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Chapter 23 Pre-Test

Terms in this set (22)

The manner in which someone acts is known​ as:
A.
schizophrenia.
B.
bipolar disorder.
C.
phobia.
D.
behavior.
D.
behavior.
You are at the home of a​ middle-aged male patient who is exhibiting unusual behavior and acting erratically. You and your partner are standing in the doorway of the​ patient's bedroom while you talk with him. Which of the following observations is MOST likely to suggest imminent aggression from the​ patient?
A.
The patient is sitting on the​ bed, holding his head in his hands while​ weeping, and he asks for help.
B.
The patient is sitting on the​ bed, hands clenched into​ fists, and he is looking down toward the floor.
C.
The patient makes eye contact with you when you speak to him.
D.
The patient smiles at you and answers your questions.
B.
The patient is sitting on the​ bed, hands clenched into​ fists, and he is looking down toward the floor.
When a patient with a behavioral disorder refuses care and​ transport, what would be your BEST course of​ action?
A.
Give the patient an honest explanation as to why care and transportation are important while contacting medical direction.
B.
With the​ patient's first​ refusal, pack up your equipment and leave the scene immediately.
C.
Transport the patient anyway. He or she is suffering from dissociation from reality and will not know the difference.
D.
Strike a bargain with the​ patient: Tell the patient that he or she can ride up front and blow the siren if the patient agrees to go with you.
A.
Give the patient an honest explanation as to why care and transportation are important while contacting medical direction.
Most states have a provision in law that will allow a patient to be transported against his will if he is
A.
a danger to himself or others.
B.
belligerent.
C.
obviously in need of care.
D.
uncooperative.
A.
a danger to himself or others.
What should be your FIRST phase of assessment of a patient with a behavioral emergency after you complete the scene​ size-up?
A.
Primary survey
B.
History and SAMPLE
C.
Behavioral assessment test
D.
Vitals
A.
Primary survey
An older adult patient is exhibiting unusual behavior by asking the same questions over and over. What should you FIRST consider as a possible cause for this​ behavior?
A.
The patient has​ Alzheimer's disease.
B.
The patient may be experiencing amnesia from a recent head trauma.
C.
The patient may be developing a bipolar illness.
D.
It is not unusual for the elderly to ask the same​ questions, so there is no reason for concern.
B.
The patient may be experiencing amnesia from a recent head trauma.
You are called to the home of a young female who is reported to be agitated and threatening her family members. The police are in the kitchen interviewing the family​ members, and the patient is lying on the couch in the living​ room, face down with her hands under the pillow on which her head is resting. How should you​ proceed?
A.
Kneel down next to the patient while trying to coax her to sit up.
B.
From a safe​ distance, ask the patient to sit up or move to another​ chair, and ask one of the police officers to accompany you.
C.
Remove the​ patient's hands from underneath the pillow before interacting with her.
D.
Sit on the couch next to the​ patient, and gently begin interacting with her.
B.
From a safe​ distance, ask the patient to sit up or move to another​ chair, and ask one of the police officers to accompany you.
A behavioral emergency is one in​ which:
A.
an emergency demands specific behavior in response to it.
B.
a​ person's behavior is necessary to address an emergency.
C.
a​ patient's behavior is not typical for the situation.
D.
an emergency has caused EMS personnel to behave a particular way.
C.
a​ patient's behavior is not typical for the situation.
To position a restrained​ patient, you​ should:
A.
first hog tie the patient.
B.
place your knee against the​ patient's chest.
C.
place the patient face up.
D.
secure any two limbs of the patient.
C.
place the patient face up.
Which of the following medical conditions is MOST likely to present as a psychiatric or emotional​ disorder?
A.
Gastroenteritis
B.
Heart attack
C.
Emphysema
D.
Stroke
D.
Stroke
At a motor vehicle accident with a single​ patient, the patient is screaming hysterically. To take control of the​ situation, you need​ to:
A.
keep your distance until the patient calms down.
B.
calmly treat the patient as an individual.
C.
shout at the patient to calm down right now.
D.
insist that onlookers help you in restraining the patient.
B.
calmly treat the patient as an individual.
While you are en route to a young male patient who is reported to be combative and​ despondent, your FIRST course of action should be​ to:
A.
request additional EMTs to the scene to assist with​ "taking down" the patient.
B.
speed up your​ response, as the situation has a potential for a bad outcome.
C.
slow your response to allow time for the patient to relax and become more cooperative.
