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Crisis intervention Final > crisis interventions quizes > Flashcards

crisis interventions quizes Flashcards

1
Q

4 tips for managing the effects of shift work

A

8 hours of sleep, see a therapist, scheduled social time for yourself, self care routines

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2
Q

list briefly described in your own words the 3 phases of stress response

A

Alarm: fight or flight
Resistance: coping begins, physiological changes return to normal
exhaustion: exposed to stressors for too long can lead to suppressed immune systems–> ailments.

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3
Q

Biological cycles that occur approximately every 24 hrs are called:

A

circadian rhythms

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4
Q

name 4 significant physiological effects of the stress response

A

HTN, Bronchodilation, +RR, +BGL, +HR, increased inflammatory response, decreased immune response

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5
Q

define critical incident

A

an event that can cause overwhelming emotions like an acute stress reaction for a rescuer by overwhelming their coping mechanisms.

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6
Q

The term used to describe one’s ability to “bounce back” from difficult experience is…

A

resilience

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7
Q

what is circadian rhythm?

A

comes from the word “circa diem” meaning “about a day”, On average= 2-3 days for circadian rhythm to adapt to shift work, regulates physical functions like sleep/wake/digestion& temp, the environment, clock time, social activities & the light/dark cycle all provide cues to the body

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7
Q

exercise can be both an adaptive & maladaptive behaviour in response to stress

A

True: if exercise becomes compulsive/excessive it can be maladaptive

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8
Q

List 4 management strategies to mitigate the effects of the stress response

A

journaling, exercise, brain game breaks within your day, controlled breathing techniques

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9
Q

identify & briefly describe the different types of classifications of stress

A

Eustress, Neustress, Distress

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10
Q

List 3 things you might notice in a coworker that would cause you concern that they may be suffering from something more serious than “just a bad day”

A

withdrawn socially, avoidant, irritable

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11
Q

It is not possible to have a traumatic stress response just from listening to someone else’s account of their trauma

A

false

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12
Q

displays extreme emotion or absense of emotion

A

Traumatic stress

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13
Q

Fearful, jumpy, exaggerated startle response

A

Traumatic stress

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14
Q

experiences flashbacks

A

traumatic stress

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15
Q

Person becomes overly involved w/ or avoidance of a victim/survivor

A

Vicarious trauma

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16
Q

Hyper-vigilance, fear for ones own safety, lack of trust in society

A

vicarious trauma

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17
Q

intrusive thoughts and images/nightmares from tories of victims

A

vicarious trauma

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18
Q

stress reactions that are more gradual & related to low intensity, but more chronic stressors that build up over time are known as…… stress reactions

A

Cumulative

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19
Q

define a traumatic event as it relates to the paramedic profession…

A

an event that occurs outside of your normal experiences which overwhelms your coping mechanisms or resources
1)traumatic event is more than a stressor and is a threat to ones safety, security, & senses of well being

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20
Q

people die by suicide because they can and they want to (t/f)

A

True

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21
Q

You respond to a residence for a 40 year old male. When you arrive, the wife tells you that her husband was diagnosed with depression two years ago, he began talking about suicide two months ago. Yesterday she found him in the basement crying with a loaded gun beside the bed. She called 911 when he told her he was going to kill himself and then locked himself in the basement. How would you rate the level of risk for suicide with this patient and explain why you rated the patient at that level.

A
  • high risk
  • suicidal thoughts for 2 months now of high intensity
  • isolating behaviour and crying
  • clear method: gun
  • clear plan: loaded gun, locked in basement
  • imminent risk to life
22
Q

suicide is one of the highest causes of death between youth 18-24(t/f)

A

True

23
Q

The American Association of Suicidology suggests the mnemonic IS PATH WARM. list the warning signs that they represent.

A

I- Ideation (suicidal thoughts)
s- Substance abuse
P-Purposelessness
A-Anxiety
T-trapped
H-hopelessness/helplessness
Withdrawal
A-anger
R-recklessness
M-mood changes

24
Q

when asking someone about suicide it is important to….

A

ask directly and use specific words

25
Q

4 important things you should consider if deciding to transporting to hospital is appropriate for your pt in crisis are…

A

They have a plan, are they serious, means, previous attempts, supports, experienced crisis/trigger.

26
Q

You respond to for a 35 year old male who is sitting cuffed in the backseat of a cruiser after being apprehended for DUI. Police called when the patient stated he wanted to kill himself. During your assessment, the patient tells you he tells you that his wife threatened to leave him if he lost another job and he doesn’t want to tell her he got fired today. The only meaningful answer you get to your questions is that he “would rather die than have his wife leave” and he “screwed up again so I should just kill myself”. How would you rate the level of risk for suicide with this patientand why would you rate the patient that way?

