Ch. 22 Psych Emergencies
Quiz by Jenalie Raphelt
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15 questions
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- Q1A 29 yo M has taken LSD. The patient appears very anxious and in a panic state. He is showing signs of paranoia. You shouldtalk the patient down by reassuring the patientbe aggressive and talk very straight and stern to the patientrestrain the patientagree with everything the patient says30s
- Q2You are called to the home of a 20 yo M who is depressed. The patient states he is going to kill himself. Your first step in treating this patient after the scene is safe is toask the patient why he wants to do something so stupidturn the scene over to law enforcementrestrain the patient to prevent him from hurting himselfask the patient how he plans to kill himself30s
- Q3Which of the following is the most common cause of suicide?the holidaysdepressiondrugsalcohol30s
- Q4Which of the following is NOT considered a risk factor for suicidefamily history of suicidechild of an alcoholic parentmale over age 55strong emotional bonds30s
- Q5____________ is what you can see of a person's response to the environment.psychosisneurosisaffectbehavior30s
- Q6Which of the following is considered an organic brain syndrome?schizophreniadepressionAlzheimer dementiaanxiety disorder30s
- Q7Everyone exhibits some signs and symptoms of mental illness at some point in life ____________.and needs medication administered to control thembut that does not mean a person is mentally illbecause mental illness affects everyoneand should be physically restrained for their own safety and the safety of the EMT30s
- Q8From a mental health standpoint, an abnormal or disturbing pattern of behavior is a matter of concern if it lasts for at least:1 week3 weeks1 month2 weeks30s
- Q9Which of the following is a good guideline for physical examination of any patient?Complete the physical exam first, then check the ABCs.Examine extremities first.Avoid touching without permission.Always work toe-to-head.30s
- Q10What is the most common misconception surrounding mental illness?All persons with mental disorders are physically violent and dangerous.Many mental illnesses stem from drug or alcohol abuse.Everyone has some form of mental illness.Feeling "bad” or "depressed” means that you must be "sick.”30s
- Q11A functional disorder is a:psychological disorder in the absence of a structural abnormality.physiological disorder caused by a structural abnormality.psychological disorder caused by a structural abnormality.physiological disorder in the absence of a structural abnormality.30s
- Q12In contrast to a behavioral crisis, a psychiatric emergency occurs when a person:exhibits impaired functioning due to a chemical or genetic disturbance.experiences a sudden attack of panic secondary to a stressful situation.becomes agitated or violent and is a threat to him- or herself or others.experiences feelings of sadness and despair for longer than a month.30s
- Q13You 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:Can you tell me about your experience?Have you ever been diagnosed with PTSD?Were you shot at or under fire?Were you in combat?30s
- Q14A 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:try to gain the patient's trust by telling him that you see the vampires too.restrain the patient with appropriate force in order to treat his injuries.request that the police officers arrest him and take him to the hospital.approach the patient and calm him by placing your hand on his shoulder.30s
- Q15Which of the following conditions or factors would be the LEAST likely to result in a change in behavior?Low blood glucose levelsAntihypertensive medicationsInadequate blood flow to the brainExposure to excess heat or cold30s