Behavioural science MCQ

8/4/2010 4:00:32 PM
During an annual check-up, a 39 year old female for whom you have provided care for years confesses that her husband of four years has been abusing her both physically and psychologically since her marraige. She states that his beatings have been more severe recently. She rolls up her sleeves to reveal severe echymoses around her neck. You tell her that some thing needs to be done, and she tells that she has purchased a handgun and plans to kill her husband that evening. What is the best course of action at this point?
A. Call the husband to inform him of this imminent threat to his life.
B. Call the authorities to report this threat to the husband
C. Call the authorities to report the abuse by the husband and the wife's plan
D. Fall the authorities to report the abuse and arrange lodging for the patient in a battered women's shelter

8/4/2010 6:56:21 PM
Is it D?

8/4/2010 6:58:19 PM
I guessed it to be A but the answer is C.

Does anyone know if spousal abuse is mandatory to report?

8/5/2010 5:32:24 AM
The answer is C

Need to inform about abuse done by husband and also need to stop plan made by wife to kill husband.

8/10/2010 2:25:54 PM
sorry u all r incorrect...its 100% OPTION A the ans...

8/10/2010 2:27:24 PM
but really atoo good q...keep postin these q liked it..but again the ans is a..

8/10/2010 2:36:10 PM
which is the book u r refferin man..too cool..if possi do post me these q on [email protected] u then

8/11/2010 4:09:58 PM
The book says choice C is the answer. Explanations as stated in the book are
Choice C : The wife has clear evidence of abuse and has a well formulated plan for killing her husband; the spousal abuse and the plan to kill husband must be immediately reported to the proper authorities.

Choice A and B: Calling the husband only or calling the authorities only on the husband's behalf would be an acceptable course of action if the husband were not abusing the patient. Often abusers escalate if they feel that they are some how threatened. In this case, the wife needs protection from the husband, and simply calling the husband may cause him to become more violent.

Choice D: Reporting the abuse to the authorities is appropriate and mandatory. In this situation, though, reporting the threat of violence against the husband is also necessary.

( the book also mentions that spousal abuse in mandatory to report only in some states)

8/12/2010 2:36:19 PM
I agree with choice A. Child abuse and elderly abuse is mandatory to report but not spousal abuse. In this case what a doctor has to do is to prevent the husband from danger.

8/15/2010 11:07:18 PM
this question is refering to tarasoff case which is (practioner should report to authorities as well as to person in danger) and reporting is necessary after taking patient in confdence in case of spousal abuse.
edited by Drtech on 8/16/2010

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