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EMT FF Class > Biloxi EMT CH 23 Psychiatric Emergencies > Flashcards

Biloxi EMT CH 23 Psychiatric Emergencies Flashcards

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1
Q

Which of the following is NOT typically linked to a psychological or behavioral crisis?

a. Mind-altering substances
b. An underlying medical problem
c. History of smoking
d. Stress

A

c. History of smoking

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2
Q

Which of the following is a normal reaction to a crisis situation?

a. Being sad the majority of days for weeks on end
b. Feeling blue after the breakup of a long-term relationship
c. Feeling depressed week after week with no discernible cause
d. Thoughts of suicide

A

b. Feeling blue after the breakup of a long-term relationship

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3
Q

Which of the following statements is FALSE?

a. You may be able to predict whether a person will become violent.
b. Scene safety is always your primary concern.
c. Behavior problems may be the result of drug or alcohol abuse.
d. Most people with a mental illness are dangerous.

A

d. Most people with a mental illness are dangerous.

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4
Q

Learning to adapt to a variety of situations in daily life, including stresses and strains, is called:

a. disruption
b. coping
c. behavior
d. functional

A

b. coping

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5
Q

If a patient becomes agitated, violent, or uncooperative and may become a danger to themselves or others, it is considered a _________ crisis.

a. mental health
b. functional
c. behavioral
d. functional

A

c. behavioral

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6
Q

Patients may show agitation or violence or become a threat to themselves or others when they experience a(n) _________ emergency.

a. psychiatric
b. behavioral
c. functional
d. adjustment

A

b. behavioral

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7
Q

Which of the following is NOT considered a possible cause of a psychiatric disorder?

a. Social disturbance
b. Chemical disturbance
c. Biologic disturbance
d. Emotional disturbance

A

d. Emotional disturbance

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8
Q

An altered mental status may arise from:

a. an oxygen saturation of 98%
b. moderate temperatures
c. inadequate blood flow to the brain
d. adequate glucose levels in the blood

A

c. inadequate blood flow to the brain

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9
Q

Organic brain syndrome may be caused by:

a. daily stress
b. seizure disorders
c. myocardial infarction
d. thoracic spinal cord injury

A

b. seizure disorders

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10
Q

All of the following are examples of a functional disorder EXCEPT:

a. anxiety
b. depression
c. organic brain syndrome
d. schizophrenia

A

c. organic brain syndrome

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11
Q

When documenting abnormal behavior, it is important to:

a. document restraints only when leather restraints are used
b. document everything that happened on the call
c. avoid quoting the patient’s own words
d. interject your interpretations of the patient’s thoughts

A

b. document everything that happened on the call

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12
Q

Safety guidelines for behavioral emergencies include all of the following EXCEPT:

a. assessing the scene
b. being prepared to spend extra time
c. encouraging purposeful movement
d. determining the underlying psychiatric disorder

A

d. determining the underlying psychiatric disorder

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13
Q

In evaluating a situation that is considered a behavioral emergency, the first things to consider are:

a. airway and breathing
b. scene safety and patient response
c. history of medications
d. respiratory and circulatory status

A

b. scene safety and patient response

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14
Q

___________ is a behavior that is characterized by restlessness and irregular physical activity.

a. Agitation
b. Aggression
c. Anxiety
d. Apathy

A

a. Agitation

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15
Q

Which of the following is NOT considered a risk factor for suicide?

a. Alcohol abuse
b. Recent marriage
c. Family history of suicide
d. Depression

A

b. Recent marriage

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16
Q

Which of the following is NOT a risk factor to consider when assessing a suicidal patient?

a. Does the patient appear to be well groomed?
b. Is the environment unsafe?
c. Is there an imminent threat to the patient or others?
d. Is there evidence of self-destructive behavior?

A

a. Does the patient appear to be well groomed?

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17
Q

Signs and symptoms of agitated delirium include all of the following EXCEPT:

a. diarrhea
b. tachycardia
c. vivid hallucinations
d. dilated pupils

A

a. diarrhea

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18
Q

You should request the assistance of a ____________ when a mentally impaired patient refuses to go to the hospital.

a. physician
b. court order
c. law enforcement
d. psychologist

A

c. law enforcement

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19
Q

When restraining a patient without an appropriate order, legal actions may involve charges of:

a. abandonment
b. negligence
c. battery
d. breach of duty

A

c. battery

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20
Q

When restraining a patient on a stretcher, it is necessary to constantly reassess the patient’s:

a. level of consciousness
b. respiration and circulation status
c. emotional status
d. pain status

A

b. respiration and circulation status

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21
Q

Dean, a man in his 50s, is acting irrationally. His wife states that he thinks he is the dictator of a small country, and he is wearing nothing but a baseball cap and a belt with a small handgun attached to it.

