Ch 20 EMT – Flashcards

Unlock all answers in this set

Unlock answers
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
Get an explanation on any task
Get unstuck with the help of our AI assistant in seconds
New