D. The primary attachment relationship should be preserved
E. Children of tender years should be with their mothers - Answer -A. Child custody determinations in
most jurisdictions are made in the best interest of the child
30. A psychiatrist whose patient is involved in a work-related lawsuit receives a subpoena to produce
the patient's records of psychiatric treatment and to testify about the treatment in a court of law. Upon
speaking with the attorney who issued the subpoena and who represents the opposing party, the
psychiatrist is told that "you will not be asked to render and independent opinion related to legal
questions." Which of the following best characterizes the psychiatrist's role?
A. Fact Witness
B. Expert Witness
C. Hostile Witness
D. Not subject to cross - examination
E. Allowed to give confidential testimony in chambers - Answer -A. In this situation, the Psyhchiatrist is a
Fact Witness
87. In assessing whether a criminal defendant with a diagnosis of schizophrenia may meet the standard
for any insanity defense, which of the following questions or directions would be most appropriate?
A. "Have you taken your antispsychotic medication today"
, B. "What were the voices saying to you at the time of the crime?"
C. "How many years have you suffered with psychotic symptoms?"
D. "Do you feel that your willpower is being affected by a force outside of you?"
E. "Do you find that your suspiciousness is making it difficult to work with your attorney?" - Answer -B.
"What were the voices saying to you at the time of the crime?"
128.A psychiatrist determines that fully informing a patient of treatment risks would negatively impact
the patient's health and welfare, and documents a rationale for treating the patient without informing
the patient of all the risks. The psychiatrist is intending to use:
A. Therapeutic privilege
B. Emergency guardianship
C. Important state interests
D. Imminent harm standard
E. Patient waiver of consent - Answer -A. Therapeutic Privilege refers to an uncommon situation
whereby a physician may be excused from revealing information to a patient when disclosing it would
pose a serious psychological threat, so serious a threat as to be medically contraindicated.
13. In assessing whether a criminal defendant is competent to stand trial, which of the following
questions would be the most appropriate?
A. "How long have you suffered from schizophrenia?"
B. "Were you hearing voices on the day of the crime?"
C. "Do you understand what crime you are accused of committing?"
D. "Did you take your antipsychotic the day of the crime?"
E. "Did you belive your actions were right or did you know they were wrong?" - Answer -C. "Do you
understand what crime you are accused of committing?" explores the patient's competence to stand
trial
34. Constitutional and common law dictate that the mental health care provided to prisoners be at or
above the level of services that should be available to them if they were in the community. This
"necessaries" doctrine is justified by which of the following principles?
A. Prisoners with mental health needs are less able to identify their problems than those in the
community.
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