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Forensic Nursing Final Exam 142 Questions with Verified Answers
Typology: Exams
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health-care systems - CORRECT ANSWER A distinct feature of forensic nursing practice in the nurses' knowledge and skill in navigating intersections of legal and social systems with health and legal systems intersect - CORRECT ANSWER The International Association of Forensic Nurses adopted the definition of forensic nursing as a practice of nursing globally when social justice - CORRECT ANSWER Nursing's Social Policy Statement defines nursing's obligations to society and includes six critical elements of nursing -- provision of a caring relationship, attention to human experiences and responses to health and illness, integration of objective data with the patient's subjective experience, application of scientific knowledge, advancement of professional knowledge, and the promotion of health-care systems - CORRECT ANSWER The distinctive feature of forensic nursing practice is the nurses' knowledge and skill in navigating intersections of legal and social systems with interrupt and prevent recurrence of intimate partner violence - CORRECT ANSWER Well-designed forensic nursing research, once is has been published and disseminated, has the potential to become a practice standard, as demonstrated in McFarlane, Groff, O'Brien, and Watson (2006). This randomized clinical trial concluded that simple abuse assessment and the offer of referrals have the potential to generalist practice - CORRECT ANSWER According to the American Nurses Association and the International Association of Forensic Nurses (2009), basic forensic nursing is a
Therapeutic Jurisprudence - CORRECT ANSWER What is a legal reform theory that considers how the well-being of those in the legal system is impact by legal actions, rules, and procedures? time - CORRECT ANSWER To formulate an answerable clinical questions, Melnyk and Fineout-Overhold (2005) suggest the widely used standard PICOT format -- Population/Patient, Intervention of Interest, Comparison intervention or group, Outcome, and translation science - CORRECT ANSWER The entire process of implementing research into practice is referred to as battery - CORRECT ANSWER An intentional tort accomplished by offensive touching of another without consent is a/an libel - CORRECT ANSWER A quasi-intentional tort accomplished by a written defamatory statement is a/an Intentional tort - CORRECT ANSWER A tort is a wrongful or crooked act that injures another classified three ways. The tort that requires that the person committing the act has the requisite knowledge and will to commit the wrong is a/an being human - CORRECT ANSWER At a higher level of articulation, violation of the ethical principle of autonomy is a violation of the right of different responses - CORRECT ANSWER In understanding socio-cultural factors, bias, and discrimination are uncomfortable subjects to many because they give rise to difficult conversations and accountability - CORRECT ANSWER Internalized responsibility is beneficence - CORRECT ANSWER The duty of the forensic nurse is to protect the client from harm, which is enunciated by the ethical principle of malfeasance. The duty to provide service for the good of the client is enunciated in the ethical principle of
autonomy - CORRECT ANSWER The ethical principle that confers respect and self- determination on all human beings, including individuals with diminished capacity by reason or age or illness including mental, psychological, or physical disorder, unconscious or semiconscious state, or under the influence of a mind-altering substance is justice - CORRECT ANSWER The ethical principle that demands that the FN is fair in all his or her interactions and communications making certain that policies and procedures are consistently and equitably applied without selective dispensation is constitutional law - CORRECT ANSWER Laws are derived from four major sources on the national level in the United States and in several states and territories. These are Common law, Administrative law, Legislative law, and guilt beyond a reasonable doubt - CORRECT ANSWER For the accused to be found guilty in criminal litigation, the prosecution must prove negligence - CORRECT ANSWER An unintentional wrongdoing as the failure to meet a standard of care, as any reasonably prudent health-care provider would do, possessing similar knowledge and skills under comparable circumstances, is preponderance of the evidence - CORRECT ANSWER In a professional negligence case the burden of proof is retribution - CORRECT ANSWER Several purposes or objectives of crime include punishment. The purpose that exacts equal "pay back" as in the words "an eye for an eye, a tooth for a tooth, an arm for an arm, a life for a life" is expert opinion evidence - CORRECT ANSWER Two general bodies of evidence are present in all potential litigation -- (1) fact evidence and (2) ____________ plaintiff - CORRECT ANSWER In a civil case, the litigant who files the Complaint to commence a lawsuit is the fact - CORRECT ANSWER In a jury trial, the Judge is the trier of the law while the jury is the trier of
