Psychiatric Patient Molesting 10-Yr-Boy - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 02-01-2012
tyagee's Avatar
USMLE Forums Master
 
Steps History: ---
Posts: 1,365
Threads: 648
Thanked 591 Times in 355 Posts
Reputation: 601
Medicolegal and Ethics Psychiatric Patient Molesting 10-Yr-Boy

A 57-year-old man is seeing a psychiatrist for the treatment of his major depression. During the course of his treatment, the man describes in great detail the fact that he has molested several children. Some of these molestations occurred decades previously, but one, according to the patient, is ongoing, involving a 10-year-old boy who lives in an apartment
next door to the patient. Which of the following actions should the psychiatrist take next?
a. The psychiatrist should take no action outside the therapeutic setting but, rather, try to explore the unconscious determinants of this patient’s behavior.
b. The psychiatrist should take no action outside the therapeutic setting because the patient is protected by confidentiality laws.
c. The psychiatrist should admit the patient to a psychiatric hospital and call the boy’s parents to alert them to the danger.
d. The psychiatrist should call the police and have them apprehend the patient at the next treatment session.
e. The psychiatrist should immediately report the patient’s behavior to the appropriate state agency.
Reply With Quote Quick reply to this message



  #2  
Old 02-02-2012
USMLE Forums Scout
 
Steps History: 1 + CS
Posts: 59
Threads: 12
Thanked 10 Times in 10 Posts
Reputation: 20
Default

not 100% sure but would go for admit the patient and inform boys parents... everything to be done to prevent harm.....
Reply With Quote Quick reply to this message
  #3  
Old 02-02-2012
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 791
Threads: 76
Thanked 673 Times in 317 Posts
Reputation: 691
Default

Its C...........
Reply With Quote Quick reply to this message
 
  #4  
Old 02-02-2012
dr-ahmed's Avatar
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 333
Threads: 61
Thanked 390 Times in 90 Posts
Reputation: 400
Default Hell C

It's C for sure

Confidentiality of the patient is terminated by showing threatening behaviors towards others
Reply With Quote Quick reply to this message
  #5  
Old 02-02-2012
qurat21's Avatar
USMLE Forums Master
 
Steps History: 1 + CK
Posts: 623
Threads: 62
Thanked 289 Times in 186 Posts
Reputation: 299
Default

i think e....y would we admit him..
Reply With Quote Quick reply to this message
  #6  
Old 02-02-2012
dr-ahmed's Avatar
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 333
Threads: 61
Thanked 390 Times in 90 Posts
Reputation: 400
Default Concept of threat

Quote:
Originally Posted by qurat21 View Post
i think e....y would we admit him..
Because he represents threat to others
Reply With Quote Quick reply to this message
  #7  
Old 02-02-2012
tyagee's Avatar
USMLE Forums Master
 
Steps History: ---
Posts: 1,365
Threads: 648
Thanked 591 Times in 355 Posts
Reputation: 601
Default dont know why NOT to admit

answer is e
active molestation of the 10-year-old boy requires reporting,
since the harm to vulnerable children is considered to outweigh the rights
of confidentiality in a psychiatric setting.
Reply With Quote Quick reply to this message
  #8  
Old 02-02-2012
dr-ahmed's Avatar
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 333
Threads: 61
Thanked 390 Times in 90 Posts
Reputation: 400
Default where from ?

Where did you get this question from ??
Reply With Quote Quick reply to this message
  #9  
Old 02-02-2012
tyagee's Avatar
USMLE Forums Master
 
Steps History: ---
Posts: 1,365
Threads: 648
Thanked 591 Times in 355 Posts
Reputation: 601
Default

pretest

i myself did c, but was wrong..wonder why...
you can hospitalize pateint without permission when
they are harm to others
they are harm to themselves
they cant fulfil their BaSiC needs

this one surely harming the 10 year kid. so i did c. but then i was confused and asked if others know better...but got no convincing answers!!!!

answer is e though


any comments....
Reply With Quote Quick reply to this message
  #10  
Old 02-05-2012
USMLE Forums Newbie
 
Steps History: ---
Posts: 3
Threads: 1
Thanked 0 Times in 0 Posts
Reputation: 10
Default

The first time I saw the question I felt its E.

The person is a threat to others and that's why we we should consider to deal this stuff properly.

I could be wrong but in step 1 bev. science lecture video it said "do not delegate your work to other doctors or hospital- at least not in a exam answer", when you put him in the hospital its kinda delegating your work. Plus, its not the doctors responsibility to inform the boy's parents. At least that's what I can think of. Please post if you have any other logic in your mind.
Reply With Quote Quick reply to this message
  #11  
Old 02-05-2012
HouseWannabe's Avatar
USMLE Forums Addict
 
Steps History: 1 + CS
Posts: 120
Threads: 13
Thanked 147 Times in 45 Posts
Reputation: 157
Smile E Vs C

I think C would've been the answer had the behaviour not been ongoing, for example he was thinking about doing it.

For ethical questions, whenever children are involved always look for the answer that has report to authorities.
Reply With Quote Quick reply to this message
  #12  
Old 02-08-2012
tyagee's Avatar
USMLE Forums Master
 
Steps History: ---
Posts: 1,365
Threads: 648
Thanked 591 Times in 355 Posts
Reputation: 601
Default

Quote:
had this been an physically abusive molester (caused physical trauma), you might've had to admit first, then call authorities or get a court order for treatment.
so true..this was the main point i guess...

Last edited by tyagee; 02-08-2012 at 01:33 PM. Reason: a
Reply With Quote Quick reply to this message



Reply

Tags
MedicoLegal-Ethics, Psychiatry-, Step-2-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Psychiatric History Mnemonic Dr_ivo USMLE Step 2 CS Mnemonics 5 10-17-2016 07:12 PM
Psychiatric Diseases in the CS Exam! good_boy_1234 USMLE Step 2 CS Forum 2 11-20-2011 05:52 AM
USMLE Step 1 Psychiatric Diagnosis? Dr_Laura USMLE Step 1 Forum 7 05-10-2011 02:51 PM
psychiatric disorder Seetal USMLE Step 1 Forum 5 04-28-2010 03:56 AM
Psychiatric patient with Haloperidol side effect MLE-Love USMLE Step 1 Forum 2 03-13-2010 07:53 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)