Chapter 22 Quiz Flashcards

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1
Q

When a psychiatric emergency arises, a patient is most likely to exhibit which of the following behaviors?

A. Any behaviors that are a violent threat to the patient, EMTs, or others
B. Visual or auditory hallucinations
C. Any behaviors unacceptable to the patient, family, or community
D. Disruptions to activities of daily living

A

A. Any behaviors that are a violent threat to the patient, EMTs, or others

Chapter 22, page 804, Defining a Behavioral Crisis

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2
Q

Signs of excited delirium include:

A. subdued behavior, crying, and suicidal thoughts.
B. diaphoresis, tachycardia, and hallucinations.
C. slurred speech, bradycardia, and a high fever.
D. pallor, hypotension, and constricted pupils.

A

B. diaphoresis, tachycardia, and hallucinations.

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3
Q

What is the most common misconception surrounding mental illness?
Select one:
A. Feeling “bad” or “depressed” means that you must be “sick.”
B. Everyone has some form of mental illness.
C. All persons with mental disorders are physically violent and dangerous.
D. Many mental illnesses stem from drug or alcohol abuse.

A

A. Feeling “bad” or “depressed” means that you must be “sick.”

Chapter 22, page 803, Myth and Reality

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4
Q

The two basic categories of diagnosis that a physician will use for behavioral crises or psychiatric emergencies are ____________.

A. organic brain syndrome and altered mental status
B. functional and nonfunctional
C. physical and psychological
D. All of these answers are correct.

A

C. physical and psychological

Chapter 22, page 805, Pathophysiology

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5
Q

A behavioral crisis interferes with which of the following?

A. Activities of daily living
B. Behavior that is acceptable to the community
C. Dressing, eating, or bathing
D. All of these answers are correct.

A

D. All of these answers are correct.

Chapter 22, page 804, Defining a Behavioral Crisis

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6
Q

You are assessing a 45-year-old female who is severely depressed. She states that it seems as though her entire world is crashing down around her. She further states that she has had frequent thoughts of suicide, but is not sure if she can actually go through with it. How should you manage this situation?

A. Leave the scene and have a neighbor check in on her.
B. Have law enforcement place her in protective custody.
C. Encourage the patient to remain quiet during transport.
D. Ask the patient if she has developed a suicidal plan.

A

D. Ask the patient if she has developed a suicidal plan.

Chapter 22, page 817, Suicide

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7
Q

You are attending to a 32-year-old male patient. The patient’s wife tells you that he returned from Afghanistan last year. While he initially seemed fine, lately he has become withdrawn and distanced himself from his family and friends. He does not talk about it, but she knows that he has been having terrible nightmares that wake him up. The most appropriate question to ask regarding his experience in Afghanistan is:

A. Have you ever been diagnosed with PTSD?
B. Were you in combat?
C. Were you shot at or under fire?
D. Can you tell me about your experience?

A

C. Were you shot at or under fire?

Chapter 22, pages 818–820, Posttraumatic Stress Disorder and Returning Combat Veterans

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8
Q

Which of the following terms applies to a state of delusion in which the patient is out of touch with reality?

A. Suicidal
B. Psychosis
C. Schizophrenia
D. Agitated delirium

A

B. Psychosis

Chapter 22, page 810, Acute Psychosis

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9
Q

Which of the following is a good guideline for physical examination of any patient?

A. Avoid touching without permission.
B. Always work toe-to-head.
C. Examine extremities first.
D. Complete the physical exam first, then check the ABCs.

A

A. Avoid touching without permission.

Chapter 22, page 807, Patient Assessment

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10
Q

Everyone exhibits some signs and symptoms of mental illness at some point in life ____________.

A. but that does not mean a person is mentally ill
B. and needs medication administered to control them
C. because mental illness affects everyone
D. and should be physically restrained for their own safety and the safety of the EMT

A

A. but that does not mean a person is mentally ill

Chapter 22, page 803, Myth and Reality

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