Question 1

What has research determined regarding the accurate predictions of the risk for violence in mentally ill persons?

Accepted Answer

A)   They can be made in over 90 percent of the cases.
B)   They are rare but any prediction, even if inaccurate, is worth the risk to public safety.
C)   They are impossible.
D)   They are possible. D

Question 2

The government justifies its right to commit someone to a mental health facility under two types of authority.One is police power.What is the second type?

Accepted Answer

A)   legal power
B)   the protection of the mentally ill
C)   parens patriae (state as the parent) 
D)   the will of the people C

Question 3

What is recognized by the fact that the "not criminally responsible on account of mental disorder" defence used since 1991 has replaced "not guilty" with "not criminally responsible"?

Accepted Answer

A)   The act is not really a crime because it was committed without sufficient intent.
B)   The person feels remorse for the behaviour.
C)   The person did commit the crime.
D)   The act may be morally wrong but not legally wrong. C

Question 4

An important legal question was raised to determine whether or not a person had the right to refuse psychiatric treatment in advance and when competent.The Ontario Appeals court determined that to ignore this previously stated position was a violation of section 7 of the Chadian Charter of Rights and Freedoms.Who challenged the constitutionally of forced treatment?

Accepted Answer

A)   Ewan Cameron
B)   Russell Flemming
C)   Wayne Sullivan
D)   George Reid

Question 5

Whereas the clinical efficacy axis of the APA clinical practice guidelines is concerned with research settings,what is the clinical utility axis concerned with?

Accepted Answer

A)   feasibility and cost-effectiveness
B)   internal validity
C)   external validity
D)   ineffectiveness of the intervention in clinical practice

Question 6

According to your textbook,what is one of the most fundamental rights of people in mental health facilities?

Accepted Answer

A)   the right to treatment
B)   the right to legal counsel
C)   the right to refuse treatment
D)   the right to not participate in research

Question 7

Which of the following is NOT a trend that has influenced the number of people in Canada who are involuntarily committed each year?

Accepted Answer

A)   the increase in the number of people who are homeless
B)   the inability to create the necessary network of community mental health services
C)   the movement of people with severe mental illness out of institutions
D)   the growing size of urban centres

Question 8

Which of the goals of deinstitutionalization have been accomplished?

Accepted Answer

A)   the creation of innovative outpatient mental health and recreational services
B)   the reduction of the societal stigma that once harmed those suffering from a mental illness
C)   the closing of large psychiatric hospitals
D)   the creation of a network of community mental health centres

Question 9

Andrea is being held in a psychiatric hospital after being tried for a criminal offence.Why is she in this facility instead of in jail?

Accepted Answer

A)   because she was found not criminally responsible on account of mental disorder
B)   because she was found criminally responsible because of her particular mental health diagnoses
C)   because she was found not guilty by reason of insanity
D)   because she was found to be unable to participate in legal proceedings against her

Question 10

What does the criminal commitment process refer to?

Accepted Answer

A)   People are not held because they have only been accused of a crime and are instructed to be treated by their own psychiatrists because they have already been previously diagnosed.
B)   People are held because they have been accused of a crime and are detained in a mental health facility until they can be assessed as fit or unfit to stand trial.
C)   People are held because they have been found not criminally responsible on account of a mental disorder.
D)   People are held because they have been convicted of a crime but are considered mentally ill and dangerous.

Question 11

The court has found that Mounir is currently unable to participate in his own defence.What does this mean?

Accepted Answer

A)   The court found Mounir not guilty by reason of insanity.
B)   The court found Mounir not criminally responsible on account of mental disorder.
C)   The court found Mounir unfit to stand trial.
D)   Mounir was conditionally charged.

Question 12

According to the APA clinical practice guidelines,what does the feasibility issue on the clinical utility axis refer to?

Accepted Answer

A)   the extent to which an intervention is effective with patients of differing backgrounds
B)   generalizability
C)   whether patients accept the intervention and comply with its requirements, and whether it is easy to administer
D)   the effectiveness of the intervention in the practice setting in which it is to be applied

Question 13

What did the court find in the 1995 case (described in your textbook)of André Dallaire,who tried to kill former Prime Minister Jean Chrétien?

Accepted Answer

A)   André Dallaire was not guilty of the crime and not criminally responsible for his actions.
B)   André Dallaire was guilty of the crime but not criminally responsible for his actions.
C)   André Dallaire was guilty of the crime but insane.
D)   André Dallaire was not guilty of the crime by reason of insanity.

Question 14

Which of the following is NOT outlined in civil commitment laws?

Accepted Answer

A)   when a person is dangerous to himself/herself or others
B)   when a person can be legally detained in a psychiatric institution, even against his or her will
C)   what kinds of treatments can or cannot be administered, with or without the person's consent
D)   when a person can be legally declared to have a mental illness

Question 15

According to the research by Ogloff and his colleagues of nearly 300 psychiatric patients,which of the following persons would be NOT likely be at risk for self-injury?

Accepted Answer

A)   those who engaged in self-injurious behaviour within the two weeks before being committed to hospital
B)   those who have a history of self-harm
C)   those who showed verbal and physical aggression toward others in the hospital
D)   those who were recently victimized by a sexual or physical assault

Question 16

As specified by the U.S.case of Wyatt v.Stickney (1972),the least restrictive conditions for intellectually disabled individuals included several issues.Which all of the following is NOT one of these issues?

Accepted Answer

A)   integration into the community
B)   more structured living
C)   smaller facilities
D)   independent living

Question 17

Although electroconvulsive therapy (ECT)is an effective treatment for some,it is extremely frightening to patients,many of whom refuse it.The treatment also requires sophisticated procedures and close supervision by medical personnel,usually in a hospital setting.According to the APA clinical practice guidelines,what would this procedure be considered low in?

Accepted Answer

A)   generalizability
B)   feasibility
C)   ethicality
D)   utility

Question 18

Under the 1985 Canadian Criminal Code,what would happen to a person found not guilty by reason of insanity?

Accepted Answer

A)   The person would be automatically detained until his or her mental disorder improved sufficiently to justify release.
B)   The person would be released back into the community in the care of his or her family.
C)   The person would be automatically detained until he or she could appreciate the quality of his or her act.
D)   The person would be incarcerated for the same number of years in a psychiatric institution as he or she would have been sentenced in jail for the same offence.

Question 19

In the 1970s U.S.case Tarasoff v.Regents of the University of California,a student killed a fellow student who had rejected his romantic advances.What important issue did this case involve?

Accepted Answer

A)   competency
B)   duty to warn
C)   restrictive environment
D)   patients' rights

Question 20

According to Ogloff and Whittemore's (2001)research on public opinions,what happens when someone is found not criminally responsible on account of a mental disorder?

Accepted Answer

A)   The public often protests that the person "got off" too easily.
B)   The public expresses more negative views of the mentally ill than before.
C)   The public becomes a little more educated about the nature of mental illness.
D)   The public mistakenly believes the person will be hospitalized for the rest of his or her life.

Exam 16: Mental Health Services: Legal and Ethical Issues