The first step in assessing a patient with a behavioral emergency is to:

A. obtain proper consent

B. restain the patient

C. ensure your safety

D. take vital signs

Common causes of acute psychotic behavior include all of the following EXCEPT:

A. Alzheimer's disease

B. mind-altering substance use

C. intense stress

D. schizophrenia

The term "behavioral crisis" is MOST accurately defined as:

A. a period of severe depression that last longer than 2 weeks and cannot be controlled with medications

B. a sudden, violent outburts of an otherwise mentally stable person toward a family member

C. any reaction that interferes with activites of daily living or is deemed unacceptable by others

D. a situation in which a patient demonstrates bizarre behavior and becomes a risk to other people

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 this forearms that are actively bleeding. The MOST appropriate wat to manage this situation is to:

A. restain the patient with appropriate force in order to treat his injuries

B. approach the patient and calm him down by placing your hand on his shoulder

C. try to gain the patient's trust by telling him that you see the vampires too

D. request that the police officers arrest him and take him to the hospital

In addition to ensuring his or her own safety, the EMT's responsibility when caring for a patient with a behavioral emergency is to:

A. diffuse and control the situation and safely transport the patient

B. determine the underlying cause of the problem and offer advice

C. diagnose the patient's problem and provide definitive treatment

D. transport the patients directly to a specialized psychiatric facility

The single most significant factor that contributes to suicide is:

A. depression

B. advanced age

C. a chronic illness

D. drug abuse

Signs of agitated delirium include:

A. pallor, hypotension, and constricted pupils

B. slurred speech, bradycardia, and a high fever

C. subdued behavior, crying, and suicidal thoughts

D. diaphoresis, tachycardia, and hallucinations

Law enforcement personnel request you assistance for a 30-year-old man who they pulled 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:

A. limit physical contact with the patient as much as possible and avoid interrupting him if he is attempting to communicate with you.

B. suspect that he is acutely hypoglycemic, consider giving him a tube of oral glucose, and transport with lights and siren.

C. recognize that he is experiencing a complex psychiatric crisis, quickly load him into the ambulance, and transport without delay

D. quickly rule out any life-threatening conditions and then perform a detailed secondary assessment as he is being restrained.

Which of the following is an example of a functional behavioral disorder?

A. Alzheimer's disease

B. schizophrenia

C. drug addiction

D. head trauma

Which of the following conditions or factors would be the LEAST likely to result in a change in behavior?

A. antihypertensive medications

B. exporsure to excess heat or cold

C. inadequate blood flow to the brain

D. low blood glucose levels

Which of the following is NOt typically linked to a psychological or behavioral crisis?

A. Mind-altering substances

B. An underlying medical problem

C. Hisotry of smoking

D. Stress

Which of the following is a normal reaction to a crisis situation?

A. Monday morning blues that last until Friday

B. Feeling "blue" after the break up of a long term relationship

C. Behavior problems may be the result of drug or alcohol abuse

D. Thoughs of suicide 

Which of the following statements is FALSE?

A. You may be able to predict whether a person will become violent.

B. Scene Safety is always your primary concern

C. Behavior problems may be the result of drug or alcohol abuse

D. Most people with a mental illness are dangerous

Learning to adapt to a variety of situations in daily life, including stresses and strains, is called:

A. disruption

B. adjustment

C. behavior

D. functional

If the interruption of daily routine tends to recur on a regular basis, the behavior is also considered a ___________ crisis.

A. mental health

B. functional

C. behavioral

D. psychogenic

If an abnormal or disturbing pattern of behavior lasts for at least __________, it is regarded as a matter of concern from a mental health standpoint.

A. 6 weeks

B. 1 month

C. 6 months

D. 1 year

Patients may show agitation, violence, or become a threat to themselves or others when they experience a(n) ______________ emergency.

A. psychiatric

B. behavioral

C. function

D. adjustment

Which of the following is NOT considered a possible cause of a psychiatric disorder?

