JOEY EMT QUIZ #12

It is MOST important for the EMT to remember that suicidal patients may:

be homicidal as well

Assessing the blood pressure and oxygen saturation of a patient with a behavioral crisis should be performed:

if doing so will not worsen his/her emotional distress

Substance abuse is MOST accurately defined as

knowingly misusing a substance to produce a desired effect

Hypotension, hypoventilation, and pinpoint pupils would be expected following an overdose of:

oxycodone (Percocet)

the usual dose for activated charcoal is up to ____ for a pediatric patient and up to ____ for an adult patient.

25 g. 50 g

A 49 year old male presents with confusion, sweating, and visual hallucinations. The patient's wife tells you that he is a heavy drinker and she thinks he had a seizure shortly before your arrival. The patient is MOST likely experiencing

DTs

Heroin is an example of a(n):

Opioid

The LEAST pertinent during the initial questioning of a patient who ingested a substance is

WHY was the substance ingested

Organic brain syndrome is MOST accurately defined as:

a dysfunction of the brain caused by abnormal physical or physiological function

During your assessment of a 50 year old male who was found unconscious in an alley, you note that he has slow, shallow respirations; significant bradycardia; facial cyanosis; and pinpoint pupils. As your partner begins assisting the patient's ventilations, he directs your attention to the patient's arms, which have multiple needs tracks on them. This patient's clinical presentation is MOST consistent with

a heroin overdose

The term "behavioral crisis" is MOST accurately defined as

a sudden, violent outburst of an otherwise mentally stable person toward a family member

The following conditions or factors that would be the LEAST likely to result in a change in behavior include

antihypertensive medications

You are dispatched to a local nursery for a 39 year old female who is sick. When you arrive, you find the patient lying on the floor. She is semiconscious, has copious amounts of saliva coming from her mouth, and is incontinent of urine. You quickly feel her pulse and note that it is very slow. Initial management for this patient should include

assisted ventilation with a bag-mask device

As you enter the residence of a patient who has possibly overdosed, you should:

be alert for personal hazards

General guidelines for managing a patient with a behavioral emergency include:

being prepared to spend extra time with 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

In contrast to a behavioral crisis, a psychiatric emergency occurs when a person

demonstrates agitation or violence or becomes a threat to himself or herself, or to others

The first step in assessing a patient with a behavioral emergency is to:

ensure your safety

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. These followings are LEAST predictive of the patient's potential for violence

his large body

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. These followings are predictive of the patient's potential for violence

his shouting of obscenities, his clenched fists, the broken window

Most poisonings occur via the __________ route.

ingestion

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

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 to 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

phosphorus or elemental sodium should be brushed off the skin instead of irrigated with water because

these chemicals may ignite upon contact with water

A person who routinely misuses a substance and requires increasing amounts to achieve the same effect is experiencing:

tolerance