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Terms in this set (50)
You are assessing a 34-year-old woman who appears to be depressed. You were summoned to see the patient by her husband, who tells you that she won't talk to him. During your interview of the patient, which of the following questions or comments would MOST likely yield a response from the patient?
"You appear to be very sad."
In contrast to dementia, delirium:
is characterized by acute global impairment of cognitive function.
The BEST way to ensure that no one is harmed during an EMS call is to:
assess the potential for violence on every EMS call.
Signs and symptoms of depression that last for at least 2 years:
are highly suggestive of dysthymic disorder.
If a psychotic person's level of consciousness is fluctuating, you should:
suspect an organic brain syndrome.
Which of the following drugs is an MAOI?
Which of the following is NOT an identified risk factor for suicide?
Hispanic woman older than 55 years of age
When assessing a patient with a behavioral emergency, the MOST important assessment tool you have is:
People who are overly concerned with their physical health and appearance MOST likely have a(n):
A hallmark sign of mania is:
When confronted with a feared object or situation, the phobic person:
experiences intolerable anxiety and autonomic symptoms.
Side effects of MAOI antidepressants include:
Which of the following assessment findings is MOST suggestive of an organic cause of abnormal behavior?
Unusual breath odor
An alteration in one's perception of reality is MOST characteristic of:
a dissociative disorder.
Disorganization and disorientation:
are ways that certain psychiatric conditions may present themselves.
You are assessing a middle-aged woman who is acutely disoriented. According to her husband, she has bipolar disorder and, to the best of his knowledge, has been compliant with her medication. Her blood pressure is 106/66 mm Hg, pulse rate is 100 beats/min and strong, and respirations are 14 breaths/min and regular. During your care of this patient, it is MOST important to:
assess her oxygen saturation and blood glucose level.
Law enforcement personnel request your assistance in caring for a violent patient. When you arrive at the scene, the patient, a 48-year-old man, is yelling obscenities and is threatening to kill anyone who comes near him. Despite your attempts to calm him verbally, he continues his threatening behavior. It is MOST important for you to:
ensure that you have a route for rapid egress and visually scan the patient for potential weapons.
Klonopin and BuSpar:
are anxiolytic medications.
A man who smiles pleasantly when he tells you of the recent death of his wife:
has an inappropriate affect.
Any patient who is experiencing a panic attack:
should be evaluated to rule out an underlying medical condition.
Many EMS personnel may experience a lack of confidence in their ability to deal with emotional disturbances for all of the following reasons, EXCEPT:
the uncontrollable fear of personal injury.
Accelerated thinking in which the mind skips very rapidly from one thought to the next is called:
flight of ideas.
Organic brain syndrome is a term used to describe a condition in which a person's abnormal behavior is:
caused by a physical illness or the influence of a substance that interferes with normal cerebral function.
A person who is neologistic:
A patient who is taking Aventyl:
may have nonspecific T-wave changes on the ECG.
Venlafaxine is the generic name for:
Generalized anxiety disorder is characterized by:
persistent and unproductive worrying.
A psychotic person may have thought insertions, which are defined as:
the belief that thoughts are being thrust into his or her mind by another person.
A 41-year-old woman attempted to kill herself by cutting her wrists. Law enforcement personnel are at the scene. You have controlled the bleeding with direct pressure and a pressure bandage. The patient's vital signs are stable and she is conscious and alert; however, she refuses to go to the hospital. Despite pleas from her family to go to the hospital, she still refuses. You should:
remain with the patient, contact medical control, and request law enforcement intervention.
Repetitive actions that are carried out to relieve the anxiety of obsessive thoughts are called:
During your assessment of an unresponsive 70-year-old man, the patient's wife tells you that he takes Luvox and BuSpar, among other medications. From this limited information, you should conclude that the patient suffers from:
depression and anxiety.
A patient who is confused:
has an impaired understanding of his or her surroundings.
A psychotic episode MOST often leads to violence because of:
exaggerated fear or paranoia.
When caring for a patient experiencing a psychotic episode, you should:
first assess the situation for danger.
Which of the following questions would be the MOST appropriate initial question to ask when broaching the subject of suicide with a depressed patient?
"Have you ever thought that life wasn't worth living?"
You are dispatched to a skilled nursing care facility for a 74-year-old male resident who is ill. During your assessment, you note that the patient has his head cocked to the side and is unable to move it. The charge nurse tells you that the patient was placed on Seroquel 2 days ago. Based on this patient's clinical presentation and medication history, you should:
administer 25 to 50 mg of diphenhydramine.
Patients who alternate between mania and depression:
are referred to as bipolar.
Disorders of thinking include all of the following, EXCEPT:
Most psychotropic medications exert their therapeutic effects by:
targeting the autonomic nervous system.
Many paramedics are reluctant to broach the subject of suicide with a depressed patient for fear that:
they might put ideas into the patient's head.
Abnormal behavior that stems from a psychosocial etiology would MOST likely occur in a patient who:
experienced emotional trauma as a kid
An agitated man with an antisocial personality:
will not think twice about hurting you.
When caring for a patient who is experiencing a panic attack:
your manner must convey that everything is under control.
Manic patients may report that their thoughts are racing and they may rapidly skip from one topic to another. This is called:
Which of the following statements regarding a person's intelligence is MOST correct?
A person with mental retardation has a disorder of intelligence.
Which of the following conditions would be the LEAST likely to produce psychotic symptoms?
Which of the following is NOT a general guideline to follow when caring for a patient with a psychiatric problem?
Be indirect when possible.
When evaluating a patient with a behavioral emergency, virtually all of the diagnostic information you obtain must come from:
your conversation with the patient.
In hypochondriasis, patients have significant anxiety or fear that they:
may have a serious disease.
When extreme anxiety occurs in conjunction with restlessness, a patient:
THIS SET IS OFTEN IN FOLDERS WITH...
Chapter 28 Psychiatric Emergencies
Medical Ch 24,25,26
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