Deck 18: Behavioral Emergencies

Question 1

As the use of restraints, by definition, represents a loss of the patient's liberty, complete documentation is essential.

Answer 1

True

Question 2

The administration of antipsychotic medications relieves the Paramedic of the responsibility to practice therapeutic communications.

Answer 2

False

Question 3

Chief among the brain's inhibitory neurotransmitters is ____.

A) dopamine
B) norepinephrine
C) adrenaline
D) serotonin

Answer 3

serotonin

Question 4

Psychopharmacological management of the emotionally disturbed patient can be used to treat an underlying medical condition.

Question 5

Increased dopamine and norepinephrine levels combined with low levels of serotonin may be related to ____.

A) lethargy
B) hallucinations
C) aggression
D) depression

Question 6

____ is defined as behavior that does not allow the patient to adapt to her environment and is potentially harmful to the patient's well-being.

A) Crisis emergency behavior
B) Maladaptive behavior
C) Dissociative behavior
D) Acute psychotic behavior

Question 7

When a patient is experiencing psychotic agitation, the Paramedic must understand that the ____ is the patient's last remaining defense mechanism.

A) anxiety
B) mania
C) violence
D) struggle

Question 8

A person who exhibits aggressive behavior toward others or acts in a manner harmful to oneself, especially potentially self-destructive behaviors, is said to have a(n) ____.

A) emotionally disturbed episode
B) crisis emergency
C) behavioral emergency
D) behavioral crisis

Question 9

In some instances, the use of sedatives can eliminate the need for physical restraint.

Question 10

Suicide is the eighth leading cause of death in the United States for patients over the age of 24.

Question 11

No clear definition of abnormal behavior exists.

Question 12

Normalcy is a function of personal expectations.

Question 13

Although most people desire the highest level of mental health, in truth most people are somewhere along a spectrum from high functioning to low functioning.

Question 14

____ include such things as finding food and shelter, toileting, and grooming.

A) HDLs
B) LDLs
C) PDLs
D) ADLs

Question 15

Having thoughts about suicide is known as ____.

A) manic depression
B) suicidal mania
C) crisis mode
D) suicidal ideation

Question 16

High levels of serotonin have been related to hyper-responsiveness and impulsivity.

Question 17

A(n) ____ is one whose emotional behavior is magnified in relation to the reason behind it.

A) suicidal person
B) emotionally disturbed person
C) depressed person
D) paranoid person

Question 18

____ is a therapeutic technique using supportive communications to provide an immediate resolution of the patient's crisis.

A) Crisis intervention
B) Behavioral intervention
C) Family intervention
D) Critical intervention

Question 19

A(n) ____ is a medically necessary restriction of the patient's freedom so that he cannot harm himself or others.

A) medical restraint
B) physical restraint
C) injection of medication
D) neurological restraint

Question 20

The treatment of EPS is administration of a benztropine (Cogentin), either intramuscularly or intravenously, and/or diphenhydramine (Benadryl).

Question 21

When interviewing a patient, ____________________ questions allow the Paramedic to not only listen to the answers but observe the patient's stream of thought and thought process.

Question 22

When a person is incapable of caring for himself (unable to perform ADLs) by reason of mental (not physical) defect, then that person is demonstrating ____________________ behavior.

Question 23

The class of antipsychotics used in behavioral emergencies are called ____.

A) butyrophenones
B) phenothiazines
C) thioxanthenes
D) dopamines

Question 24

____ is a medication-induced movement disorder that is characterized by motor restlessness.

A) Akathisia
B) Acalculia
C) Agrammatism
D) Amaurosis

Question 25

A(n) ____ is one in which the patient's eyeballs appear to have an involuntary rotational movement.

A) nystagmus crisis
B) oculogyric crisis
C) trismus reaction
D) acute dystonic reaction

Question 26

Clenched teeth is known as ____.

A) nystagmus
B) oculogria
C) trismus
D) dystonia

Question 27

Law enforcement and the media often use the term ____ whenever there is an in-custody death.

A) hyperdynamic state
B) excited dementia
C) excited delirium
D) heightened physiologic state

Question 28

____ is when the patient's eyeballs appear to have an involuntary rotational movement.

A) Oculogyria
B) Trismus
C) Acute dystonia
D) Nystagmus

Question 29

The class of sedatives used in behavioral emergencies is the ____________________.

Question 30

The violence exhibited by a patient experiencing psychotic agitation, at its core, is a result of ____.

A) delusions
B) fear
C) dementia
D) hallucinations

Question 31

____, by definition, is only used in emergencies and only for the patient's protection.

A) Medical intervention
B) Pyschotropic assistance
C) Neurological restraint
D) Physical restraint

Question 32

The Paramedic's approach to a medical restraint should be deliberate and follow ____.

A) the four P's
B) the four R's
C) the three S's
D) the four S's

Question 33

If the patient is medically compromised (e.g., due to liver disease) or if the patient is elderly, then a(n) ____ method of administration of antipsychotic medication should be considered.

A) aggressive
B) singular
C) stepwise
D) triphased

Question 34

A(n) ____________________ is obtained by any physical means necessary or the use of a mechanical device which restricts the patient's liberty.

Question 35

Anyone who is not meeting society's expectations of normal behavior would be acting ____________________.