EMT Chapter 26

Which of the following patients would the EMT classify as having a behavioral emergency?
36-year-old male with no known history who is hearing voices

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?
Dilated pupils that are sluggish to react

According to family, a 24-year-old female suddenly began to act in a hostile manner. After assessing her, you determine that she cannot remember her name or present location and is drooling. Based on these findings, you should suspect a:
behavioral emergency resulting from a physical condition.

A patient states that she cannot leave the house to go to the hospital “because I am scared I will do something idiotic and lose it and then everyone will look at me and laugh.” She states she rarely leaves the house and the last time she did, she began to hyperventilate. This caused her to return home immediately. Based on this information, the EMT should recognize the patient as suffering from:
agoraphobia.

You are responding to a patient with a behavioral problem. While en route, dispatch contacts you and states that there is a mental-health delegate at the scene and you will be transporting the patient to the local psych hospital for treatment of her bipolar disorder. On scene which one of the following patient behaviors should help confirm that the patient is suffering from bipolar disorder?
Happy, excessively cheerful, and elated behavior

Given the research related to suicide, which one of the following patients should the EMT recognize as the highest risk for a suicidal action?
72-year-old widow who was just informed of a diagnosis of Alzheimer’s disease

You are on the scene of a male patient who threatened to take pills to end his life. In talking with the patient, he informs you that he just got a new job that requires more of his time and his wife has been giving him a hard time about it. Tonight, he had enough and just made the comment because he was mad at her. He says that although he is still upset, he doesn’t plan to do anything drastic. Before taking further action, which one of the following facts about the patient should raise the EMT’s suspicion that he is indeed at a higher risk for suicide?
Unsuccessful attempt three years ago

You arrive on scene to find that the police have subdued a violent man with a history of behavioral problems. They state they will put the patient on the stretcher. Which one of the following should cause the EMT to take immediate and corrective action?
Patient is placed and restrained in a prone position on the stretcher

Which one of the following patients is the EMT justified in restraining?
Patient threatening to kill himself and his wife and trying to leave the scene

An EMT is transporting a restrained patient who is trying to spit on him. Which one of the following would the EMT be justified in doing?
Placing a surgical mask over the patient’s mouth

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 distract him by coming at him from the front and the rest of us will come at him from different directions, each taking a separate limb.”

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?
Thoroughly document everything that happens on the call.

While transporting a patient with schizophrenia, he suddenly screams, “Do you see that snake? It is right next to you! Kill it!” How should you respond to this patient?
“I do not see a snake; I see a stethoscope. I do not doubt that you see a snake.”

Which one of the following statements shows that the EMT has a good understanding of dealing with a behavioral emergency patient?
“It is okay to spend an extended amount of time on scene before transporting patients with behavioral problems.”

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:
“Do you have a plan?”

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?
Check a radial pulse.

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

How can the EMT best keep a behavioral patient calm and avoid provoking a violent outburst?
Inform the patient of all that is going on and use a calm voice throughout care.

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?
Check his blood glucose level.

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?
“It’s okay if you do not want to talk, I will be right here if you change your mind.”

During transport, a female patient who is restrained begins to cry and states that she is sorry for becoming violent and will not behave in that manner anymore. She requests that the restraints be removed because they are hurting her legs and she does not wish to be restrained any longer. After ensuring that the restraints are not too tight and not harming the extremities, you would:
Leave the restraints in place until patient care is transferred to the hospital.

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:
pressured speech.

A male patient with a history of behavioral problems continually smacks his lips, sticks his tongue out, and turns his head to the left. His arm also jerks upward regularly. Which statement, made by a caregiver, would an EMT recognize as most important and relating to this presentation?
“He has been on psych medications for many years.”

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?
Flat

The EMT would recognize a patient as having a phobia when he makes what statement?
“I cannot eat meat because they put dangerous bacteria in it that can hurt me.”

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 …

1. ____________ is what you can see of a person’s response to the environment. A. Affect B. Behavior C. Neurosis D. Psychosis Answer: B Question Type: General Knowledge Page: 702 2. The term “behavioral crisis” is MOST accurately defined as: …

You receive a call for a domestic dispute. When you arrive at the scene, you find a young male standing on the front porch of his house. You notice that an adjacent window is broken. The patient has a large …

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. WE …

You are assessing a conscious but confused hunter who became lost in the woods on a cold day. Your assessment shows him to have an open airway, adequate breathing, and a weak radial pulse. His skin is cold to the …

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