A responsibility of a basic level nurse case manager for severely ...

[bucstennis@aim.com]

A responsibility of a basic level nurse case manager for severely and persistently mentally ill clients
  is
 
  a. coordinating referrals.
  b. prescribing medications.
  c. making medical diagnoses.
  d. budgeting for community outreach programs.

Question 2

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.

[jennafosdick]

Answer to Question 1

A
Coordinating referrals is within the responsibility of a case manager. Medications can be prescribed
by physicians or by nurse practitioners in selected states. Making medical diagnoses is the purview
of the physician or advanced practice nurse, not the basic level nurse. Budgeting is the responsibility
of facility managers, not basic level staff.

Answer to Question 2

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.