A psychiatric clinical nurse specialist works with a defendant as a competency evaluator. A staff member asks, Why are you spending so much time with that defendant? You spend one-to-one time and write volumes.
Usually, we give defendants some medication and return them to court. Select the clinical nurse specialist's most appropriate response.
a. My role is to be an advocate for the defendant, so I have to know him well and build a trusting relationship.
b. My focus is providing intensive psychotherapy to ensure the defendant becomes competent before returning to court.
c. The specialized assessments I make on behalf of the court require very lengthy and detailed interviews, so it takes a lot of time.
d. I spend the time observing, assessing, and documenting competency, writing a report, and preparing expert testimony for the court.
Question 2
An inmate was diagnosed with posttraumatic stress disorder (PTSD) caused by severe sexual abuse. One day this inmate sees a person with characteristics similar to the perpetrator, has a flashback, and then attacks the person.
Correctional officers place the inmate in restraint. The correctional nurse should anticipate that the inmate would react to restraint by:
a. committing to counseling to reduce the incidence of flashbacks.
b. becoming less likely to assault others during future flashbacks.
c. gradually calming and returning from the flashback to reality.
d. becoming more frightened, agitated, and combative.
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