What is your best course of action?

a. Call ALS.
b. Assess Dean from a distance.
c. Have his wife take the gun from him.
d. Call for police backup.

A

d. Call for police backup.

22
Q

Dean, a man in his 50s, is acting irrationally. His wife states that he thinks he is the dictator of a small country, and he is wearing nothing but a baseball cap and a belt with a small handgun attached to it.

The scene is safe. Dean now tells you he is “God” and can do anything he wants to. Which of the following should you NOT consider?

a. He is probably not a threat to you.
b. He may have a history of psychiatric problems.
c. He could be suffering from an underlying medical problem.
d. Alcohol or drugs could be a factor in his behavior.

A

a. He is probably not a threat to you.

23
Q

Dean, a man in his 50s, is acting irrationally. His wife states that he thinks he is the dictator of a small country, and he is wearing nothing but a baseball cap and a belt with a small handgun attached to it.

What are some tactics you can use to have Dean cooperate with your assessment?

a. Reflective listening
b. Threatening him with restraints
c. Aggressive communication
d. Passive listening

A

a. Reflective listening

24
Q

Dean, a man in his 50s, is acting irrationally. His wife states that he thinks he is the dictator of a small country, and he is wearing nothing but a baseball cap and a belt with a small handgun attached to it.

Dean becomes agitated and states, “You’ll never take me alive.” A decision is made to restrain Dean. How many people should ideally be present to restrain Dean?

a. Two
b. Five
c. Six
d. Eight

A

b. Five

25
Q

True/False

Depression lasting 8 months after being fired from a job is a normal mental health response.

A

False

26
Q

True/False

Low blood sugar glucose or lack of oxygen to the brain may cause behavioral changes to the degree that a psychiatric emergency could exist.

A

True

27
Q

True/False

A disturbed patient should always be transported with restraints.

A

False

28
Q

True/False

It is sometimes helpful to allow a patient with a behavioral emergency some time alone to calm down and collect his or her thoughts.

A

False

29
Q

True/False

It is important to maintain eye contact with the patient when dealing with a behavioral crisis.

A

True

30
Q

True/False

A patient should never be asked if he or she is considering suicide.

A

False

31
Q

True/False

Urinary tract infections can cause behavioral changes in elderly patients.

A

True

32
Q

True/False

All individuals with mental health disorders are dangerous, violent, or otherwise unmanageable.

A

False

33
Q

True/False

When completing the documentation, it is important to record the reasons why you restrained a patient.

A

True

34
Q

True/False

When restraining a patient, at least three people should ideally be present to carry out the restraint.

A

False

35
Q

True/False

A patient should be placed facedown when being restrained to a litter.

A

False

36
Q

True/False

Reassessment of respiratory and circulatory status in restrained patients should take place continuously.

A

True

37
Q

True/False

Tears, sweating, and blushing may be significant indicators of state of mind, such as sadness, nervousness, or embarrassment.

A

True

38
Q

True/False

Most medical or trauma situations will include a behavioral component.

A

True

39
Q

True/False

Military personnel who experienced combat have a low incidence of posttraumatic stress disorder (PTSD).

A

False

40
Q

True/False

Flashbacks are uncontrolled events triggered by sound, sight, or smell.

A

True

41
Q

True/False

A competent adult may not refuse treatment when life-saving treatment is needed.

A

False

42
Q

Fill in the blank.

_____________ is what you can see of a person’s response to the environment, such as his or her actions.

A

Behavior

43
Q

Fill in the blank

A(n) _______ ________ ________ or crisis is any reaction to events that interferes with the activities on daily living or has become unacceptable to the patient, family, or community.

A

Behavioral health emergency

44
Q

Fill in the blank

Chronic _________, or a persistent feeling of sadness or despair, may be a symptom of an underlying health disorder.

A

depression

45
Q

Fill in the blank

_______ ________ ________ is a temporary or permanent dysfunction of the brain caused by disturbance in the physiologic functioning of the brain.

A

Organic brain syndrome

46
Q

Fill in the blank

Any time you encounter an emotionally depressed patient, you must consider the possibility of ___________.

A

suicide

47
Q

Fill in the blank

People with ________ may experience symptoms including delusions, hallucinations, a lack of interest in pleasure, and erratic speech.

A

schizophrenia

48
Q

Fill in the blank

Violent or dangerous people should be managed by ________ ________ before emergency care is rendered.

A

Law enforcement

49
Q

Fill in the blank

When a patient is not mentally competent to grant consent, the law assumes that there is _________ ___________.

A

Implied consent

50
Q

Fill in the blank

________ _________ occurs when the person attempts to find an escape from constant internal distress of a particularly disturbing event.

A

Dissociative PTSD

51
Q

Fill in the blank

In subduing a disturbed patient, use the ________ force necessary.

A

minimum

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