question

____________ is what you can see of a person's response to the environment.

answer

Behavior

question

The term "behavioral crisis" is MOST accurately defined as:

answer

any reaction that interferes with activities of daily living or is deemed unacceptable by others.

question

From a mental health standpoint, an abnormal or disturbing pattern of behavior is a matter of concern if it lasts for at least:

answer

1 month.

question

In contrast to a behavioral crisis, a psychiatric emergency occurs when a person:

answer

demonstrates agitation or violence or becomes a threat to himself or herself, or to others.

question

When assessing a patient who is displaying bizarre behavior, the EMT should:

answer

consider that an acute medical illness may be causing the patient's behavior.

question

Organic brain syndrome is MOST accurately defined as:

answer

a dysfunction of the brain caused by abnormal physical or physiological function

question

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's disease 6 months ago. The patient's speech is slurred and she is not alert to her surroundings. You should:

answer

inquire about the possibility of head trauma.

question

Which of the following conditions or factors would be the LEAST likely to result in a change in behavior?

answer

antihypertensive medications

question

Which of the following is an example of a functional behavioral disorder?

answer

schizophrenia

question

The first step in assessing a patient with a behavioral emergency is to:

answer

ensure your safety.

question

You respond to a call for an unknown emergency. When you arrive at the scene, the patient's husband meets you at the door and states that his wife has been depressed and has locked herself in an upstairs bedroom. He further tells you that he keeps his handgun in the bedroom. You should:

answer

remain in a safe place and request law enforcement.

question

General guidelines for managing a patient with a behavioral emergency include:

answer

being prepared to spend extra time with the patient.

question

A 40-year-old male intentionally cut his wrist out of anger after losing his job. Law enforcement has secured the scene prior to your arrival. As you enter the residence and visualize the patient, you can see that he has a towel around his wrist and a moderate amount of blood has soaked through it. You should:

answer

calmly identify yourself to the patient.

question

When assessing a patient with a behavioral crisis, you should:

answer

be direct and clearly state your intentions.

question

A 22-year-old male with a history of clinical depression called 9-1-1 and stated that he has attempted to kill himself. Your unit and law enforcement officers arrive at the scene simultaneously. You find the patient lying supine on the living room floor. He is unconscious and cyanotic. An empty bottle of hydromorphone (Dilaudid) is found on an adjacent table. You should:

answer

open the patient's airway and assess his respirations.

question

A 66-year-old male presents with bizarre behavior. His daughter states that he did not seem to recognize her and was very rude to her. The patient is conscious, and has a patent airway and adequate breathing. You should:

answer

ask the daughter how her father normally behaves.

question

A technique used to gain insight into a patient's thinking, which involves repeating in question form what the patient has said, is called:

answer

reflective listening.

question

Which of the following statements regarding the physical examination of a patient with a behavioral problem is correct?

answer

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.

question

You are assessing a conscious 55-year-old male with a sudden change in behavior. Which of the following clinical findings would be MOST suggestive of dysfunction of this patient's central nervous system?

answer

rapid eye movement

question

Assessing the blood pressure and oxygen saturation of a patient with a behavioral crisis should be performed:

answer

if doing so will not worsen his or her emotional distress.

question

In addition to ensuring his or her own safety, the EMT's responsibility when caring for a patient with a behavioral emergency is to:

answer

diffuse and control the situation and safely transport the patient.

question

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

answer

Alzheimer's disease.

question

The single most significant factor that contributes to suicide is:

answer

depression.

question

You are assessing a 45-year-old female who is severely depressed. She states that it seems as though her entire world is crashing down around her. She further states that she has had frequent thoughts of suicide, but is not sure if she can actually go through with it. How should you manage this situation?

answer

Ask the patient if she has developed a suicidal plan.

question

People at risk for suicide include all of the following, EXCEPT:

answer

married males older than 30 years.

question

It is MOST important for the EMT to remember that suicidal patients may:

answer

be homicidal as well.

question

Signs of agitated delirium include:

answer

diaphoresis, tachycardia, and hallucinations.

question

Law enforcement personnelrequest your assistance for a 30-year-old man who 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:

answer

limit physical contact with the patient as much as possible and avoid interrupting him if he is attempting to communicate with you.

question

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 officers escort you into the residence when you arrive. The patient tells you that he sees vampires and is attempting to ward them off by screaming and throwing things at them. He has several large lacerations to his forearms that are actively bleeding. The MOST appropriate way to manage this situation is to:

answer

restrain the patient with appropriate force in order to treat his injuries.

question

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 body, is clenching his fists, and is yelling obscenities at you. Which of the following findings is LEAST predictive of this patient's potential for violence?

answer

his large body

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