Psychiatric emergencies 1328
Quiz by Catherine Schwichtenberg
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24 questions
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- Q1A 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 patientrestrain the patienttalk very straight and sternly to 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 torestrain the patient to prevent him from hurting himselfask the patient how he plans to kill himselfturn the scene over to law enforcementask the patient why he wants to do something so stupid30s
- Q3Which of the following is NOT considered a risk factor for suicidemale over age 55family history of suicidestrong emotional bondschild of an alcoholic parent30s
- Q4____________ is what you can see of a person's response to the environment.behaviorneurosisaffectpsychosis30s
- Q5Which of the following is considered an organic brain syndrome?anxiety disorder depression schizophreniaschizophreniaAlzheimer dementiadepression30s
- Q6Everyone 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 EMTbecause mental illness affects everyonebut that does not mean a person is mentally illand needs medication administered to control them30s
- Q7Which 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.30s
- Q8A 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.30s
- Q9In 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.30s
- Q10A 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.30s
- Q11Which of the following conditions or factors would be the LEAST likely to result in a change in behavior?Low blood glucose levelsExposure to excess heat or coldAntihypertensive medicationsInadequate blood flow to the brain30s
- Q12A 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 behaviorProvide her with a safe and secure environmentHave limited supervision by health care personnelReceive treatment in the least restrictive manner30s
- Q13When arranging community resource linkages for a client and her children who are victims of domestic violence, which resource is the most immediately appropriate?Mediation groupFamily recreation centerAdult education programWomen’s shelter30s
- Q14As 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 headCalling the social work team to set up more advanced therapeutic communicationcalling 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 him30s
- Q15Your 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 hours48 hours24 hours 48 hours 12 hours 72 hours72 hours30s