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Exam 23: Behavioral and Psychiatric Emergencies and Suicide

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Question 31

Multiple Choice

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Which of the following situations generally allows the EMT to transport a patient with a behavioral emergency against his or her wishes?

A) The patient's personal physician gives you permission.
B) A family member gives consent and is willing to accompany the patient.
C) The patient is a threat to himself or others.
D) The patient's insurance company agrees to pay, even though the patient has not given consent.

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Question 32

Multiple Choice

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It is important that,as an EMS provider,you avoid creating a situation where positional asphyxia could occur.Which of the following is positional asphyxia?

A) Positional asphyxia is the position the person is seated in when you approach him.
B) Positional asphyxia is a birth defect that causes psychiatric issues and is initiated because of the way the fetus was positioned in the uterus.
C) Positional asphyxia is inadequate breathing or respiratory arrest caused by a body position that restricts breathing.
D) Positional asphyxia is the name for the position someone assumes after she has been hit with a taser.

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Question 33

Multiple Choice

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Concerning behavioral emergencies,which of the following statements is true?

Which of the following statements regarding behavioral emergencies is NOT true?

You are on the scene of a possible overdose.You find a 30-year-old man pacing about his living room.There is evidence of illicit drug use and the apartment is in disarray.The patient seems agitated and nervous.Attempts at calming the patient should include which of the following?

Which of the following medical conditions may be the underlying cause of an apparent behavioral emergency?

You are dispatched to a psychiatric emergency for a 68-year-old male.Dispatch provides no other information and,when questioned by you,they do not have any more information.Although all steps are important in dealing with this situation,which step is the MOST important?

You respond to the scene of a private residence for a patient who is a known insulin-dependant diabetic patient.The patient is combative and cursing as you approach.Should this patient be restrained?

You are called to the scene of an attempted suicide.You arrive to find a 25-year-old man sitting on the sofa who apparently cut his wrists.Family members have bandaged them,and there does not appear to be any bleeding risk at this time.The scene is secure.Which action would you NOT take in treating this patient?

Your patient is a 22-year-old male who has ingested a large amount of alcohol and is vomiting.He is conscious but uncooperative.He allows you to examine him but refuses transport to the hospital.You have sought assistance from law enforcement on scene.Which of the following is the BEST action?

Which of the following is acceptable when managing the patient with a behavioral or psychiatric emergency?

You are dispatched to a local fast-food restaurant for a "nature unknown" call.You arrive on-scene and find a 47-year-old male in front of the counter repeatedly singing "Happy Birthday" to himself.Police are on-scene and the scene is safe.Which of the following would be considered appropriate care?

According to coworkers,your 25-year-old female patient suddenly began acting aggressively and being verbally abusive.She tells you she is "starving" and you notice that she is pale and diaphoretic.Which of the following would be an appropriate general impression?

It can sometimes be difficult to determine whether someone who is showing unusual behavior is having a psychological emergency or is showing an altered level of consciousness due to a physical issue.Which of the following statements are true? 1) Consider patients who are exhibiting crisis or unusual behavior to be having an altered mental status from a nonpsychiatric cause until proven otherwise. 2) Many medical and traumatic conditions are likely to alter a patient's behavior. 3) Lack of oxygen may cause restlessness and confusion,cyanosis (blue or gray skin) ,and altered mental status. 4) Stroke or inadequate blood to the brain may cause confusion or dizziness and what appears to be erratic behavior.

Which of the following is NOT an acceptable method or adjunct in restraining a patient?