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PRITE TEST BANK QUESTIONS AND REVISED ANSWERS (VERIFIED ANSWERS) LATEST UPDATE 100% FULLY SOLVED What are the core psychiatric principles? - Answer- Justice, Beneficence, Autonomy, Nonmaleficence Pt who is poor but talented asks if he can barter for services. You like the pt's product. Wh...

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  • November 7, 2024
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  • 2024/2025
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PRITE TEST BANK QUESTIONS
AND REVISED ANSWERS
(VERIFIED ANSWERS) LATEST
2024-2025 UPDATE 100% FULLY
SOLVED

What are the core psychiatric principles? - Answer- Justice, Beneficence, Autonomy,
Nonmaleficence

Pt who is poor but talented asks if he can barter for services. You like the pt's product.
What best describes the nature of this proposal to accept goods in lieu of fees - Answer-
It is not recommended as it may compromise treatment boundaries

Psychiatrist wishes to charge pts for appointments that they do not keep. According to
code of ethics of the American psychiatric association such a policy is: - Answer- Ethical
if the patient is specifically notified in advance

Pt qualifies for ECT, but does not want his doc to tell him the risks. He is a "chronic
worrier" and fears hearing the risks will make him anxious, perhaps to the point of
refusing treatment, which he believes he needs. What is the best response? - Answer-
Document the pt's knowing and voluntary waiver and proceed with treatment

Insurance company tells psychiatrist to switch from working drug to generic. You know
alternatives may be good too. What do you do? - Answer- Contact insurance and ask
for nonformulary approval

Psychiatrist calls pt at home, wife asks how pt is doing. What principle governs
response? - Answer- Confidentiality

How should a psychiatrist handle an interview about the misbehavior of a prominent
government employee? - Answer- Comment on human behavior generally, but refuse to
offer opinions about the specific person

Gag-rule clauses in some managed care plans may prohibit docs enrolled in their plans
from taking which action? - Answer- Advising pts about treatments not covered by HMO

,Legal and Forensics - Answer- ...

What is the primary role of the psychiatric expert witness? *** - Answer- Render an
opinion based on scientific knowledge

Criterion for a covered disability under Americans with Disabilities Act: - Answer-
Substantially limits one or more major life activities

What determines disability? - Answer- Impairment affects ability to meet personal,
social, or occupational needs

Pt getting psych exam to determine suitability for a job must be informed: - Answer-
Exam is not confidential

Testamentary capacity refers to a person's ability to? *** - Answer- Make a will

Mental competency of elderly pt determined by? *** - Answer- Judicial hearing

Psychiatrist is treating a 34 yo for anxiety and cocaine abuse. She is suing her employer
for sexual harassment and is using her anxiety disorder as proof of the damage she has
suffered as a consequence of the harassment. The psychiatrist has to inform her that if
he is subpoenaed to court, he would have to do what? - Answer- Testify about all her
psychiatric problems (cocaine abuse)

A physician who is testifying as an expert in court is different from a regular or "fact"
witness in that the expert is allowed to testify about what? - Answer- Professional
opinions

Several states established that the verdict guilty but mentally ill to be an option when a
defendant pleads not guilty by reason of insanity because: - Answer- When compared
to guilty, guilty but mentally ill is intended to ensure access to treatment but is
essentially similar

In evaluating the sanity of a criminal defendant, the forensic psychiatrist should focus on
current state of mind, or state of mind at time of offense? - Answer- State of mind at
time of offense

The rule that finds people not guilty by reason of insanity due to mental illness that
impaired their knowledge of the nature quality and consequences of their actions or they
were incapable of realizing that these acts were wrong is called what? - Answer-
M'Naghten rule

The criminal defendant tells the psychiatrist doing a forensic eval "I know that killing my
father was illegal." However, the defendant delusionally believed that the father was
being tortured by demons and killing him was the moral thing to do. The defendant is
unable to do what? - Answer- Appreciate the wrongfulness of his conduct

,At the beginning of a radio talk show a psychiatrist states he is not entering into a
doctor-patient relationship with any of the callers. Hereby he does not have ___ towards
a patient in case of a malpractice suit. - Answer- Duty

