Chapter 26

An Application for Emergency Admission allows a patient to be assessed by removing his rights​ for: A. 48 hours. B. 72 hours. C. 12 hours. D. 24 hours.

72 hours

Which of these situations is of greatest concern when trying to decide if a patient has the mental capacity to understand and make rational​ decisions? A. A patient with a behavioral emergency due to hypoglycemia B. A traumatized patient who is crying C. An incident where you have to contact law enforcement D. An emotionally distraught patient who is refusing care

an emotionally distraught patient who is refusing care

In the mnemonic MEND A​ MIND, the A stands​ for: A. anxiety. B. assessment. C. allergic reaction. D. arterial.

arterial

Once you decide to restrain a​ patient, the intervention should be carried​ out: A. slowly. B. after informing the patient. C. as quickly as possible. D. without police assistance.

as quickly as possible

Which statement is TRUE about suicide and suicide​ attempts? A. The majority of suicide attempts are made to get attention and should not be taken seriously. B. Suicide is the leading cause of death among​ college-age students. C. The most common method of suicide is by poisoning through ingestion. D. At least 75 percent of suicide victims give clear warning that they intend to kill themselves.

at least 75 percent of suicide victims give clear warning that they intend to kill themselves

Why is it important to report all suicide attempts to the physician in the​ ED? A. At least half of those who succeed have made prior​ attempts, so all attempts should be followed up. B. Suicide is a reportable crime. C. The doctor will not give the patient medicine to take home. D. The patient might hurt others in the ED.

at least half of those who succeed have made prior attempts, so all attempts shjould be followed up

Law enforcement should be requested in which of the following​ situations? A. An​ 18-year-old man refusing treatment for a fractured arm B. A​ 24-year-old woman suffering from anxiety C. A​ 50-year-old man refusing treatment for chest pain D. A​ 65-year-old woman living in an​ insect-infested home

a 65 year old woman living in an insect infested home

Which of the following is UNLIKELY to be a physical cause of a behavioral​ change? A. Excess cold B. Seizure disorder C. A history of chest trauma D. ​Mind-altering substances

a history of chest trauma

Which patient would require law enforcement to​ intervene? A. A patient experiencing a panic attack B. A patient with chest pain who refuses transport C. A patient who has not slept for 2 weeks D. A patient suffering from depression

a patient who has not slept for 2 weeks

During the assessment of a patient who you suspect has a behavioral​ disorder, you should pay particular attention to each of the​ following, EXCEPT: A. body language. B. general appearance. C. speech. D. age of the patient.

age of the patient

Techniques that make dealing with behaviorally disturbed patients easier for you and more helpful for the patient​ include: A. speaking in an​ authoritative, stern voice to show you are in charge. B. always telling the truth and never lying to the patient. C. playing along with visual or auditory disturbances. D. using phrases such​ as, "Everything will be​ fine," or​ "You do not have anything to worry​ about," to help gain the​ patient's confidence.

always telling the truth and never lying to the patient

A disease process in which the​ patient's mood changes from elated to depressed is​ called: A. social anxiety disorder. B. bipolar disorder. C. depression. D. psychosis.

bipolar disorder

A psychiatric disorder that causes patients to swing to opposite sides of the mood spectrum is​ called: A. paranoid disorder. B. bipolar disorder. C. depressive disorder. D. schizophrenic disorder.

bipolar disorder

You are called by law enforcement to the residence of a​ 22-year-old adult man who overdosed on PCP. On​ arrival, you determine that the scene has been​ secured, and you find the patient lying prone in the front yard in handcuffs. He is being physically restrained by two police officers. The patient is violently fighting back to get​ loose, and you note that he is​ tachypneic, his skin is​ hot, and he is perspiring heavily. An officer tells you that it took several people to subdue and restrain the​ patient, at which time he became even more violent. What should you​ do? A. Attempt to verbally​ de-escalate the​ patient's agitation. B. Restrain the patient prone on your stretcher and apply additional soft restraints. C. Call for an ALS unit to administer medication to calm the patient. D. Ask the police to transport.

