A patient diagnosed with severe and persistent paranoid schizophrenia is accused of killing a homeless man when auditory hallucinations commanded the patient to do so. One reason for a psychiatric examination would be to determine correct answersCompetence to stand trial
To stand trial the indiv...
A patient diagnosed with severe and persistent paranoid schizophrenia is accused of killing a homeless
man when auditory hallucinations commanded the patient to do so. One reason for a psychiatric
examination would be to determine correct answersCompetence to stand trial
To stand trial the individual must be alert, oriented, and have the ability to understand the complexities
of the situation he or she is facing while on trial.
pp. 603-604
What traits are associated with forensic nurse generalists? correct answers-Possesses excellent
assessment skills
-Has completed a forensic certificate program
-Knowledgeable evidence collection in accordance with legal standards
-May serve as a resource in a variety of care providing environments
To be called a forensic nurse generalist, the nurse with a baccalaureate or associate degree or diploma
may acquire additional knowledge and skills by completing a certificate program that comprises
continuing education in an area of forensic nursing. The role of the forensic nurse generalist may vary
according to clinical setting, but consistent within this role is the need to be proficient in assessment and
treatment of victims of violence, evidence collection and preservation, proper documentation, the legal
system, and setting standards of care for victims and perpetrators. A doctor of philosophy (PhD) prepares
nurses in an advanced practice role to initiate and conduct research in the area of forensics to ultimately
enhance the practice of forensic nursing.
p. 601
The forensic nurse examiner is evaluating a defendant for legal sanity. What finding does little to help the
nurse determine legal sanity of the defendant? correct answersPast criminal record
, Knowledge of the past criminal record will do little to help the nurse determine the legal sanity of the
defendant. A person who is legally sane during a previous criminal act as well as its legal proceedings
may or may not be legally sane during the present instance. Any past diagnoses may help to determine
the risk of any current mental illness and its effect on the sanity of the individual. The nurse also notes
the reduction in the cognitive ability and symptoms of mental disorder to determine if the defendant is
legally sane and understands the magnitude and consequences of the act conducted.
p. 604
The nurse is explaining to a nursing student about forensic nursing. What statement by the student
indicates a need for further teaching? correct answers"The forensic nurse provides emotional support to
a victim of assault."
Emotional support is provided to a victim of assault by any nurse providing direct care to the victim. It is
not part of forensic nursing. Rather, the forensic nurse uses an objective approach and tries to be neutral
and detached. A forensic nurse may review the medical record of a victim of arson. The nurse does this
to be able to summarize and explain complex medical records to the jury during the legal proceedings.
The forensic nurse may testify as an expert witness in a criminal case to help determine the legal sanity
of either the victim or the perpetrator or both. The nurse may be deemed as an authority to provide
expert testimony based on evidence-based practice. The forensic nurses focus on the crime and the
criminal or victim status of the patient. They may assess a prisoner at a correctional center to collect
evidence for a criminal case.
pp. 601, 603, Box 33.2
Which of the following would not be considered a responsibility of a psychiatric forensic nurse? correct
answersDirect care to inmates
The psychiatric forensic nurse may function as a forensic examiner, competency therapist, consultant to
law enforcement, or consultant to the criminal justice system. Correctional nurses provide nursing care
directed to inmates' physical and mental health needs.
p. 603, Box 33.2
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