Behavioral Health Emergencies, Environmental Emergencies

Question 1

Classifications of behavioral health emergencies

Answer 1

organic or functional

Question 2

Organic MH

Answer 2

tissue issue - trauma, hypoglycemia, drugs, withdrawal, brain disease, TBI/brain injury, Stroke, Seizure disorder

Question 3

Functional MH

Answer 3

Mental Health Diagnosis

Question 4

Acute psychosis causes

Answer 4

Drugs, stress, delusional disorders, schizophrenia

Question 5

Patient Assessment for Behavioral emergencies include

Answer 5

Is CNS functioning? Are drugs/alcohol involved? Are life changes or illness involved?

Question 6

When we apply restraints how often do we assess vitals and what vitals?

Answer 6

Q5min, respirations, CMS all extremities

Question 7

What do we document when using restraints?

Answer 7

Type, time, injuries before and after, location of restraints, position, medications administered

Question 8

When do we always restrain

Answer 8

51/50

Question 9

How many people do you need for restraints

Answer 9

5

Question 10

Demographic with highest suicide rate

Answer 10

Older males

Question 11

What do you consider when assessing environmental emergencies?

Answer 11

Wind, Temp, Humidity

Question 12

5 Types of heat loss

Answer 12

conduction, convection, radiation, respiration, evaporation

Question 13

When is a patient considered hypothermic?

Answer 13

<95’F

Question 14

Tx for hypothermia

Answer 14

remove from environment, slow active warming, humidified O2 or O2, Warm liquid

Question 15

What layer of the skin does frost nip affect?

Answer 15

Epidermis

Question 16

Tx for frostbite

Answer 16

O2, Dry sterile dressing, splint if indicated, warm liquid 102-104’F,

Question 17

What do we want to assess for when dealing with frostbite?

Answer 17

How long were they exposed? What temperature were they exposed to? What was the wind velocity?

Question 18

These may lead to complications or worse frost bite

Answer 18

Eldery, kids, diabetics, tight clothing