In which instance would a psychiatric forensic nurse determine that the legal insanity defense could
be used by a defendant? The defendant
a. experienced persistent auditory hallucinations commanding her to drown her
newborn.
b. admitted to being angry with his wife for committing adultery and tampered with
the brakes of her car, leading to her death in a traffic accident.
c. shot the drug dealer who refused to give her cocaine when she had no money to
purchase the drug.
d. poisoned his wife with warfarin after she refused to agree to a divorce.
A
The defendant, demonstrating symptoms of paranoid schizophrenia and acting on the direction of
command hallucinations, could use the defense of legal insanity because she could not control her
behavior because of a psychiatric illness. The other options suggest the defendant knew right from
wrong, had the capacity to know the nature and quality of the act, and had the capacity to form intent
to commit the crime.
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Signs and symptoms of schizophrenia often are first seen in:
a. Early childhood b. Adolescence c. Early adulthood d. Middle adulthood
The nurse notes that a 36-hour-old newborn's serum bilirubin level has increased from 14 mg/dL to 16.6 mg/dL in an 8-hour period. What nursing intervention would be included in the plan of care for this newborn?
1. Continue to observe. 2. Begin phototherapy. 3. Begin blood exchange transfusion. 4. Stop breastfeeding.
Typically, new mothers in an Obstetrical Unit in a hospital begin caring for their infants immediately with the educational assistance and supervision of the staff. The reason for this practice is that:
1. it is more economical for the hospital. 2. it enhances infant care. 3. it motivates learning. 4. when learning is put into practice immediately, clients retain more information and skills.
The nurse is caring for a homeless client after surgery. Which statement by the nurse indicates the best understanding of this special population?
a. "When you receive your prescription, fill the medication at the nearest pharmacy." b. "To prevent the risk of infection, you need to bathe daily and keep the incision clean." c. "Tell me about your home situation and access to food and medications." d. "To help with healing, be sure to eat meals high in protein and low in fat and cholesterol."