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What is your first priority in managing a patient with a behavioral emergency?


A) Determining if the patient is a threat to him- or herself
B) Evaluating for a preexisting medical condition
C) Ensuring the safety of you and your partner
D) Assessing and managing the patient's airway

Correct Answer

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You have been called to an assisted living facility for a 43-year-old male who has a history of anxiety and schizophrenia and who, according to staff, is more confused today. The staff also states that he has refused to take his medications for the past three days. Your assessment reveals him to have no life threats to the ABCs, but is slurring his speech and not making sense when he talks. As you review paperwork provided to you by staff, you note that he has a history of thyroid problems, diabetes, and hypertension. His pulse is 124, respirations 16, and blood pressure 154/70 mmHg. At this point, which one of the following actions is most important?


A) Determine reason for refusing medications.
B) Restrain and transport the patient.
C) Check his blood glucose level.
D) Recheck the blood pressure.

Correct Answer

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You have been called for a young male patient who has been withdrawn. The patient appears depressed and when you ask him if he is thinking about hurting himself, he answers "yes." The next question asked by the EMT should be:


A) "Do you have a plan?"
B) "Do you take medications?"
C) "Are there guns in the house?"
D) "Do you want to go to the hospital?"

Correct Answer

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You are loading a 24-year-old male for transport to the hospital after he stated that he wanted to kill himself. The patient's father pulls you aside and tells you that his son repeatedly has been in the hospital for suicidal statements but is then released and comes home and the whole cycle repeats itself. He is worried that one day his son will actually commit suicide and wonders if there is anything he can do to decrease the chance of this happening. In regards to the most common means by which people commit suicide, you should respond by saying:


A) "Lock up all of the household cleaning products since these are commonly ingested."
B) "The chance of him committing suicide is low since he has never actually attempted it."
C) "I would suggest gathering up all guns and removing them from the house."
D) "It would be best to get rid of all the beer, wine, and alcohol in the house."

Correct Answer

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You are transporting a restrained 23-year-old female with a past history of sexual abuse and multiple behavioral problems. She is very upset with being restrained as well as going to the hospital. She informs you that she will take you to court for your actions. Consequently, you are concerned about false accusations. Which one of the following is your best protection?


A) Meet with your service's attorney to discuss the call.
B) Have your partner sign the prehospital care report.
C) Remove the restraints during transport if she is cooperative.
D) Thoroughly document everything that happens on the call.

Correct Answer

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What type of hallucination is most dangerous?


A) Command
B) Tactile
C) Visual
D) Dissociative

Correct Answer

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You are at a community crisis center with a male patient who is depressed. What is the most important question you must ask first in the care of this patient?


A) "Have you been taking your medications?"
B) "Do you feel suicidal or homicidal?"
C) "What behavioral disorders have you been diagnosed with?"
D) "Have your medications been changed?"

Correct Answer

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You have arrived on the scene where a depressed patient is crying in an upstairs bedroom. When assessing her, which one of the following must be done first?


A) Obtain vital signs.
B) Determine the patient's medications.
C) Check a radial pulse.
D) Assess her for suicide risk.

Correct Answer

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On scene, a young male experiencing a behavioral emergency talks very rapidly and constantly interrupts you while you attempt to ask him questions. As such you would recognize that the patient is exhibiting:


A) verbal dystonia.
B) pressured speech.
C) word salad.
D) tardive dyskinesia.

Correct Answer

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