Ch. 31 Flashcards
In delirium tremens, dysfunction of the autonomic nervous system can lead to:
A) anxiety.
B) death.
C) confusion.
D) sleep disturbances.
B) death.
Page Ref: 721
Objective: 31.1 Define key terms introduced in this chapter.
A condition that occurs as a result of panic disorder, phobia, or post-traumatic stress is termed:
A) dementia.
B) manic depression.
C) delirium.
D) anxiety.
D) anxiety.
Page Ref: 721
Objective: 31.1 Define key terms introduced in this chapter; 31.6 Recognize behavioral characteristics of mental health conditions.
All of the following are good indicators of affect EXCEPT:
A) posture.
B) movements.
C) religious beliefs.
D) behavior.
C) religious beliefs.
Page Ref: 719
Objective: 31.1 Define key terms introduced in this chapter; 31.2 Explain the importance of being able to recognize and respond to patients suffering from behavioral emergencies.
In the treatment of behavioral emergencies, ________ is/are MOST important for the AEMT.
A) interpersonal skills
B) three-point restraints
C) pulse oximetry monitoring
D) vital signs
A) interpersonal skills
Page Ref: 718
Objective: 31.2 Explain the importance of being able to recognize and respond to patients suffering from behavioral emergencies; 31.8 Incorporate the basic principles presented in the text into the assessment, communication, and management of patients with behavioral emergencies.
The MOST important assessment technique in evaluating behavioral emergencies is:
A) auscultating lung sounds.
B) conversational skills.
C) defensive tactics.
D) obtaining vital signs.
B) conversational skills.
Page Ref: 718
Objective: 31.2 Explain the importance of being able to recognize and respond to patients suffering from behavioral emergencies; 31.8 Incorporate the basic principles presented in the text into the assessment, communication, and management of patients with behavioral emergencies.
A situation in which a person’s behavior is so unusual that it alarms another person or requires intervention is a(n):
A) psychological crisis.
B) emotional dilemma.
C) behavioral emergency.
D) critical affective period.
C) behavioral emergency.
Page Ref: 718
Objective: 31.2 Explain the importance of being able to recognize and respond to patients suffering from behavioral emergencies.
Which statement regarding behavioral emergencies is TRUE?
A) Any patient under immense stress will experience a behavioral emergency.
B) Any patient with a diagnosed mental illness will experience frequent behavioral emergencies.
C) Anyone ineffectively coping with stress will experience a behavioral emergency.
D) Anyone may experience a behavioral emergency given the right circumstances.
D) Anyone may experience a behavioral emergency given the right circumstances.
Page Ref: 718
Objective: 31.3 Describe indications of danger associated with response to behavioral emergencies.
Problems related to a patient experiencing hallucinations or delusions are related to the patient’s:
A) sensorium.
B) bipolar disorder.
C) cognitive processes.
D) perceptual processes.
D) perceptual processes.
Page Ref: 720
Objective: 31.4 Discuss the underlying physical and psychological causes of behavioral emergencies.
As part of the focused medical examination of the behavioral emergency, the AEMT should perform:
A) field sobriety tests.
B) a mental status evaluation.
C) pulse oximetry monitoring.
D) a head-to-toe trauma assessment.
B) a mental status evaluation.
Page Ref: 720
Objective: 31.5 Describe the focus of assessment and history taking for patients experiencing behavioral emergencies.
A state of uneasiness, discomfort, apprehension, and restlessness is called:
A) dementia.
B) anger.
C) delirium.
D) anxiety.
D) anxiety.
Page Ref: 721-722
Objective: 31.6 Recognize behavioral characteristics of mental health conditions.
An organic brain disease that is characterized by a significant change in behavior and loss of contact with reality is:
A) schizophrenia.
B) bipolar disorder.
C) depression.
D) anxiety.
A) schizophrenia.
Page Ref: 724
Objective: 31.6 Recognize behavioral characteristics of mental health conditions.
All of the following are symptoms of a panic attack EXCEPT:
A) numbness and tingling.
B) palpitations.
C) nausea.
D) lethargy.
D) lethargy.
Page Ref: 722
Objective: 31.6 Recognize behavioral characteristics of mental health conditions.
While it is normal for MOST people to experience some mild depression such as that experienced when a loved one dies, if depression is prolonged and severe, the patient is said to be having:
A) a major depressive episode.
B) delirium.
C) chronic anxiety.
D) PTSD.
A) a major depressive episode.
Page Ref: 723
Objective: 31.6 Recognize behavioral characteristics of mental health conditions.
Chronic depression greatly increases the possibility of:
A) PTSD.
B) suicide.
C) chronic anxiety.
D) panic attacks.
B) suicide.
Page Ref: 723
Objective: 31.7 Describe risk factors associated with violence toward others and suicide.
The MOST important factor in treating any behavioral problem is:
A) collecting evidence for examination at the hospital.
B) ensuring all patients are restrained prior to transport.
C) ensuring scene safety prior to approaching the patient.
D) obtaining a detailed examination of all patients.
