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You are on the scene where a 23-year-old female has attempted suicide by cutting her forearms with a razor.She is sitting in the front yard and has lost a large amount of blood.She is conscious and holding a small razor blade,and tells you to get away from her.Which of the following should NOT be done?


A) Use Body Substance Isolation (BSI) .
B) Keep bystanders away from the patient.
C) Call law enforcement for assistance.
D) Take the razor blade away from her by force.

Correct Answer

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Which of the following must be treated by the EMT if present in a patient with an apparent behavioral emergency?


A) Acute alcohol intoxication
B) Hypoglycemia
C) Suicidal ideology
D) Severe clinical depression

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Your patient is a 37-year-old male sitting on the kitchen floor.His wife is attempting to talk with him,but he does not look at her or answer.He is fidgeting and has apparently thrown some dishes against the wall.What should be your first consideration?


A) Ask the wife to step outside with you so you can get information from her.
B) Ask the wife to step into the other room so you can speak with the patient alone.
C) Quickly check the patient's carotid pulse.
D) Stay a safe distance away.

Correct Answer

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Which of the following findings would be helpful in differentiating between a closed head injury and a behavioral emergency?


A) Irrational behavior
B) Unequal pupils
C) Confusion
D) Combativeness

Correct Answer

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Which of the following actions is the MOST appropriate for the EMT to take when managing a patient with a behavioral emergency?


A) Find out if the patient's insurance covers psychiatric treatment.
B) Remain calm and reassure the patient.
C) Establish control of the situation by a show of force.
D) Quickly perform a head-to-toe exam and transport without delay.

Correct Answer

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Which of the following factors suggest that a patient is at risk for suicide?


A) Recent emotional trauma
B) Sudden improvement in depression
C) Alcohol and drug abuse
D) All of the above

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Management of the suicidal patient includes all of the following except:


A) a physical examination.
B) psychoanalysis of the patient by the EMT.
C) a SAMPLE history.
D) communication.

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Concerning attempted suicide,which of the following statements is true?


A) Truly suicidal patients nearly always leave a note.
B) All suicide attempts must be taken seriously, even if the method seems insincere.
C) There is always an indication that a suicide attempt is imminent.
D) Attempted suicide is a matter for law enforcement, not EMS.

Correct Answer

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Which of the following does NOT indicate that a patient may be about to become violent?


A) Tense body posture or clenched fists
B) Crying
C) Profane language
D) Loud voice and rapid pacing

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Which of the following is the BEST defense for an EMT when facing allegations of misconduct from a mentally ill patient?


A) Hiring a background investigator to discredit the accuser
B) Having a clean employment record and lack of a criminal background
C) Providing accurate and complete documentation, supported by a third-party witness
D) Making sure you and your partner get your stories straight before talking to anyone

Correct Answer

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There are general rules when dealing with psychiatric emergencies.Which of the following is NOT one of those rules and would be considered inappropriate?


A) Identify yourself and your role.
B) Speak slowly and clearly, using a calm and reassuring tone.
C) Never make eye contact with the patient, as it will just increase his nervousness.
D) Listen to the patient. You can show you are listening by repeating part of what the patient says back to him.

Correct Answer

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When responding to an attempted suicide,which of the following is the EMT's primary concern?


A) Personal safety
B) Determining whether the patient suffers from clinical depression
C) Contacting law enforcement since suicide is illegal
D) Managing the patient's airway

Correct Answer

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Which of the following should NOT be included in documentation of an incident involving a patient with a behavioral or psychiatric emergency?


A) Description of the patient's behavior
B) Whether or not you think the patient is mentally ill
C) Your observations of the patient's surroundings at the scene
D) Your actions

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Your patient is a 15-year-old female who has n diagnosed with a personality disorder.She has no history of violent behavior.The staff at her residential care facility wants her to be transported for evaluation of a possible urinary tract infection.Which of the following is the BEST way to handle this situation?


A) Have a female EMT attend to the patient.
B) Transport the patient, but do not speak to her or perform an assessment.
C) Refuse to transport the patient without a police escort.
D) Ask that the patient be given a tranquilizer injection prior to transport.

Correct Answer

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When restraining a patient,which of the following is NOT a consideration?


A) Number of people available to carry out the required actions
B) Patient's size and strength
C) Patient's informed consent
D) How to position the patient

Correct Answer

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You are dispatched to a suicide attempt.You arrive to find a 16-year-old,who is extremely agitated and pacing up and down in the living room of his house.Apparently,he had threatened to go out,get a gun,and shoot himself.The parents called it in as an attempted suicide.The scene is safe and there are apparently no weapons accessible to the patient.Which of the following would NOT be appropriate in caring for this patient?


A) Do not take any action that may be considered threatening by the patient. To do so may bring about hostile behavior directed against you or others.
B) Always be on the watch for weapons.
C) Do not isolate yourself from your partner or other sources of help.
D) Make certain the patient gets between you and the door. The patient should always feel he has an escape route.

Correct Answer

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Which of the following traumatic conditions may account for signs and symptoms of a behavioral emergency?


A) Fractured lumbar vertebra
B) 10% BSA partial thickness burn
C) Fractured tibia
D) Internal hemorrhage

Correct Answer

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Which of the following is appropriate when assessing an emotionally disturbed patient?


A) Establish eye and verbal contact.
B) Avoid arguing with the patient.
C) Make it clear that you are in control of the situation, not the patient.
D) Both A and B

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Which one of the following statements is NOT true?


A) In any given year, 26.2% of adult Americans suffer from a diagnosable mental disorder.
B) Almost 10% of the population of adult Americans has a mood disorder such as depression.
C) Just over 20% of the population of adult Americans has anxiety or panic issues.
D) It is very unusual for an EMT to be called for a psychiatric emergency.

Correct Answer

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When dealing with a psychiatric emergency,which one of the following would generally be inappropriate behavior on your part?


A) Be as hurried as you can. It is extremely important to resolve the call and get the patient to the hospital as soon as possible.
B) Act in a calm manner, giving the patient time to gain control of his emotions.
C) Let the patient know that you are listening to what he is saying, and explain things to the patient honestly.
D) Stay alert for sudden changes in behavior.

Correct Answer

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