peremptory challenge - CORRECT ANSWER Bias is a common human characteristic and sometimes colors jury verdicts. In jury selection, this human characteristic is tempered by resolve disputes - CORRECT ANSWER The goal of all lawsuits is to teaching and learning strategy - CORRECT ANSWER Advanced technology is creating a dependence on simulation as a/an static - CORRECT ANSWER Low-fidelity simulation is semen - CORRECT ANSWER Alternative light source (ALS) should be used to detect without videotaping - CORRECT ANSWER Simulation for the forensic nurse should not be conducted after the scenario is completed - CORRECT ANSWER Debriefing as a component of simulation should be conducted press release material - CORRECT ANSWER Forensic nursing data from the electronic health record should not be used as abuse, skin, communicable/infectious condition - CORRECT ANSWER The Omaha System provides standardized terms for client problems, practitioner interventions, and problem-specific client outcomes. Some Omaha System problems that are particularly applicable in forensic nursing are narrative notes of the encounter - CORRECT ANSWER Electronic forensic medical record data do not provide information on the vital statistics data - CORRECT ANSWER Informatics solutions specifically for forensic nursing do not include identify perpetrators - CORRECT ANSWER Forensic nurses cannot use data to
All of the above (the health-care systems are complex environments; institutional, organizational guidelines require standard of care for forensic patients; basic health professional education does not include adequate content) - CORRECT ANSWER Students in the health professions are beginning to request educational content on forensic health issues because advised by the Institute of Medicine reports - CORRECT ANSWER Competency- based education for health-care professionals is integrates professional wisdom with best research available on education - CORRECT ANSWER Evidence-based forensic education mission of the educational institution - CORRECT ANSWER Educational concepts should be found in All of the above systems (criminal justice, health-care, children protective services) - CORRECT ANSWER The financial cost of violence drains the ___________ system include weapon control - CORRECT ANSWER Research reports on violence prevention strategies The definition is not universally shared - CORRECT ANSWER Which of the following is true regarding the current status of the definition of violence? Both of the above (intent to cause harm and contextual issues) - CORRECT ANSWER A definition of violence is characterized by Health promotion is coordinated community action aimed at legislative changes - CORRECT ANSWER Primary prevention is action taken to prevent development of a disease or injury. Which one of the following is true? A and B (Counseling the patient about the potential lethal outcome could save her life and in the event of separation, the abused partner's life may be in danger) - CORRECT ANSWER When caring for a patient in the midst of an intimate violent relationship, which one of the following is true?
Hormonal chemical levels change and disrupt sanity (True statements: exposure to violence can affect the developing brain of a young child; adverse events in childhood increase health risks for increased morbidity and mortality; an abused persons grow older, they may be unable to meet the needs of their children) - CORRECT ANSWER The intersection of neuro-biology and trauma is emerging in the scientific literature. Which of the following is not true? All of the above (failure of a responsible person to provide for basic needs of the elder person; intentional injury, assault, or threat with a weapon; psychological trauma and humiliation following a threat or controlling behavior) - CORRECT ANSWER Elder abuse is defined as Over 2.7 million males report the experience of rape in their lifetime - CORRECT ANSWER There are several distinctive differences in intimate partner violence against males older adolescents 18 to 24 years of age - CORRECT ANSWER The age group at highest risk for rape and sexual assault is higher than other traumas for both males and females - CORRECT ANSWER The incidence of post-traumatic stress disorder following sexual assault is may not be best for understanding nursing care with victims of violence - CORRECT ANSWER Evidence-based practice often cites randomized control trials (RCT) as the highest level of evidence. The use of RCT research RCT as best evidence and qualitative interview as the lowest level of evidence - CORRECT ANSWER As with other hierarchies of scientific evidence, Chapter 9 depicts has met certification requirements of a certifying body for performing sexual assault examinations - CORRECT ANSWER The initials SANE after a nurse signify that the nurse more related to prosecution if injuries were severe or the accused was a stranger
