Question 1

Protective factors that can help decrease the risk of suicide may include
A) a stable social support system and the ability to use coping skills.
B) a sense of hopefulness and spiritual inclinations.
C) A only.
D) A and B.

Accepted Answer

Protective factors against suicide include both external and internal resources. A stable social support system and effective coping skills provide external and internal mechanisms to deal with stress and crises, while a sense of hopefulness and spiritual beliefs can offer internal strength and reasons for living. Both A and B describe important protective factors.

Question 2

An experienced forensic nurse may have difficulty assessing suicide and the range of self-injurious behaviors. Nursing assessment must incorporate techniques to
A) circumvent the intention of behaviors.
B) include close collaboration with caretakers, family, and friends.
C) assess the patient only, since suicide is such a personal issue.
D) A and B.

Accepted Answer

The answer of An experienced forensic nurse may have difficulty...

Question 3

Suicide assessment includes
A) a comprehensive and systematic approach.
B) information that may indicate individual risks factors.
C) the need only to follow a clinical interview format.
D) A and B.

Accepted Answer

Suicide assessment involves a comprehensive and systematic approach to understand the individual's risk factors and protective factors. It includes gathering information that may indicate individual risk factors, but it is not limited to a clinical interview format; it can also involve standardized assessments, collateral information, and other relevant data sources.

Question 4

Forensic health care indicates that a combination of legal and health-care issues must be addressed in patient management. In relation to treatment of suicidal patients, which one of the following statements is true?
A) A nurse may voluntarily elect not to report suspected intention of harm due to HIPAA privacy laws.
B) A decision to treat a patient against his/her will requires a legal process that assures patient protection.
C) The patient may petition the court for legal treatment.
D) Federal laws mandate commitment and treatment of a dangerous patient.

Accepted Answer

B) A decision to treat a patient against his/her will involves a legal process to ensure the patient's rights and safety are protected, balancing the need for treatment with respect for individual liberties.

Question 5

Literature on treatment of suicidal patients reveals an action-interaction strategy (Sun and colleagues) with an identified core of
A) holistic assessments and patient protection.
B) therapeutic relationship vested in safe, compassionate care.
C) provision of basic mental and physical care.
D) hope-inspiring advanced healing care.

Accepted Answer

The action-interaction strategy by Sun and colleagues emphasizes the importance of a therapeutic relationship that is vested in providing safe, compassionate care to suicidal patients. This approach is central to effectively addressing the needs of these individuals, focusing on creating a supportive and understanding environment.

Question 6

Intervention planning for the mental health patient should include
A) educating the patient about coping skills and cognitive style.
B) family and friends
C) limited communication with entire health-care team.
D) A and B.

Accepted Answer

Intervention planning for a mental health patient should include educating the patient about coping skills and cognitive style, as well as involving family and friends to provide a support system. Limited communication with the entire health-care team is not recommended as comprehensive care involves open and ongoing communication among all members of the health-care team.

Question 7

Which one of the following statements is true, given that around 65% to 85% of persons communicate about their suicide prior to their attempts.
A) Acute interventions are the most critical first step in the treatment continuum.
B) Determination of the best setting for care is the most important therapeutic issue.
C) Talking about suicide can be the most important therapeutic issue.
D) Talking about suicide puts the idea in the person's head.

Accepted Answer

Given that a significant percentage of individuals communicate about their suicide intentions prior to attempts, talking about suicide can be a crucial therapeutic issue. It provides an opportunity for intervention and support, rather than instigating the idea of suicide.

Question 8

Extensive investigation may be required in a trauma or unnatural death, based on
A) circumstances of death and mechanism of injury.
B) variations of medical examiner or coroner system.
C) patient identification and insurance.
D) Is not allowed by the nurse investigator.

Accepted Answer

The circumstances of death and mechanism of injury are critical factors in determining the need for an extensive investigation in cases of trauma or unnatural death.

Question 9

Which of the following options is an example of Cause of Death (COD)?
A) Eye witness accounts
B) Homicide
C) Suicide
D) Gunshot wound

Accepted Answer

A Cause of Death (COD) refers to the specific injury or disease that leads to death. In this context, a "gunshot wound" directly describes a physical injury that can lead to death, making it an example of a COD. Options B and C (Homicide and Suicide) are manners of death, explaining how the death came about rather than the specific medical cause. Eye witness accounts (A) are a form of evidence or testimony, not a cause of death.

Question 10

Which one of the following is true regarding the forensic post-mortem or autopsy examination?
A) It is performed on all deceased persons.
B) Can only be performed by the pathologist.
C) Authority to perform is given by the family.
D) Authority to perform is given by the state.

Accepted Answer

The authority to perform a forensic post-mortem or autopsy examination is typically given by the state, especially in cases where the death is suspicious, unexplained, or due to unnatural causes. This is to investigate the cause of death for legal and medical purposes.

Question 11

Nursing skills that may enhance outcomes in death investigation role include
A) nursing diagnoses and treatment plans.
B) communication skills and critical thinking.
C) knowledge of surgery techniques.
D) nursing assessment knowledge.

Accepted Answer

Communication skills and critical thinking are essential in death investigations for gathering information, analyzing evidence, and making informed decisions.

