Behavioral Emergencies: EMT Palomar Quiz

1. The first step an emt takes in a behavioral emergency is

Careful scene size up

Identity self

Primary assesment

Patient history

738

Explanation

738

2. A patient who has attempted suicide in the past

More likely to try again

Looking for attention

Less likely to try again

Needs forceful restraint

A patient who has attempted suicide in the past is more likely to try again. This is because past suicide attempts are strong indicators of future attempts. Individuals who have previously attempted suicide may still be struggling with underlying mental health issues or facing difficult life circumstances that increase their risk. Therefore, it is crucial to provide appropriate support and intervention to help reduce the likelihood of future attempts and ensure the patient's safety.

Explanation

A patient who has attempted suicide in the past is more likely to try again. This is because past suicide attempts are strong indicators of future attempts. Individuals who have previously attempted suicide may still be struggling with underlying mental health issues or facing difficult life circumstances that increase their risk. Therefore, it is crucial to provide appropriate support and intervention to help reduce the likelihood of future attempts and ensure the patient's safety.

3. How would you document a patients heart rate of 110 beats per minute with evenly timed beats

Tachycardic and regular

Tachycardic and irregular

Bradycardia and regular

Bradycardic and irregular

The patient's heart rate of 110 beats per minute indicates tachycardia, which is an abnormally fast heart rate. The term "regular" suggests that the beats are evenly timed, meaning there is a consistent pattern between each beat. Therefore, the correct answer is "tachycardic and regular."

Explanation

The patient's heart rate of 110 beats per minute indicates tachycardia, which is an abnormally fast heart rate. The term "regular" suggests that the beats are evenly timed, meaning there is a consistent pattern between each beat. Therefore, the correct answer is "tachycardic and regular."

4. One method of protecting against false accusations by behavioral emergency is

Involving a third party witness

Use medical responders of different gender

Limit involvement of other responcers

Sharply limit documentation

pg 746

Explanation

pg 746

5. A 19 year old male was assaulted. he refuses to look at you or answer questions. what should you do?

Speak to him in a calm manner

Perform a head to toe physical exam

Call for law enforcement assistance

Give him the option to sign a refusal form

In this situation, the appropriate action is to speak to the 19-year-old male in a calm manner. This approach is crucial because the individual may be in a state of distress or shock due to the assault. Speaking calmly can help establish trust and create a safe environment for communication. It is important to avoid pressuring or overwhelming the person further, as it may exacerbate their emotional state. By speaking calmly, the responder can encourage the individual to open up and provide necessary information for further assistance or medical treatment.

Explanation

In this situation, the appropriate action is to speak to the 19-year-old male in a calm manner. This approach is crucial because the individual may be in a state of distress or shock due to the assault. Speaking calmly can help establish trust and create a safe environment for communication. It is important to avoid pressuring or overwhelming the person further, as it may exacerbate their emotional state. By speaking calmly, the responder can encourage the individual to open up and provide necessary information for further assistance or medical treatment.

6. A state of painful uneasiness about impending problems is called

Anxiety

Depression

Mania

Psychosis

pg 733

Explanation

pg 733

7. In talking with behavioral emergency patient an emts should take all the following actions except

Maintain 3ft from patient

Identify self

Eye contact

Be honest

pg 737 3 ft is way to specific for distance. but be aware of maintaining distance AT FIRST

Explanation

pg 737 3 ft is way to specific for distance. but be aware of maintaining distance AT FIRST

8. Of the groups listed the highest rate of suicide is which

Men age 15 to 25

Women under 25

Men over 40

Woman over 50

pg 735
kind of weird question since the book says young people 15 to 24 yrs but these are the options

Explanation

pg 735
kind of weird question since the book says young people 15 to 24 yrs but these are the options

9. Medical condition likely to cause restlessness and confusion, cyanosis and ALC

Lack of 02

Excessive heat

Inadequate blood to the brain

Excessive cold

The correct answer is lack of O2. When there is a lack of oxygen in the body, it can lead to various symptoms including restlessness and confusion. Cyanosis, which is the bluish discoloration of the skin, can also occur due to inadequate oxygen levels. A decrease in oxygen supply to the brain can result in confusion and disorientation. Therefore, the lack of oxygen is the most likely medical condition that can cause these symptoms.

Explanation

The correct answer is lack of O2. When there is a lack of oxygen in the body, it can lead to various symptoms including restlessness and confusion. Cyanosis, which is the bluish discoloration of the skin, can also occur due to inadequate oxygen levels. A decrease in oxygen supply to the brain can result in confusion and disorientation. Therefore, the lack of oxygen is the most likely medical condition that can cause these symptoms.

10. What is dystonia

Involuntary contractions of muscles

Involuntary contractions of facial muscles

A delusion

Sudden onset

pg 732

Explanation

pg 732

11. What is one of the most common emotions

Anxiety

Phobias

Depression

Violence

pg 733

Explanation

pg 733

12. A patient is talking with you when suddenly they get up and say they have to leave because someone is trying to shoot them, they are experiencing what

Paranoia

Anxiety

Psychosis

Schizophrenia

The correct answer is paranoia. Paranoia refers to an irrational and intense fear or suspicion that others are plotting against or trying to harm oneself. In this scenario, the patient's sudden belief that someone is trying to shoot them indicates a paranoid episode. Paranoia can be a symptom of various mental health conditions, including anxiety disorders and schizophrenia, but in this case, it is the most fitting explanation for the patient's experience.

