SCEN Psychosocial Emergencies

Question 1

If someones reality is different than yours, what is that called?

Answer 1

psychosis

Question 2

a psychosis caused by a physiological imbalance is called what?

Answer 2

delirium

Question 3

The onset of delerium is usually ___, due to its physiologic nature

Answer 3

rapid

Question 4

when speaking with a psychotic patient, what sort of topics should you try to stick to?

Answer 4

grounded in reality and inside the room. Don’t try to talk about their job or the people in their life, ect., because they will go back to their spaceship and try to take you with them

Question 5

true or false

you should try to convince a psychotic patient that their delusions are wrong

Answer 5

false

you are just starting an argument

Question 6

the 4 causes of non delirium, psychiatric causes of psychosis are what?

Answer 6

schizophrenia
depression
mania
dementia

Question 7

lithium toxicity can be precipitated by what three things and why?

Answer 7

dehydration
concurrent use of diuretics or NSAIDS
hyponatremia
lithium is a heavy metal and has to be diluted in the body

Question 8

what are some examples of a psychosis that is caused by depression?

Answer 8

hallucinations of very dark things like thinks they can see death, taste poison in their food, thinks someone is trying to murder them

Question 9

unlike the manic patient, what would you try to encourage in a depressed patient?

Answer 9

ask questions about their feelings, as with a manic patient it’s best to avoid talking

Question 10

__% of successful suicides are abusing a substance at time of death

Answer 10

50