A 19-year-old woman comes to the physician because of a 2-day history of difficulty sleeping. She worries that the lack of sleep will ruin her career prospects as a model. She has been coming to the physician multiple times over the past year for minor problems. She is dressed very extravagantly and flirts with the receptionist. When she is asked to sit down in the waiting room, she begins to cry and says that no one listens to her. When she is called to the examination room, she moves close to the physician, repeatedly intends to touch his cheek, and makes inappropriate comments. She does not have a history of self-harm or suicidal ideation. Which of the following is the most likely diagnosis?
ASchizotypal personality disorder
BBorderline personality disorder
CDependent personality disorder
DNarcissistic personality disorder
EHistrionic personality disorder
A 59-year-old man comes to the physician for a follow-up examination after being diagnosed with localized prostate cancer 3 weeks ago. The physician is delayed because of an emergency with another patient; miscommunication between the physician and his staff created further delays. When he enters the patient's room, the patient angrily expresses, “Do you realize that I waited 45 minutes in the waiting room, despite arriving on time, and that I've now waited another half an hour in this exam room? I am dying; do you have no respect for my time?” Which of the following is the most appropriate response by the physician?
AI'm very sorry for the delay. I had a very sick patient who required immediate care.
BI apologize for the inconvenience, and if I were you I would be frustrated and angry as well. Let's talk about your concerns.
CLet me apologize on behalf of my staff, who is responsible for most of the delay. I can assure you, there will be consequences for this.
DI can tell that you are angry and there is no excuse for my delay. But you are not going to die of prostate cancer any time soon.
EYou have a right to be frustrated, but shouting at me is not appropriate. I am afraid I will have to ask you to leave.
A psychiatrist receives a call from a patient who expresses thoughts of harming his ex-girlfriend. The patient describes a detailed plan to attack her at her workplace. Which of the following represents the psychiatrist's most appropriate legal obligation?
AWarn the ex-girlfriend and notify law enforcement
BOnly notify the patient's family
CWarn only law enforcement
DMaintain patient confidentiality
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