terms such as rape, sexual assault, and sexual abuse have to be defined differently to allow for penetration crimes, vs unwanted sexual contact of all types with males and females - CORRECT ANSWER Which one of the following statements regarding definitions is true? Native American and native Canadian groups - CORRECT ANSWER Among different racial and ethnic groups, ____________ report more sexual assault and violence-related medical visits. It must be done in case they are still unconscious for more than 72 hours. - CORRECT ANSWER Which one of the following statements is FALSE regarding the collection of evidence with an unconscious patient? can be easily learned by families and health professionals - CORRECT ANSWER Psychological first aid (PFA) for crisis intervention following a trauma define the problem, ensure safety, and provide support - CORRECT ANSWER There are eight core actions included in psychological first aid (PFA). For most acute crises, health professionals must at the very least do which one of the following sets of action? a three-stage process for nursing interventions with empathetic, non-biased care to guide the suicidal patient toward attaining power over his/her suicidality with the confidence to live again - CORRECT ANSWER What does "reconnecting the suicidal patient with humanity" mean, according to Cutcliffe's theoretical premise for nursing care with the suicidal patient? A and B (stable social support system and the ability to use coping skills; a sense of hopefulness and spiritual inclinations) - CORRECT ANSWER Protective factors that can help decrease the risk of suicide may include A and B (circumvent the intention of behaviors; include close collaboration with caretakers, family, and friends) - CORRECT ANSWER An experienced forensic nurse may have difficulty assessing suicide and the range or self-injurious behaviors. Nursing assessment must incorporate techniques to
A and B (a comprehensive and systematic approach; information that may indicate individual risk factors) - CORRECT ANSWER Suicide assessment includes a decision to treat a patient against his/her will requires a legal process that assures patient protection - CORRECT ANSWER 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? therapeutic relationship vested in safe, compassionate care - CORRECT ANSWER Literature on treatment of suicidal patients reveal an action-interaction strategy (Sun and colleagues) with an identified core of A and B (educating the patient about coping skills and cognitive style; family and friends) - CORRECT ANSWER Intervention planning for the mental health patient should include talking about suicide can be the most important therapeutic issue - CORRECT ANSWER Which one of the following statements is true, given that around 65% to 85% of persons communicate about their suicide prior to their attempts circumstances of death and mechanism of injury - CORRECT ANSWER Extensive investigation may be required in a trauma or unnatural death, based on gunshot wound - CORRECT ANSWER Which of the following options is an example of Cause of Death (COD)? authority to perform is given by the state - CORRECT ANSWER Which one of the following is true regarding the forensic post-mortem or autopsy examination? communication skills and critical thinking - CORRECT ANSWER Nursing skills that may enhance outcomes in death investigation role include COD: Hanging; MOD: Suicide - CORRECT ANSWER Which one of the following is a manner of death (MOD) that is consistent with the cause of death (COD)?
the coroner is always elected - CORRECT ANSWER In the coroner system, the following is TRUE. inmates in public institutions - CORRECT ANSWER Deaths that are reportable to the coroner/medical examiner include include or exclude a suspect - CORRECT ANSWER Research has shown that there is a significant effect on the actions Locard's principle of exchange - CORRECT ANSWER In the early 20th 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 information or "investigative" leads - CORRECT ANSWER 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 criminal offenders - CORRECT ANSWER Most forensic psychiatric mental-health nurses work with recommendation of criminal charges (it includes: correctional mental health nursing, criminal and civil competence, and criminal responsibility) - CORRECT ANSWER Forensic psychiatric nursing includes all roles/functions, EXCEPT limited - CORRECT ANSWER When functioning in the forensic role, the nurse adheres to which principle of confidentiality? document the comments and explain the limited nature of confidentiality in forensic nursing - CORRECT ANSWER During a forensic interview, the interviewee tells the nurse about crimes committed not on record. He then tells the nurse that she can't tell anyone about this because of the nurse-client relationship, stating, "It's like going to confession." The nurse should
