Chapter 22 Quiz Flashcards
A 38-year-old male with a history of schizophrenia is reported by neighbors to be screaming and throwing things in his house. You are familiar with the patient and have cared for him in the past for unrelated problems. Law enforcement officers escort you into the residence when you arrive. The patient tells you that he sees vampires and is attempting to ward them off by screaming and throwing things at them. He has several large lacerations to his forearms that are actively bleeding. The MOST appropriate way to manage this situation is to:
Select one:
A. approach the patient and calm him by placing your hand on his shoulder.
B. request that the police officers arrest him and take him to the hospital.
C. restrain the patient with appropriate force in order to treat his injuries.
D. try to gain the patient’s trust by telling him that you see the vampires too.
C. restrain the patient with appropriate force in order to treat his injuries.
A 40-year-old male intentionally cut his wrist out of anger after losing his job. Law enforcement has secured the scene prior to your arrival. As you enter the residence and visualize the patient, you can see that he has a towel around his wrist and a moderate amount of blood has soaked through it. You should:
Select one:
A. quickly tend to the bleeding wound.
B. calmly identify yourself to the patient.
C. tell the patient that you want to help.
D. approach the patient with caution.
B. calmly identify yourself to the patient.
A behavioral crisis interferes with which of the following?
Select one:
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.
D. All of these answers are correct.
A general impression of the patient is formed by an EMT:
Select one:
A. at a distance when the patient is first seen.
B. speaking with family members or bystanders first.
C. when the patient is in the ambulance.
D. speaking privately with the patient.
A. at a distance when the patient is first seen.
Everyone exhibits some signs and symptoms of mental illness at some point in life ____________.
Select one:
A. but that does not mean a person is mentally ill
B. and needs medication administered to control them
C. and should be physically restrained for their own safety and the safety of the EMT
D. because mental illness affects everyone
A. but that does not mean a person is mentally ill
From a mental health standpoint, an abnormal or disturbing pattern of behavior is a matter of concern if it lasts for at least: Select one: A. 2 weeks. B. 1 week. C. 1 month. D. 3 weeks.
C. 1 month.
Signs of excited delirium include:
Select one:
A. pallor, hypotension, and constricted pupils.
B. subdued behavior, crying, and suicidal thoughts.
C. slurred speech, bradycardia, and a high fever.
D. diaphoresis, tachycardia, and hallucinations.
D. diaphoresis, tachycardia, and hallucinations.
The two basic categories of diagnosis that a physician will use for behavioral crises or psychiatric emergencies are ____________.
Select one:
A. organic brain syndrome and altered mental status
B. functional and nonfunctional
C. physical and psychological
D. All of these answers are correct.
C. physical and psychological
What is the most common misconception surrounding mental illness?
Select one:
A. All persons with mental disorders are physically violent and dangerous.
B. Many mental illnesses stem from drug or alcohol abuse.
C. Feeling “bad” or “depressed” means that you must be “sick.”
D. Everyone has some form of mental illness.
C. Feeling “bad” or “depressed” means that you must be “sick.”
When a psychiatric emergency arises, a patient is most likely to exhibit which of the following behaviors?
Select one:
A. Any behaviors unacceptable to the patient, family, or community
B. Any behaviors that are a violent threat to the patient, EMTs, or others
C. Disruptions to activities of daily living
D. Visual or auditory hallucinations
B. Any behaviors that are a violent threat to the patient, EMTs, or others
When caring for a patient experiencing excited delirium, the EMT should remember that:
Select one:
A. sudden death can occur if the patient’s violence is not controlled.
B. lights and siren are effective in redirecting the patient’s behavior.
C. most patients will have low blood pressure and hyperglycemia.
D. excited delirium is worsened by nervous system depressant drugs.
A. sudden death can occur if the patient’s violence is not controlled.
Which of the following is a good guideline for physical examination of any patient?
Select one:
A. Avoid touching without permission.
B. Always work toe-to-head.
C. Complete the physical exam first, then check the ABCs.
D. Examine extremities first.
A. Avoid touching without permission.
Which of the following is an example of a psychiatric emergency?
Select one:
A. A person violently attacking family members
B. A person who is experiencing a panic attack
C. A person who is depressed and no longer caring for himself
D. A person going on a week-long “bender” after losing a job
A. A person violently attacking family members
Which of the following is considered an organic brain syndrome? Select one: A. Alzheimer dementia B. Schizophrenia C. Anxiety conditions D. Depression
A. Alzheimer dementia
Which of the following terms applies to a state of delusion in which the patient is out of touch with reality? Select one: A. Schizophrenia B. Psychosis C. Suicidal D. Agitated delirium
B. Psychosis