Explanation

The correct answer is paranoia. Paranoia refers to an irrational and intense fear or suspicion that others are plotting against or trying to harm oneself. In this scenario, the patient's sudden belief that someone is trying to shoot them indicates a paranoid episode. Paranoia can be a symptom of various mental health conditions, including anxiety disorders and schizophrenia, but in this case, it is the most fitting explanation for the patient's experience.

13. Tarditive dyskinesia

Involuntary movement of face muscles

Involuntary contractions of muscles

Suspension

Phobia

The correct answer is "involuntary movement of face muscles". Tarditive dyskinesia is a condition characterized by involuntary movements, typically affecting the face muscles. These movements can include grimacing, tongue protrusion, and lip smacking. Tarditive dyskinesia is commonly associated with the long-term use of certain medications, particularly antipsychotic drugs. It is important to recognize and manage this condition as it can significantly impact a person's quality of life.

Explanation

The correct answer is "involuntary movement of face muscles". Tarditive dyskinesia is a condition characterized by involuntary movements, typically affecting the face muscles. These movements can include grimacing, tongue protrusion, and lip smacking. Tarditive dyskinesia is commonly associated with the long-term use of certain medications, particularly antipsychotic drugs. It is important to recognize and manage this condition as it can significantly impact a person's quality of life.

14. A patient is vomiting what position do you put them into

Lateral recumbant

Supine

On their left side

Prone so they will stop

The correct answer is lateral recumbant. When a patient is vomiting, placing them in the lateral recumbant position helps prevent aspiration of vomit into the airway. This position involves lying on the side with the upper leg bent and the lower leg straight, which helps to keep the airway clear and allows the vomit to drain out of the mouth.

Explanation

The correct answer is lateral recumbant. When a patient is vomiting, placing them in the lateral recumbant position helps prevent aspiration of vomit into the airway. This position involves lying on the side with the upper leg bent and the lower leg straight, which helps to keep the airway clear and allows the vomit to drain out of the mouth.

15. Agitated delirium is associated with all EXCEPT

CNS stimulants

Strength

CNS depressant

Agitated

pg 736

Explanation

pg 736

16. How often does someone die in the US because of suicide

13.7 min

1 hour

30 min

1.15 min

Based on the given answer, it can be inferred that someone dies by suicide in the US approximately every 13.7 minutes. This suggests that suicide is a significant issue in the country, with a high frequency of occurrences. It highlights the urgent need for mental health support and suicide prevention measures to address this alarming statistic.

Explanation

Based on the given answer, it can be inferred that someone dies by suicide in the US approximately every 13.7 minutes. This suggests that suicide is a significant issue in the country, with a high frequency of occurrences. It highlights the urgent need for mental health support and suicide prevention measures to address this alarming statistic.

17. A patient has attempted suicide you should

Care for trauma

Care for behavioral problem

Ask them questions about why

Call for back up

739

Explanation

739

18. Carbon monoxide poisoning you should assume

There are other patients

Vomiting

Inhalation is cause

Hypoxia

pg 739

Explanation

pg 739

19. A patient is experiencing confusion, hallucinations and delirium is likely

Hypoglycemic

Psychotic

Paranoid

Using drugs

A patient experiencing confusion, hallucinations, and delirium is likely hypoglycemic. Hypoglycemia refers to low blood sugar levels, which can cause neurological symptoms such as confusion, hallucinations, and delirium. These symptoms occur because the brain relies on glucose as its main source of energy, and when blood sugar levels drop too low, the brain is unable to function properly. Therefore, it is likely that the patient's symptoms are a result of hypoglycemia.

Explanation

A patient experiencing confusion, hallucinations, and delirium is likely hypoglycemic. Hypoglycemia refers to low blood sugar levels, which can cause neurological symptoms such as confusion, hallucinations, and delirium. These symptoms occur because the brain relies on glucose as its main source of energy, and when blood sugar levels drop too low, the brain is unable to function properly. Therefore, it is likely that the patient's symptoms are a result of hypoglycemia.

20. All are symptoms of behavioral emergencies EXCEPT

Sudden onset

Gradual onset

Odors on breath

Hallucinations

This question is asking for the symptom that is not associated with behavioral emergencies. Sudden onset refers to a symptom that occurs suddenly and without warning. In the context of behavioral emergencies, sudden onset may be a common symptom as it often indicates a rapid change in behavior or mental state. Therefore, sudden onset is not an exception and is not the correct answer. The other options, gradual onset, odors on breath, and hallucinations, can all be symptoms of behavioral emergencies.

Explanation

This question is asking for the symptom that is not associated with behavioral emergencies. Sudden onset refers to a symptom that occurs suddenly and without warning. In the context of behavioral emergencies, sudden onset may be a common symptom as it often indicates a rapid change in behavior or mental state. Therefore, sudden onset is not an exception and is not the correct answer. The other options, gradual onset, odors on breath, and hallucinations, can all be symptoms of behavioral emergencies.