call for an ALS unit to administer medication to calm the patient

Your treatment for a patient who is exhibiting signs of agitated delirium should​ include: A. calling for advanced life support backup. B. asking law enforcement to handcuff the patient. C. releasing the patient if he shows symptoms. D. ensuring that restraints are properly tightened.

calling for ALS backup

When you are faced with a patient who was involved in a suicide​ attempt, your first efforts should be​ to: A. care for the​ patient's medical problems. B. establish why the patient is depressed. C. notify law enforcement. D. retreat to your unit.

care for the patient's medical problems

A patient who has a blank stare as if displaying an inability to move is described​ as: A. comatose. B. delirious. C. agitated. D. catatonic.

catatonic

Your partner is assessing a patient who has a history of antisocial disorder and just got into a heated verbal exchange with his neighbor. He threatened to kill his​ neighbor, and 911 was called. As you observe the​ patient, what is the strongest indication that the patient may be ready to have a violent​ outburst? A. Avoiding eye contact B. Refusal to answer questions C. Increased sighing D. Clenching of both fists

clenching both fists

An alert and oriented​ 18-year-old female patient has threatened to hurt​ herself, but is refusing transport to the hospital. She is calm and states that she knows her rights and taking her would constitute false imprisonment. Her family is present and wants her to go to the hospital for​ help, as she has attempted suicide in the past. Given the situation and the​ patient's threat, what is your best course of​ action? A. Physically restrain the patient for transport B. Transport the patient on her​ father's consent C. Have the patient sign a​ refusal-of-care form that is witnessed by family D. Contact law enforcement for assistance

contact law enforcement for assistance

One of the MOST common psychiatric conditions is characterized by deep feelings of​ sadness, worthlessness, and discouragement. This condition is known​ as: A. schizophrenia. B. depression. C. bipolar disorder. D. phobia.

depression

A person with an​ alcohol-like odor on the breath may be suffering from​ a(n): A. opiate overdose. B. diabetic emergency. C. stroke. D. seizure.

diabetic emergency

When questioning a patient with suicidal​ ideation, you should​ be: A. direct. B. indirect. C. vague. D. crafty.

direct

You have been called for a young male patient who has been acting withdrawn. As a​ precaution, dispatch also alerted​ police, who are now on scene with you. The patient appears depressed and when you ask him if he is thinking about hurting​ himself, he​ answers, "Yes." The next question asked by the EMT should​ be: A. ​"Are there guns in the​ house?" B. ​"Do you take​ medications?" C. ​"Do you want to go to the​ hospital?" D. ​"Do you have a​ plan?"

do you have a plan

What is the BEST way to protect yourself from false accusations made by patients with behavioral​ emergencies? A. Document B. Direct C. Record D. Remember

document

You have just talked an attempted suicide patient off the ledge of a building. After getting him in the back of the ambulance for transport to the​ hospital, what should be the priority of​ treatment? A. Repeatedly asking him why he did it so he realizes how inappropriate his action was B. Scolding him for trying a suicide attempt C. Empathizing with his mental state while treating any physical problems D. Telling him to never try it​ again, as he could harm others

empathizing with his mental state while treating any physical problems

You are called to an attempted suicide by hanging. On​ arrival, you see that law enforcement has arrived and the scene is safe. Your first act of care for the patient should be​ to: A. perform a primary examination. B. establish manual inline stabilization. C. check for a pulse. D. notify the ED.

establish manual inline stabilization

A male patient with a history of behavioral problems continually smacks his​ lips, sticks his tongue​ out, and turns his head to the left. His arm also jerks upward regularly. Which​ statement, made by a​ caregiver, would an EMT recognize as most important and relating to this​ presentation? A. ​"He can be very delusional at​ times." B. ​"He refused to take his morning​ medications." C. ​"Lately, he will only eat potato chips for​ breakfast." D. ​"He has been on psych medications for many​ years."

