Test Bank Forensic and Correctional Nursing Nies: Community/Public Health Nursing, 7th Edition

1. Which best describes how the prevalence of violence and violent crimes has changed theprofessional 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. ANS: D All persons should be assessed for evidence of abuse, not just vulnerable groups. Screeningfor violence is now considered to be a minimum standard of care for all clients. DIF: Cognitive Level: Understand (Comprehension) 2. If a forensic nurse was employed in the most widely recognized subspecialty in forensicnursing, which 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 ANS: C Sexual assault forensic examNinUerR(SSAINNEG)TisBth.eCmOoMst widely recognized subspecialty in forensic nursing. The SANE assesses and documents detailed examination findings, collects forensic evidence related to a reported crime, and frequently testifies as an expert witness atsubsequent trials. DIF: Cognitive Level: Understand (Comprehension) 3. 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 subspecialty 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 ANS: A Community Public Health Nursing 7th Edition Nies Test Bank This study source was downloaded by from CourseH on :56:48 GMT -05:00 A SANE is a specially trained registered nurse who applies the nursing process during forensic examinations to victims or perpetrators of sexual assault. The SANE collects forensicevidence related to a reported crime and frequently testifies as an expert witness at subsequenttrials. If the client is medically stable, the SANE is responsible for conducting a thorough examination, including obtaining a history, performing the physical assessment, and collectingforensic evidence. The nurse coroner would be responsible for ensuring that appropriate measures were taken to perform death investigations and certify death certificates. Legal nurseconsultants provide assistance within the legal system using specialized nursing knowledge and expertise when interactions of law and health issues arise. The forensic nurse death investigator evaluates the death scene from a holistic nursing perspective and might interpret the scene differently. DIF: Cognitive Level: Understand (Comprehension) 4. Which cause of death on a death certificate would need correction by the forensic nurse? a. Accident b. Homicide c. Natural d. Suicide e. Untimely ANS: E The National Association of Medical Examiners identifies five acceptable options for recording manner of death: (1) natural, (2) accident, (3) suicide, (4) homicide, and (5)undetermined. DIF: Cognitive Level: RememN ber R (Kn I owl G edge B ) .C M U S N T O 5. Which skill can a forensic nurse, serving in the elected office of coroner, bring to the situationcompared 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 ANS: D Nurse coroners exhibit communication skills when dealing with grieving families. Nurses areeducated in therapeutic communication and practice those skills in any setting. Nurses are acutely aware of the importance of using openended questions, attentively listening, and being fully present with family and friends. DIF: Cognitive Level: Understand (Comprehension) Community Public Health Nursing 7th Edition Nies Test Bank This study source was downloaded by from CourseH on :56:48 GMT -05:00 6. The legal nurse consultant (LNC) was surprised to find that former friends were no longerinterested in a colleague relationship and one even accused the LNC of trashing clinical nursing practice in the courtroom. Which would be the best response by the LNC? a. “I’ve just accepted a position that pays an incredible amount more than staffnursing 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 byhelping remove dangerous practitioners from the field.” Community Public Health Nursing 7th Edition Nies Test Bank This study source was downloaded by from CourseH on :56:48 GMT -05:00 d. “I’m helping clients who were hurt by poor practice to obtain revenge.” ANS: C Some practitioners have differing opinions regarding LNCs and nurse attorneys. They may beperceived as either defending the profession or prosecuting peers by testifying against professional colleagues. Many law firms hire LNCs to review and interpret medical records and charts, provide objective opinions based on standards of care, and possibly to testify in court as expert witnesses. LNCs are able to provide the link between clinical nursing and the legal system to help keep the practice field safe from dangerous practitioners. In contrast, meticulous practitioners who are wrongfully accused of negligence will be defended. The salary of the position does not address the accusation of the LNCs former friends. The purpose of LNCs is not to help clients obtain revenge if they were harmed by poor care. DIF: Cognitive Level: Apply (Application) 7. The legal nurse consultant (LNC) was asked to submit an affidavit to both the prosecutor’sand the defendant’s office. Which 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 thecase d. An opinion under oath as to what happened in the crime situation ANS: C The LNC may submit an affidavit, which is a written statement explaining the expert’s credentials, background, and licensing or certification(s). It also provides a list of the materials read and considered in the case, and the findings of the review are summarized into a case analysis. NU RS IN GT B.CO M DIF: Cognitive Level: Apply (Application) 8. The legal nurse consultant (LNC) felt more than a little stressed after being cross-examined byboth the prosecuting attorney and the defendant’s attorney in intricate detail at a deposition. Which action 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 thisagain d. Review the written transcript for accuracy ANS: D Community Public Health Nursing 7th Edition Nies Test Bank This study source was downloaded by from CourseH on :56:48 GMT -05:00 During the deposition, the LNC will present the facts of the case and be questioned by attorneys from both sides. This process may be quite lengthy and stressful. It is essential thatthe LNC be prepared, having reviewed the case and all related materials very thoroughly. Following this process, the LNC will be given a written transcript of the deposition; this needsto be carefully reviewed for accuracy. It is not appropriate for the LNC to share this experience with friends. Consumption of alcohol will not help the nurse address the stressors that are being encountered. Reviewing the transcript for accuracy should decrease the level of stress experienced by the nurse and decrease the worry about this case going to trial. DIF: Cognitive Level: Apply (Application) Community Public Health Nursing 7th Edition Nies Test Bank This study source was downloaded by from CourseH on :56:48 GMT -05:00 N R I G B.C M 9. The female nurse was called to the emergency department (ED) to help with a woman whohad been beaten and raped. Which are the nurse’s responsibilities as a forensic nurse? a. Discuss with police officers