EMT- Chapter 23-Behavioral Health Emergencies

____ is what you can see of a person's response to the environment.

A. Affect

B. Psychosis

C. Behavior

D. Neurosis

Behavior

A psychologic disorder that impairs bodily function when the body seems to be structurally normal is called a:

A. Functional disorder

B. Seizure

C. Traumatic brain injury

D. Drug and alcohol abuse

Functional disorder

A technique used to gain insight into a patient 's thinking, which involves repeating in question form what the patient has said, is called:

A. Active listening

B. Reflective listening

C. Intuitive listening

D. Passive listenin

Reflective listening

After ensuring his or her own safety, the EMT's next priority when caring for patient with a behavioral emergency is to:

A. Diagnose the patient's problem and provide definitive treatment

B. Assess the patient's response to his or her environment

C. Transport the patient directly to a specialized psychiatric facility

D. Determine the underlying cause of the problem and offer advice

Assess the patient's response to his or her environment

Common causes of acute psychotic behavior include all the following, EXCEPT:

A. Schizophrenia

B. Mind-altering substance use

C. Alzheimer's disease

D. Intense stress

Alzheimer's disease

General guidelines for managing a patient with a behavioral emergency include:

A. Placing the patient between yourself and an exit

B. Allowing the patient to be alone if he or she wishes

C. Firmly identifying yourself as an EMS provider

D. Being prepared to spend extra time with the patient

Being prepared to spend extra time with the patient

Immediately after physically restraining a violent patient, the EMT should:

A. Document the time the restraints were applied

B. Inform medical control of the situation

C. Reassess the patient's airway and breathing

D. Advise the patient why restraint was needed

Reassess the patient's airway and breathing

In which position should you restrain a physically uncooperative patient?

A. Supine

B. With hands tied behind the back

C. With arms and legs bound together

D. Prone

Supine

Organic brain syndrome is defined as:

A. Bizarre behavior secondary to a chemical imbalance or disturbance in the brain.

B. A disorder that cannot be traced to the abnormal structure or function of an organ.

C. A dysfunction of the brain caused by abnormal physical or psychophysical function.

D. A change in behavior or mental status secondary to decreased cerebral blood flow.

A dysfunction of the brain caused by abnormal physical or psychophysical function.

People at risk for suicide include all of the following, EXCEPT:

A. Those of a recent diagnosis of a serious illness

B. Married males older than 30 years

C. Substance abusers

D. Children with parents addicted to alcohol

Married males older than 30 years

Posttraumatic stress disorder can happen after:

A. bout with depression

B. Exposure to an injury from a traumatic occurrence

C. Extended periods of hyperthermia or hypothermia

D. Alcohol withdrawal

Exposure to an injury from a traumatic occurrence

Signs of excited delirium include:

A. Slurred speech, bradycardia, and a high fever.

B. Diaphoresis, tachycardia, and hallucinations.

C. Subdued behavior, crying, and suicidal thoughts

D. Pallor, hypotension, and constricted pupil

Diaphoresis, tachycardia, and hallucinations.

The first step in assessing a patient with behavioral emergency is to:

A. Ensure your safety.

B. Obtain proper consent

C. Restrain the patient

D. Take vital signs

Ensure your safety.

The single most significant factor that contributes to suicide is:

A. A chronic illness

B. Drug abuse

C. Depression

D. Advanced age

Depression

The term "behavioral crisis" is MOST accurately defined as:

A. A medical illness with psychological symptoms that may lead to limited motor functioning

B. A situation in which a patient of any age exhibits agitated, violent, or uncooperative behavior

C. A sudden, violent outburst of an otherwise mentally stable person toward a family member

D. A period of severe depression that last longer than 2 weeks and cannot be controlled with medications

A situation in which a patient of any age exhibits agitated, violent, or uncooperative behavior

When assessing a patient with a behavioral crisis, you should:

A. Ask the police to handcuff the patient for safety

B. Be direct and clearly state your intentions

C. Spend as little time with the patient as possible

D. Frisk the patient for the presence of weapons

Be direct and clearly state your intentions

Which of the following conditions or situations would MOST likely make excited delirium worse?

A. Alcohol withdrawal

B. Elevated blood glucose

C. Limited physical contact

D. Dimly lit environment

Alcohol withdrawal

Which of the following is an example of a functioning behavioral disorder?

A. Head trauma

B. Alzheimer's disease

C. Drug addiction

D. Schizophrenia

Schizophrenia

Which of the following statements regarding the physical examination of a patient with a behavioral problem is correct?

A. Performing a physical examination on a patient with a behavioral problem will likely cause him or her to become violent and should be avoided in the field

B. It is only appropriate to perform a physical examination on a patient with a behavioral problem if he or she is unconscious or is being physically restrained

C. The physical examination of a patient with a behavioral problem often yields crucial information and should always be performed, even if the patient is violent

D. Although the physical exam can be difficult, the patient's emotional state may be determined by noting facial expressions, pulse rate, and respirations

Although the physical exam can be difficult, the patient's emotional state may be determined by noting facial expressions, pulse rate, and respirations.