he has been on psych meds for many years

By carefully and completely documenting everything that happens during an encounter with an emotionally disturbed​ patient, you​ can: A. explain what you think the patient was perceiving. B. help protect yourself against false accusations. C. stop the patient from filing a complaint. D. retain a copy of the trip for your own records.

help protect yourself against false accusations

What should you include on your PCR regarding the restraint of an angry​ patient? A. What the​ patient's family said to the patient prior to the restraining process B. How many EMS providers were used in the procedures C. How far away from the hospital you were D. How long the police were on scene prior to executing the procedure

how many EMS providers were used in the procedures

The EMT would recognize a patient as having a phobia when the patient makes which​ statement? A. ​"I am unemployed and think that I will lose my​ home." B. ​"I found a snake in my house and am having dreams of finding​ others." Your answer is not correct.C. ​"I was just diagnosed with cancer and think that it is​ terminal." D. ​"I cannot eat meat because they put dangerous bacteria in it that can hurt​ me."

i cannot eat meat because they put dangerous bacteria in it that can hurt me

You are preparing a​ 24-year-old male for transport to the hospital after he stated that he wanted to kill himself. The​ patient's father pulls you aside and tells you that his son repeatedly has been in the hospital for suicidal statements but is then released and comes home and the whole cycle repeats itself. He is worried that one day his son will actually commit suicide and wonders if there is anything he can do to decrease the chance of this happening. In regard to the most common means by which people commit​ suicide, you should respond by​ saying: A. ​"The chance of your son committing suicide is low since he has never actually attempted​ it." B. ​"Lock up all of the household cleaning​ products, since these are commonly ingested poisons during suicide​ attempts." C. ​"It would be best to get rid of all the​ beer, wine, and alcohol in the​ house." D. ​"I would suggest gathering up all guns and weapons and removing them from the​ house."

i would suggest gathering up all guns and weapons and removing them from the hoseu

If a patient threatens to hurt himself or others and you can demonstrate reason to believe that the​ patient's threats are​ real, you can transport that patient without his consent.​ However, you​ should: A. fully immobilize the patient. B. ensure that the patient cannot escape the restraints. C. involve law enforcement. D. chemically restrain the patient.

involve law enforcement

Why should a patient never be restrained in the prone​ position? A. It can be the cause of positional asphyxia and lead to cardiac arrest. B. The police will not allow that to be done. C. Patients are harder to place on the stretcher that way. D. It takes more rescuers to restrain a patient that way.

it can be the cause of positional asphyxia and lead to cardiac arrest

A​ 48-year-old female patient with a history of depression has called for help because she feels suicidal. During​ transport, the patient refuses to talk to you despite repeated attempts to obtain her past medical history and learn about the events leading up to her call for help. Which statement is most appropriate at this​ time? A. ​"Talking often helps people feel better. If you talk to​ me, I am sure that it will​ help." B. ​"I really must have information related to your medical​ history; therefore, you must talk to​ me." C. ​"I know that people with depression seem to get better very quickly by taking medications. Have you thought about taking​ some?" D. ​"It's okay if you do not want to​ talk, I will be right here if you change your​ mind."

its okay if you dont want to talk, i will be right here if you change your mind

Who has the capability to force a patient to be transported when his life is in​ danger? A. EMS supervisor B. EMS personnel C. Psychiatrist D. Law enforcement

law enforcement

Which statement is TRUE about suicides and suicide​ attempts? A. Depression seems to have little influence on suicide attempts. B. Most people who formulate a detailed plan for suicide do not carry it through. C. Men are four times more likely to die from suicide than are women. D. Approximately 80 percent of people who succeed in committing suicide were attempting it for the first time.

men are four times more likely to die from suicide than are women

After completing the scene​ size-up, what should be your FIRST phase of assessment on a patient with a behavioral​ emergency? A. Behavioral assessment test B. Primary survey C. Vitals D. History and SAMPLE

primary survey

The​ question, "Can you see things that other people​ can't see," would be asked to​ identify: A. mania. B. psychosis. C. suicidal ideation. D. homicidal ideation.

