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Exam 23: Behavioral and Psychiatric Emergencies and Suicide

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Question 1

Multiple Choice

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As an EMT,it is important that you be able to do all of the following except:

A) control your own emotions when dealing with patients who say upsetting things to you.
B) provide counseling and advice to patients with personal problems.
C) ensure your safety and that of others at the scene.
D) deal with a wide variety of emotions and behaviors.

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Question 2

Multiple Choice

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Why is it important to gather a detailed medical history when dealing with a psychiatric emergency?

A) It is not. You want to get the call resolved as quickly as possible and this will just delay it.
B) It will alert you to past issues as well as medication.
C) It will help you to determine if the police are needed.
D) It will help you to determine if you need to restrain the patient.

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B

Question 3

Multiple Choice

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Once you have established with reasonable certainty that your patient is suffering from a behavioral emergency,which of the following is the best course of action?

All of the following are general rules in dealing with a psychiatric patient except:

When providing emergency care to an aggressive or hostile patient,what is the highest priority?

Which of the following statements concerning behavioral emergencies is true?

Which of the following statements concerning forcible restraint of patients is true?

When managing a patient who may hurt himself or others,you should do all of the following except:

Which of the following communication strategies should be used in dealing with a patient with a behavioral emergency?

Which of the following statements concerning people who have made prior suicide attempts is true?

Which of the following patients would be considered to be at the greatest risk for suicide?

Neurotransmitters are chemicals within the body that transmit the message from the distal end of one neuron (presynaptic neuron) to the proximal end of the next neuron (postsynaptic neuron) .While it sounds like a complicated process,it takes only milliseconds.Which one of the following sentences is false?

EMTs may come across a situation where a patient begins to act extremely agitated or psychotic.Elevated temperature and sometimes alcohol or drug intoxication may be present.The patient will soon cease struggling,and often within minutes the patient develops inadequate or absent respirations and subsequently dies.It is important for the EMT to be alert for this sequence of events in a patient who exhibits this behavior and monitor the patient constantly throughout the call.This condition is called:

When a person acts in a manner that is unacceptable to himself or those around him,this would be considered which of the following?

Your patient is a 24-year-old male who is severely depressed.He tells you that he can't "handle the pressure" anymore and that he wants to die.He is refusing transport.Which of the following is the most appropriate decision regarding this patient's care?

You have responded to a call about a "psychiatric patient" to find a 24-year-old woman talking to herself in her home.She is rocking back and forth and you can see from a distance that she is perspiring profusely.You also see an empty medication bottle on the floor.She does not acknowledge your presence.When you attempt to speak to her,she continues to talk to herself as if you were not there.Which of the following should be included in your actions at the scene?

When a patient or bystander at the scene of an emergency displays fear,anger,or grief,this is best described as which of the following?

Which of the following may cause a patient to exhibit abnormal behavior?

Your patient is exhibiting bizarre and aggressive behavior; he starts shouting and becomes violent.He has extra strength and appears insensitive to pain.Drug paraphernalia is visible on-scene.This behavior is known as:

It is often difficult to distinguish a true medical emergency from a psychiatric emergency.You are confronted with a patient experiencing personality changes ranging from irritability to irrational behavior,altered mental status,amnesia or confusion,irregular respirations,elevated blood pressure,and decreasing pulse.It appears to be a psychiatric emergency.What else could also likely cause this behavior?