Ch. 23 Flashcards
A physiologic disorder that impairs bodily function when the body seems to be structurally normal is called a:
-Traumatic brain injury
-Functional disorder
-Seizure
-Drug and alcohol abuse
Functional disorder
After ensuring his or her own safety, the EMS’s net priority when caring for a patient with a behavioral emergency is to:
-Diagnose the patient’s problem and provide definitive treatment
-Assess the patient’s response to his or her environment
-Transport the patient directly to a specialized psychiatric facility
-Determine the underlaying 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 of the following except:
-Alzheimer’s disease
-Schizophrenia
-Mind-altering substance use
-Intense stress
Alzheimer’s disease
General guidelines for managing a patient with a behavioral emergency include:
-Allowing the patient to be alone if he or she wants
-Firmly identifying yourself as an EMS provider
-Being prepared to spend extra time with the patient
-Place the patient between yourself and an exit
Being prepared to spend extra time with the patient
Immediately after physically restraining a violent patient, the EMT should:
-Inform medical control of the situation
-Document the time the restraints were applied
-Reassess the patient’s airway and breathing
-Advise the patient why restraint was needed
Reassess the patient’s airway and breathing
In which position should you restrain a physically uncooperative patient?
-With arms and legs bound together
-Prone
-Supine
-With hands ties behind the back
Supinse
Post traumatic stress disorder can happen after:
-Alcohol withdrawal
-Extended periods of hyperthermia or hypothermia
-Exposure to or injury from a traumatic occurrence
-A bout with depression
Exposure to or injury from a traumatic occurrence
Signs of excited delirium include:
-Subdued behavior, crying, and suicidal thoughts
-Diaphoresis, tachycardia, hallucinations
-Pallor, hypotension, and constricted pupils
-Slurred speech, bradycardia, and a high fever
Diaphoresis, tachycardia, hallucinations
The first step in assessing a patient with a behavioral emergency is to:
-Ensure your safety
-Restrain the patient
-Obtain proper consent
-Take vital signs
Ensure your safety
The term “behavioral crisis” is most accurately defined as:
-A situation in which a patient of any age exhibits agitated, violent, or uncooperative behavior
-A period of severe depression that lasts longer than 2 weeks and cannot be controlled with medications
-A medical illness with psychological symptoms that may lead to limited motor functioning
-A sudden, violent outburst of an otherwise mentally stable person toward a family member
A situation in which a patient of any age exhibits agitated, violent, or uncooperative behavior
A behavioral crisis is most accurately defined as:
-A severe, acute psychiatric condition in which the patient becomes violent and presents a safety threat to self or to others
-Any reaction to events that interferes with activities of daily living or has become unacceptable to the patient, family, or community
-A normal response of a patient to a situation that causes an overwhelming amount of stress, such as the loss of a job or marital problems
-A reaction to a stressful event that the patient feels is appropriate, but is considered inappropriate by the patient’s family or the community
Any reaction to events that interferes with activities of daily living or has become unacceptable to the patient, family, or community
Depression and schizophrenia are examples of:
-Functional disorders
-Altered mental status
-Behavioral emergencies
-Organic brain syndrome
Functional disorders
When assessing a patient with a behavioral crisis, your primary concern must be:
-Allowing the patient to express himself or herself to you in his or her own words
-Setting your personal feelings aside and providing needed care
-Gathering the patient’s belongings and taking them to the hospital
-Whether the patient will cause harm to you or your partner
Whether the patient will cause harm to you or your partner
General guidelines to follow when caring for a patient with a behavioral crisis include all of the following except:
-Being honest and reassuring
-Rapidly transporting the patient
-Having a definite plan of action
-Avoiding arguing with the patient
Rapidly transporting the patient
Reflective listening, an assessment technique used when caring for patients with an emotional crisis, involves:
-Asking the patient to repeat his or her statements
-Simply listening to the patient, without speaking
-Asking the patient to repeat everything that you say
-Repeating, in question form, what the patient tells you
Repeating, in question form, what the patient tells you
Which of the follow patients is at highest risk for suicide?
-A 24-year-old woman who is successfully being treated for depression
-A 29-year-old man who was recently promoted with a large pay increase
-A 33-year-old man who regularly consumes alcohol and purchased a gun
-A 45-year-old woman who recently found out her cancer is in full remission
A 33-year-old man who regularly consumes alcohol and purchased a gun
When caring for a patient with an emotional crisis who is calm and not in need of immediate emergency care, your best course of action is to:
-Advise the patient that he or she cannot refused treatment
-Leave the patient with a trusted friend or family member
-Attempt to obtain consent from the patient to transport
-Apply soft restraints in case the patient becomes violent
Attempt to obtain consent from the patient to transport
When physically restraining a violent patient, the EMT should:
-Continually talk to the patient at he or she is being restrained
-Check circulation in all extremities only if the patient is prone
-Remove the restrained if the patient appears to be calming down
-Use additional force if the restrained patient begins to yell at the providers
Continually talk to the patient at he or she is being restrained
Upon arrival at the residence of a young male with an apparent emotional crisis, a police officer tells you that the man is acting bizarrely. You find him sitting on his couch; he is conscious, but confused. He takes medications, but cannot remember why. His skin is pale and diaphoretic, and he has noticeable tremors to his hands. You should FIRST rule out:
-Hypoglycemia
-Suicidal thoughts
-Severe depression
-Schizophrenia
Hypoglycemia
Which of the following signs is least indicative of a patient’s potential for violence?
-The patient appears tense and “edgy”
-The patient is 6’5” tall and weights 230 lb
-The patient is loud and shouting obscenities
-The patient is facing you with clenched fists
The patient is 6’5” tall and weights 230 lb
