Which of the following best defines forensic psychiatry?
[a] A field focused solely on determining if a criminal is insane.
[b] A subspecialty that provides long-term psychotherapy to prisoners.
[c] The application of psychiatric knowledge and principles to legal issues.
[d] The study of mental illness in police officers and lawyers.
The legal concept of "competency to stand trial" refers to the defendant's mental state:
[a] At the time the crime was committed.
[b] At the time of the legal proceedings.
[c] During their childhood.
[d] After sentencing has occurred.
The landmark Tarasoff v. Regents of the University of California case established the mental health professional's:
[a] Right to absolute confidentiality.
[b] Right to refuse treatment to a client.
[c] Duty to hospitalize all dangerous clients.
[d] Duty to warn a potential victim of a client's credible threat.
Which of the following is a primary criterion for involuntary psychiatric commitment?
[a] The client is unemployed.
[b] The client has a history of non-compliance with medication.
[c] The client is gravely disabled and unable to provide for their basic needs.
[d] The client's family requests hospitalization.
A nurse who documents in a client's chart, "The client is a manipulative liar," could be held liable for:
[a] Assault.
[b] Battery.
[c] Libel.
[d] Slander.
The insanity defense concerns the defendant's mental state at what point in time?
[a] At the time the crime was committed.
[b] During the police interrogation.
[c] During the trial.
[d] After a verdict has been reached.
The principle of "least restrictive alternative" obligates the nurse to:
[a] Always choose outpatient over inpatient care.
[b] Avoid using medication whenever possible.
[c] Use the minimum level of intervention and restriction necessary to ensure client safety.
[d] Place an agitated client in restraints immediately to save time.
A competent, voluntarily admitted client states they want to leave the hospital. The nurse's initial action should be to:
[a] Tell the client they are not allowed to leave.
[b] Place the client in seclusion.
[c] Notify the physician and explore the client's reasons for wanting to leave.
[d] Call security to block the exit.
Which of the following actions represents a breach of confidentiality?
[a] Reporting a client's threat to harm someone.
[b] Discussing the client's case with the treatment team.
[c] Telling a friend in the hospital cafeteria about a client's diagnosis.
[d] Documenting the client's progress in the medical record.
Verbally threatening to give a client an injection against their will is an example of:
[a] Assault.
[b] Battery.
[c] False imprisonment.
[d] Malpractice.
An involuntarily committed client still retains the right to:
[a] Leave the hospital at any time.
[b] Possess potentially harmful objects.
[c] Refuse treatment, unless they are a danger to self or others.
[d] Unrestricted access to visitors and phone calls.
From a legal standpoint, what is the most important aspect of a nurse's documentation?
[a] It should be brief and use as many abbreviations as possible.
[b] It should include the nurse's personal opinions about the client.
[c] It must be objective, factual, and timely.
[d] It should only be completed at the end of the shift.
"Malingering" is the term used in forensic psychiatry to describe:
[a] A severe, treatment-resistant form of psychosis.
[b] The intentional faking or exaggeration of symptoms for external gain.
[c] A client's inability to understand right from wrong.
[d] The involuntary imitation of another person's movements.
The M'Naghten Rule is a classic test for:
[a] Competency to stand trial.
[b] Grave disability.
[c] Legal insanity.
[d] Informed consent.
If a nurse restrains a client without a valid order or justification, the nurse could be sued for:
[a] Libel.
[b] False imprisonment.
[c] Fraud.
[d] Breach of contract.
For informed consent to be legally valid, the client must be competent, receive adequate information, and:
[a] Have their family's approval.
[b] Agree with the doctor's recommendation.
[c] Give consent voluntarily, without coercion.
[d] Be an involuntary patient.
The ethical principle of "autonomy" refers to the client's right to:
[a] Be treated fairly.
[b] Receive beneficial treatment.
[c] Not be harmed.
[d] Make their own decisions.
What is the primary difference between a forensic nurse examiner and a forensic psychiatric nurse?
[a] A forensic nurse examiner often deals with physical evidence (e.g., in sexual assault), while a forensic psychiatric nurse deals with mental health and the law.
[b] There is no difference; the terms are interchangeable.
[c] Forensic nurse examiners can prescribe medication, but forensic psychiatric nurses cannot.
[d] Forensic psychiatric nurses work only in prisons, while forensic nurse examiners work only in hospitals.
A court order is required for which of the following?
[a] A client to voluntarily admit themselves to a hospital.
[b] A nurse to administer a routine oral medication.
[c] Long-term involuntary commitment of a client.
[d] A client to participate in group therapy.
If a nurse is called to testify in court as a fact witness, their role is to:
[a] Offer their expert opinion on the case.
[b] Describe firsthand what they saw, heard, or did.
[c] Argue for the client's innocence.
[d] Decide the outcome of the case.
The concept of "Guilty but Mentally Ill" (GBMI) means the defendant:
[a] Is found not guilty and sent to a hospital.
[b] Is found guilty, sentenced to prison, and may receive mental health treatment there.
[c] Is found incompetent to stand trial.
[d] Is acquitted of all charges due to their illness.
HIPAA (Health Insurance Portability and Accountability Act) primarily protects:
[a] A hospital's financial records.
[b] A nurse's right to refuse to testify in court.
[c] A client's personal and health information.
[d] A doctor's treatment decisions from legal challenges.
A nurse fails to monitor a client for well-known side effects of a medication, and the client is harmed as a result. This is an example of:
[a] Assault.
[b] Negligence (a form of malpractice).
[c] False imprisonment.
[d] Libel.
When a nurse's ethical duty to a client (e.g., confidentiality) conflicts with a legal mandate (e.g., duty to warn), the nurse must:
[a] Always follow their ethical code.
[b] Ask the client which they would prefer.
[c] Adhere to the legal mandate.
[d] Refuse to act until a court provides clarification.
A durable power of attorney for health care is a legal document that:
[a] Commits a person to a psychiatric facility.
[b] Appoints a person to make healthcare decisions if the client becomes incompetent.
[c] Is a standard for the insanity defense.
[d] Allows a client to leave the hospital against medical advice.
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