A client charged with assault pleads not guilty by reason of insanity under the Durham Rule. Which statement best reflects the criteria used in this legal standard?
The client’s criminal act is excused due to a mental defect.
The client’s behavior was driven by irresistible impulses beyond their control.
The client must prove they were unable to appreciate the wrongfulness of their act.
The client was influenced by temporary intoxication or delirium.
The Correct Answer is A
Choice A reason: The Durham Rule states that a defendant is not criminally responsible if their unlawful act was the result of a mental illness or defect. This directly matches the legal standard, making it the correct choice.
Choice B reason: The “irresistible impulse” test applies when a person cannot control their actions despite knowing right from wrong. This is not the Durham Rule’s standard.
Choice C reason: This statement describes the M’Naghten Rule, which requires proof that the defendant did not understand the wrongfulness of their act. It does not represent the Durham Rule.
Choice D reason: Temporary intoxication or delirium does not meet the criteria under the Durham Rule. Voluntary intoxication in particular is not considered a valid legal defense.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Redirecting the sibling’s concern to the patient minimizes and dismisses the sibling’s anxiety. This is not therapeutic.
Choice B reason: Schizophrenia has a genetic component, especially in identical twins, but environment and other factors also play roles. This response provides accurate information while reducing unnecessary fear.
Choice C reason: Offering referral may be helpful later, but it does not immediately address the sibling’s expressed concern or provide reassurance.
Choice D reason: Saying there is a 50-50 chance is inaccurate and unnecessarily alarming. The risk is higher in identical twins but not absolute.
Correct Answer is B
Explanation
Choice A reason: Displacement involves transferring feelings from one object or person to another safer target, which is not occurring here.
Choice B reason: Returning to earlier developmental behaviors, such as holding a childhood toy and speaking like a child during stress, is a clear example of regression.
Choice C reason: Sublimation is channeling unacceptable impulses into constructive activities, which is not shown in this scenario.
Choice D reason: Repression involves unconsciously blocking distressing thoughts or feelings, but in this case the client is acting out stress through childlike behavior.
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