A
  • low ideation: suicidal thoughts just started the same day he lost his job
  • intensity of thoughts are overwhelming ( drunk driving)
  • does not have immediate access to kill himself as he is aprehended (low)
  • hard to say if it was his intention to kill himself with a “plan” of drunk driving
  • moderate risk; risky behaviour, verbally expressed wanting to kill himself,
27
Q

You respond to local high school. A 16 year old female was removed from class because she was crying inconsolably. She told the teacher that she broke up with her boyfriend this morning. The teacher called when the patient told her that she wanted to die. She told the teacher her mother takes a lot of medications, and she plans on going home to take as many as she can find. When you arrive she is still visibly upset. How would you rate the level of risk for suicide with this patient?

A

moderate risk

28
Q

ASD is more common in…..

A

men

29
Q

All of the following communication techniques are appropriate when dealing with the emotionally or behaviourally disturbed patient EXCEPT:

A

using yes or no style questions

30
Q

You are called to a cheap hotel downtown for a 17-year-old male. The room is the home of a family of 5. The family has spent the previous year in a refugee camp after being forced to flee their home because of a civil war. You were called to the scene by a social worker who was doing a routine visit and has concerns that the oldest child may be suicidal. He has been afraid to leave the hotel room since arriving in Canada 6 weeks ago. He has been increasingly angry about having to leave his home and has persistent nightmares about the refugee camp. During your assessment, you note that he is aggressive, irritable and easily startled.

Your patient’s presentation is consistent with a diagnosis of:

A
  • pt is suffering from PTSD
  • obvious trauma from refugee camp
  • social withdraw, anger, irritability & aggressive behaviour, scared
  • nightmares
31
Q

differentiate between Acute stress disorder & Post-traumatic stress disorder

A

acute: occurs up to 1 month after the event with resolution of those symptoms
PTSD: occurs after 1 month without resolution of symptoms

32
Q

Pt w PNES may have epilepsy too (t/f)

A

True

33
Q

3 signs associated with ptsd…

A

mood changes, intrusive thoughts, trauma, avoidance, flashbacks, anxiety, exaggerated startle response, dreams of reoccurring event

34
Q

standing upright w clenched fists is a possible indicator for….

A

possible violent pt

35
Q

You are called to a high school for a male patient generally unwell. On arrival you are met by the principal who states that the patient was involved in the assembly and appeared to have a syncopal episode while he was supposed to be introducing the next speaker. He began trembling and broke out in a sweat and became very flushed. He required assistance from the stage and complained of chest tightness when he was taken back stage.

A

social anxiety disorder

36
Q

a developmental condiiton associated w inattention, inability to focus, restlessness, forgetfulness is called….

A

ADD or ADHD

37
Q

depression?

A

profound sadness or melancholy characterized by decreased interest in daily pleasures, hypersomnia, feelings of helplessness, inabillity to concentrate & agitation

38
Q

differentiate between PNES and epileptic seizures….

A

PNES- psychological disorder that presents w seizure like activity
- no post-ictal stage, asymmetric motor activity, eyes resistent to opening
epilepsy= due to abnormal brain function —> seizure activity
- tonic-clonic

39
Q

explaining that you are concerned about someones welfare & care about their wellbeing is the best way to communicate with who?

A

an emotionally disturbed pt

40
Q

You are called to a high school for a syncopal episode at school. On arrival you find a 15-year-old girl, 40kg, c/o of syncope, weakness and muscle twitching. On assessment, you find her tachycardic and hypotensive with ECG changes consistent with hypokalemia. She tells you she has a history of anxiety but has no allergies. It has been three months since her last menstrual period.

Your patient’s presentation is consistent with a diagnosis of:

A
  • pause in menstrual cycle
  • vit deficent
  • cv concerns
    diagnosis: anorexia nervosa
41
Q

difference between obsession and compulsion?

A

obsession: strong, persistent, intrusive and uncontrollable thoughts
compulsions: repetitive, ritualistic actions performed w urgency

42
Q

lithium is the typical Pharm. management for…

A

bipolar disorder

43
Q

3 ex of s/s you would see in a positive syndrome of schizophrenia…

A

hallucinations, sudden onset, psychosis, bizzare behaviour, minimal cognitive imparment

44
Q

lithium is best described as what class of drug?

A

mood stabalizer

45
Q

A patient that presents with an inflated self-esteem, decreased need for sleep, and racing and delusional thoughts is most likely suffering from:

A

Bipolar disorder

46
Q

what are the most appropriate restraints for pts?

A

Kling or triangulare to restrict limb movement.
- handcuffs=more harm to pt
- minimum amt of force required to restrain pt should be used

47
Q

psychosis

A

combo of symptoms that affect the brain & can alter ones perception of reality
- affects the mind, hard time telling what is real and what is not.

48
Q

is there a genetic predisposition to psychotic illness?

A

yes

49
Q

Haldol (Haloperidol) is the typical pharm for….

A

schizophrenia

50
Q

does this pt need restraints? 64 yr old patient who is depressed after being moved into an assisted living facility against his will

A

not likely

51
Q

4 causes of psychosis…

A

genetics, drugs abuse, mental health disorders, medical conditions

52
Q

You encounter a patient who is catatonic which was preceded by disorganized speech. This patient is most likely suffering from:

A

schizophrenia

Crisis intervention Final (10 decks)

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