A 74-year-old woman - acyclovir99

[ArchivalUser]

AA

[ArchivalUser]

The correct answer is A. This patient raises one of the most difficult legal
and ethical problems in psychiatry. It is important to understand that
competency, or lack of competency (choices B, C, and E), can be
determined only by a legal authority, such as a court of law. The role of
psychiatrists is solely advisory in determining competency. In this situation,
only if the patient is suicidal by virtue of a major psychiatric illness, or if the
patient were subject to an immediate medical emergency, could treatment
be involuntarily administered. The psychiatrist's role is to assess a person's
mental status for evidence of cognitive impairment, as well as to ascertain
that the patient has a thorough understanding of the consequences of
treatment decisions that are made. This patient does not meet criteria for
treatment against her will (choice D), which requires both a mental
disorder and the threat of impending immediate harm to self or others.

[ArchivalUser]

I would choose A, competency is a legal term (i.e. a judge can declare competency) and physicians can not state that a patient is "competent" or not.

[ArchivalUser]

oh yeah now iremember....even if we know the concept we need to polish ourself by doing mcqs.... :-( :-)

[ArchivalUser]

oh yeah now iremember....even if we know the concept we need to polish ourself by doing mcqs.... :-( :-)