Deck 31: Forensic and Correctional Nursing

Question 1

Which of the following skills can a forensic nurse,serving in the elected office of coroner,bring to the situation compared with other professionals?

A)Extensive knowledge of medicine
B)Knowledge of the law
C)Previous experience in testifying in court
D)Superb communication and empathy skills

Answer 1

Superb communication and empathy skills

Question 2

Which of the following causes of death on a death certificate would need correction by the forensic nurse?

A)Accident
B)Homicide
C)Natural
D)Suicide
E)Untimely

Answer 2

Untimely

Question 3

A 14-year-old was found guilty of beating and raping a 73-year-old neighbor.The prosecutor had successfully argued for the child to be tried as an adult.The jury is considering a long adult prison term.Which of the following would the nurse most likely suggest when called on as an expert witness?

A)The child must be mentally ill to have done such a thing and should be in a mental hospital.
B)The child should be in a juvenile facility to avoid the high risk of sexual assaults, beatings, and suicide in adult prison.
C)The child should be given a long adult prison sentence to protect society from such a predator.
D)The child must be given an opportunity to complete high school while incarcerated in the adult prison.

Answer 3

The child should be in a juvenile facility to avoid the high risk of sexual assaults, beatings, and suicide in adult prison.

Question 4

With whom would the forensic nurse primarily interact during the day in addition to clients? (Select all that apply.)

A)Case managers
B)Officers of the court
C)Physicians
D)Police officers
E)Psychologists
F)Social workers

Question 5

Which of the following would most likely be the result of a medicolegal death investigation? (Select all that apply.)

A)Clarification of the unnatural circumstances in which death occurred
B)Court testimony as to cause of death based on evidence
C)Consultation with defendant's attorney for a fee
D)Consultation with prosecuting attorneys for a fee
E)Death certificate with cause and manner of death
F)Permission to use deceased organs for transplant

Question 6

A prisoner was bleeding where another inmate had attacked him with a fork.Which of the following would be the correctional nurse's first and most crucial responsibility?

A)Perform a complete physical assessment, specifically looking for internal injuries
B)Maintain an escape route to help ensure personal safety
C)Report the incident to administration, indicating who was responsible for injuring the inmate
D)Stop the bleeding, apply an antibiotic, and bandage the wound

Question 7

Which of the following are most likely to physically abuse elderly Americans?

A)A partner or spouse
B)A caregiver
C)A stranger
D)An adult child

Question 8

The correctional nurse was completing an admission physical for a newly incarcerated prisoner.The nurse realized the prisoner was talking to someone other than the nurse.Which of the following does the nurse need to remember?

A)Cell phones, including those with ear phones, are commonplace among everyone.
B)It is common for persons to talk to themselves or think out loud.
C)Prisons have become the residence for a very large number of persons who have mental illnesses.
D)Prisoners get very lonely and often talk to mirrors or inanimate objects.

Question 9

The legal nurse consultant (LNC)felt more than a little stressed after being cross-examined by both the prosecuting attorney and the defendant's attorney in intricate detail at a deposition.Which of the following actions should be taken next by the LNC?

A)Get together with friends and share the experience
B)Go out and have a stiff drink to relax and get over the stress
C)Pray the case does not go to trial when the LNC will have to go through all this again
D)Review the written transcript for accuracy

Question 10

The female nurse was called to the emergency department (ED)to help with a woman who had been beaten and raped.Which of the following are the nurse's responsibilities as a forensic nurse?

A)Discuss with police officers what is known and what needs to be known to close the case
B)Initiate the proper collection, preservation, and chain of custody of evidence with appropriate documentation
C)Serve as chaperone while the physician completes the physical examination
D)Be empathetic and supportive to the victim

Question 11

Which of the following describes a responsibility of the forensic psychiatric nurse?

A)Assisting with the deposition
B)Collecting evidence to be used in future legal proceedings
C)Judging intent or diminished capacity of the client during the incident
D)Preparing to testify in court

Question 12

A forensic nurse is responsible for conducting a thorough examination,including a history,performing a physical assessment,and collecting forensic evidence on a female client following a rape.In which of the following subspecialties of forensic nursing is this nurse practicing?

A)Sexual assault nurse examiner (SANE)
B)Nurse coroner
C)Legal nurse consultant
D)Forensic nurse death investigator

Question 13

If a forensic nurse was employed in the most widely recognized subspecialty in forensic nursing,which of the following would be the nurse's primary tasks?

