In a forensic practice setting, the nurse must learn to be alert to one of the most dominant barriers to building a therapeutic relationship with forensic clients, which is the fact that:
A) Clients commonly struggle with trusting others.
B) Clients frequently are transferred to other forensic institutions.
C) The lifestyle of the incarcerated client is solitary.
D) Nurses often transgress professional boundaries with the clients.
Ans: A
Feedback:
Recurring themes of power and control, negotiation, and trust building dominate therapeutic interventions in this setting; clients have, in varying degrees, learned to adapt to an environment that rewards distrust, manipulation, and deceit. The criminal history, the frequent diagnoses of antisocial and borderline personality disorder, and the aggressive interpersonal style of many forensic clients can evoke strong emotional responses, and countertransference and splitting reactions are common.
You might also like to view...
The nurse is obtaining a health history from a patient who has come to the local health clinic and is having abdominal pain. The best question to elicit the probable reason for the visit and identify the chief complaint is:
A) "Why do you think your abdomen is painful?" B) "Where is your abdominal pain and when did it start?" C) "What brings you to the clinic today?" D) "What is the problem today?"
When planning care, the nurse in a substance abuse clinic understands that the majority of people who abuse alcohol die from:
A) cirrhosis. B) alcoholic hepatitis. C) hepatic encephalopathy. D) smoking-related diseases.
Once started, blood transfusions should be completed within what time period?
a. 30 minutes c. 2 hours b. 1 hour d. 4 hours
The nurse tells the nursing students that negative and positive feedback mechanisms influence hormonal blood levels. Based on this information, what occurs in a negative feedback system or loop?
1 . Ceases hormone secretion 2 . Inhibits glandular response 3 . Increases hormone production 4 . Continues and intensifies glandular response A) 1, 2 B) 1, 4 C) 2, 3 D) 3, 4