What is the rationale for laws that provide for le

Question 1 of 5

What is the rationale for laws that provide for legal verdicts of 'guilty but mentally ill?'

A. to prevent the truly insane from being treated as criminals B. to provide treatment options for convicted criminals while still holding them responsible for their actions C. to deal with mentally ill vagrants D. to permit consideration of whether the accused could appreciate the wrongfulness of his or her actions

Correct Answer: B

Rationale: The 'guilty but mentally ill' verdict ensures accountability while offering treatment, balancing justice and mental health needs.

Question 2 of 5

Mental health professionals are constrained by which of the following?

A. the law B. ethical principles C. professional guidelines D. All of the above

Correct Answer: D

Rationale: Mental health professionals must adhere to legal, ethical, and professional standards, making D the comprehensive answer.

Question 3 of 5

What sort of cases do Beauchamp and Childress refer to as 'paradigm' cases for justified breach of confidentiality?

A. Cases in which a patient may harm him- or herself if health care workers do not intervene B. Cases in which HIV might be spread from one individual to another C. Cases in which an illness may be spread quickly by an infected individual D. Cases in which there is a high probability of a major harm to an identifiable individual

Correct Answer: D

Rationale: Justified breaches of confidentiality typically involve imminent risks of significant harm to specific individuals.

Question 4 of 5

Your patient has just recently been diagnosed with familial adenomatous polyposis (FAP). This disorder is chronic, progressive, and fatal. There is a genetic test that can tell whether children of parents with the disease will develop it. The test is very accurate. The patient has become divorced and refuses to give you his consent to inform his ex-wife who now has custody of their three children. He threatens to sue you if you reveal elements of his medical care to his ex-wife. What should you do?

A. Respect the patient's right to confidentiality. B. Transfer the patient's care to another physician as long as the patient agrees. C. Ask the health department to inform the patient's ex-wife about the disease risk. D. Inform the patient's ex-wife of the risk to the children.

Correct Answer: D

Rationale: The patient's right to confidentiality ends where it comes into conflict with the safety of other people. The children have a right to know whether their lives will be affected by FAP, and the mother has a right to know as their caregiver. The right to one person's privacy is not as important as the right of another person to safety.

Question 5 of 5

You have a patient in your clinic who is an elderly woman with multiple medical problems. Her family is extremely grateful for your care and they bring you a meal they cooked at home, a cake, and a scarf. What should you do?

A. Accept the gift but report it. B. Accept the gift. C. Offer payment for the food. D. Refuse the gift.

Correct Answer: B

Rationale: Small gifts of nominal value from patients are ethically acceptable as tokens of gratitude and do not require reporting or refusal.

What is the rationale for laws that provide for legal verdicts of 'guilty but mentally ill?'

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