C) ensuring scene safety prior to approaching the patient.
Page Ref: 719-720
Objective: 31.8 Incorporate the basic principles presented in the text into the assessment, communication, and management of patients with behavioral emergencies.
Severe anxiety MOST closely resembles:
A) dementia.
B) schizophrenia.
C) delirium.
D) cardiac and respiratory conditions.
D) cardiac and respiratory conditions.
Page Ref: 721
Objective: 31.9 Prioritize patient care needs in terms of managing physical and behavioral problems.
Your patient is experiencing hallucinations and is sure that there are bugs crawling on the inside of the ambulance. You should:
A) avoid recognizing the hallucination and act as if it is not happening.
B) use the hallucination to your advantage in keeping the patient safe.
C) agree with the patient, but assure the patient that they are safe.
D) assure the patient that there are no bugs, but acknowledge the patient’s feelings.
D) assure the patient that there are no bugs, but acknowledge the patient’s feelings.
Page Ref: 720
Objective: 31.10 Explain the importance of ongoing assessment of patients with behavioral emergencies.
Which of the following patients has the GREATEST potential for violent behavior?
A) A patient who has witnessed the death of a spouse
B) A patient with delusions of being someone else
C) A patient with a knife who is stabbing a stuffed animal
D) A patient talking to himself
C) A patient with a knife who is stabbing a stuffed animal
Page Ref: 719
Objective: 31.11 Evaluate the need for involving law enforcement on behavioral emergency calls.
You are on a scene with a patient who up until a few seconds ago was calm and compliant. Now he is brandishing a knife and threatening to kill you and your partner if you do not immediately leave. The man is intoxicated and police have been notified but have not yet arrived. Which of the following is your BEST course of action?
A) Attempt to “talk down” the patient.
B) Encourage the man’s wife to calm him down.
C) Remove yourself, your partner, and family from the house.
D) Immediately physically restrain the patient.
C) Remove yourself, your partner, and family from the house.
Page Ref: 719
Objective: 31.11 Evaluate the need for involving law enforcement on behavioral emergency calls; 31.18 Discuss substance abuse as a mental illness; 31.19 Describe the acute and long-term behavioral and physiologic effects of alcohol abuse and alcohol withdrawal.
A group of five AEMTs is preparing to restrain a large and violent patient. Which one of the following instructions given by the team leader is MOST appropriate?
A) “I’ll explain to the patient what is happening and apply the restraints, and the rest of you will come at him from different directions, each taking a separate limb.”
B) “You grab his head and the rest of us will grab his legs and chest, and then let’s get him face down on the stretcher.”
C) “Since you are trained in martial arts, try to give him a kick to his stomach, then when he goes down, the rest of us will grab his arms and legs.”
D) “Two of us will get him from the front and the other two from the back. Let us do this slowly so no one gets hurt.”
A) “I’ll explain to the patient what is happening and apply the restraints, and the rest of you will come at him from different directions, each taking a separate limb.”
Page Ref: 726
Objective: 31.11 Evaluate the need for involving law enforcement on behavioral emergency calls; 31.13 Follow principles of safe physical restraint of patients.
An alert and oriented 18-year-old woman has threatened to hurt herself but is refusing transport to the hospital. She is calm and states that she knows her rights and taking her would constitute false imprisonment. Her family is present and wants her to go to the hospital for help. Given the situation and the patient’s threat, what is your BEST course of action?
A) Have the patient sign a refusal that is witnessed by family.
B) Physically restrain the patient for transport.
C) Contact law enforcement for assistance.
D) Transport the patient on her father’s consent.
C) Contact law enforcement for assistance.
Page Ref: 719
Objective: 31.11 Evaluate the need for involving law enforcement on behavioral emergency calls; 31.15 Document all information pertinent to calls involving behavioral emergencies and patient restraint.
In order to appropriately restrain a patient:
A) handcuffs need to be present.
B) you must believe the patient is a threat to himself or others.
C) more than five people must be present.
D) the patient needs to give prior consent.
B) you must believe the patient is a threat to himself or others.
Page Ref: 726
Objective: 31.12 Recognize indications for physical restraint of a patient; 31.15 Document all information pertinent to calls involving behavioral emergencies and patient restraint.
Which one of the following patients is the AEMT justified in restraining?
A) Patient threatening to kill his wife and trying to leave the scene
B) Patient stating that he wants to kill himself and desires transport to the hospital
C) Patient with depression refusing transport
D) Patient with violent outbursts but at the present time is calm
A) Patient threatening to kill his wife and trying to leave the scene
Page Ref: 726
Objective: 31.12 Recognize indications for physical restraint of a patient; 31.14 Comply with legal principles when responding to patients with behavioral emergencies; 31.15 Document all information pertinent to calls involving behavioral emergencies and patient restraint.
In general, the use of ________ restraints is discouraged.
A) hard
B) roller gauze
C) soft
D) leather
A) hard
Page Ref: 726
Objective: 31.13 Follow principles of safe physical restraint of patients.