A. his clenched fists
B. the broken window
C. his shouting of obscenities
D. his large body
A. quickly rule out any life-threatening conditions and then perform a detailed secondary assessment as he is being restrained.
B. suspect that he is acutely hypoglycemic, consider giving him one tube of oral glucose, and transport with lights and siren.
C. limit physical contact with the patient as much as possible and avoid interrupting him if he is attempting to communicate with you.
D. recognize that he is experiencing a complex psychiatric crisis, quickly load him into the ambulance, and immediately transport.
A. Ask the patient if she has developed a plan for suicide.
B. Leave the scene and have a neighbor check in on her.
C. Have law enforcement place her in protective custody.
D. Encourage the patient to remain quiet during transport.
A. agitated delirium
A. intense stress.
C. Alzheimer disease.
D. mind-altering substance use.
A. within the first few minutes after making patient contact.
B. at least every 5 minutes in order to detect signs of shock.
C. only if you will be transporting the patient to the hospital.
D. if doing so will not worsen the patient’s emotional distress.
A. It is only appropriate to perform a physical examination on a patient with a behavioral problem if he or she is unconscious or is being physically restrained.
B. A physical examination for a behavioral problem may be difficult to perform but may provide clues to the patient’s state of mind and thought processes.
C. The physical examination of a patient with a behavioral problem often yields crucial information and should always be performed, even if the patient is violent.
D. Performing a physical examination on a patient with a behavioral problem will likely cause the patient to become violent and should be avoided in the field.
A. when the patient is in the ambulance.
B. at a distance when the patient is first seen.
C. speaking with family members or bystanders first.
D. speaking privately with the patient
A. Always work toe-to-head.
B. Examine extremities first.
C. Avoid touching without permission.
D. Complete the physical exam first, then check the ABCs.
A. conclude that the patient has Alzheimer disease.
B. ask the daughter how her father normally behaves.
C. carefully restrain the patient and immediately transport.
D. advise the patient that his behavior is unacceptable.
A. be direct and clearly state your intentions.
B. frisk the patient for the presence of weapons.
C. spend as little time with the patient as possible.
D. ask the police to handcuff the patient for safety.
A. firmly identifying yourself as an EMS provider.
B. placing the patient between yourself and an exit.
C. allowing the patient to be alone if he or she wishes.
D. being prepared to spend extra time with the patient.
A. obtain vital signs.
B. restrain the patient.
C. ensure your safety.
D. obtain proper consent.
B. Alzheimer disease
C. anxiety conditions
A. low blood glucose levels
B. antihypertensive medications
C. exposure to excess heat or cold
D. inadequate blood flow to the brain
A. organic brain syndrome and altered mental status.
B. functional and nonfunctional.
C. physical and psychological.
D. all of these answers are correct
A. bizarre behavior secondary to a chemical imbalance or disturbance in the brain.
B. a dysfunction of the brain caused by abnormal physical or physiologic function.
C. a disorder that cannot be traced to the abnormal structure or function of an organ.
D. a change in behavior or mental status secondary to inadequate cerebral blood flow.
A. disruptions to activities of daily living
B. any behaviors unacceptable to the patient, family, or community
C. any behaviors that are a violent threat to the patient, EMTs, or others
D. visual or auditory hallucinations
A. demonstrates agitation or violence or becomes a threat to himself or herself, or to others.
B. experiences feelings of sadness and despair for longer than a month.
C. exhibits impaired functioning due to a chemical or genetic disturbance.
D. experiences a sudden attack of panic secondary to a stressful situation.
A. a person going on a week-long “bender” after losing a job
B. a person violently attacking family members
C. a person who is depressed and no longer caring for himself
D. a person who is experiencing a panic attack
A. activities of daily living
B. behavior that is acceptable to the community
C. behavior that regularly interferes with dressing, eating, or bathing
D. all of these answers are correct
A. a sudden, violent outburst of an otherwise mentally stable person toward a family member.
B. any reaction that interferes with activities of daily living or is deemed unacceptable by others.
C. a situation in which a patient demonstrates bizarre behavior and becomes a risk to other people.
D. a period of severe depression that lasts longer than 2 weeks and cannot be controlled with medications.
A. because mental illness affects everyone
B. and needs medication administered to control them
C. and should be physically restrained for their own safety and the safety of the EMT
D. but that does not mean a person is mentally ill
A. EMTs have to restrain patients.
B. EMTs respond with law enforcement.
C. EMTs respond to patients who, by definition, are having an emergency.
D. It is a common misperception; EMTs do NOT encounter a larger proportion of violent patients than the population at large.
A. Feeling “bad” or “depressed” means that you must be “sick.”
B. All persons with mental disorders are physically violent and dangerous.
C. Many mental illnesses stem from drug or alcohol abuse.
D. Everyone has some form of mental illness.