ENA Behavioral Health Emergencies

A patient admits to causing herself to vomit after eating. Which imbalance is a complication of this eating disorder? A. Metabolic alkalosis B. Metabolic acidosis C. Hyperkalemia D. Hypermagnesemia

A

During the euphoric phase of bipolar disorder, a patient is likely to have which sign or symptom? A. Auditory hallucinations B. Psychomotor retardation C. Preoccupation D. Tearfulness

A

For a patient with bipolar disorder, treatment commonly calls for which medication? A. Lithium (Lithobid) B. Fluoxetine (Prozac) C. Citalopram (Celexa) D. Paroxetine (Paxil)

A

Which finding is expected in a patient with bulimia nervosa? A. Electrolyte imbalances B. Metabolic acidosis C. Significant weight loss D. Bradycardia

A

Which finding places a patient at the highest risk of suicide? A. Recent discharge from a psychiatric inpatient unit B. Suicidal ideation with some level of suicide intent, but no current means to act on the plan C. A confirmed, current and active therapeutic alliance with a mental health professional D. Some mild or passive suicidal ideation with no intent or plan

A

Which medication is a monoamine oxidase inhibitor? A. Phenelzine (Nardil) B. Citalopram (Celexa) C. Imipramine (Tofranil) D. Trazodone (Desyrel)

A

Which medication is used to calm an agitated patient without causing sedation? A. Olanzapine (Zyprexa) B. Haloperidol (Haldol) C. Ziprasidone (Geodon) D. Clonazepam (Klonopin)

A

Which neurochemical dysfunction is associated with panic disorder? A. Disturbances in serotonin B. Decreased adenosine receptor function C. Decreased cortisol D. Increased benzodiazepine receptor function

A

Which statement accurately characterizes bulimia nervosa? A. Patients with bulimia nervosa have poor impulse control. B. Calorie loss is achieved through the use of laxatives and diuretics. C. Patients with bulimia nervosa eat very small portions of food. D. Self-loathing is less severe in bulimia nervosa than in anorexia nervosa.

A

Which statement accurately characterizes depression? A. Depression is likely when certain characteristics last for at least 2 weeks. B. Middle-age patients have the highest risk of depression. C. Depression is caused mainly by psychosocial factors. D. Patients with depression can be triaged as nonurgent.

A

Which statement accurately characterizes eating disorders? A. Patients with anorexia nervosa have excessive dependency needs. B. Patients with eating disorders usually present with a life-threatening behavioral emergency. C. Patients with eating disorders usually present with diarrhea. D. Patients with bulimia nervosa typically present with weight loss of 25% from their baseline.

A

Which statement correctly applies to behavioral health emergencies? A. Their severity is related to the patient's ability to function and adapt. B. They result from coping with normal developmental challenges. C. Mental health manifestations rarely result from organic causes in geriatric patients. D. Pediatric patients rarely have symptoms of mental impairment.

A

Which statement correctly characterizes anxiety? A. Anxiety is a normal response to threatening sensations. B. Anxiety is easily differentiated from psychosis. C. Anxiety is associated with a disturbance in the cerebellum. D. Anxiety is associated with the neurotransmitter dopamine.

A

Which statement correctly describes depression? A. Depression is closely linked to substance abuse. B. Acetylcholine is the primary neurotransmitter involved in depression. C. Most patients with depression are aware of treatment options. D. Family history is not associated with depression.

A

During the depressive phase of bipolar disorder, a patient is likely to have which symptom? A. Flight of ideas B. Poor abstract reasoning C. Disorganized thoughts D. Grandiosity

B

How frequently must a licensed independent practitioner reorder behavioral restraints for an adolescent, age 13? A. Every hour B. Every 2 hours C. Every 4 hours D. Every 24 hours

B

Which finding is expected in a patient with anorexia nervosa? A. Sinus tachycardia B. Metabolic acidosis C. Increased gastric emptying D. Hypertension

B

Which medication is a tricyclic antidepressant? A. Citalopram (Celexa) B. Doxepin (Sinequan) C. Venlafaxine (Effexor) D. Phenelzine (Nardil)

B

Which statement accurately characterizes panic disorder? A. Panic disorder results from a serious medical condition. B. Panic disorder results from a chemical imbalance. C. Panic disorder is a mental deficiency. D. Panic disorder is incurable.

B

A patient diagnosed with schizophrenia is likely to receive which medication? A. Lithium (Lithobid) B. Fluoxetine (Prozac) C. Clozapine (Clozaril) D. Citalopram (Celexa)

C

In a patient with anorexia nervosa, which laboratory finding is expected? A. Increased glomerular filtration rate B. Hyperglycemia C. Increased blood urea nitrogen level D. Hypernatremia

C

Which disorder characteristically causes unpredictable euphoric or depressed periods of varied duration? A. Anxiety B. Panic disorder C. Bipolar disorder D. Schizophrenia

C

Which finding is expected in a patient with an acute panic attack? A. Increased blood pressure B. Decreased temperature C. Increased heart rate D. Decreased pulse oximetry reading

C

Which medication most effectively treats acute anxiety? A. Haloperidol (Haldol) B. Ziprasidone (Geodon) C. Lorazepam (Ativan) D. Amitriptyline (Elavil)

C

Which patient presentation requires emergent psychiatric consultation? A. Depression B. Substance abuse C. Acute psychosis D. Anorexia nervosa

C

When caring for a patient exhibiting violent behavior, which intervention is the priority? A. Treat and assess injuries and medical conditions. B. Administer medications as indicated. C. Refer the patient for treatment or legal disposition. D. Restrain or seclude the patient, according to facility policy.

D

Which disorder is characterized by the acting out of emotions to achieve desired goals? A. Depression B. Anxiety C. Panic disorder D. Violence

D

Which medication is a selective serotonin reuptake inhibitor? A. Mirtazapine (Remeron) B. Tranylcypromine (Parnate) C. Amitriptyline (Elavil) D. Fluoxetine (Prozac)

D

Which of these antipsychotic medications is least likely to produce dystonia? A. Haloperidol (Haldol) B. Fluphenazine (Prolixin) C. Chlorpromazine (Thorazine) D. Risperidone (Risperdal

D

Which statement correctly applies to a patient with schizophrenia? A. The most common causes of acute mental status changes are psychiatric. B. Antipsychotic medications cause few side effects. C. Schizophrenia can be diagnosed on the basis of abnormal laboratory findings. D. Auditory hallucinations are common behavioral manifestations of schizophrenia.

D