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Exam 26: Behavioral Emergencies

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Question 21

Multiple Choice

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How can the EMT best keep a behavioral patient calm and avoid provoking a violent outburst?

A) Inform the patient of all that is going on and use a calm voice throughout care.
B) Establish that the EMT is in control of the situation and that how the call goes depends on the patient.
C) Inform the patient that he is responsible for all of his actions that occur throughout the call.
D) Involve law enforcement early in the call as a deterrent for violence.

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Question 22

Multiple Choice

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You are assessing and treating a young girl who superficially cut her wrists in a self-stated suicide attempt. Bleeding was not significant and has clotted. While transporting the patient, which one of the following statements is most appropriate?

A) "Can you tell me why you tried something like this?"
B) "This really has upset your parents. How does that make you feel?"
C) "These cuts are not significant. You didn't really want to do this, did you?"
D) "I am going to clean these cuts with some water and then wrap them."

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Question 23

Multiple Choice

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After restraining a patient on the stretcher, what action is it essential that the EMT perform first?

You have been called for a female patient with a history of bipolar disease who is severely depressed and stated suicidal intentions. As such, you would expect what type of affect?

A woman has called you for her middle-aged friend who has stopped eating and talking and has frequent crying spells. Your history reveals that the woman lost her husband a few months ago and has been withdrawn and despondent ever since. Throughout the assessment, the alert and oriented woman continually states she wants to be left alone. When you bring the stretcher into the room, the woman states, "I do not want to go to the hospital. Let me sign whatever I need to sign." What is your best response to this situation?

A 48-year-old female 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 for her past medical history and the events leading up to her call for help. Which one of the following statements is most appropriate at this time?

You have been called to the post office to assist police with a disorderly male. On scene you find a middle-aged male patient stating that he needs to be protected because the CIA is out to get him for something he did not do. As a knowledgeable EMT, you should recognize the patient's behavior as:

When on the scene of a patient who has attempted suicide, which of the following is the most immediate priority?

After taking a young, depressed female to the hospital your partner says, "I am tired of running all of these psych patient calls. There are real patients with real emergencies and pain out there. It is just a waste of our time!" Which one of the following is your best response?

You are assessing a patient with schizophrenia. Friends called 911 because he was experiencing hallucinations this morning. He is prescribed Thorazine and Resperidone for his illness. Which one of the following questions is most pertinent to the current situation and must be asked first?

An alert and oriented 18-year-old female 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. Given the situation and the patient's threat, what is your best course of action?

A group of EMTs is preparing to restrain a large and violent patient. Which one of the following instructions given by the team leader is most appropriate?

You have had to restrain a patient who is being involuntarily committed to a psychiatric institution. During the restraint process, the patient vomited. How should you position him on the stretcher?

You have been called to a residence for a complaint of chest pain. On scene you are met by the patient's husband who informs you that his wife suffers from anxiety attacks and that she received bad news tonight concerning her mother. This increased her anxiety, and now she just needs to calm down. He states that her doctor said the chest pain she gets is just a temporary response to the anxiety. Assessment of the 46-year-old woman reveals her to be extremely anxious and complaining of chest pain. In treating this patient, the EMT should first:

A patient experiencing command hallucinations would most likely tell you:

You are preparing to transport a patient with a behavioral emergency to the hospital. As he is being loaded into the ambulance, he smiles and says, "What if I decide to just go crazy and hurt you during the ride to the hospital?" Which one of the following is your best response?

You are by the side of a young male patient with a history of behavioral problems. Friends called 911 after the patient experienced several violent outbursts this evening. Which finding would cause you to suspect a physical cause for this behavior, as opposed to a behavioral one?

Your partner is assessing a patient who has a history of antisocial disorder and who 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, which of the following is the strongest indication that the patient may be ready to have a violent outburst?

Which one of the following statements made by an EMT shows a proper understanding of what is required when restraining a patient?

You have been called to a nursing home for a 48-year-old male 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: