Chapter 20 Psychiatric Emergencies

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hiker0001
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268315
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Chapter 20 Psychiatric Emergencies
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2014-03-29 18:45:17
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Psychiatric Emergencies
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Chapter 20 Psychiatric Emergencies
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  1. Which of the following is NOT considered a cause of a psychiatric disorder?
    A. social disturbance
    B. biological disturbance
    C. emotional disturbance
    D. chemical disturbance
    C. emotional disturbance
    (this multiple choice question has been scrambled)
  2. 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
    D. determining the underlying psychiatric disorder
    (this multiple choice question has been scrambled)
  3. Signs and symptoms of agitated delirium include all of the following EXCEPT:
    A. dilated pupils
    B. vivid hallucinations
    C. hyperventilation
    D. tachycarida
    C. hyperventilation
    (this multiple choice question has been scrambled)
  4. True or false.  Urinary tract infections can cause behavioral changes in elderly patients.
    True.
  5. True or false.  When completing the documentation, it is important to record the reasons why you restrained the patient.
    False.
  6. Assessing the blood pressure and oxygen saturation of a patient with a behavioral crisis should be performed:
    A. at least every 5 minutes in order to detect signs of shock.
    B. if doing so will not worsen his or her emotional distress.
    C. only if you will be transporting the patient to the hospital.
    D. within the first few minutes after making patient contact.
    B. if doing so will not worsen his or her emotional distress.
    (this multiple choice question has been scrambled)
  7. A 40-year-old male intentionally cut his wrist out of anger after losing his job. Law enforcement has secured the scene prior to your arrival. As you enter the residence and visualize the patient, you can see that he has a towel around his wrist and a moderate amount of blood has soaked through it. You should:
    A. approach the patient with caution.
    B. quickly tend to the bleeding wound.
    C. tell the patient that you want to help.
    D. calmly identify yourself to the patient.
    D. calmly identify yourself to the patient.
    (this multiple choice question has been scrambled)
  8. From a mental health standpoint, an abnormal or disturbing pattern of behavior is a matter of concern if it lasts for at least:
    A. 1 month.
    B. 2 weeks.
    C. 3 weeks.
    D. 1 week.
    A. 1 month.
    (this multiple choice question has been scrambled)
  9. Any reaction to events that interferes with the activities of daily living or has become unacceptable to the patient, family, or community.
    behavioral crisis
  10. When a ____ ____ arises, the patient:
    1.     May show agitation or violence
    2.     May become a threat to self or others
    psychiatric emergency
  11. A temporary or permanent dysfunction of the brain caused by a disturbance in the physical or physiologic functioning of the brain tissue.
    Organic brain syndrome
  12. A ____ disorder is one in which the abnormal operation of an organ cannot be traced to an obvious change in the actual structure or physiology of the organ or organ system.
    functional
  13. A state of delusion in which the person is out of touch with reality.
    Psychosis
  14. A condition of impairment in cognitive function that can present with disorientation, hallucinations, or delusions.
    Delirium
  15. ____ is characterized by restless and irregular physical activity.
    Agitation
  16. In assessing a nonthreatening patient in a behavioral emergency, it can be useful to gather information:
    A. in a quiet area, with someone known to the patient present
    B. with parents, relatives, or caregivers present
    C. separately from parents, relatives, or caregivers
    D. immediately upon arrival of police at the scene, with someone known to the patient present
    C. separately from parents, relatives, or caregivers
    (this multiple choice question has been scrambled)
  17. When working with a potentially hostile or violent patient, remove:
    A. all items from the patient's pockets
    B. everyone who is not needed
    C. all of the patient's outer clothing
    D. all dangerous implements in the area
    B. everyone who is not needed
    (this multiple choice question has been scrambled)
  18. Because behavioral emergencies are fraught with legal dangers, which of the following is not essential information if the case is reviewed for medicolegal reasons?
    A. everything that happened prior to your arrival
    B. everything that happened on the call
    C. why restraints were used
    D. all situations that required restraints
    A. everything that happened prior to your arrival
    (this multiple choice question has been scrambled)

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