ability to make certain decisions - CORRECT ANSWER Civil competency focuses on the person's must always be reevaluated and reinstated - CORRECT ANSWER Competency is temporal and thus judge or jury - CORRECT ANSWER The verdict of not guilty by reason of insanity is decided by the mental status at the time of the offense - CORRECT ANSWER The forensic psychiatric nurse makes the decision that a defendant is criminally not responsible based on which one of the following? have intense, specifically inappropriate fantasies for at least 6 months - CORRECT ANSWER Persons following a sexually deviant pathway to offending attitude favorable toward sexual offending - CORRECT ANSWER Dynamic factors that place an offender at risk for sexually offending include assess the accused/defendant's competency to stand trial - CORRECT ANSWER Forensic psychiatric mental health nurses may absence of mens rea (includes: presence of actus reus, mental disease or defect, inability to tell right from wrong) - CORRECT ANSWER The decision that a defendant is not responsible for a criminal act is based on all of the following, EXCEPT projected growth of incarcerated population at three times that of the general population - CORRECT ANSWER Demographic and public policy shifts in the United States have led to principles of constitutional law that require provision of dental, medical, psychiatric, and psychological care - CORRECT ANSWER Correctional nursing practice is influenced by
expert knowledge and successful problem solving is the basis for correctional nursing - CORRECT ANSWER Which of the following statements is true? six percent of the prison population are women, and the numbers are rapidly increasing - CORRECT ANSWER Which of the following is true regarding women's health in correctional facilities? should be prudently screened for post-traumatic stress disorder (PTSD) that could lead to violent behavior - CORRECT ANSWER The majority of adolescents in correctional facilities theory, knowledge, and protocol have little place in standards of correctional nursing care (include: there is a legal obligation to provide care and avoid deliberate indifference; laboratory, diagnostic, and emergency care are mandatory components of correctional health care; awareness of patient assignment to staff ratios is mandatory for safety) - CORRECT ANSWER Core elements of correctional health care are categories for organizing knowledge for practice, and include all of the following, EXCEPT the supportive and collaborative nature of prison and jail administration, staff, and patients (includes: culture shock that reflects the stress of caring for the disadvantaged; limitation of resources for health care provision, including staff; role socialization for nurses working in secure environments) - CORRECT ANSWER Special issues that are experienced by correctional nurses do not include Both A and B are violations (a previously trustworthy and cooperative inmate demands to be seen by on nurse only; sexual intimacy occurs between inmate and staff) - CORRECT ANSWER Boundary violations are a breakdown in professionalism and may result when which of the following occurs? an inmate-staff relationship, such as sexual relationship - CORRECT ANSWER Fraternization is access to cost effective care, reasonable preventive care, and care mandated by correctional personnel - CORRECT ANSWER The United States Constitution prohibited cruel and unusual punishment for inmates, which has led to the emergence of the following inmates' rights
evaluation and analysis of facts and the rendering of informed evidence-based opinions related to the delivery of nursing and health care - CORRECT ANSWER Legal nurse consulting is the a registered nurse who is knowledgable in many aspects of law, nursing, and medicine, as well as the sociocultural influences in patient care, legal claims, and litigation - CORRECT ANSWER A legal nurse consultant is devoid of statements of personal beliefs - CORRECT ANSWER Legal writing should be concise and clear, using simple words and short statements, and be developing a spread sheet to demonstrate medical costs incurred as a result of injuries incurred as a result of negligent act - CORRECT ANSWER A legal nurse consultant can demonstrate "damages" by provide gold-standard, evidence-based literature to assist in illustrating the standard of care - CORRECT ANSWER An important role of the legal nurse consultant is to finding the causal connection between the negligent care and the injury - CORRECT ANSWER Challenges commonly encountered in practice include organize and verify that key medical and forensic records have been obtained - CORRECT ANSWER The most important work for the legal nurse consultant in any case is to demonstrative evidence - CORRECT ANSWER Exhibits that prove to be effective in communicating relevant medical issues can be turned into discoverable or obtainable by the opposing side - CORRECT ANSWER Maintaining a clear and consistent line of communication is vital, whether the forensic nurse acts as the coordinator of the case development or has a peripheral role secondary vicitimization - CORRECT ANSWER What is described as negative behaviors and/or comments by health care providers that make sexual assault survivors feel they are to blame or have caused the assault?
