Behavioral Emergencies

Question 1

“in danger” of hurting themselves or others

Answer 1

behavioral crisis

Question 2

“action” the patient is deemed a threat to others or themselves

Answer 2

behavioral health emergencies

Question 3

Abrupt disorientation of time/place
Involves delusions and hallucinations

Answer 3

Delirium

Question 4

What is the difference between delusions and hallucinations

Answer 4

Delusions: false beliefs
Hallucinations: sights/sounds that are not present

Question 5

Progressive loss of time/place

Answer 5

Dementia

Question 6

Emotional disorder - alternating depressive and manic episodes

Answer 6

Bi-polar disorder

Question 7

6 Characteristics of Mania

Answer 7

• excessive ideas
• motor activity
• irritability
• talkiveness
• fast speech
• possible delusions

Question 8

Characterstics of Depression
(IN SAD CAGES)

Answer 8

loss of INterest in activities

Sleep disturbance
Appetite change
Depressed mood

difficulty Concentrating
Activity level change
excessive Guilt
loss of Energy
Suicidal thoughts

Question 9

What are the med(s) used to treat Bi-Polar Disorder?

Answer 9

lithium

Question 10

What behavioral emergency is considered a lifethreat?

Answer 10

Excited delirium

Question 11

what medication can be used to treat Schizoprenia (8)

Answer 11

1. latuda
2. haldol
3. geodon
4. clozapine
5. seroquel
6. zyprexa
7. risperidone
8. thorazine

Question 12

What are these S/S of?

• delusions
• paranoia
• flat effect
• cognitive challenges
• erratic speech
• hallucinations

Answer 12

Schizophrenia

Question 13

Onset of Schizophrenia

Answer 13

early adulthood (16-30)

Question 14

• can be caused by substance, psychiatric illness or head trauma
• treat for HYPERthermia (keep cool)
• IV fluids/sedation (possible ALS)
• LIFETHREAT

Answer 14

excited delirium

Question 15

Why is excited delerium considered a life threat?

Answer 15

• panic
• paranoia
• agitation
• ranting
• violence
• hyperactivity
• diaphoretic

Question 16

Medication used to treat panic disorders (3)

Answer 16

1. Xanax - alprazolom
2. Ativan - lorazepam
3. Klonopin - clonazepam

Question 17

What is an SSRI medication and what is it used to treat

Answer 17

SSRI: has an act on the seratonin levels in your brain
- used to treat anxiety and/or depression

Question 18

Identify 3 SSRI medications

Answer 18

1. Celexa - citalopram
2. Zoloft - sertaline
3. Lexapro - escitalopram

Question 19

what is Abilify (aripiprazole) used to treat and why?

Answer 19

schizophrenia, bipolar, depression and other disorders when other options have not worked

Question 20

How to handle suicide/suicidal threats

Answer 20

• determine if there is a PLAN, does the patient have the MEANS, do they intend to be SUCCESSFUL
• support, LISTEN, ask about SUPPORT SYSTEM, vitals

Question 21

1. Impared social communication
2. Resitricted repetitive behaviors
   - symptoms may begin around 18m; some children may engage in self harm behaviors
   - high risk of traumatic events due to poor social skills

Answer 21

Austism (ASD)

Question 22

S/S of Autism

Answer 22

• avoids eye contact
• can’t explain what they want
• repeats words
• doesn’t engage in play
• not responsive to others
• delays in speech/non-verbal

Question 23

What is emergency detention (getting papered)?

Answer 23

law enforcement or psychiatric doctor has signed off saying this pt. must be transported to the ED due to being a danger to themselves or others due to mental health/not of sound mind