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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
Choice A reason: Monitoring after meals reduces opportunities for purging behaviors such as vomiting or excessive exercise, which are common in bulimia nervosa.
Choice B reason: Electrolyte disturbances, particularly hypokalemia, are common due to vomiting and laxative abuse. Ongoing assessment is critical for patient safety.
Choice C reason: Continuing laxative use perpetuates the disorder and poses health risks such as dehydration and bowel damage. This is contraindicated.
Choice D reason: Food diaries are sometimes used in therapy to help patients increase awareness of eating patterns. Outright prohibition may remove a useful therapeutic tool unless misused.
Choice E reason: Patients with bulimia may attempt to conceal evidence of binge eating. Being attentive to hidden or discarded wrappers is an important part of monitoring.
Correct Answer is A
Explanation
Choice A reason: The id represents instinctual drives and seeks immediate gratification without considering consequences or rules. The client’s impulsive action of taking food despite prohibitions reflects id dominance.
Choice B reason: The ego mediates between the id and reality, considering consequences before acting. If the ego were driving the behavior, the client would have sought food in a more socially acceptable way.
Choice C reason: The superego governs moral standards and conscience. If this were guiding behavior, the client would have restrained themselves from taking others’ food.
Choice D reason: The conscious mind represents awareness of current thoughts and actions, not instinctual drives. The described behavior is better explained by the unconscious id.
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