Question 1

The presence of which medical diagnosis in a client would make it most likely that a nurse may need to use medical coercion?

Accepted Answer

Medical coercion may be necessary in certain situations.These situations include incapacity to make decision and making decisions that could result in harm to self or harm to others in the absence of interventions.For instance,mentally ill inmates may be medically coerced to take psychotropic medications against their will if the mental disorder is serious,the inmate is dangerous to himself,and the medication prescribed is in the inmate's best medical interest.Schizophrenia is the diagnosis most likely to require medical coercion.

Question 2

Which level of prevention is being implemented when a forensic nurse implements a program aimed at preventing domestic abuse?

Accepted Answer

Primary prevention focuses on preventing violence and injuries before they occur.

Question 3

A nurse uses the scope and standards for forensic nursing practice to differentiate this practice from other nursing specialties.Which parameter best describes the practice of forensic nursing?

Accepted Answer

Coordination of care relevant to forensic outcomes often involves education and other strategies to prevent injuries well after the occurrence,perhaps after the death of an individual who has been injured.Assessment includes the collection of forensic data,identification of realistic outcomes of care are most commonly performed in collaboration with a team of professionals outside of nursing and medicine,and evaluation of outcomes may involve dissemination of results to the client and the community.

Question 4

What is the main purpose of the National Center for Injury Prevention and Control?

Accepted Answer

The National Center for Injury Prevention and Control was established to coordinate the prevention of injuries,violence,and their consequences.

Question 5

How can a forensic nurse demonstrate the role of advocate?

Accepted Answer

Forensic nurses can demonstrate the role of advocate by promoting programs that prevent injuries.

Question 6

A nurse working in a correctional setting is implementing care using which level of prevention?

Accepted Answer

If disability,incarceration,or death occurs,tertiary prevention is applied in settings appropriate to address rehabilitation or identify factors that have put individuals at risk.

Question 7

A nurse vocalizes a concern that a group of refugees in the community is not receiving equal access to health care services when compared to the other residents in the community.Which concept is being applied?

Accepted Answer

Victimization occurs when individuals or groups are treated unfairly generally when there is an imbalance of power.

Question 8

Which action would the forensic nurse most likely take when implementing Hammer's definition of caring?

Accepted Answer

Hammer recognized that in forensic nursing practice the caring component must address caring for one self as well as caring for clients.

Question 9

A nurse assesses the factors which may place a client at risk for injury from a violent act by considering the role these factors play before,during,and after the violent act.The work of which theorist is being applied?

Accepted Answer

Haddon developed the Matrix when examining methods to identify the risk of injury.The Matrix looks at factors related to personal attributes,vector or agent attributes,and environmental attributes before,during,and after an injury or death.

Question 10

Which setting is a forensic nurse most likely to be employed?

Accepted Answer

Practice arenas for forensic nurses include health care facilities such as private clinics and emergency departments,criminal justice centers for victims of crime,medical examiner offices,police departments,correctional facilities,and mental health centers.

Question 11

What is the extent of the economic burden of injuries in the United States?

Accepted Answer

The economic burden of injuries in the United States is extensive,especially when considering the costs of medical care and treatment,productivity losses (lost wages,accompanying fringe benefits),and lost ability to perform normal household responsibilities.

Question 12

A homicide has occurred in a community.To whom would this information need to be reported?

Accepted Answer

The National Violent Death Reporting System (NVDRS)was initiated by the CDC in effort to develop a national state based surveillance system that could identify the cause and manner of death leading to prevention efforts by pulling together data on violent deaths,unintentional firearm injury deaths,and deaths of undetermined intent.

Question 13

Which is an example of trace evidence that would be collected by a forensic nurse?

Accepted Answer

The most common types of trace evidence from victims of violence are clothing,bullets,bloodstains,hairs,fibers,and small pieces of material,such as fragments of metal,glass,paint,and wood.

Question 14

Which characteristic would a nurse expect to find when conducting a community assessment in a healthy community?

Accepted Answer

The rate of injury and crime is lower in communities that promote good health.Where inequities of resources and education exist,health disparity,violence,and other crimes rise and accidental injuries occur more often.

Question 15

What would a forensic nurse in the 1950s most likely have been doing?

Accepted Answer

During the 1940s through the 1960s,nurses became aware of their role in identifying indicators of assault.The first nurse run sexual assault clinic opened in 1974 with subsequent development of the first protocols for sexual assault care.SANE programs appeared in the 1990s.

Question 16

A forensic nurse assesses a child who has injuries that indicate possible abuse.What is the best way to document the assessment findings?

Accepted Answer

Documentation of all forms of violence should include written documentation as well as photography.

Question 17

What has been the focus of the majority of scientific research in forensic nursing?

Accepted Answer

Scientific research in forensic nursing is in its early stages.Currently,research is largely a description of the forensic nursing role and client population.

Question 18

A nurse collects evidence from a victim following a sexual assault.Which level of prevention is being used?

Accepted Answer

Secondary prevention occurs following the occurrence of injuries and crime.This includes direct care provided to victims and perpetrators as well as the collection of evidence.

Question 19

Which is the most appropriate action for a nurse to take when providing emergency care to an assault victim?

Accepted Answer

Supporting the privacy of the assault victim is the most appropriate action for the nurse to take when providing care.When providing emergency care it is not the most appropriate time to assess the client's socioeconomic status or educate the victim about violence prevention.The forensic nurse will need to document the victim's account of the assault; however,there will law enforcement involved to collect this data.

Question 20

Which individual would be at the highest risk to be a victim of trauma?

Accepted Answer

Trauma victims are over represented in minority,disenfranchised,and disadvantaged groups.

Quiz 44: Forensic Nursing in the Community