Prep for USMLEPrep for USMLE Forum
   Forum    Step 1  Step 2 CK Step 2 CS Step 3  Match  IMGs Resources Search






Previous Topic | Next Topic  Rules of AMA (Against Medical Advice) 




 
Kaplan Qbank USMLE



Author12 Posts
  #1

A 19-year-old female, who recently moved from her family's home in another state, is hospitalized for attempting suicide by taking an overdose of antidepressant medications. On the third day of her hospital stay, she insists, under threat of a lawsuit, that her medications be stopped and that she be discharged from the hospital so she "can go home and finish the job." Her sensorium is clear.

Her physician should

A. discharge her against medical advice (AMA)
B. honor her request and release her immediately
C. obtain an emergency order of detention
D. release her to go back to her parents' home
E. sedate her


___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #2

it's tricky, but i think it's C.

i say so, coz a doctor must do all she can to prevent the patient from doing harm to self/others. and the patient has indicated that she intends to 'finish the job' so, i feel she has the authority to detain her.


___________________
Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.

  #3

I think it's C, you keep her hospitalized. But you can't medicate her if she refuses (according to Kaplan).


___________________
When men make the rules, God decides the exceptions.

  #4

C


  #5

C...Suicidal cases are not to be released

  #6

paheli wrote:
it's tricky, but i think it's C.

i say so, coz a doctor must do all she can to prevent the patient from doing harm to self/others. and the patient has indicated that she intends to 'finish the job' so, i feel she has the authority to detain her.


So what would he doctor do ??sticking out tonguewinknod

nodnod


___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #7

The correct answer is C.

The physician should obtain an emergency order of detention, regardless of her threats of a lawsuit. The woman clearly still has suicidal intent, demonstrated by her expressed verbalizations, and is therefore a danger to herself.

Choices A, B, and D clearly place her in a position where she can carry out her plans to terminate her life.

Sedating her (choice E) is the second best choice since it will prevent her from taking her life; however, sedation does not give therapists the opportunity to address the underlying motivations for her suicidal ideation.


___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #8

new_n_lost wrote:
paheli wrote:
it's tricky, but i think it's C.

i say so, coz a doctor must do all she can to prevent the patient from doing harm to self/others. and the patient has indicated that she intends to 'finish the job' so, i feel she has the authority to detain her.


So what would he doctor do ??sticking out tonguewinknod

nodnod


grin so, you know now that i'm a feminist!


___________________
Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.

  #9

ROFLMAO ok so off the topic

How would you classify me as ??


___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #10

a-HEM! you sure you wanna do this here, nnl? don't want to take it outside? we girls know how to defend ourselves these days, and don't mind settling it like gentleladies - outside!

soooooo off-topic!grin


___________________
Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.

  #11

paheli wrote:
a-HEM! you sure you wanna do this here, nnl? don't want to take it outside? we girls know how to defend ourselves these days, and don't mind settling it like gentleladies - outside!

soooooo off-topic!grin

A million answers pop up in my mind but u still havent answered my question. You would sterotype me as _______ ???


___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #12

C...................emergency order of detention as she is clearly stating that she has to finish the job she left....she can harm herself and possibly someone else tooo..........

___________________
i m not perfect but i wanna get close to it......







You don't have permission to post.




Login or Register to post messages in this topic





















Contact | Leaders | Disclaimer | Privacy

Copyright @ Prep for USMLE. All rights reserved.