Treatment Quiz

12 Questions | Total Attempts: 20

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Treatment Quiz

Miscellaneous 03


Questions and Answers
  • 1. 
    25.         Which of the following ethical principles is best described as applying one's abilities solely for the patient's well being?
    • A. 

      Nonmaleficence

    • B. 

      Justice

    • C. 

      Veracity

    • D. 

      Respect for autonomy

    • E. 

      Beneficence

  • 2. 
    68.         In forensic psychiatry, the term "standard of care" refers to the use of treatments that are:
    • A. 

      Evidence-based.

    • B. 

      Used by expert academic psychiatrists.

    • C. 

      most current.

    • D. 

      used by average reasonable practitioners.

    • E. 

      Endorsed by AP A practice guideline.

  • 3. 
    74.        A lawsuit charges that a psychiatric facility prematurely discharged a patient who was not approved for further stay by the managed care company. The final legal responsibility generally falls to the:
    • A. 

      Psychiatrist.

    • B. 

      Managed care company

    • C. 

      managed care reviewer.

    • D. 

      Psychiatric hospital.

    • E. 

      Hospital medical director.

  • 4. 
    100.     A psychiatrist accepts a gift from a pharmaceutical company that makes an antidepressant medication. This is considered ethical under which of the following circumstances?
    • A. 

      The gift does not exceed $500.

    • B. 

      The psychiatrist already uses the drug in practice.

    • C. 

      The psychiatrist agrees to use the medication, but not exclusively.

    • D. 

      The gift contributes to the psychiatrist's education or care of patients.

    • E. 

      The gift directly defrays costs of attending a continuing medical education event.

  • 5. 
    101.     A major shift in the clinical approach to psychiatric diagnoses occurred:
    • A. 

      Between DSM-I and DSM-II.

    • B. 

      Between DSM-II and DSM-III.

    • C. 

      Between DSM-IIIR and DSM-IV.

    • D. 

      With each edition of the DSM.

    • E. 

      At no point in the evolution of the DSM.

  • 6. 
    8.            The emergence of the profession of child psychiatry is generally linked to:
    • A. 

      Concerns about child abuse in crowded urban areas in the late nineteenth century.

    • B. 

      Sigmund Freud's clinical consultations with children.

    • C. 

      The growth of child guidance clinics in the United States in the early twentieth century.

    • D. 

      Studies of juvenile delinquency in the 1950s.

    • E. 

      the development of pharmacological treatments for attention-deficit hyperactivity disorders (ADHD).

  • 7. 
    12.        The most prominent lobbying and support organization for families of people with severe psychiatric disorders is the:
    • A. 

      National Alliance for the Mentally Ill.

    • B. 

      American Psychiatric Association.

    • C. 

      National Institute for Mental Health.

    • D. 

      Joint Commission on Mental Illness and Mental Health.

    • E. 

      Pharmaceutical Research and Manufacturers of America.

  • 8. 
    35.        Which of the following is an example of an advance directive for a patient who is dying?
    • A. 

      A living trust

    • B. 

      Durable power of attorney

    • C. 

      A writ of sanctity

    • D. 

      A document of accord

    • E. 

      Family agreement

  • 9. 
    44.        Which of the following is considered the standard of proof legally required by the U.S. Supreme Court for long-term civil commitment?
    • A. 

      Clear and convincing evidence

    • B. 

      A preponderance of evidence

    • C. 

      Beyond a reasonable doubt

    • D. 

      Reasonable medical certainty

    • E. 

      Reasonable medical probability

  • 10. 
    74.        Which of the following statements best applies to a patient's confidentiality after death?
    • A. 

      It must be maintained under most circumstances.

    • B. 

      It can be waived by next of kin

    • C. 

      It can be waived for legitimate research approved by an institutional review board.

    • D. 

      It can be waived for legal purposes by the executor of the patient's will

    • E. 

      It must be waived if the information involves the health of surviving children.

  • 11. 
    94.         When is a psychiatrist permitted to notify a third party who has been identified to be at risk for contracting HIV from a patient, according to current U.S. ethical standards?
    • A. 

      After obtaining a second opinion from a psychiatric colleague who is experienced in caring for patients with AIDS

    • B. 

      After consultation with an internist who can help quantify the risk of transmission for the at-risk party

    • C. 

      Upon receiving the approval of a probate court judge after a hearing on the matter

    • D. 

      When a patient with AIDS is unwilling or unable to take autonomy-preserving precautions, such as abstinence

    • E. 

      When a patient with AIDS has a significant Axis I or Axis II mental disorder

  • 12. 
    116.   A 78-year-old woman is brought to the hospital for psychiatric evaluation by her middle-aged children because of deteriorating personal hygiene and a significant weight loss. She willingly signs the admission form authorizing treatment but later cannot recall her action. Clinical workup reveals potentially resectable masses in both the lung and brain requiring further infonned consent for surgical and oncological treatment. She again willingly consents but cannot explain the reason she now needs surgery. Legally, the psychiatrist should:
    • A. 

      Consider her consent valid.

    • B. 

      Delegate treatment decisions to her children.

    • C. 

      Obtain "vicarious" consent from the hospital's chief of staff.

    • D. 

      Urgently request that the probate court appoint a guardian with the power to make treatment decisions.

    • E. 

      Assume responsibility for discussing treatment options with the patient and subsequently for granting consent.