escalation techniques. Which activity would be most appropriate as a grounding physical activity?
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.
Question 5 of 5
A nurse is working with a forensic client on early recognition. On which area would the nurse and client focus?
Correct Answer: B
Rationale: Early recognition focuses on identifying aggressive behavior signals (
B) to prevent escalation in forensic clients. Medication side effects (
A), informed consent (
C), and discharge needs (
D) are important but not the primary focus of early recognition training.