EMR Chapter 12 Behavioral Emergencies

redirection

A means of focusing the patient's attention on the immediate situation or crisis.

empathy

ability to participate in another person's feelings or ideas

Emotional shock may:

cause vomiting and nausea

Your most important assessment skill may be your ability to _________ with the patient

communicate

The second phase of the abuse cycle, when the abuser becomes enraged and loses control as well as the ability to think clearly:

explosive phase

When communicating with the patient, try to position yourself so you are at the patient's:

eye level

there are _________ emotional phases to each situational crisis.

four

_______ responder(s) should attempt to talk to a potentially violent person

one

behavioral emergency

patient exhibits abnormal behavior that is unacceptable or intolerable

You arrive at the scene of a motor vehicle crash and find a teenage girl staring at other emergency personnel caring for an older woman. She then says, "If I hadn't asked her to take me to the mall, this wouldn't have happened." What phase of a situational crisis is this girl probably experiencing?

remorse

Management of a suicide crisis includes:

support of the patient's ABCs as needed

Because sexual assault creates an emotional crisis:

the psychological aspects of treatment are important

Which of the following is false regarding dealing with a potentially violent patient?

A person's posture is not an accurate means of assessing violence potential

emotional shock

A state of shock caused by sudden illness, accident, or death of a loved one.

Critical Incident Stress Debriefing (CISD)

A system of psychological support designed to reduce stress on emergency personnel

Which of the following is not typically considered before applying force to restrain a patient?

Approval from medical control

Which of the following statements regarding dealing with death and dying is false?

Dealing with your own feelings is not necessary when comforting others

Which of the following is false regarding dealing with an armed patient?

If you are confronted by an armed person, immediately attempt to defend yourself

psychotic behavior

Mental disturbance characterized by defective or lost contact with reality.

restatement

Rephrasing a patient's own statement to show that he or she is being heard and understood by the rescuer.

Which of the following should you not do when talking to a patient?

Tell the patient that everything will be all right, if it will make the patient feel better.

What is the correct order of the phases of the domestic abuse cycle?

Tension, explosive, make up

Which of the following is false regarding behavioral emergencies?

They are not caused by injuries such as head trauma

A person who is experiencing high anxiety is likely to exhibit all of the following characteristics EXCEPT:

a calm demeanor

which of the following is not one of the phases of situational crisis

acceptance

___________ is a normal human response to emotional overload or frustration.

anger

This phase of a situational crisis may follow denial or, in some cases, may occur instead of denial:

anger phase

A process developed by psychologists to help prevent excess stress and to relieve stress caused by critical incidents:

cisd

Many suicide attempts are really

cries for help

Performing simple _________ may help reduce a patient's anxiety when there are many people around

crowd control

A person experiencing a situational crisis may go through which emotional phase(s)?

denial or anger

The ability to participate in another person's feelings or ideas is called:

empathy

_______________ and a sense of helplessness can often build to anger.

frustration

Signs and symptoms of extreme stress include:

lack of interest in food

The third phase of the abuse cycle, when the abuser may make all sorts of promises, which are seldom kept:

make-up phase

The best way to avoid violence at the scene of a behavioral emergency:

prevention

A means of focusing the patient's attention on the immediate situation or crisis is called:

redirection

Rephrasing a patient's own statement to show understanding is called:

restatement

suicide

self-inflicted death

Every emergency creates some sort of a(n) _________ for the patient and for those close to the patient.

situational crisis

Behavioral emergencies are caused by:

situational stresses

Working alone or in ________ increases the risk of violence in the workplace.

small numbers

Loud, obscene, or bizarre ___________ may indicate emotional instability.

speech

situational crisis

state of emotional distress or turmoil, usually caused by a sudden disruptive event

post-traumatic stress disorder (PTSD)

symptoms include flashbacks to traumatic events, depression, sleep disturbances, and guilt

One of the main causes of suicide in older people:

terminal disease

Abuse has been described as a(n) ________ -part cycle

three

If you are confronted by an armed person on scene, immediately attempt to:

withdraw