A. Social disturbance

B. Chemical disturbance

C. Biologic disturbance

D. Emotional disturbance

An altered mental status may arie from:

A. an oxygen saturation of 98%

B. moderate temperatures

C. an inadequate blood flow to the brain

D. adequate glucose levels in the blood

Organic brain syndrome may be caused by:

A. daily stress

B. seizure disorder

C. myocardial infarction

D. thoratic spinal cord injury 

All of the following are examples of a functional disorder EXCEPT:

A. anxiety

B. depression

C. organic brain syndrome

D. schizophrenia

When documenting abnormal behavior, it is important to:

A. document restraints only when leather restraints are used

B. document everything that happened on the call

C. avoid quoting the patient's own words

D. interject your interpretation of the patient's thoughts

Safety guidelines for behavioral emergencies include the following EXCEPT:

A. assessing the scene

B. being prepared to spend extra time

C. encouraging purposeful movement

D. determining the underlying psychiatric disorder

In evaluating a situation that is considered a behavioral emergency, the first things to consider are:

A. airway and breathing

B. scene safety and patient response

C. history of medication

D. respiratory and circulatory status

___________ is a behavior that is characterized by restlessness and irregular physical activity.

A. Agitation

B. Aggression

C. Anxiety

D. Apthy

Which of the following is NOT considered a risk factor for suicide?

A. Alcohol abuse

B. Recent marriage

C. Family history of suicide

D. Depression

Which of the following is NOT a risk factor to consider when assessing a suicidal patient?

A. Does the patient appear to be well groomed?

B. Is the environment unsafe?

C. Is there an imminent threat to the patient or others?

D. is there evidence of self destructive behavior?

Signs and symptoms of agitated delirium include all of the following EXCEPT:

A. hyperventilation

B. tachycardia

C. vivid hallucinations

D. dilated pupils

You should request the assistance of a _______ when a mentally impaired patient refuses to got to the hospital.

A. physician

B. court order

C. law enforcement officer

D. psychologist

When restraining a patient without an appropriate order, legal actions may involve charges of:

A. abandonment

B. negligence

C. battery

D. breach of duty

When restraining a patient on a stretcher, it is necessary to constantly reassess the patient's:

A. level of consciousness

B. respiration and circulation

C. emotional status

D. pain status

True or False

Depression lasting 8 months after being fired from a job is a normal mental heath response.

True or False

Low blood glucose or lack of oxygen to the brain may cause a behavioral changes to the degree that a psychiatric emergency could exist.

True or False

From a mental health standpoint, a pattern of abnormal behavior must last at least 3 months to be a matter of concern.

True or False

A disturbed patient should always be transported with restraints

True or False

It is sometimes helpful to allow a patient with a behavioral emergeny some time alone to calm down and collect his or her thoughts.

True or False

It is important to maintain eye contact with the patient when dealing with a behavioral crisis.

True or False

A patient should never be asked if he or she is considering suicide.

True or False

Urinary tract infections can cause behavioral changes in elderly patients

True or False

All individuals with mental health disorders are dangerous, violent, or otherwise unmanageable.

True or False

When completing the documentation, it is important to record the reasons why you restrained a patient.

True or False

When restraining a patient, at least four people should be present to carry out the restraint.

True or False

A patient should be placed face down when being restrained to a litter

True or False

Reassessment of restrained patients should take place every 5 minutes.

True or False

Tears, sweating, and blushing may be significant indicators of state of mind such as sadness, nervousness, or embarrassment.

True or False

Almost every situation, medical or trauma, will have some behavioral component.

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_________ is that you can see of a person's response to the environment; his or her actions.

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A(n) ____________ _____________ or emergency is any reaction to events that interferes with the activities of daily living or has become unacceptable to the patient, family, or community.

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Chronic ____________, or a persistent feeling of sadness or dispair, may be a symptom of a mental or physical disorder.

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_____________ _____________ ___________ is a temporary or permanent dysfunction of the brain caused by a disturbance in the physical or physiologic functioning of the brain.

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Any time you encounter an emotionally depressed patient, you must consider the possibility of _________.

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People with _____________ may experience symptoms including delusions, hallucinations, a lack of interest in pleasure, and erratic speech.

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Violent or dangerous people should be managed by ___________ _________ before emergency care is rendered.

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When a patient is not mentally competent to grant consent, the law assumes that there is __________ _________.

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The most common cause of dementia is primary progressive dementia, also known as _______ _______.

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In subduing a disturbed patient, use the ____________ force necessary.