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MH Exam 5 & 6- Forensics 70 Questions with Verified
Answers
Forms an alliance between law enforcement and the forensic sciences is what kind of nursing? - CORRECT ANSWER forensic nursing Clinical forensic registered nurse **(female) who has received specialized training to care for sexual assault victims - CORRECT ANSWER SANE sexual assault nursing examiner When would we not take the evidence first? - CORRECT ANSWER if they are near death they must be physiologically stable before taking evidence What are the responsibilities of SANE? - CORRECT ANSWER a. Interviewing victims b. Completing physical examination c. Collecting specimens for forensic evidence d. Documenting findings e. Provides emotional support for victims and family f. Testifies as expert legal witness g. May offer opinion as to whether a crime occurred Who integrates psychiatric mental health nursing philosophy and practice of the criminal justice system? A. Legal Nurse Consultant B. Forensic Nurse Death Investigator C. Forensic Correctional Nursing D. Forensic Mental Health Nursing - CORRECT ANSWER D- forensic mental health nurses Who works in secure settings providing treatment, rehabilitation and health promotion to clients who have been charged with, or convicted of crimes? A. Legal Nurse Consultant
B. Forensic Nurse Death Investigator C. Forensic Correctional Nursing D. Forensic Mental Health Nursing - CORRECT ANSWER C forensic correctional nursing Who is a licensed registered nurse who critically evaluates and analyzes health- care issues in medically related lawsuits? A. Legal Nurse Consultant B. Forensic Nurse Death Investigator C. Forensic Correctional Nursing D. Forensic Mental Health Nursing - CORRECT ANSWER A legal nurse consultant All traumatic injuries in which liability is suspected is considered within what? - CORRECT ANSWER the scope of forensic nursing practice Clothing, blood, gunshot powder on the skin, hairs, fibers, grass, any other debris found on an individual can all be considered ________________. - CORRECT ANSWER evidence What happens if evidence is destroyed? - CORRECT ANSWER cannot be presented in the court of law t/f Crime data maintained with the proper chain of custody cannot be used in a court of law - CORRECT ANSWER false - they can be Registered nurse with specialized education who functions in a death investigator role. They use experiential and scientific knowledge to determine cause of death is: A. Legal Nurse Consultant B. Forensic Nurse Death Investigator C. Forensic Correctional Nursing D. Forensic Mental Health Nursing - CORRECT ANSWER B
sleeping loss of self esteem eating disturbance anger What occurs when individuals experience so many losses in their lives that they are not able to resolve one grief response before another one begins? - CORRECT ANSWER bereavement overload Bereavement overload predisposes elderly individuals to what? - CORRECT ANSWER depressive illness Symptoms of the "baby blues" include what? - CORRECT ANSWER worry, sadness, and fatigue after having a baby Postpartum depression with psychotic features is characterized by what? - CORRECT ANSWER depressed mood, agitation, indecision, lack of concentration, guilt, and an abnormal attitude toward bodily functions. The symptoms may be severe and incapacitating. Questions to Ask the depressed Client Upon Admission - CORRECT ANSWER •How are you sleeping? •How is your appetite? •Describe people, places and activities that bring you joy. •Have you thought about harming yourself or others? Acute phase of MDD: - CORRECT ANSWER •Treatment is generally 6 to 12 weeks in duration. •* Potential need for hospitalization. •* Reduction of depressive manifestations is the goal of treatment. • Assess suicide risk, and implement safety precautions or one-to-one observation as needed. What interventions should be done for a pt at risk of suicide? - CORRECT ANSWER ask pt directly if they have thought about killing themselves, if they have a plan, do they have a means to carry out the plan
create a safe environment convey an attitude of unconditional acceptance 1:1 observation Questions to Ask to Assess Suicide Risk - CORRECT ANSWER •What is it like for you when you feel depressed? •Have you been thinking about death recently? •Do you have thoughts of taking your own life? •Do you have a way to carry out a plan for taking your own life? •Have you attempted suicide in the past? risk factors for depression - CORRECT ANSWER family hx and personal hx 2x as common in females •1. A nurse is caring for a client who has major depressive disorder. Which of the following should the nurse identify as a risk factor for depression? (Select all that apply).
- A. Male sex
- B. History of chronic bronchitis
- C. Recent death in the client's family
- D. Family history of depression
- E. Personal history of panic disorder - CORRECT ANSWER C,D,E •2. A nurse working on an acute mental health unit is admitting a client who has major depressive disorder and comorbid anxiety disorder. Which of the following actions is the nurse's priority?
