EMS Chapter 22 Psychiatric Emergencies

Common causes of acute psychotic behavior include all of the following, EXCEPT:
Alzheimer disease.

When investigating the chief complaint of a psychiatric emergency, the EMT should attempt to determine which of the following?
All of these answers are correct.

Which of the following is an example of a psychiatric disorder?
Depression

In which position should you restrain a physically uncooperative patient?
Lateral decubitus

Law enforcement personnel request your assistance for a 30-year-old man whom they pulled over for erratic driving. The patient became acutely violent while he was being questioned, which required one of the officers to subdue him with a Taser. When you arrive and assess the patient, you find that he is very agitated and is experiencing apparent hallucinations. His skin is flushed and diaphoretic. You should:
limit physical contact with the patient as much as possible and avoid interrupting him if he is attempting to communicate with you.

You are attending to a 24-year-old male patient who is delusional. His family tells you that his hallucinations started as a teenager and have gotten progressively worse over time. The patient is difficult to communicate with because his speech is erratic and he appears to have his own rules of logic. Based on this information, the patient is most likely suffering from:
schizophrenia.

When responding to a psychiatric emergency, it is recommended that the EMT obtain vital signs ____________.
only when doing so will not exacerbate the patient’s distress

Any attempt to physically restrain a patient should involve ____________.
law enforcement

When assessing a patient who is displaying bizarre behavior, the EMT should:
consider that an acute medical illness may be causing the patient’s behavior.

The mental health care system in the United States functions on several levels. For patients with clinical depression, care is most often provided by:
a psychologist.

A 78-year-old female presents with an acute change in her behavior. The patient’s son tells you that his mother has type 2 diabetes and was diagnosed with Alzheimer disease 6 months ago. The patient’s speech is slurred and she is not alert to her surroundings. You should:
inquire about the possibility of head trauma.

Which of the following considerations is the most important for the EMT during the scene size-up step of managing a psychiatric emergency?
Do you need to call for law enforcement as additional resources?

A chronic feeling of sadness or despair is defined as:
depression.

A person’s response to their environment is defined as ____________.
behavior

The term “behavioral crisis” is MOST accurately defined as:
any reaction that interferes with activities of daily living or is deemed unacceptable by others.

During a psychiatric emergency, the EMT should be able to ____________.
predict whether the patient will become violent

It is MOST important for the EMT to remember that suicidal patients may:
be homicidal as well.

Patients with mental health disorders are often ____________.
misunderstood

A disorder in which the abnormal operation of an organ cannot be traced to an obvious change in the structure or physiology of the organ system is called ____________.
a functional disorder

Which of the following might help the EMT differentiate between “normal” depression and mental illness?
The amount of time that the patient remains feeling “blue”

Which of the following sentences about mental illness is TRUE?
Only a small percentage of people with mental health problems are dangerous, violent, or unmanageable.

Which of the following circumstances might justifiably produce feelings of depression?
All of these answers are correct

Which of the following groups can develop symptoms of mental illness?
Everyone

A behavioral crisis is also referred to as?
A psychiatric emergency

Usually, if an abnormal or disturbing pattern of behavior lasts for_____ or more it is regarded as a matter of concern from a mental health standpoint?
1 month

A behavioral crisis is MOST accurately defined as?
Any reaction to events that interferes with activities of daily living or has become unacceptable to the patient, family, or community.

Which of the following is NOT considered a psychiatric disorder?
Depression

Which of the following would probably NOT be an underlying cause of a psychiatric disorder?
No history of a disorder

When the chemical or physical basis of a disorder does not alter the appearance of the patient, it is referred to as?
A functional disorder

A cause of organic brain syndrome could be?
Seizure disorders

Depression and schizophrenia are examples of?
Functional disorders

The two basic categories of diagnosis that a physician will use to diagnose the underlying cause of a behavioral crisis or psychiatric emergency are organic and______.
Functional

When dealing with a behavioral crisis, it is appropriate to do all of the following, EXCEPT?
be prepared to not take any time longer than necessary.

If a patient asks whether he or she has to go to the hospital, your answer should be?
“Yes, that is where you can receive help”

When attempting to determine the reason for a patient’s behavioral state, what major areas should be considered when gathering information during the history taking?
All of these answers are correct.

Assessing a patient’s circulation includes an evaluation for the presence of_____ and bleeding?
Shock

During a SAMPLE history, you should ask about which of the following?
All of these answers are correct.

Asking the questions, Who are you? and Where are you? can help you begin to establish a rapport with the patient. What is the other function of this type of question?
To determine patient’s orientation

When assessing a patient with a behavioral crisis, your PRIMARY concern must be?
Whether the patient will cause harm to you or your partner.

A state of delusion in which a person is out of touch with reality is known as?
Psychosis.

Which would be an inappropriate guideline to follow when dealing with a psychotic patient?
Go along with their delusions to gain their trust.

Which of the following can lead to the sudden death of a patient with excited delirium?
All of these answers are correct.

Another name for excited delirium is?
Exhaustive mania.

Which of the following physical symptoms would NOT support a diagnosis of excited delirium?
Seizures

Delirium is a condition of impaired cognitive(thinking) behavior. Agitation is?
A behavior that is characterized by restless and irregular physical activity.

When physically restraining a violent patient, you should?
Continually talk to the patient as he or she is being restrained.

Which of the following do you NOT have to document when using restraints?
Length of time patient was in restraints

Which of the following risk factors is the MOST indicative of a potential for violent behavior?
Physical activity

Which of the following signs is LEAST indicative a patient’s potential for violence?
The patient is 6’5″ tall and weighs 230 lb

The single most significant factor that contributes to suicide is?
Depression

Which of the following patients is at HIGHEST risk for suicide?
33-year old man who regularly consumes alcohol and has purchased a gun.

What type of PTSD develops when a person attempts to find an escape from constant internal distress or a disturbing event?
Dissociative

A common trigger for combat veterans is?
Diesel fumes.

What percentage of the population experiences PTSD at some point in their lives?
7% to 8%

If you are unsure if a life-threatening emergency exists or not, what should you do?
Request the assistance of law enforcement.

Which of the following findings does NOT indicate the potential for violence? A. Large physical body size B. Agitated or depressed C. Uncoordinated movements D. Withdrawn or detached A. Large physical body size When assessing a patient with bizarre behavior, …

BEHAVIOR the way a person acts or performs. BEHAVIORAL EMERGENCY a situation in which a person exhibits “abnormal” behavior–behavior that is unacceptable or intolerable to the patient, the family, or the community. WE WILL WRITE A CUSTOM ESSAY SAMPLE ON …

The term “behavioral crisis” is MOST accurately defined as: any reaction that interferes with activities of daily living or is deemed unacceptable by others. General guidelines for managing a patient with a behavioral emergency include: being prepared to spend extra …

A 38-year-old male with a history of schizophrenia is reported by neighbors to be screaming and throwing things in his house. You are familiar with the patient and have cared for him in the past for unrelated problems. Law enforcement …

Psychiatric mental health nurses practice at the basic or advanced level. Which of the following factors determines this level of practice? A. Educational preparation B. Years of experience C. Organizational structure D. Certification Psychiatric mental health nurses practice at the …

For a lot of psychiatrists, the question of what constitutes mental disorders is often simplified by defining it solely as those disorders which are believed to respond routinely to psychotropic medication (Blumenthal et al, 2001, p. 4). Relationship between Mental …

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