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Which of the following is NOT a question that addresses the issues of civil (involuntary) commitment?


A) Should a mentally ill person be involuntarily committed if he or she is not dangerous but in need of treatment?
B) Should a mentally ill person be civilly committed if he or she has been convicted of a crime?
C) Should a mentally ill person be involuntarily committed at the request of family or relatives who believe it is in the person's best interest?
D) If a person is mentally ill, unable to care for him/herself, and in need of help, should the law allow for involuntary commitment?

E) A) and D)
F) A) and B)

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Major changes in the criteria for the insanity defense were made after


A) President Ronald Reagan sponsored legislative changes.
B) the Hinckley verdict in the early 1980s.
C) both of these.
D) neither of these.

E) C) and D)
F) All of the above

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What reason did John Hinckley give for his attempted assassination of President Reagan in 1981?


A) He had an obsession about becoming president and thought he could be elected if President Reagan were dead.
B) He was obsessed with actress Jodie Foster and wanted to impress her.
C) He was anxious about homelessness and poverty in the world and thought Reagan wasn't doing enough to help poor people.
D) He thought that President Reagan was about to kill him so he acted in self-defense.

E) None of the above
F) A) and D)

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Since the 19th century, the method of determining responsibility when a person's mental state is in question has been based on the M'Naghten rule.


A) American
B) British
C) Irish
D) Scottish

E) A) and D)
F) C) and D)

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Which of the following was NOT a provision of the American Law Institute recommendations regarding "diminished capacity"?


A) A mentally ill criminal may actually not have criminal intent.
B) A mental illness could impair the ability to understand that one's behavior is criminal.
C) Proof of either mens rea or actus rea is sufficient to convict someone of a crime.
D) Mentally ill people who commit crimes may not be responsible for their behavior.

E) B) and D)
F) A) and D)

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The clinical efficacy axis of the clinical practice guidelines established by the American Psychological Association in 1995 was designed to answer the question:


A) "What kind of research should be done to determine the type of clinician best suited for particular patients in terms of their diagnosis and chronicity?"
B) "Is the treatment effective compared to an alternative treatment or to no treatment in a controlled clinical research setting?"
C) "How long should a treatment be continued if there is no improvement in the patient's condition or if the patient has serious side effects?"
D) "What is the most efficient way of admitting patients to clinics or hospitals?"

E) C) and D)
F) B) and C)

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APA adopted a policy to base principles of psychological practice on


A) clinical assumptions.
B) evidence-based practice.
C) historical assumptions.
D) individual therapist's experience.

E) All of the above
F) B) and C)

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Which of the goals of deinstitutionalization have been accomplished?


A) The closing of large psychiatric hospitals
B) The creation of a network of community mental health centers
C) Both of these
D) Neither of these

E) A) and D)
F) A) and C)

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Discuss research studies on the relationship between mental illness and dangerousness. Describe symptoms that correlate with an increased risk of violence among the mentally ill.

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Deciding whether someone is dangerous to...

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The legal concept of mens rea is generally used to mean .


A) "guilty mind"
B) criminal intent
C) both of these
D) neither of these

E) All of the above
F) B) and C)

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In the American legal system, the concept of diminished capacity is used to


A) keep mentally ill people from being discharged from mental hospitals.
B) assess the responsibility of people with mental illness.
C) evaluate the effects of medical treatments for schizophrenia.
D) determine the intelligence level of an individual accused of criminal behavior.

E) None of the above
F) All of the above

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You have read an article in the newspaper about a rapist who was convicted under a "sexual predator law." You know that this person will be


A) hospitalized immediately in a psychiatric institution that has a sexual offenders unit.
B) sentenced to an indefinite term in a prison that has a separate section for rapists.
C) hospitalized for treatment and then imprisoned if the treatment is not effective.
D) incarcerated for a specific term and then civilly committed if judged still dangerous.

E) A) and B)
F) A) and C)

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In 1975, Kenneth Donaldson, who was not considered dangerous, successfully sued the director of the hospital in which he had been confined for 15 years and where he had received .


A) SSRI medication
B) ECT
C) no treatment
D) abusive treatment

E) A) and B)
F) None of the above

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Discuss the concept of competence to stand trial and its implications for dealing with a person who is mentally ill and has committed a crime.

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Competency refers to whether or not a pe...

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Which of the following is a FALSE statement in regard to prediction of dangerousness?


A) Mental health professionals can predict with certainty if a particular person will become violent.
B) Generally speaking, people with a previous history of violence are more likely to be dangerous than individuals without a past history of violence.
C) Generally speaking, substance abusers are more likely to be violent than those individuals without a history of drug or alcohol dependence.
D) Research suggests that mental health professionals are better at determining relative risk than determining dangerousness on a case-by-case basis.

E) All of the above
F) None of the above

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Cases in which the insanity defense has been used include those of all the following individuals EXCEPT ______________________.


A) Charles Manson
B) Jeffrey Dahmer
C) Lee Harvey Oswald
D) Ted Kaczynski

E) A) and D)
F) C) and D)

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The conflicting interests over civil commitment were illustrated by the 1988 case of Joyce Brown, a homeless woman diagnosed with paranoid schizophrenia, who was .


A) medicated against her will
B) hospitalized involuntarily
C) dangerous
D) suicidal

E) C) and D)
F) A) and D)

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In Riggins v. Nevada (1992) , the Supreme Court ruled that a person cannot be forced to take antipsychotic medication because


A) it would be unconstitutional.
B) it would not be in the patient's best interests.
C) there is a potential for negative side effects.
D) it would interfere with the patient's competency to stand trial.

E) A) and B)
F) All of the above

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In 1979, public opinion turned against the use of the insanity defense when it was used successfully to justify such behaviors as _________________.


A) child abuse
B) stealing cars
C) writing bad checks
D) vandalism

E) B) and C)
F) All of the above

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What is a critical determinant of the civil commitment process?


A) Substance abuse
B) Dangerousness
C) Alcoholism
D) Subjective distress

E) C) and D)
F) B) and D)

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