Chapter 31: Psychiatric Forensic Nursing

Chapter 31: Psychiatric Forensic Nursing

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1)   An individual with severe and persistent paranoid schizophrenia killed a homeless man when his auditory hallucinations commanded him to do so. He was found not guilty by reason of insanity. The forensic nurse understands that the best placement for the individual would be to be

ANS:   B

The individual who responds to command hallucinations is too dangerous to be released into the community but too ill to be held within the general population of the state prison system. A forensic unit would provide the needed treatment and confinement.

DIF:    Cognitive Level: Application             REF:    Text Page: 625, Text Page: 626

TOP:    Nursing Process: Planning

MSC:   NCLEX: Safe, Effective Care Environment;

2)   A prison inmate has paranoid schizophrenia, for which he is given fluphenazine. He meets with a small group of inmates and the correctional mental health nurse to talk about problems with returning to the community. This inmate and several others speak openly of abusing alcohol when they are living in the community. The nurse should plan to

ANS:   B

The need for treatment for prisoners with dual diagnosis is great. Currently only a few such programs exist. A poor outcome can be anticipated unless both diagnoses are addressed. Option A: This is not optimal. Option C: Dual diagnosis treatment would be a better solution. Option D: Planning an intervention would be more helpful.

DIF:    Cognitive Level: Application             REF:    Text Page: 625, Text Page: 626

TOP:    Nursing Process: Planning                 MSC:   NCLEX: Psychosocial Integrity

3)   The correctional mental health nurse learns that an inmate with bipolar II disorder ran out of lithium and did not seek an additional supply, leading to a relapse. When the individual was psychotic she assaulted several people in a convenience store. She was arrested, tried, convicted, and sentenced. An outcome the nurse and the inmate might establish is that by release the inmate will

ANS:   B

The individual should become aware of community resources that can be accessed for ongoing treatment, medication refills, and crisis intervention once she is released from the correctional facility. Option A is insufficient in scope because the individual has no objection to taking lithium when it is available. Option C is not directly related to the problem of medication availability. Option D is not appropriate.

DIF:    Cognitive Level: Analysis                  REF:    Text Page: 625, Text Page: 626

TOP:    Nursing Process: Planning (Outcome Identification)

MSC:   NCLEX: Health Promotion and Maintenance

4)   The correctional mental health nurse assesses a new prisoner who is beginning his incarceration for committing a sex crime. The prisoner speaks in a low voice, is tearful, and tells the nurse that his life may as well be over as there is no hope that he will ever be able to fit into society after he is released from prison. He states his family has disowned him and that wherever he goes his reputation will follow him. The priority intervention would be to

ANS:   D

Suicide attempts are often made in prison. The inmate shows evidence of hopelessness, an important predictor of suicide. Options A, B, C: Safety is the primary issue. None of these options is appropriate relative to suicide prevention.

DIF:    Cognitive Level: Application             REF:    Text Page: 625, Text Page: 626

TOP:    Nursing Process: Implementation

MSC:   NCLEX: Safe, Effective Care Environment;