what is known and what needs to be known to closethe case b. Initiate the proper collection, preservation, and chain of custody of evidence withappropriate documentation c. Serve as chaperone while the physician completes the physical examination d. Be empathetic and supportive to the victim ANS: B It is imperative that ED registered nurses identify forensic cases and initiate the proper collection, preservation, and chain of custody of evidence and provide accurate documentationfor this unique population. This collection of evidence plays an important role in the investigation of crimes and can have a major impact on legal decisions. Accurate collection ofevidence is the primary responsibility of the nurse and needs to be completed before any additional action is taken. The recognition, collection, and documentation collected within the emergency department may play an important role in the investigation of crimes and can have a major impact on legal decisions. It is important for the nurse to collect the necessary evidence whereas it is the responsibility of the legal system to prosecute and close the case. The primary role of the female forensic nurse would not be to serve as a chaperone to thephysician or provide support to the victim. DIF: Cognitive Level: Apply (Application) 10. An emergency department nurse was not sure whether there was enough evidence one way orthe other to suspect child abuse with a child client, because there was not much evidence of physical harm. The forensic nuUrseSagreNed Tto see thOe child. Which 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 withother children and adults d. Question the parents concerning the child and any discipline problems ANS: C The nurse obtains a thorough history and assessment, focusing on several facets of abuse andneglect. These include child–parent interaction, the child’s appearance and behavior, child–child interaction, and the environment. DIF: Cognitive Level: Apply (Application) Community Public Health Nursing 7th Edition Nies Test Bank This study source was downloaded by from CourseH on :56:48 GMT -05:00 11. Which is most likely to physically abuse elderly Americans? a. A partner or spouse b. A caregiver c. A stranger d. An adult child ANS: A Community Public Health Nursing 7th Edition Nies Test Bank This study source was downloaded by from CourseH on :56:48 GMT -05:00 U S N T O In a study by Acierno et al. (2009), 1.6% of subjects report physical mistreatment, with familymembers accounting for 76% of the mistreatment, and specifically 57% was conducted by a partner or spouse. DIF: Cognitive Level: Remember (Knowledge) 12. Which is the most common form 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 ANS: C Neglect is the most common form of elder abuse, whether it is caregiver neglect or self-neglect. Neglect is more likely to occur than emotional abuse, financial abuse, or physicalmistreatment resulting in injuries. DIF: Cognitive Level: Remember (Knowledge) 13. Which 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 ANS: C Forensic psychiatric nurses collect evidence by determining intent or diminished capacity inthe client’s thinking at the timNe oRf thIe inGcideBn.t. CTo dMo this, they often spend several hours interviewing and observing the client, carefully documenting conversations and observations. DIF: Cognitive Level: Understand (Comprehension) 14. A prisoner was bleeding where another inmate had attacked him with a fork. Which would bethe 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 injuringthe inmate d. Stop the bleeding, apply an antibiotic, and bandage the wound ANS: B Unlike any other care setting, clients are inmates, and care is negotiated and provided with recognition of safety and security issues for the nurse. The nurse must maintain an escape route, should a situation of personal violence be imminent. If the nurse is able to maintain anescape route, the nurse would then Community Public Health Nursing 7th Edition Nies Test Bank This study source was downloaded by from CourseH on :56:48 GMT -05:00 be able to complete a physical assessment, stop the bleeding, and then report the incident to administration. DIF: Cognitive Level: Understand (Comprehension) Community Public Health Nursing 7th Edition Nies Test Bank This study source was downloaded by from CourseH on :56:48 GMT -05:00 N R I G B.C M 15. A 14-year-old was found guilty of beating and raping a 73-year-old neighbor. The prosecutorhad successfully argued for the child to be tried as an adult. The jury is considering a long adult prison term. Which 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 mentalhospital. 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 sucha predator. d. The child must be given an opportunity to complete high school while incarceratedin the adult prison. ANS: B Adult correctional facilities are not generally equipped to deal with the challenges of adolescent development. Adolescents in an adult correctional facility are the highest at risk than any other group. Juveniles in adult correctional facilities are 36 times more likely than the adult population to commit suicide. Thus, it is in the best interest of the adolescent to be placed in a juvenile facility. The placement of an adult prison or mental hospital would not bein the best interest of this child. DIF: Cognitive Level: Apply (Application) 16. 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. Whichdoes the nurse need to remember? a. Cell phones, including those with ear phones, are commonplace among everyone. b. It is common for persons toUtalSk toNtheTmselvesOor think out loud. c. Prisons have become the residence for a very large number of persons who havemental illnesses. d. Prisoners get very lonely and often talk to mirrors or inanimate objects. ANS: C In the late 1950s and early 1960s, deinstitutionalization moved people with mental illness out of state hospitals into communities that were often ill-prepared to care for them. As a result, many people with a mental illness reside in nursing homes, residential homes, prisons, or jails.People with mental illness are often jailed for crimes committed in response to the symptoms of mental illness. Approximately 34% of state inmates, 24% of federal inmates, and 17% of jail inmates received treatment for mental health problems. Thus, it is highly likely that this prisoner has a mental illness. It is less likely that the prisoner is using a cell phone or purposefully talking to himself. DIF: Cognitive Level: Apply (Application) Community Public Health Nursing 7th Edition Nies Test Bank This study source was downloaded by from CourseH on :56:48 GMT -05:00 17. Which is considered appropriate preparation for engaging in forensic nursing specialtypractice? a. Adequate number of continuing education credits plus licensure as a registerednurse b. Baccalaureate nursing program and previous community health experience c. College-based educational program including supervised clinical hours andinternship