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Ch. 22 Psych Emergencies

Quiz by Jenalie Raphelt

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15 questions
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  • Q1
    A 29 yo M has taken LSD. The patient appears very anxious and in a panic state. He is showing signs of paranoia. You should
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    talk the patient down by reassuring the patient
    be aggressive and talk very straight and stern to the patient
    restrain the patient
    agree with everything the patient says
  • Q2
    You 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 to
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    ask the patient why he wants to do something so stupid
    turn the scene over to law enforcement
    restrain the patient to prevent him from hurting himself
    ask the patient how he plans to kill himself
  • Q3
    Which of the following is the most common cause of suicide?
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    the holidays
  • Q4
    Which of the following is NOT considered a risk factor for suicide
    family history of suicide
    child of an alcoholic parent
    male over age 55
    strong emotional bonds
  • Q5
    ____________ is what you can see of a person's response to the environment.
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  • Q6
    Which of the following is considered an organic brain syndrome?
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    Alzheimer dementia
    anxiety disorder
  • Q7
    Everyone exhibits some signs and symptoms of mental illness at some point in life ____________.
    and needs medication administered to control them
    but that does not mean a person is mentally ill
    because mental illness affects everyone
    and should be physically restrained for their own safety and the safety of the EMT
  • Q8
    From a mental health standpoint, an abnormal or disturbing pattern of behavior is a matter of concern if it lasts for at least:
    1 week
    3 weeks
    1 month
    2 weeks
  • Q9
    Which 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.
  • Q10
    What 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.”
  • Q11
    A 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.
  • Q12
    In 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.
  • Q13
    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:
    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?
  • Q14
    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:
    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.
  • Q15
    Which of the following conditions or factors would be the LEAST likely to result in a change in behavior?
    Low blood glucose levels
    Antihypertensive medications
    Inadequate blood flow to the brain
    Exposure to excess heat or cold

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