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Psychiatric emergencies 1328

Quiz by Catherine Schwichtenberg

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24 questions
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  • Q1
    A 29 yo M appears very anxious and in a panic state. He is showing signs of paranoia. You should:
    talk the patient down by reassuring the patient
    restrain the patient
    talk very straight and sternly to 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
    restrain the patient to prevent him from hurting himself
    ask the patient how he plans to kill himself
    turn the scene over to law enforcement
    ask the patient why he wants to do something so stupid
  • Q3
    Which of the following is NOT considered a risk factor for suicide
    male over age 55
    family history of suicide
    strong emotional bonds
    child of an alcoholic parent
  • Q4
    ____________ is what you can see of a person's response to the environment.
  • Q5
    Which of the following is considered an organic brain syndrome?
    anxiety disorder depression schizophrenia
    Alzheimer dementia
  • Q6
    Everyone exhibits some signs and symptoms of mental illness at some point in life ____________.
    and should be physically restrained for their own safety and the safety of the EMT
    because mental illness affects everyone
    but that does not mean a person is mentally ill
    and needs medication administered to control them
  • Q7
    Which of the following is a good guideline for physical examination of any patient?
    Examine extremities first.
    Complete the physical exam first, then check the ABCs.
    Always work toe-to-head.
    Avoid touching without permission.
  • Q8
    A functional disorder is a:
    physiological disorder caused by a structural abnormality.
    psychological disorder in the absence of a structural abnormality.
    physiological disorder in the absence of a structural abnormality.
    psychological disorder caused by a structural abnormality.
  • Q9
    In contrast to a behavioral crisis, a psychiatric emergency occurs when a person:
    becomes agitated or violent and is a threat to him- or herself or others.
    experiences a sudden attack of panic secondary to a stressful situation.
    experiences feelings of sadness and despair for longer than a month.
    exhibits impaired functioning due to a chemical or genetic disturbance.
  • Q10
    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:
    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.
    try to gain the patient's trust by telling him that you see the vampires too.
  • Q11
    Which of the following conditions or factors would be the LEAST likely to result in a change in behavior?
    Low blood glucose levels
    Exposure to excess heat or cold
    Antihypertensive medications
    Inadequate blood flow to the brain
  • Q12
    A woman is admitted to an inpatient psychiatric unit after a suicide attempt by overdose. The primary rationale for her admission is to:
    Maintain responsibility for her own behavior
    Provide her with a safe and secure environment
    Have limited supervision by health care personnel
    Receive treatment in the least restrictive manner
  • Q13
    When arranging community resource linkages for a client and her children who are victims of domestic violence, which resource is the most immediately appropriate?
    Mediation group
    Family recreation center
    Adult education program
    Women’s shelter
  • Q14
    As the community health nurse you are visiting a family and notice the 22 year old son Antony is missing. The family responds to your question by telling you that he is in his room, having one of his episodes and won't come out. After some careful questioning you go up to his room and ask if he is ok. He doesn't respond but can be heard muttering words including kill, maim, hurt and other words that are unintelligible. Which of the following options does the nurse consder?
    Telling the patient to take care, and to ignore the voices in his head
    Calling the social work team to set up more advanced therapeutic communication
    calling the police to force the patient to the hospital as the patient is acting in a manner likely to endanger the person’s own safety or that of others and (b) seems to have a mental disorder.
    Calling the parents and advising them to break down the door so that you can assess him
  • Q15
    Your patient has been involuntarily admitted 24 hours ago exactly. How much more time does the second physician have to sign the second medical certificate if the patient is to be admitted against their will?
    12 hours
    48 hours
    24 hours 48 hours 12 hours 72 hours
    72 hours

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