- A. Placing the client on one-one observation
- B. Assisting the client to perform ADLs
- C. Encouraging the client to participate in counseling
- D. Teaching the client about medication adverse effects - CORRECT ANSWER A •3. A nurse is teaching a client who has a new diagnosis of premenstrual dysphoric disorder (PMDD). Which of the following statements by the client indicates understanding of the teaching?
episodes of depersonalization sx appear in who more commonly? - CORRECT ANSWER young adults + women somatic syndrome is acute or chronic? - CORRECT ANSWER chronic Why is somatic syndrome thought to occur? - CORRECT ANSWER psychosocial distress & long term seeking of assistance from healthcare professionals What anxiety med would be prescribed to pt with somatic syndrome? - CORRECT ANSWER buspar What are personality characteristics of somatic syndrome? - CORRECT ANSWER heightened emotionality, strong dependency needs, preoccupation w sx and oneself A loss of change in the body function that cannot be explained by any known medical disorder or patho mechanisms. - CORRECT ANSWER conversion disorder the inability to recall ALL incidents associated w traumatic events for a specific period following the event A. selective amnesia B. localized amnesia C. generalized amnesia - CORRECT ANSWER B- localized amnesia the inability to recall only certain incidents associated with a traumatic event for a specific period following the event is A. selective amnesia B. localized amnesia C. generalized amnesia - CORRECT ANSWER A- selective amnesia The inability to recall anything that has happened during the individuals entire lifetime, including personal identity A. selective amnesia B. localized amnesia
C. generalized amnesia - CORRECT ANSWER C general amnesia dissociative fuge - CORRECT ANSWER characterized by sudden travel or change in normal day-to-day activities and occurs in some cases with dissociative amnesia What are many disease linked to today? - CORRECT ANSWER poor nutritional habits Trends in Forensic Nursing Mental Health Dual Diagnoses RN Diagnoses associated with Substance Abuse Pros & Cons of developing an empathetic relationship with the Prison Population - CORRECT ANSWER Forensic Nursing - CORRECT ANSWER Practice of Nursing when Health & Legal (law) systems intersect The forensic nurse provides direct services to: -Individual Clients -Consultation services to nursing, medical, and legal agencies -Expert Court Testimony (Expert Witness) ---Trauma ---Investigations of Questioned Deaths ---Adequacy of Services Delivery ---Specialized Dx Historical Trends - CORRECT ANSWER Increase in Violent Crimes requires an increase in Forensic Nursing Clinical Forensic Nursing - CORRECT ANSWER "Trauma to Trial" - Nurses that come from a "Clinical" setting Collection of Assessment Data: -Signs of Abuse -Self Injury or Other Injuries
Forensic Correctional Nurse - CORRECT ANSWER Work in Jails, Juvenile Detention Centers, and Prisons -Infirmary: Normal RN Tasks -Cell Block: Med Pass, Care Plans Physically Demanding Job! -Increased Empathy! ---FIRM but KIND EMPATHY = Risk of Manipulation by Population Legal Nurse Consultant - CORRECT ANSWER Critically evaluates and analyzes health-care issues in medically related lawsuits -Attorney's offices -Hospital risk management centers -Independent practices -Health insurance companies Dig into Charts -Know Standards and Policies Forensic Nurse Death Investigator - CORRECT ANSWER Scene of Crime Samples -Photos, Evidence, Records -Helps with Autopsy In what ways is HIV infection commonly spread in prisons? - CORRECT ANSWER - Sexual conduct -Fights that result in lacerations -Bites, or bleeding -Body piercing and tattooing with contaminated instruments -Sharing Contaminated Needles Four rationales for imprisonment as a punishment for criminal behavior. - CORRECT ANSWER (a) Retribution to society. (b) Deterrence of future crimes.
(c) Rehabilitation and repentance. (d) Protection of society. Colposcope - CORRECT ANSWER Instrument that contains a magnifying lens and a light source for examining the inside of the vagina for tears and abrasions. When deaths occur in the emergency department, it is critical to determine if the death was natural or unnatural. What is the difference? - CORRECT ANSWER A death is considered natural if it occurs because of a congenital anomaly or a disease process that interferes with vital organ functioning: -Cardiovascular -Respiratory -CNS Deaths that are considered unnatural include those from: -Trauma -Self‐inflicted -Inflicted by anothers T/F: Forensic Nurses who work in Trauma-care settings deal with victims of all types of injuries except those sustained from medical malpractice - CORRECT ANSWER False T/F: Legal authorities must be notified by the forensic nurse in the emergency department when tdeaths occur due to trauma - CORRECT ANSWER True T/F: When a trauma victim is admitted to the emergency department, the priority consideration is maintaining the proper chain of evidence - CORRECT ANSWER False
T/F:
Sexual assault in prisons is sexually motivated and the majority of victims, as well as perpetrators, are homosexuals - CORRECT ANSWER False Assault = POWER T/F: The suicide rate is higher in correctional facilities than it is in the general population - CORRECT ANSWER True Isolation and decreased rights