law enforcement - CORRECT ANSWER To receive federal STOP Violence Against Women Formula Grant Program funding, the Violence Against Women and Department of Justice Reauthorization Act of 2005 mandated that by January 2009 all states are required to offer free forensic physical examination and evidence collection to sexual assault victims regardless of whether women chose to involve or not to involve effective, evidence-based interventions - CORRECT ANSWER Nurses provide interventions in hopes of decreasing the prevalence or stopping the problem entirely. When patients screen positively for IPV, health-care providers express frustration due to the lack of available the direction of gravity - CORRECT ANSWER Often misinterpreted and mislabeled as bruising, ecchymosis is the subcutaneous leakage of released red blood cells from damaged blood vessels. Unlike bruises, areas of ecchymosis are usually non painful and non-indurated, lack distinct outer margins, and spread in mechanical - CORRECT ANSWER Strangulation injuries are often associated with intimate partner violence (IPV) and are a risk factor for intimate partner homicide of women. There are three general types of strangulation -- manual, ligature, and splitting of tissue resulting from blunt or shearing force trauma, resulting in injury with jagged edges and varying wound depth - CORRECT ANSWER A laceration is a/an Federal STOP Violence Against Women Formula Grant Program funds - CORRECT ANSWER The Violence Against Women and Department of Justice Reauthorization Act of 2005 mandated that by January 2009 all states are required to offer free forensic physical examinations and evidence collection to sexual assault victims, regardless of whether women choose to involve law enforcement if states want to receive 25% - CORRECT ANSWER The National Center on Elder Abuse (NCEA) commissioned a National Elder Abuse Incidence Study (NEAIS) to estimate the incidence of abuse against elders and found approximately 450,000 older people
were being abused in the United States in 1996. By 2050 the percentage of persons over the age of 65 in the U.S. is projected to be protein synthesis - CORRECT ANSWER Orgel proposed the error theory; this theory advances the idea that an error in _____________ is the first step in aging, illness, and death placement in a long-term care facility - CORRECT ANSWER Immobility, inactivity, and cognitive impairment are the leading cause of delirium - CORRECT ANSWER What is an acute onset of confusion, disorientation, withdrawal, and lethargy that, if left untreated and unresolved, could lead to what is interpreted as dementia? ageism - CORRECT ANSWER What involves discrimination or prejudice against a particular age group that is a contributing factor to elder maltreatment and may help to explain underreporting and under-identification of victims of abuse and neglect? sleep deprivation, restraints, and withholding of care - CORRECT ANSWER Persons who experience trafficking are at risk for physical abuse due to destination - CORRECT ANSWER Detention and exploitation are more likely to take place in which stage of human trafficking? background witness - CORRECT ANSWER The forensic nurse may be called to testify in court as a witness in a human trafficking trail. When speaking about the scientific findings that place the act of human trafficking in context, the nurse is a/n Do you have any concerns about carrying out this interview? - CORRECT ANSWER Which of the following questions should the nurse ask to help the person feel safe prior to an interview? Inability to move or leave their job - CORRECT ANSWER Unique features often exhibited by persons who are being trafficked may assist the forensic nurse in identification of their health and safety needs, and include
autonomy - CORRECT ANSWER The ethical principle of ___________ is not likely to be exercised when the trafficking victims is marginalized by culture change, inability to communicate, and isolation. reflecting on personal biases - CORRECT ANSWER Self-care for forensic nurses who care for survivors of trafficking include reconciliation efforts following war and mass violence - CORRECT ANSWER In addition to the contributions of forensic science to prosecutorial efforts, there has been a growing recognition during the past several decades that forensic science can possibly play and equally important role in international criminal justice agencies - CORRECT ANSWER This search has been aided by advanced developments in forensic tools and methodologies, including DNA testing as well as more sophisticated surveillance technologies and enhanced communications among Argentina - CORRECT ANSWER The use of advanced forensic science techniques and multidisciplinary teams to investigate and document contemporary human rights violations originated in patient clinical and support activities - CORRECT ANSWER The Joint Commission standards reflect on all-hazards approach to emergency preparedness that permits appropriate flexibility and effective response with a scalable approach to manage the variety, intensity, and the duration of disaster in 6 critical areas of emergency management --- communication, resources & assets, safety & security, staff responsibilities, utilities management, and make a plan, get a kit, be informed - CORRECT ANSWER The Federal Emergency Management Agency (FEMA) distributes and makes available publications and education for individuals and as training resources for groups. The motto found on the FEMA website is perinatology - CORRECT ANSWER The unique vulnerabilities of children can be categorized into the following: (1) terrorism prevention and preparedness, (2) all- hazards preparedness, (3) post-disaster disease and injury prevention, (4)
nutrition and hydration, (5) equipment and supplies, (6) pharmacology, (7) mental health, (8) identification and reunification of displaced children, (9) day care and school, and tertiary prevention - CORRECT ANSWER The fundamental concepts of nursing are relevant to disaster situations, such as caring, education, advocacy, treatment, and prevention. The mainstays of mitigating adversity are primary, secondary, and morbidity and mortality - CORRECT ANSWER Organizations that have well- thought-out "all hazards" plans to respond to unexpected situations will have optimal outcomes with limited environment - CORRECT ANSWER To clarify the core competencies of disaster nurses, a conceptual schema of organization, person, patient and _____________ is proposed chaos - CORRECT ANSWER In disaster response, clinical settings demonstrate that a large influx of patients can create biological indices - CORRECT ANSWER Responders to traumatic situations are at risk of developing changes in physiological and vicarious trauma - CORRECT ANSWER Trauma that occurs when healthcare providers are exposed to graphic traumatic events as told by patients resulting in changes in their view of the world and of themselves is