Chapter 21, Forensic Psychiatric Nursing Video Solutions, Psychiatric-Mental Health Nursing: Evidence-Based Concepts, Skills, and Practices

Problem 1

When reviewing trends in forensic nursing, the nurse notes that one of the largest changes in the composition of the forensic population requiring special adaptations is associated with
a. an increased number of elderly offenders.
b. the number of juvenile offenders.
c. a decreased number of female offenders.
d. an increased number of offenders charged with drug offenses.

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Problem 2

A nurse is caring for a verbally aggressive forensic client who reminds her of her ex-boyfriend. At the end of the interview, she seeks out an experienced nurse colleague to explore her feelings about this client. The nurse's actions indicate
a. inability to cope with the forensic milieu.
b. the need for psychotherapy.
c. boundary exploitation.
d. appropriate self-awareness.

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Problem 3

A nurse is preparing a teaching plan for a group of psychiatric nursing students about the three levels of prevention. Which of the following would the nurse include as an example of the forensic psychiatric nurse's role in primary prevention?
a. Conducting a relapse prevention program for sexual offenders
b. Applying principles of crisis management after a suicide attempt
c. Developing a medication management program for an offender with schizophrenia
d. Participating in a multidisciplinary committee focusing on domestic violence

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Problem 4

Which of the following would the nurse identify as increasing a forensic client's risk for suicide?
a. History of psychiatric illness, difficulties facing the crime, perceived victimization by other offenders
b. Actual victimization by other offenders, dormitory-type housing, ability to cope with a confined environment
c. Substance abuse, difficulties facing the length of the sentence, open communication with family and friends
d. Age older than 45 years, previous suicide attempts, acceptance of the crime

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Problem 5

When acting as an advocate for a forensic client, which of the following actions is crucial?
a. Ensuring that the client's actions and behaviors remain privileged
b. Supporting the client in decisions about choices made
c. Informing the client that medical records are subject to disclosure
d. Telling the client that nurse-client conversations will not be used against him or her

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