psychosis

If you are restraining a patient and he continues to spit at​ you, what should you​ do? A. Restrain the patient in the prone position. B. Refuse to transport the patient. C. Put a surgical mask on the patient. D. Consider tightening the​ patient's restraints so they are painful.

put a surgical mask on the patient

Which of the following is a sign of a patient suffering from psychomotor​ agitation? A. Slow movements B. Bradycardia C. Rapid speech D. Blank stare

rapid speech

If​ you, as an​ EMT, are involved in a situation where you must restrain a​ patient, make sure that you​ use: A. swift action. B. chemical restraints. C. reasonable force. D. approved handcuffs.

reasonable force

Your unit was dispatched to a patient having a behavioral emergency. Police who are already present assure you the scene is safe. You begin assessment to care for this​ patient, who has a long history of mental illness. The patient is NOT very cooperative and repeatedly curses at you. You​ should: A. remain kind and​ calm, knowing that the comments are not personal. B. find a weakness and belittle the patient until the cursing stops. C. call the police for assistance to restrain the patient. D. lie to the patient and tell her she will be arrested at the hospital.

remain kind and calm, knowing that the comments are not personal

Which of the following statements BEST defines the term​ "reasonable force"? A. The minimum force needed to keep the patient from hurting someone B. Only that force that is necessary to handcuff a patient C. The force required to restrain a cooperative patient D. Any force necessary to subdue a patient

the minimum force needed to keep the patient from hurting someone

What is the danger involved in managing a patient with agitated or excited​ delirium? A. The patient has a very high body temperature. B. The patient is so strong he can fight off multiple rescuers. C. The patient can go into shock right in front of you. D. The patient could suddenly go from fighting to cardiac arrest.

the pateitn could suddenly go from fighting to cardiac arrest

Restraining a patient should be avoided​ unless: A. the patient is bigger than you. B. your partner feels it is the best thing. C. the patient insists on being restrained. D. the patient is a danger to you or herself.

the patient is a danger to you or herself

Why might a situation where a patient has committed suicide be a potentially unsafe scene for EMS​ providers? A. The suicide mechanism itself may create an unsafe scene. B. Family members may grieve too loudly when they find out. C. The EMS provider may feel sorry for the patient and attempt the same. D. The patient may not be​ dead, and when EMS​ arrives, the patient may try lashing out at them.

the suicide mechanism itself may create an unsafe scene

You are called by a husband who states that his wife is bipolar and in need of help at the hospital. Which presentation would make the most sense related to this​ disorder? A. Paranoia B. Thoughts of persecution C. Distortion of speech and thought D. Depressed and not wanting to talk

Depressed and not wanting to talk

You are caring for an attempted suicide patient who has shot himself in the chest. What would be the priority of​ treatment? A. Asking him how he feels B. Immobilizing the spine to a backboard C. Initiating an IV line D. Occluding the open wound

occluding the open wound

A highly exaggerated suspiciousness of others is known​ as: A. paranoia. B. schizophrenia. C. agitated delirium. D. psychosis.

paranoia

Unwarranted mistrust or suspiciousness of others is​ called: A. anxiety. B. psychosis. C. paranoia. D. schizophrenia.

paranoia

Basic principles to keep in mind when you encounter a patient with a behavioral emergency​ include: A. only psychologically unstable people feel emotional disturbance when injured. B. some people who have been through a crisis suddenly get better. C. people have more ability to cope with crisis than they might think. D. emotional injury is not truly​ "real" as is a physical injury.