You may not be able to determine whether a person has a mental illness, but you can predict the person's likelihood of becoming:

A. Diabetic

B. Psychotic

C. Suicidal

D. Violent

Violent

A patient with a history of schizophrenia called EMS because he was experiencing abdominal pain. When law enforcement arrived, the patient became violent, necessitating the placement of handcuffs. When you assess the patient, he tells you that killing someone will make his abdominal pain go away. His vital signs are stable. How should you manage this situation?

A. Refuse to transport the patient because of his homicidal threat

B. Request a police officer to accompany you in the ambulance

C. Transport the patient in a prone position on the stretcher

D. Request that the police officer transport him to the hospital

Request a police officer to accompany you in the ambulance

A 78-year-old female present with an acute change in behavior. The patient's son tells you that his mother has type 2 diabetes and was diagnosed with Alzheimer's disease 6 months ago. The patient speech is slurred, and she is not alert to her surroundings. You should?

A. Conclude that the patient's blood sugar is high

B. Allow the patient to refuse transport is she wishes

C. Inquire about the possibility of head trauma

D. Transport the patient to a psychiatric facility

Inquire about the possibility of head trauma

You are assessing a 45-year-old female who is severely depressed. She states that it seems that her entire world is crashing down around her. She further states that she has had frequent thoughts of suicide but is not sure if she can actually go through with it. How do you manage this situation?

A. Encourage the patient to remain quiet during transport

B. Leave the scene and have the neighbor check in on her

C. Have law enforcement place her into protective care

D. Ask the patient if she has developed a suicidal plan

Ask the patient if she has developed a suicidal plan

A 22-year-old male with a history of clinical depression called 9-1-1 and stated that he attempted to kill himself. Your unit and law enforcement officers show up on scene simultaneously. You find the patient lying supine on the living room floor. He is unresponsive and cyanotic. An empty bottle of hydromorphone (Dilaudid) is found on an adjacent table. You should:

A. Ask the patient to handcuff the patient for safety purposes

B. Wait for the police to examine him before providing care

C. Open the patient's airway and assess his respirations

D. Provide care after determining what Dilaudid is used for

Open the patient's airway and assess his respirations

Law enforcement personnel request your assistance for a 30-year-old man who was pulled over for erratic driving. The patient became acutely violent while he was being questioned, which required one of the officers to subdue him with a taser. When you arrive and assess the patient, you find that he is very agitated and is experiencing apparent hallucinations. His skin is flushed and diaphoretic. You should:

A. Quickly rule out any life-threatening conditions and then perform a detailed secondary assessment as he is being restrained.

B. Suspect that he is acutely hypoglycemic, considering giving him one tube of oral glucose, and transport with lights and sirens.

C. Limit physical contact with the patient as much as possible and avoid interrupting him if he is attempting to communicate with you.

D. Recognize that he is experiencing a complex psychiatric crisis, quickly load him into the ambulance, and transport without delay

Limit physical contact with the patient as much as possible and avoid interrupting him if he is attempting to communicate with you

A 40 year old male intentionally cut his wrist out of anger after losing his job. Law enforcement has secured the scene prior to your arrival. As you enter the residence and visualize the patient, you can see that he has a towel around his wrist any moderate amount of blood has soaked through it. You should:

A. Call me identify yourself to the patient.

B. Tell the patient that you want to help. C. Approach to patient with caution.

D. Quickly tend to the bleeding wound.

Call me identify yourself to the patient

A 38 year old male with a history of schizophrenia is reported by neighbors to be screaming and throwing things inside the house. You are familiar with the patient and have cared for him in the past for unrelated problems. Law Enforcement Officers escort you into the residence when you arrive. The patient tells you that he sees Empires and is attempting to Ward them off by screaming and throwing things at them. He has several large lacerations to his forearms that are actively bleeding. The most appropriate way to manage this situation is to:

A. Try to gain the patient's trust by telling him that you see the vampires too

B. Restrain the patient with appropriate force in order to treat his injuries.

C. Approached the patient and calm him by placing your hand on his shoulders.

D. Request that the police officers arrest him and take him to the hospital

Restrain the patient with appropriate force in order to treat his injuries

A 66 year-old male presents with bizarre behavior. His daughter states that he did not seem to recognize her and was very rude to her. The patient is conscious and has a patent Airway and adequate breathing. You should:

A. Carefully restrain the patient and transport at once.

B. Ask the daughter how her father normally behaves.

C. Advise the patient that his behavior is unacceptable.

D. Conclude that the patient has Alzheimer's disease.

After daughter how her father normally behaves

A patient with a history of schizophrenia called EMS because he was experiencing abdominal pain. When law enforcement arrived, the patient became violent necessitating the placement of handcuffs. When you assess the patient, he tells you the killing someone will make his abdominal pain go away. His vital signs are stable. How should you mind if the situation?

A. Refuse to transport the patient because of his homicidal threat.

B. Request a police officer to accompany you in the ambulance.

C.. Requested police officer transport him to the hospital.

D. Transport a patient in a prone position on the stretcher

Request a police officer to accompany you in the ambulance.

A psychological disorder that impairs bodily function when the body seems to be structurally normal is called a:

A. Functional disorder.

B. Traumatic brain injury.

C. Drug and alcohol abuse.

D. Seizure

Functional disorder