A)Be employed by insurance companies to review and interpret medical records
B)Complete the death certificate, including causes of death
C)Do a history and physical assessment and collect evidence
D)Review the crime scene for insights with police officers

Question 14

The legal nurse consultant (LNC)was surprised to find that former friends were no longer interested in a colleague relationship and one even accused the LNC of trashing clinical nursing practice in the courtroom.Which of the following would be the best response by the LNC?

A)"I've just accepted a position that pays an incredible amount more than staff nursing in a hospital."
B)"I'm not part of clinical nursing; I'm part of the legal system now."
C)"I'm defending the expertise and experience of skilled nursing clinicians by helping remove dangerous practitioners from the field."
D)"I'm helping clients who were hurt by poor practice to obtain revenge."

Question 15

The legal nurse consultant (LNC)was asked to submit an affidavit to both the prosecutor's and the defendant's office.Which of the following information needs to be included?

A)List of all literature reviewed in preparation for being paid as an expert witness
B)Notarized signature on a summary of the LNC's education and clinical experience
C)Summary of nurse's educational and experiential credentials and an analysis of the case
D)An opinion under oath as to what happened in the crime situation

Question 16

Which of the following is considered appropriate preparation for engaging in forensic nursing specialty practice?

A)Adequate number of continuing education credits plus licensure as a registered nurse
B)Baccalaureate nursing program and previous community health experience
C)College-based educational program including supervised clinical hours and internship
D)Interest in and willingness to be employed in the field

Question 17

Which of the following best describe how the prevalence of violence and violent crimes has changed the professional practice of health care providers?

A)Vulnerable groups are now assessed for evidence of abuse.
B)The focus has now shifted from patient care toward more personal safety.
C)It is now recognized that new specialties continue to be created.
D)Each patient is now routinely screened for violence.

Question 18

An emergency department nurse was not sure whether there was enough evidence one way or the other to suspect child abuse with a child client,because there was not much evidence of physical harm.The forensic nurse agreed to see the child.Which of the following would be the forensic nurse's primary focus?

A)Ask the child whether the family has any secrets
B)Assess for old injuries or injuries in the process of healing
C)Observe the child's appearance and behavior and how the child interacted with other children and adults
D)Question the parents concerning the child and any discipline problems

Question 19

Which of the following are the most common forms of elder abuse?

A)Emotional abuse by caregivers
B)Financial abuse when resources are used without the elder's consent
C)Neglect by self or caregivers
D)Physical mistreatment resulting in injuries

Question 20

A correctional nurse was preparing to give an inmate his psychotropic drug when the prisoner hit the nurse's arm,sending the medication flying,and yelled,"No more.I'm not taking that poison anymore!" The prisoner is obviously mentally ill.Which of the following actions should be taken by the nurse?

A)Inject the medication rather than debate taking the oral pill with the inmate
B)Recognize the prisoner's right to refuse treatment
C)Throw the medication away, obtain another pill, and try to persuade the prisoner to take the drug
D)Force the medication down the prisoner's throat with the assistance of two prison guards

Question 21

Which of the following is often discovered when female prisoners are interviewed for their health histories? (Select all that apply.)

A)A history of physical and sexual abuse
B)Evidence of active tuberculosis (TB)
C)Extensive tattooing and body piercings
D)Personal use of drugs and alcohol
E)Positive test results for HIV and hepatitis
F)Previous childbirth with living children

Question 22

Which of the following best describes how a legal nurse consultant (LNC)would best prepare for testifying in court as an expert witness? (Select all that apply.)

A)By carefully analyzing the client's medical record and related documents
B)By creating a PowerPoint slide presentation to help educate the jury
C)By helping to examine all the witnesses in preparation for the court trial
D)By personally doing or observing the autopsy on the deceased
E)By preparing charts and tables illustrating the important legal points
F)By summarizing the literature regarding the standard of care

Question 23

Which of the following best explains why the infection rate of HIV and tuberculosis (TB)is so high among persons who are incarcerated? (Select all that apply.)

A)Fecal oral transmission because of lack of cleanliness and hygiene among inmates
B)Ignorance as to how infectious diseases are transmitted
C)Engagement in tattooing, drug use, and unprotected sexual intercourse
D)Lack of access to health care while incarcerated
E)Overcrowding, poor ventilation, and constant change in the population
F)Poor nutrition and lack of exercise while incarcerated