people have more ability to cope with crisis than they might think

You have been called to an extended care facility for a​ 48-year-old male patient with a history of schizophrenia. On​ scene, you find the patient to be highly agitated and clutching his left hand while complaining that there are bugs in it. After performing the primary assessment and finding no life​ threats, you​ should: A. Ask the patient to describe the bugs B. Reassure the patient that he is​ safe, and then transport to the hospital C. Determine whether the patient is compliant with his medications D. Physically assess his left hand for any abnormalities

physically assess his left hand for any abnormaliites

You are talking with an individual who is having a behavioral​ emergency, when the patient begins pacing and clenching his fists. What should you do​ next? A. Stand over the patient. B. Tell the patient to calm down. C. Retreat to a safe location and wait for the police. D. Threaten to call law enforcement.

retreat to a safe location and wait for the police

You arrive at the scene of a potential psychiatric emergency at the grocery store. A sales clerk tells you that a woman in her 30s is talking to the frozen​ food, and whenever anyone​ approaches, she starts flailing her fists. The​ police, who were dispatched at the same​ time, have not arrived yet. What should you do​ NEXT? A. Distract the patient while your partner engages her from behind. B. Attempt to engage in a dialogue with the patient. C. Retreat to a safe​ location, encouraging bystanders to do so​ also, and await assistance. D. Overpower the patient and restrain her on the stretcher.

retreat to a safe location, encourage bystanders to do so also, await assistance

You arrive at the scene of a potential psychiatric emergency at the local library. The​ patient, a woman in her​ 40s, appears to be​ hallucinating, yelling for​ "them" to leave her​ alone, and throwing books at patrons and bookshelves. The​ police, who were dispatched at the same​ time, have not arrived yet. What should you do​ NEXT? A. Overpower the patient and restrain her on the stretcher. B. Retreat to a safe​ location, encouraging bystanders to do so​ also, and await assistance. C. Attempt to engage in a dialogue with the patient. D. Distract the patient while your partner engages her from behind.

retreat to a safe location, encouraging bystanders to do so also, and await assistance

A patient who is suffering debilitating distortions of speech and​ thought, bizarre​ delusions, and hallucinations is suffering​ from: A. paranoia. B. schizophrenia. C. bipolar disorder. D. anxiety.

schizophrenia

Patients with what disease suffer debilitating distortions of speech and​ thought, and have bizarre delusions about their​ world? A. Bipolar disorder B. Psychosis C. Schizophrenia D. Depression

schizophrenia

EMTs should always consider that all of the following findings are potential causes of abnormal behavior​ EXCEPT: A. tachycardia. B. inadequate blood flow to the brain. C. low blood sugar. D. head trauma.

tachycardia

You are caring for a​ 19-year-old female patient whom you notice has multiple superficial lacerations over each​ wrist, some in different stages of healing. When you ask her what caused the​ marks, she states she sustained them when she was trying to jump over a chain link fence. What should you consider when evaluating her​ story? A. The marks are probably from parental abuse. B. The marks are in fact from jumping over a fence. C. The marks could be from attempts at suicide. D. The marks are from something​ else, as she has no reason to jump over a fence.

the marks could be from attempts at suicide

You are at the scene where a male patient threatened to take pills to end his life. In talking with the​ patient, he informs you that he just got a new job that requires more of his time and his wife has been giving him a hard time about it.​ Tonight, he had enough and just made the comment because he was mad at her. He says that although he is still​ upset, he does not plan to do anything​ "drastic." Before taking further​ action, which fact about the patient should raise the​ EMT's suspicion that he is indeed at a higher risk for​ suicide? A. New job with increased stress B. New diagnosis of high blood pressure C. Scar on the​ patient's neck D. Unsuccessful attempt three years ago

unsuccessful attempt 3 years ago

An important measure in transporting an emotionally disturbed patient is​ to: A. use medical responders that are of the same gender as the patient. B. complete an incident report. C. fully restrain the patient. D. refuse to render care.

use medical responders that are of the same gender as the patient

What would be an appropriate response to visual or auditory disturbances that the behavioral emergency patient might​ describe? A. You should ignore the patient. B. You should reassure the patient that the disturbances are temporary. C. You should​ "play along" with the patient. D. You should tell the patient the disturbances are not really there.

you should reassure the patient that the disturbances are temporary