Chapter 31 Psychiatric Disorders and Substance Abuse

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Chapter 31 Psychiatric Disorders and Substance Abuse

How many neurons are contained in a piece of brain the size of a grain of sand?
A) A. 10,000
B) B. 100,000
C) C. 2 million
D) D. 10 million

B

When interviewing a possibly hostile patient, what must you pay special attention to in order to determine the potential threat level?
A) A. Conversation
B) B. Degree of injury
C) C. Posture
D) D. Symptoms

C

What type of psychiatric disorder causes a patient to believe ordinary events have a special significance?
A) A. Delusions of reference
B) B. Grandiose delusions
C) C. Paranoid delusions
D) D. Somatic delusions

A

What is often referred to as "a clouding of consciousness"?
A) A. Delirium
B) B. Delusions
C) C. Hallucinations
D) D. Psychosis

A

What is a common disorder characterized by a state of apprehension about real events?
A) A. Agoraphobia
B) B. Anxiety
C) C. Fear
D) D. Phobia

B

Thought blocking is caused by:
A) A. Derealization
B) B. Mutism
C) C. Preoccupations
D) D. Schizophrenia

D

A normal mood is also known as a ______________ mood.
A) A. Dysphoria
B) B. Elevated
C) C. Euphoria
D) D. Euthymic

D

A patient who previously had a schizophrenic episode but does not currently show any symptoms is said to have _____________ schizophrenia.
A) A. Catatonic
B) B. Disorganized
C) C. Paranoid
D) D. Residual

D

Involuntary and repetitive movements of the mouth and face, such as sucking, chewing, and grimacing, are associated with:
A) A. Bipolar disorder
B) B. Cyclothymia
C) C. Dysthymia
D) D. Tardive dyskinesia

D

Trichotillomania is exhibited by the patient:
A) A. Pacing back and forth
B) B. Habitually pulling out his or her hair to the point of a noticeable hair loss
C) C. Obsessing over the number three
D) D. Displaying poor social skills

C

The region that is described as the switchboard to the brain is made up of what structure(s)?
A) a. Biopsychosocial ellipses
B) b. Maxillofacial sinus
C) d. Thalamus
D) c. Neurotransmitters

C

Which of the following best describe the factors that alter the behavior or emotional status of an ill or injured person?
A) c. Lifestyle changes, hyperthermia, and brain trauma
B) a. Brain trauma, hypoxia, hypoglycemia, and hypothermia
C) b. Genetic disposition, hypoxia, and hyperthermia
D) d. Terminal illness, euphoric states, and hypoxia

B

Which of the following is an indicator of potential danger with a person experiencing a behavioral emergency?
A) a. Messy room
B) c. Person's voice
C) d. Rumpled clothes
D) b. Person's posture

D

Which of the following techniques is recommended for dealing with patients who have behavior problems?
A) c. Maintain a quiet, nonthreatening atmosphere.
B) d. Stand or sit directly in front of the patient.
C) a. Attempt to be the patient's buddy to gain his trust.
D) b. Lie to the patient to calm him or her down.

A

If you discover heat-resistant pans, labels of drums removed, and a strong odor, your best action would be to:
A) d. Turn off all burners, check for patients inside, and then call the hazardous materials team
B) a. Call for police and the hazardous materials team while remaining inside to preserve evidence
C) b. Check for unconscious persons, turn off any boiling pots, and evacuate
D) c. Quickly evacuate and call for assistance without taking time to turn anything off

D

Which is the best statement concerning a person who is capable of making informed consent?
A) d. Restraint is appropriate if the person does not fully comply with your instructions.
B) c. Informed consent is only applicable to the manner of restraint, not restraint itself.
C) a. Do not restrain a person who is fully capable of informed consent.
D) b. Informed consent is not applicable if the patient needs to be restrained.

C

If a patient has been restrained but continues to be agitated, from what life-threatening condition could the patient be suffering?
A) b. Agitated insanity
B) a. Agitated delirium
C) d. Insanity
D) c. Insane delirium

B

An assessment finding of no sensation of pain and a near-death type experience indicates which of the following substances of abuse?
A) c. Opioids
B) a. Alcohol
C) b. Ketamine
D) d. PCP

C

An assessment finding of strong chemical odor hours later and stained clothing indicates which of the following substances of abuse?
A) d. PCP
B) a. Inhalants
C) c. Opioids
D) b. Ketamine

B

Which of the following best defines the term anxiety.
A) c. Physical or emotional reaction to a threat
B) d. State of apprehension of future threats
C) b. Eustress during an incident leading to euphoria
D) a. Dystonic reactions to perceived threats

B

The best answer for a safety concern for clandestine drug labs would be:
A) a. Chemical detoxification
B) d. Moisture-resistant chemicals
C) b. Chemical toxicity
D) c. Inhalant-resistant chemicals

C

Inappropriate restraint of a patient can be considered:
A) b. Assault, battery, and simple neglect
B) d. Acceptable regardless of outcome as long as medically necessary
C) c. Medically necessary and reviewable by the medical director
D) a. Assault, battery, and false imprisonment

D

In dealing with a schizoid patient, what is the proper therapeutic intervention?
A) c. Provide comfort to family and others affected by the patient's behavior.
B) b. Explain medical procedures, and insist that patients take their medications in your presence.
C) d. Provide Valium or Versed to attenuate the symptoms and placate the patient.
D) a. Attempt to calm violent or distressing psychotic episodes, and transport.

