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Author Question: A nurse working in a county detention center is experiencing conflict regarding providing what he ... (Read 64 times)

storky111

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A nurse working in a county detention center is experiencing conflict regarding providing what he considers to be the most effective care within the constraints required to maintain security.
 
  The nurse seeks supervision from the nursing supervisor. The supervisor informs the nurse that to function most professionally in the forensic setting he must do which of the following?
  A) Negotiate privileges with the guards so the clients can develop decision-making skills.
  B) Treat the clients with dignity even though they have little freedom.
  C) Contract with the clients to discuss health needs only with certain health care staff.
  D) Understand that the clients have lost civil freedoms and are not entitled to comprehensive treatment.

Question 2

You are the triage nurse when a 19-year-old man is brought to the psychiatric unit from the county jail.
 
  You receive a report from the police on admission concerning his reason for incarceration and citing a history of aggression. Local deputies will provide 24-hour security outside his room. What should be your priority nursing assessment upon admission?
  A) The presence of suicidal ideation
  B) His history of psychiatric illness and treatment
  C) Any currently prescribed psychotropic medications
  D) His patterns of drug and alcohol use



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cclemon1

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Answer to Question 1

Ans: B
Feedback:
Psychiatric nurses traditionally have based their practice on caring. This commitment does not change when those receiving care are in correctional settings. Assessing and exploring common preconceptions, beliefs, and stereotypes help forensic nurses to decrease potential fears, anxieties, and negative attitudes.

Answer to Question 2

Ans: A
Feedback:
Incidence of self-violence and suicide is much higher among forensic clients than in the general population, and suicide risk assessment remains a critical area of practice. Youth who present with histories of suicidal behavior are at increased risk for suicide during incarceration and require vigilant monitoring throughout.





 

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