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Test Bank for Psychiatric Nursing: Contemporary Practice

Chapter 42 Questions

Question 1 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?

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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).

Question 2 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?

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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 3 of 5

A nurse is working with a forensic client on early recognition. On which area would the nurse and client focus?

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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.

Question 4 of 5

A client with mental illness and arrested has been found to be unfit to stand trial, and the client is admitted to a forensic mental health facility. The nurse understands that the client can be hospitalized for up to which duration to become fit?

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Correct Answer: C

Rationale: Clients found unfit to stand trial may be hospitalized for up to 1 year (
C) to restore competency, as per typical U.S. legal standards, with extensions possible if needed. Shorter durations (A,
B) are insufficient, and 5 years (
D) is excessive unless specified by the court.

Question 5 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?

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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.

Similar Questions

A nurse has just transferred from a general psychiatric unit to work on a forensic psychiatric unit. The nurse finds it easier to communicate with these clients because, for the most part, their inappropriate behaviors and cognitive disorders have responded positively to treatment. Many of the clients have been on the unit for 3 or more years, and the nurse has been unable to note any indicators of psychiatric problems in several of the clients. The nurse has grown exceptionally close to one client who has gone out of his way to make the nurse feel welcome and appreciated. One afternoon in December, the client asks the nurse for her address so he can send her a Christmas card. Which response by the nurse would be most appropriate?
A psychiatric nurse who works with forensic clients is describing the roles and responsibilities to a group of nursing students. Which of the following would the nurse emphasize as critical before initiating medication therapy for a forensic client?
The nurse is performing an admission assessment on a forensic client. Which of the following would be most important for the nurse to include when explaining the purpose of the assessment to the client?
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?
A nurse is working with a forensic client on de-escalation techniques. Which activity would be most appropriate as a grounding physical activity?

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