D

Which of the following is most likely to result in successful suicide?
A) d. Indefinite thoughts such as lying down with sleeping pills
B) c. Indefinite plans with place, time, and moderately lethal method
C) a. Definite plans with place and highly lethal method
D) b. Definite thoughts without specific place, time, and method

C

A patient is most likely to become hyperthermic in which of the following intoxications?
A) c. MDMA
B) a. Alcohol
C) b. Cocaine
D) d. MRSA

A

Which of the following is a commonly abused cannabinoid?
A) c. Frig
B) b. Forget me knot
C) a. Big O
D) d. Gangster

D

Which of the following is most indicative of schizophrenia?
A) d. Social withdrawal, distortions of reality, and flat or inappropriate affect
B) c. Pill-rolling, drooling, and wringing of hands
C) a. Drooling, neglected hygiene, and poor communication
D) b. Inappropriate affect, wringing of hands, and drooling

A

Which of the following best describes the possible differential diagnosis of schizophrenia?
A) d. Seizure disorders, hypothyroidism, and bipolar disorder
B) a. Alcohol intoxication, depression, and cocaine intoxication
C) c. Depression, Wernicke-Korsakoff syndrome, and Parkinson's disease
D) b. Bipolar disorder, dystonic reaction, and head trauma

B

Which bests defines the term withdrawal?
A) b. A stabilization in blood volume and circulating medication volume, causing seizures or other erratic brain functioning
B) a. A drop in the blood plasma levels of a drug, causing a specific set of signs and symptoms
C) d. An increase in the blood plasma levels of a drug, causing a specific set of signs and symptoms
D) c. An alteration in blood volume and circulating medication volume, causing seizures or other erratic brain functioning

B

Of the following, which are the best indicators of an abnormal assessment finding that may indicate substance abuse?
A) c. Track marks and marijuana T-shirt
B) b. Closed wine bottle and bottle opener
C) a. Alcohol bottle and cigarettes
D) d. Track marks and smell of alcohol

D

Which of the following is indicative of a melancholic episode?
A) a. Low self-esteem, euphoria, and depression
B) d. Thoughts of death or suicide, poor appetite, and sleep disturbances
C) c. Sleep disturbances, suicidal thoughts, and dysthymia
D) b. Poor appetite, dysthymia, and low self-esteem

B

In the United States, more people die of _____ than from the use of all other illicit drugs combined.
A) d. Inhalant use
B) a. Alcoholism
C) b. Cocaine use
D) c. Heroin use

B

The best technique to calm an agitated person is to be:
A) d. Jovial and businesslike
B) c. Confrontational and businesslike
C) b. Calm and confrontational
D) a. Businesslike and calm

D

The term behavior is best defined as:
A) a. A group of psychologic symptoms describing mental disease
B) c. A person's thoughts or dreams
C) b. A person's observable activities
D) d. A subset of psychologic symptoms describing mental disease

C

Which of the following is a commonly abused opioid?
A) a. Brown sugar
B) d. Vitamin K
C) c. Red birds
D) b. Purple passion

A

The thalamus, hippocampi, and amygdala make up which neurologic system?
A) d. Tardive
B) a. Limbic
C) b. Neurocentral processing
D) c. Organic processing

B

Alcohol is involved in what percentage of fatal motor vehicle crashes?
A) d. 63%
B) c. 43%
C) b. 38%
D) a. 21%

C

Which of the following is the best choice for risk factors for suicide?
A) c. Previous attempts, mood disorders, substance abuse, and recent tragedy or loss
B) a. Middle age, substance abuse, mood disorder, and negative significant life event
C) d. Terminal illness, being a teenager or middle-age adult, and substance abuse
D) b. Mood disorder, negative significant life event, terminal illness, and being a teenager

A

An assessment finding of sleepy and sedative state indicates which of the following substances of abuse?
A) a. CNS depressants
B) b. Ketamine
C) c. Marijuana
D) d. PCP

A

Which of the following best describes the possible differential diagnosis of major depression?
A) a. Dysthymia, menopause, and Graves' disease
B) b. Hypercalcemia, syphilis, and dysthymia
C) d. Schizophrenia, hypoglycemia, and hypercalcemia
D) c. Mania, dysthymia, and alcoholism

C

Events such as loss of a loved one, loss of a job, or other significant event that can affect a person's behavior are called:
A) a. Depression
B) d. Social regression
C) c. Psychosocial factors
D) b. Psychologic imbalance

C

Which of the following is the best method for gathering more information about the patient's condition?
A) c. Ask open-ended questions.
B) b. Ask no questions, as the patient will not tell the truth.
C) d. Ask several quick yes or no questions.
D) a. Ask a combination of open- and closed-ended questions.

