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As specified by Wyatt v. Stickney (1972) , the least restrictive conditions for mentally retarded individuals included all of the following EXCEPT


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

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

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A TV reporter is interviewing students about the insanity plea. If these students are similar to about 90% of the population, they will agree with the following statement:


A) "The insanity defense is not used in enough cases. Too many mentally ill people are in jail instead of in hospitals."
B) "Too many people escape responsibility for their crimes by pleading insanity."
C) "If someone successfully pleads NGRI, he or she will spend more time in jail than in a mental hospital."
D) "There are more mentally ill people in prisons than in mental hospitals."

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

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The outcome of Miguel's trial resulted in a finding of "not guilty by reason of insanity." According to criminal law, Miguel now will be sent to .


A) prison
B) a mental health facility
C) a community mental health center
D) a surgical center

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

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According to the Supreme Court, people are assessed as being competent to stand trial if they can


A) assist in their own defense.
B) understand the charges against them.
C) both of these
D) neither of these

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

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With regard to mental health and the law, which of the following is an accurate statement?


A) A person can be found incompetent to stand trial and still be convicted of the crime.
B) A person can be found NGRI but competent to stand trial.
C) More individuals are found NGRI than are found incompetent to stand trial.
D) A person found incompetent to stand trial is placed in a mental hospital for an indefinite period of time.

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

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The 1970s case Tarasoff v. Regents of the University of California, in which a student killed his ex-girlfriend, involved the issue called .


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

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

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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 B)

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As indicated by surveys of the general population, what percentage of people perceives that the insanity defense is used too often?


A) 20%
B) 45%
C) 70%
D) 90%

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

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The insanity defense is based on a historical case in England involving a man named .


A) Durham
B) Addington
C) M'Naghten
D) Tory

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

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According to the Addington v. Texas (1979) which of the following is sufficient cause to commit someone to commit a mentally ill person to the hospital involuntarily?


A) Needing treatment
B) Grave disability
C) Danger to self and others
D) Neither of these

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

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State laws permit involuntary commitment when all of the following conditions have been met EXCEPT


A) a person has a mental illness and is in need of treatment.
B) a person is dangerous to himself/herself or others and is in need of treatment.
C) a person is unable to care for himself/herself.
D) a person asks to be admitted to a mental hospital.

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

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In the 1970s and 1980s, tightened restrictions on involuntary commitment resulted in


A) the criminal justice system becoming responsible for mentally ill people.
B) fewer mentally ill patients living in the community.
C) family members having increased access to treatment services for their loved ones.
D) mentally ill patients receiving needed mental health services.

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

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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) B) and C)
F) A) and D)

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The term "therapeutic jurisprudence" refers to using what we know about behavior change to


A) punish those who break the law.
B) help people in trouble with the law.
C) protect society from dangerous individuals.
D) provide therapy to incarcerated individuals.

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

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Clinical utility refers to the


A) use of scientific evidence to detect treatment effects.
B) assessment of the costs and benefits of a treatment.
C) patient's opinion of the treatment.
D) effectiveness of the intervention in the practice setting in which it is to be applied.

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

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When a person is the subject of civil commitment proceedings, the rights and protections provided by law include all of the following EXCEPT


A) notification that civil commitment proceedings are taking place.
B) required presence during the proceedings.
C) representation by an attorney.
D) selection of a judge who will determine the outcome of the case.

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

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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) All of the above
F) None of the above

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What should make us optimistic that the needs of individuals and of society can ultimately be addressed through the courts?


A) Improvements can happen quickly.
B) Improvements always address the issues in need of reform.
C) Laws can be changed.
D) Medications are improving.

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

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Which of the following is NOT part of the Agency for Healthcare Research and Quality's purpose?


A) To regulate the costs of mental health research
B) To establish uniformity in the delivery of effective health and mental health care
C) To communicate the latest developments in mental health treatment to practitioners, patients, and policy makers
D) To improve the delivery of health and mental health services

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

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Andrea is being held in a psychiatric hospital after being found guilty of criminal behavior. She is in this facility instead of in jail because


A) she has been found not guilty by reason of insanity.
B) she has been found unable to participate in legal proceedings against her.
C) either or both of these
D) neither of these

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

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