Question 12

Which one of the following is a manner of death (MOD) that is consistent with the cause of death (COD)?
A) COD: Cocaine toxicity; MOD: Overdose
B) COD: Gunshot wound to the abdomen; MOD: Exsanguination
C) COD: Hanging; MOD: Suicide
D) COD: Exsanguination; MOD: Wrongful medication dosage

Accepted Answer

Cause of death (COD) refers to the specific injury or disease that leads to death, while manner of death (MOD) is the circumstance under which the death occurred. In option C, "Hanging" is a specific injury that can lead to death, and "Suicide" is a circumstance under which death can occur, making this pair consistent with each other.

Question 13

In the coroner system, the following is TRUE.
A) Autopsies are done by the coroner.
B) The coroner is always elected.
C) The coroner is a physician but not forensically trained.
D) It is the system used in more than half of the states.

Accepted Answer

In many jurisdictions, coroners are elected officials and may not necessarily be medically trained.

Question 14

Deaths that are reportable to the coroner/medical examiner include
A) inmates in public institutions.
B) undiagnosed cancer patients.
C) heart attacks.
D) all deaths in an ambulance.

Accepted Answer

Deaths of inmates in public institutions are typically reportable to the coroner or medical examiner to ensure that there was no foul play or negligence involved.

Question 15

Research has shown that there is a significant effect on the actions of jury members when they are exposed to stories about physical evidence and its potential to
A) include or exclude a suspect.
B) provide evidence about the witness.
C) translate the judge's rulings.
D) make the attorney look informed.

Accepted Answer

Physical evidence is crucial in legal proceedings because it can directly include or exclude a suspect from consideration based on its connection to the crime scene or the victim, thereby influencing jury members' decisions.

Question 16

In the early 20^th century a French criminologist held that anytime two objects come in contact with each other there is a mutual exchange of materials which became the basis of modern scientific investigation in criminal and civil cases known as A) the principle of mutual exchange . B) Locard's principle of exchange. C) Edmond's principle of exchange. D) the principle of mutual material exchange.

Accepted Answer

Locard's principle of exchange, formulated by Edmond Locard, posits that when two objects come into contact, there is always a transfer of material. This principle is foundational in forensic science for evidence collection and analysis.

Question 17

When the appropriate evidence is identified, collected, and properly maintained, it can have great value in the course of an investigation. Information that can be gained from evidence includes identification of the elements of an incident; identification of a perpetrator or other actor; exclusion of an individual as the source of the evidence; prove or disprove witness or party statements; association of objects or persons; and provision of additional
A) vigorous media debate.
B) speculation from witnesses.
C) information or "investigative" leads.
D) theory of the elements of the crime.

Accepted Answer

Evidence properly collected and maintained can provide additional information or leads that are crucial for advancing an investigation. This helps in identifying connections, proving or disproving statements, and guiding the direction of the investigation.

Question 18

Most forensic psychiatric mental-health nurses work with
A) criminal offenders.
B) victims of violent crimes.
C) civil cases.
D) defense attorneys.

Accepted Answer

Most forensic psychiatric mental-health nurses work with criminal offenders, providing care and treatment within the criminal justice system.

Question 19

Forensic psychiatric nursing includes all roles/functions, EXCEPT
A) correctional mental health nursing.
B) criminal and civil competence.
C) criminal responsibility.
D) recommendation of criminal charges.

Accepted Answer

Forensic psychiatric nursing involves roles such as correctional mental health nursing, assessing criminal and civil competence, and evaluating criminal responsibility. However, recommending criminal charges is not within the scope of forensic psychiatric nursing; this is typically the role of law enforcement and legal professionals.

Question 20

When functioning in the forensic role, the nurse adheres to which principle of confidentiality?
A) Adherent
B) Strict
C) Limited
D) None

Accepted Answer

In the forensic role, the nurse adheres to the principle of limited confidentiality. This is because while confidentiality is important, the nurse may be required to share information with legal authorities or during court proceedings, thus limiting the extent of confidentiality.

Quiz 1: Forensic Nursing Evidence Based Principles and Practice

Protective factors that can help decrease the risk of suicide may include

An experienced forensic nurse may have difficulty assessing suicide and the range of self-injurious behaviors. Nursing assessment must incorporate techniques to

Suicide assessment includes

Forensic health care indicates that a combination of legal and health-care issues must be addressed in patient management. In relation to treatment of suicidal patients, which one of the following statements is true?

Literature on treatment of suicidal patients reveals an action-interaction strategy (Sun and colleagues) with an identified core of

Intervention planning for the mental health patient should include

Which one of the following statements is true, given that around 65% to 85% of persons communicate about their suicide prior to their attempts.

Extensive investigation may be required in a trauma or unnatural death, based on

Which of the following options is an example of Cause of Death (COD) ?

Which one of the following is true regarding the forensic post-mortem or autopsy examination?

Nursing skills that may enhance outcomes in death investigation role include

Which one of the following is a manner of death (MOD) that is consistent with the cause of death (COD) ?

In the coroner system, the following is TRUE.

Deaths that are reportable to the coroner/medical examiner include

Research has shown that there is a significant effect on the actions of jury members when they are exposed to stories about physical evidence and its potential to

In the early 20^th century a French criminologist held that anytime two objects come in contact with each other there is a mutual exchange of materials which became the basis of modern scientific investigation in criminal and civil cases known as

Most forensic psychiatric mental-health nurses work with

Forensic psychiatric nursing includes all roles/functions, EXCEPT

When functioning in the forensic role, the nurse adheres to which principle of confidentiality?