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?

Correct Answer: C

Rationale: The correct answer is C because women who are incarcerated are more likely to receive mental health services than men. This is because women in the criminal justice system often have higher rates of mental health issues compared to men. Providing mental health services to incarcerated women can help address underlying issues contributing to their criminal behavior and aid in their rehabilitation. Choice A is incorrect as mentally ill men are actually more likely to be convicted of a crime due to various factors such as lack of access to mental health services, stigma, and social circumstances. Choice B is incorrect as it generalizes without considering various factors affecting the likelihood of conviction for mentally ill women. Choice D is incorrect as it makes a broad statement about African American offenders without considering the individualized mental health needs of each offender.

Correct Answer: C

Rationale: The correct answer is C because during the first interview with a patient with a psychiatric disorder, it is crucial for the nurse to address relationship parameters to establish a therapeutic alliance, discuss the contract to clarify roles and expectations, ensure confidentiality to build trust, and explain termination to manage expectations. These aspects lay the foundation for a successful therapeutic relationship. A: Trust, congruence, attitudes, and boundaries - While trust and boundaries are important, they are part of relationship parameters addressed in choice C. Congruence and attitudes are more about the nurse's behavior than issues to address with the patient initially. B: Goals, resistance, unconscious motivations, and diversion - These are important aspects, but they are more relevant in later stages of therapy after a strong therapeutic alliance has been established. D: Transference, countertransference, intimacy, and developing resources - These are advanced concepts that may be addressed later in therapy as trust and rapport are established.

Correct Answer: A

Rationale: The correct answer is A because providing easily accessible finger foods throughout the day increases input, ensuring the patient with dementia receives adequate nutrition. This approach helps maintain their energy levels and prevents malnutrition. Choice B is incorrect because anorexia is not necessarily the reason for providing finger foods. Choice C is incorrect as finger foods may not necessarily assist in monitoring food intake. Choice D is incorrect as the primary rationale for providing finger foods is to increase input, not specifically to prevent constipation.

Correct Answer: C

Rationale: The correct answer is C. As individuals age, changes in liver functioning can lead to slower metabolism and clearance of medications from the body. This can result in medication levels accumulating in the system, potentially leading to toxicity. This explanation is important for the patient to understand the risks associated with their medications. Choice A is incorrect because the speed of stomach emptying does not necessarily impact medication effects. Choice B is incorrect as the entire GI system speeding up is not a typical age-related change and does not necessarily affect medication digestion. Choice D is incorrect as age-related circulation changes do not necessarily mean medications are delivered more quickly to specific body sites.

Correct Answer: A

Rationale: The correct answer is A. Self-injurious behavior in individuals with borderline personality disorder is often a maladaptive coping mechanism used to relieve intense emotional distress or stress. This behavior is a way for the individual to externalize internal pain and gain a sense of control. It is important for the nurse to provide accurate information to the client's sister. Choice B is incorrect because self-injurious behavior in BPD is not typically used to calm or sedate individuals. Choice C is incorrect because self-injury is not usually a mechanism to avoid delusional thinking in BPD. Choice D is incorrect because while mood swings are common in BPD, self-mutilation is not typically used to slow them down.