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25 Cards in this Set

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  • Back
Signs of agitated delirium include:
diaphoresis, tachycardia, and hallucinations
Common causes of acute psychotic behavior include all of the following, EXCEPT:
Alzheimer's disease.
The first step in assessing a patient with a behavioral emergency is to:
ensure your safety.
When assessing a patient with a behavioral crisis, you should:
be direct and clearly state your intentions.
____________ is what you can see of a person's response to the environment.
Behavior
A 22-year-old male with a history of clinical depression called 9-1-1 and stated that he has attempted to kill himself. Your unit and law enforcement officers arrive at the scene simultaneously. You find the patient lying supine on the living room floor. He is unconscious and cyanotic. An empty bottle of hydromorphone (Dilaudid) is found on an adjacent table. You should:
open the patient's airway and assess his respirations
You respond to a call for an unknown emergency. When you arrive at the scene, the patient's husband meets you at the door and states that his wife has been depressed and has locked herself in an upstairs bedroom. He further tells you that he keeps his handgun in the bedroom. You should:
remain in a safe place and request law enforcement.
From a mental health standpoint, an abnormal or disturbing pattern of behavior is a matter of concern if it lasts for at least:
1 month.
Which of the following conditions or factors would be the LEAST likely to result in a change in behavior?
antihypertensive medications
The term “behavioral crisis” is MOST accurately defined as:
any reaction that interferes with activities of daily living or is deemed unacceptable by others.
A technique used to gain insight into a patient's thinking, which involves repeating in question form what the patient has said, is called:
reflective listening.
You receive a call for a domestic dispute. When you arrive at the scene, you find a young male standing on the front porch of his house. You notice that an adjacent window is broken. The patient has a large body, is clenching his fists, and is yelling obscenities at you. Which of the following findings is LEAST predictive of this patient's potential for violence?
his large body
You are assessing a 45-year-old female who is severely depressed. She states that it seems as though her entire world is crashing down around her. She further states that she has had frequent thoughts of suicide, but is not sure if she can actually go through with it. How should you manage this situation?
Ask the patient if she has developed a suicidal plan
Which of the following is an example of a functional behavioral disorder?
schizophrenia
The single most significant factor that contributes to suicide is:
depression.
Which of the following statements regarding the physical examination of a patient with a behavioral problem is correct?
A physical examination for a behavioral problem may be difficult to perform but may provide clues to the patient's state of mind and thought processes.
In addition to ensuring his or her own safety, the EMT's responsibility when caring for a patient with a behavioral emergency is to:
diffuse and control the situation and safely transport the patient.
When assessing a patient who is displaying bizarre behavior, the EMT should:
consider that an acute medical illness may be causing the patient's behavior.
People at risk for suicide include all of the following, EXCEPT:
married males older than 30 years
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.
A 66-year-old male presents with bizarre behavior. His daughter states that he did not seem to recognize her and was very rude to her. The patient is conscious, and has a patent airway and adequate breathing. You should:
ask the daughter how her father normally behaves.
Organic brain syndrome is MOST accurately defined as:
a dysfunction of the brain caused by abnormal physical or physiological function
It is MOST important for the EMT to remember that suicidal patients may:
be homicidal as well.
You are assessing a conscious 55-year-old male with a sudden change in behavior. Which of the following clinical findings would be MOST suggestive of dysfunction of this patient's central nervous system?
Answer
rapid eye movement
Law enforcement personnel request your assistance for a 30-year-old man who they pulled over for erratic driving. The patient became acutely violent while he was being questioned, which required one of the officers to subdue him with a Taser. When you arrive and assess the patient, you find that he is very agitated and is experiencing apparent hallucinations. His skin is flushed and diaphoretic. You should:
limit physical contact with the patient as much as possible and avoid interrupting him if he is attempting to communicate with you.