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15 Cards in this Set
- Front
- Back
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A 42 yo woman has been tx for major depression with psychotic sx with medication and weekly individual psychotherapy for 1 y after a serious suicide attempt. Because of low energy, poor ability to concentrate, and psychomotor retardation, she has been unable to return to work. Her application for disability under her company's disability policy was denied, so she has hired an attorney and has filed a suit against the company. Her attorney contacts the treating psychiatrist, requesting an opinion about the degree of her impairment and whether she is disabled under the policy guidelines. Which of the following actions should the treating psychiatrist take?
A) write a report to the attorney explaining the pts impairments and degree of disability B) Send the pts medical records to the attorney C) call the pt and with her permission, the attorney, and suggest that they hire an independent psychiatrist to conduct a disability eval D) call the attorney and ask for a copy of the disability poilicy E) Write a report to the attorney and company explaining only the pts impairments |
C) call the pt and with her permission, the attorney, and suggest that they hire an independent psychiatrist to conduct a disability eval
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Which of the following events is the most common cause of malpractice suits against psychiatrists?
A) Breach of confidentiality B) Development of tardive dyskinesia C) Incorrect diagnosis D) Incorrect tx E) Pt suicide |
D) Incorrect tx
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A male psychiatrist enters a sexual relationship with a married, depressed woman whom he is tx. After the tx relationship and the sexual relationship end, she sues the psychiatrist, alleging that her depressive sx have worsened because of guilty feelings about the sexual contact and breakup of her marriage. She also alleges difficulty in trusting her current physician. The judge rules that expert testimony is not needed to prove that the sexual contact violated a professional standard of care under which of the following legal concepts?
A) Direct causation B) Res ipsa loquitur C) Respondeat superior D) Unintentional tort E) Vicarious liability |
B) Res ipsa loquitur
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Which of the following is an element in evaluation of competnecy to stand trial (CST)
A) The defendant has the ability to distinguish right from wrong B) The defendant has the ability to behave according to the requirements of the law C) The crime was a product of a mental illness D) The defendant can communicate effectively with a lawyer E) The defendant was delusional at the time of an alleged crime |
D) The defendant can communicate effectively with a lawyer
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WHich of the following psychiatric tx require that a psychiatrist obtain written informed consent from a pt?
A) Behavioral therapy B) Group therapy C) Supportive psychotherapy D) Use of antidepressant medication E) Use of a typical antipsychotic med |
E) Use of a typical antipsychotic med
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A 36 yo homeless man with a hx of schizoaffective disorder is brought to the hospital. He is hallucinating, and his thinking is grossly disorganized. His hygiene is poor, and he appears malnourished. He does not behave violently in the ED, he denies suicidal or homicidal thoughts, and he refuses admission. When asked about his family, he replies they have been replaced by look-alike "doubles"; he reports that "the CIA is involved" An examining psychiatrist finds that the pt is grossly psychotic but not imminently dangerous. Which of the following statements about the pt is correct?
A) His condition meets commitment criteria under a police powers model B) His condition meets commitment criteria under a parens patriae model C) His condition meets commitment criteria under the Dusky standard D) his condition does not meet commitment criteria for involuntary hospitalization under any model E) He can be involuntarily hospitalized only if he threatens suicide or homicide |
B) His condition meets commitment criteria under a parens patriae model
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An acutely psychotic woman with schizophrenia is voluntarily admitted to the hospital. After a history and physical the psychiatrist orders antipsychotic meds, which the pt promptly refuses. Which of the following steps should the doc take next?
A) Contact a family member to consent to meds B) Give the med over the pts objections C) Consider the pt competent and convene an administrative panel to determine the need for involuntary meds D) Contact a judge to order involuntary medication E) Conduct an interview to determine if the pt is competent to consent or refuse meds |
E) Conduct an interview to determine if the pt is competent to consent or refuse meds
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A 50 yo nurse witnesses her coworker and friend being shot and seriously wounded by an agitated pt in the ED. She subsequently develops PTSD and is unable to return to work for 1 month. She is in need of financial assistance. What type of claim should she file?
A)Workers' compensation: mental-mental type B) Workers' comp: mental-physical type C) Workers' comp: physical-mental type D) Social Security Disability Income (SSDI) E) Social Security Income |
A)Workers' compensation: mental-mental type
stressful work event led to psychiatric impairment |
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Which of the following series are the elements of an unintentional tort in a malpractice case?
A) Duty, dereliction of duty, documentation failure, and damages B) Duty, dereliction of duty, damages, and direct causation C) Dereliction of duty, damages, direct causation, and documentation failure D) duty, damages, direct causation, and documentation failure E) Purposeful action to harm the pt, damages, and direct causation |
B) Duty, dereliction of duty, damages, and direct causation
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Which of the following is a recognized exception to the clinician's confidentiality obligation and does not require pt consent to release info?
A) Providing info to a pts employer B) Providing info to a pts attorney C) Providing info to a deceased pts spouse D) Discovering that a pt may be abusing a child and reporting the abuse to a social service agency E) Providing info to an insurance company |
D) Discovering that a pt may be abusing a child and reporting the abuse to a social service agency
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In Tarasoff v Regents of the University of California, the california supreme court ruled that which of the following statements applies to psychiatrists?
A)They cannot be held liable for the malpractice actions of their employees B) They have a duty to warn intended victims C) They have a duty to protect intended victims D) They cannot be held liable for tx rendered in an emergency E) They have no duty to third parties |
C) They have a duty to protect intended victims
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An 82 yo woman is referred for a testamentary capacity evaluation by her lawyer. She is able to quantify her assets of 500,000 and identify her two surviving children as natural heirs. She has decided to leave her assets to a local charity to begin an educational trust fund for abused and neglected children. She is leaving some family heirlooms to her 2 kids and has divided these items equally. When asked about her decision, she states that each of her kids inheritied 1 mil at the death of another family member (this has been confirmed by her attorney) and she would like to leave her assets to someone who really needs them. although her psychiatric exam reveals mild memory impairment, there is no evidence that this has caused problems in her daily funtioning. Which of the following statements about this woman is correct
A) She has been unduly influenced B) She lacks testamentary capacity bc she is neglecting her kids in the division of her assets C) She lacks testamentary capacity bc of memory impairment D) she is in need of a guardian E) she has testamentary capacity |
E) she has testamentary capacity
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A legally appointed guardian is also known as which of the following?
A) A committee of the person B) A conservator C) A curator D) A petitioner E) a testator |
A) A committee of the person
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A conservator would be appointed to make which one of the following decisions?
A) Whether to sell shares of a declining stock owned by the person in need of a conservator B) Whether to consent to a medical procedure C) whether to allow another family member to live with the person in need of a conservator D) whether to have the pt enter a nursing home E) the specifics of the will of the person in need of a conservator |
A) Whether to sell shares of a declining stock owned by the person in need of a conservator
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A psychiatrist serving as a fact witness might not be allowed to testify about which one of the following things?
A) the dates of psychiatric tx of a pt B) the criminal responsibility of a pt charged w a crime C) the demeanor of a pt during a therapy session D) the observed behavior of family members toward a pt E) Comments the psychiatrist told another physician named in a malpractice suit |
B) the criminal responsibility of a pt charged w a crime
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