A

A patient with acute-onset blindness, deafness, or a loss of touch sensation would suggest which of the following psychiatric disorders?
A) a. Anxiety attacks
B) b. Depression
C) c. Disassociate attacks
D) d. Somatoform attacks

D

Which of the following best defines the term addiction?
A) b. The continuing need to take or use a substance
B) c. Interdependence or the continuing need to take or use a substance
C) a. Dependence or a state needed to increase a medication to produce the same effect
D) d. Interdependence or the body's need and ability to use a substanc

A

Which is the best definition of the term substance abuse?
A) b. When a person uses medications or substances for pain after surgery
B) a. When a person uses a substance or medication after developing a tolerance to the medication or substance
C) d. When a person uses a substance for a longer period of time than prescribed
D) c. When a person uses the substance for something other than prescribed or in greater quantities than prescribed

D

Which of the following conditions is best suited by this statement: "Strong odor of chemicals is an ominous sign for paramedic safety"?
A) b. Cocaine
B) d. Inhalants
C) a. Alcohol
D) c. Heroin

B

Which drug blocks the reuptake of dopamine by neurons, causing massive CNS stimulation?
A) d. Marijuana
B) c. Heroin
C) a. Alcohol
D) b. Cocaine

D

Which is the best definition of the term tolerance?
A) c. Varying doses of medication or substance to achieve the same effect
B) d. Varying doses of a medication to increase the effect of the medication or substance
C) a. Higher doses of a medication needed to have the same effect
D) b. Lower doses of a medication needed to have the same effect

C

Abnormal behavior is based on what characteristics?
A) d. The norms of society and culture
B) c. The norms of societal leadership or government
C) a. Being different from other people in the same socioeconomic group
D) b. Odd behavior such as shirttail out of pants or pants pulled past butt

A

Which statement best describes a patient's response to questions of his or her mental illness?
A) d. The patient may or may not be forthcoming.
B) b. Mental patients always deny their illness.
C) a. Do not ask about the history of mental illness.
D) c. Mental patients will not deny their illness.

A

Which of the following is the best description, as opposed to other substances of abuse, of patients taking PCP?
A) c. Cannot be talked down, and chemical or physical restraint should be used
B) a. Can be talked down, but chemical or physical restraint may be necessary on them
C) d. Cannot be talked down, but chemical or physical restraint will not be necessary on them
D) b. Can be talked down, but chemical or physical restraint will be ineffective on them

A

A patient with shortness of breath, palpitations, and paralyzing fear would suggest which of the following psychiatric disorders?
A) a. Panic attacks
B) b. Depression
C) c. Disassociate attacks
D) d. Somatoform attacks

A

Which of the following best describes the possible differential diagnosis of somatoform disorders?
A) c. Major depression, cerebrovascular accident, and body dysmorphic disorder
B) a. Alcoholism, conversion disorder, and body dysmorphic disorder
C) b. Factitious disorder, conversion disorder, and substance intoxication or withdrawal
D) d. Major depression, cerebrovascular accident, or factitious disorder

D

Which set of actions could best be described as being a behavioral emergency?
A) d. Suicidal, homicidal, or aggressive ideations
B) b. Generalized tidiness and boisterous behavior toward others
C) c. Point-specific distrust of persons and amicable relations with others
D) a. Anger, distrustful, and affable behavior

A

Which best describes the symptoms of stopping methamphetamine use?
A) a. Aggression, depression, hyperthermia, and headache
B) b. Depression, aggression, euphoria, and paranoia
C) c. Depression, anxiety, paranoia, and aggression
D) d. Stoicism, aggression, depression, and headache

C

Which of the following best describes the possible differential diagnosis of anxiety disorders?
A) a. Addison's disease, asthma, and autism
B) b. Obsessive-compulsive disorder, anaphylaxis, and Addison's disease
C) d. Schizophrenia, asthma, and panic attack
D) c. Posttraumatic stress disorder, panic attack, and asthma

A

What percentage of the U.S. population will have at least one episode of depression in their lifetime?
A) b. 8%
B) a. 6%
C) d. 15%
D) c. 13%

B

A question that requires an answer other than a yes or no is what type of question?
A) d. Thoughtful
B) a. Closed ended
C) c. Simplistic
D) b. Open ended

D

An assessment finding of bloodshot eyes and slouching posture indicates which of the following substances of abuse?
A) a. Ketamine
B) d. PCP
C) b. Marijuana
D) c. Opioids

C

Which of the following best describes the possible differential diagnosis of bipolar disorder and cyclothymia?
A) c. Opiate abuse and withdrawal, multiple sclerosis, and panic disorder
B) d. Schizoaffective disorder, panic disorder, and neurosyphilis
C) a. Head trauma, epilepsy, and schizoaffective disorder
D) b. Ischemic stroke, head trauma, and epilepsy

C

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