Varcarolis Ch. 33: Forensic Psychiatric Nursing Exam Practice Questions and Answers | All Correct
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Course
Varcarolis Psychiatric Mental Health Nursing
Institution
Varcarolis Psychiatric Mental Health Nursing
Varcarolis Ch. 33: Forensic Psychiatric
Nursing Exam Practice Questions and
Answers | All Correct
1. A person diagnosed with bipolar disorder ran out of money, did not
refill a lithium prescription, and then relapsed. After assaulting several
people in the community, this person was convicted ...
Varcarolis Ch. 33: Forensic Psychiatric
Nursing Exam Practice Questions and
Answers | All Correct
1. A person diagnosed with bipolar disorder ran out of money, did not
refill a lithium prescription, and then relapsed. After assaulting several
people in the community, this person was convicted and sentenced. Prior
to parole, which outcome has priority for the correctional nurse to achieve?
The person:
a. agrees in writing to continue lithium therapy.
b. is reestablished on an appropriate dose of lithium.
c. lists community resources for prescription assistance.
d. agrees to a follow-up appointment in an outpatient clinic. - Answer✔️✔️-
c. lists community resources for prescription assistance.
To increase medication adherence, reduce the risk of relapse, and prevent
further criminal activity due to mental illness, the persons awareness of
community resources for medication refills and medication-related services
is the most important outcome. Agreeing to take lithium, being
reestablished on medication in the jail, and agreeing to follow-up mental
health care are important, but none of these will address the primary
reason for the criminal behavior: the relapse caused by inability to access
medication in the community.
2. An inmate was diagnosed with posttraumatic stress disorder (PTSD)
caused by severe sexual abuse. One day this inmate sees a person with
characteristics similar to the perpetrator, has a flashback, and then attacks
the person. Correctional officers place the inmate in restraint. The
correctional nurse should anticipate that the inmate would react to restraint
by:
a. committing to counseling to reduce the incidence of flashbacks.
b. becoming less likely to assault others during future flashbacks.
c. gradually calming and returning from the flashback to reality.
d. becoming more frightened, agitated, and combative. - Answer✔️✔️-d.
becoming more frightened, agitated, and combative.
The correctional nurse recognizes that events occurring in the present
reality are likely to be incorporated into a flashback, leading the inmate to
become more frightened and desperate to escape. Even if no longer
experiencing a flashback, persons will likely reexperience their original
trauma if restrained, including the emotions experienced during that
trauma, leading to increased fearfulness and resistance to the jail restraints.
Restraints are not likely to calm the individual or reduce aggressiveness
but instead increase the sense of helplessness and desperation.
3. An inmate was diagnosed with posttraumatic stress disorder (PTSD)
caused by severe sexual abuse. One day this inmate sees a person with
similar characteristics to the perpetrator, has a flashback, and then attacks
the person. Correctional officers place the inmate in restraint. Which action
by the correctional nurse is most appropriate?
a. Plan to meet with the inmate for debriefing after release from the
required period of restraint.
3
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