Malingering Question Preview (ID: 38169)
How To Spot And Document What Is Not Real.
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What reason would someone have to malinger?
a) Boredom
b) Entertainment
c) Avoid criminal prosecution
d) To be cool
Genuine schizophrenic hallucinations tend to....
a) be continuous
b) diminish when person is involved in activities
c) have an abrupt onset or termination
d) be reported regularly by the person
When do malingerers trip up?
a) Give same mental health history.
b) Do not always obey the voices, especially if doing so would be dangerous
c) Report both male and female voices that are outside the head
d) They often overact their part or mistakenly believe the more bizarre their behavior, the more convincing they will be.
These things can be helpful to document
a) Behavior and content of conversation
b) Favorite ice cream
c) Why person is angry
d) Who is to blame for you having this patient
Another thing to document
a) What was on TV
b) Mood/affect
c) If the voice had a name
d) What was for lunch
What Forensic Assessment tool do we use?
a) SIRS
b) M-FAST
c) NAPA
d) WACK
How do you get a malingerer out of the facility?
a) Asking them to admit they are liars
b) Tell the judge
c) Tell the DON
d) Write them out (Good, truthful and accurate documentation)
In the intake interview what might a malingerer do?
a) Become defensive if you show annoyance or incredulity.
b) Give vague history
c) Be non reactive, not willing to talk
d) Give very short answers
In a real schizophrenic
a) Hallucinations are typically intermittent
b) Hallucinations are typically continuous
c) Only male voices are heard
d) Only female voices are heard
Malingerers...
a) Give consistant medical history
b) Has continous hallucinations in color
c) Behave in disorganized or confused manner around psychiatrist, yet plays excellent card games with others on unit
d) Reports that nothing makes the voices stop and he must act on what they say
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