Standard of care refers to treatments that are - Answer- Used by Average Reasonable
Practitioners

Lawsuits against psychiatrist most frequently arise from issues concerning: - Answer-
Suicide Attempts

The four basic elements that must be proven in order to sustain a claim of malpractice
against a physician include a duty of care owed to the patient, negligence, causation,
and what? - Answer- Harm to the patient

Patient's confidentiality after death - Answer- Usually must be maintained

College student in therapy, the Dean calls therapist requesting info about the student's
therapy due to recent reports from a dorm supervisor. Therapist should: - Answer-
Refuse the Dean's request for information

Medical resident consults psychiatry because a 38 y/o F pt refused dialysis secondary
to "antisocial personality" and the resident wants you to convince her to stay for
treatment. Your answer is: - Answer- Will assess pt's competency to make one's own
medical decision

The most relevant issue for a geriatric or forensic psychiatrist in cases were the
finances of an elderly are in dispute between partner and children is: - Answer- Whether
the elderly has a mental disorder and whether is adequately treated

When should a schizophrenic admitted to a medical hospital for evaluation of chest pain
have a formal assessment of decision-making capacity? - Answer- When there is
reason to believe that the patient lacks the ability to understand, appreciate, or reason
logically with the info relevant to healthcare decisions

The most appropriate time for a physician to discuss an advance directive with a pt is -
Answer- When the pt is competent

78 yo w/ deteriorating personal hygiene, significant weight loss. Signs voluntary
admission form but later forgets doing this. Potentially resectable masses in lung and
brain requiring further consent for surgical and oncological treatment. Consents but
cannot explain reason for surgery. Legally, psychiatrist should: - Answer- urgently
request probate court appoint guardian with power to make treatment decisions

What characterizes the majority of defendants with psychiatric disorders who are found
unfit to stand trial? - Answer- They can regain fitness in less than 90 days

, An attorney requests psychiatric consultation when his defendant wants the worst
possible outcome from the trial because he feels he deserves the worst punishment
possible. What direction should you take for this case? - Answer- Probably meets
criteria for finding of incompetence to proceed

US Supreme Court Decision Washington v Harper 1990, the right to refuse treatment is
limited for prison inmates because: - Answer- Prison security concerns outweigh
individual autonomy interests

Informed consent requires: presentation of information, voluntary consent from patient,
and: - Answer- Mental competence

Murder trial, defendant states "I think murder is wrong but killing a spy from Mars who is
trying to steal the secret of life is right." This poses a problem for what type of evaluation
of criminal responsibility? - Answer- M'Naughten Rule

Case Management - Answer- ...

Patient with MDD; psychiatrist prescribes antidepressant, psychologist provides
interpersonal therapy. Who is responsible & accountable for what? - Answer-
Psychiatrist is responsible & accountable for all treatment; psychologist just for
psychotherapy

Describe the psychiatric assertive community treatment case management model: -
Answer- Interdisciplinary team, services in situ, high staff/patient ratio, and intensive
outpatient research

Pt consults a psychiatrist because a former psychiatrist has retired and the pt wishes to
continue tx with antidepressants. The pt is seeing a counselor for weekly psychotherapy
and plans to continue. The psychiatrists eval confirms the dx of MDD and psychiatrist
feels that continuing the pt 's antidepressant is indicated. Next step? - Answer- Establish
a clear understanding of the division of responsibilities between psychiatrist and
counselor

29 yo schizophrenic frequent ER visits and hospitalizations. Hallucinating, agitated, not
violent or suicidal, cooperative. Ran out of meds a few days ago, had been stable and
doing well. Best intervention: - Answer- Contact case manager to verify environmental
support

In ED evaluating a 29 yo F with frequent ED visits and psych admits for chronic
schizophrenia. Actively hallucinations, agitated but not violent or suicidal and
cooperative w interview. Stopped taking meds days ago because prescription ran out
and caseworker was unavailable to get new one. Had been doing well on olanzapine for
several months and was doing fairly well in structured living environment. Denies

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