D.
alert​ police, and request their presence at the scene to establish its safety.
D.
alert​ police, and request their presence at the scene to establish its safety.
You are assessing a patient with a behavioral disorder who appears to be slightly agitated. Which of the following can you do to help calm the​ patient's anxiety and avoid​ escalation?
A.
Retreat to the ambulance and depart the scene.
B.
Put your hands on the​ patient's shoulders and restrain her.
C.
Encourage the patient to voice what is bothering her.
D.
Show your commitment to the​ patient's care by moving as quickly as possible.
C.
Encourage the patient to voice what is bothering her.
Which of the following techniques in caring for a patient with a stress reaction is LEAST helpful in managing the​ situation?
A.
Gaining the​ patient's full attention by speaking to him or her in a calm voice
B.
Displaying a​ genuine, empathetic approach to the​ patient's concerns
C.
Having the patient take​ deep, slow breaths to help induce calm
D.
Moving through your assessment quickly to ease the​ patient's tension
D.
Moving through your assessment quickly to ease the​ patient's tension
What is part of a suicide​ plan?
A.
Talking about not being able to go on
B.
Giving away personal possessions
C.
Saying that a current problem seems insurmountable
D.
Expressing feelings of depression
B.
Giving away personal possessions
Your partner is conducting a detailed examination of a​ 19-year-old female patient who is experiencing depression and displaying an abnormal distrust of others​ (paranoia). Your partner immediately begins assessing the​ patient's abdomen by exposing​ it, inspecting​ it, and palpating it carefully without introducing himself or explaining what he is going to do. Do you consider this approach to be​ appropriate? Why or why​ not?
A.
​No, while a physical exam is appropriate for all​ patients, it should only be performed after trust and rapport has been established.
B.
​No, even if the patient also had complaints of abdominal​ pain, this level of assessment is unnecessary.
C.
​Yes, physical findings can disclose problems that a history​ cannot, so this approach is necessary.
D.
​Yes, it is important that a thorough abdominal assessment be conducted on all patients.
A.
​No, while a physical exam is appropriate for all​ patients, it should only be performed after trust and rapport has been established.
Which of the following statements regarding suicide is​ TRUE?
A.
People are always at their most depressed just before committing suicide.
B.
Suicide decreases with​ age, occurring least often among the elderly.
C.
Most attempts at suicide are just​ attention-seeking behavior.
D.
Suicide rates are high among​ 15- to​ 25-year-olds.
D.
Suicide rates are high among​ 15- to​ 25-year-olds.
When restraining a​ patient, you must​ use:
A.
aggressiveness that is equal to the​ patient's.
B.
all the strength at your disposal.
C.
reasonable force.
D.
verbal commands only.
C.
reasonable force.
Which person is MOST likely in a behavioral​ emergency?
A.
A person on a rollercoaster going into its first plunge is screaming.
B.
A person is screaming at someone who just hit him with his bicycle and knocked him down.
C.
A person is holding a balloon in a park and screaming.
D.
A person is screaming at someone who just stole his wallet.
C.
A person is holding a balloon in a park and screaming.
Which patient is MOST exhibiting unacceptable behavior given the​ situation?
A.
An alert patient insists on spitting at your face.
B.
A patient experiencing respiratory failure expresses a feeling of impending doom.
C.
A patient with abdominal pain is guarding his stomach.
D.
A patient in respiratory distress is in the tripod position and grunting.
A.
An alert patient insists on spitting at your face.
You have been called to the local jail for a patient who has made several superficial lacerations on the wrists. The patient has been disarmed but is still threatening to commit suicide. What should you​ do?
A.
Try to convince the patient that suicide is not the answer.
B.
Avoid visual or verbal contact with the patient.
C.
Tell the patient that you are not trained in suicide counseling.
D.
Make the lacerations on the​ patient's wrists your primary concern.
D.
Make the lacerations on the​ patient's wrists your primary concern.
You arrive at the scene of a​ 25-year-old male patient who is reportedly suffering from an acute episode of paranoia schizophrenia and has threatened​ self-harm. On​ arrival, you should​ FIRST:
A.
engage the patient in conversation in an attempt to ground him in reality.
B.
ask everyone to stand back as you approach the patient cautiously.
C.
conduct a scene​ size-up and ensure the safety of the scene.
D.
agree with what the patient​ says, even though it may sound outrageous to you.
C.
conduct a scene​ size-up and ensure the safety of the scene.
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