Deck 36: Mental Health Emergencies

Question 1

The presentations of violent behaviour, possession of a weapon and a display of extreme agitation/restlessness falls under the triage category of:

A) Urgent
B) Immediate
C) Emergency
D) Semi-urgent

Answer 1

Immediate

Question 2

Which among the following IS NOT an important item for mental state assessment?

A) Intellect
B) Interests
C) Thought
D) Perception

Answer 2

Interests

Question 3

An anxiety condition which is characterised by an overwhelming and abrupt surge of intense fear and discomfort that reaches a peak usually within a short time-frame:

A) Generalised anxiety condition
B) Obsessive compulsive condition
C) Phobia
D) Panic condition

Answer 3

Panic condition

Question 4

The following criteria are present in patients with major depressive condition, EXCEPT:

A) Diminished interest in pleasure
B) Significant weight loss without actively dieting
C) Significant weight gain
D) Diminished intellectual function

Question 5

Choose among the following items all factors that puts a postpartum patient at risk for postnatal depression:

A) History of depression
B) Poor social and/or partner support
C) Ambivalence towards pregnancy
D) All are correct

Question 6

Which among the following interventions SHOULD NOT be included in patients with manic episode?

A) Place the patient in a stimulating environment to enhance socialisation
B) Allow the patient to move yet remain under constant observation
C) Administer benzodiazepine
D) None are correct

Question 7

A symptom observed in patients with schizophrenia characterised by fixed false beliefs that are not amenable to change in light of contradictory evidence:

A) Hallucination
B) Delusion
C) Disorganised thought
D) Catatonia

Question 8

Which among the the following eating conditions require the highest priority in emergency situations?

A) Anorexia nervosa
B) Bulimia nervosa
C) Compulsive eating
D) Binge eating disorder

Question 9

The following are warning signs of suicidal intentions, EXCEPT:

A) Expression of hopelessness or helplessness
B) Dramatic change in appearance
C) Hoarding of unnecessary possessions
D) Change in eating or sleeping patterns

Question 10

What technique should be used to manage aggression among mental health patients?

A) Deep breathing technique
B) Music therapy
C) De-escalation
D) Defensive reasoning

Question 11

What percentage of Australians aged between 16-85 will experience a highly prevalent mental health disorder in any one year?

A) 5%
B) 10%
C) 20%
D) 25%

Question 12

Patients from culturally and linguistically diverse groups tend to be reluctant to seek help for mental health issues.Many factors may contribute to this behaviour, including all of the following, EXCEPT:

A) Language barriers
B) Lack of information
C) High degree of stigma and shame associated with mental illness
D) Comprehensive cultural sensitivity training and practice by service providers

Question 13

While the content of Mental Health Acts may vary significantly from state to state, the primar y purpose of Mental Health Acts is:

A) To provide for the involuntary assessment and treatment of persons having a mental illness
B) To provide paramedics and police officers with the powers of restraint, allowing them to transport patients suspected of presenting with a mental health illness to an authorised health facility
C) To provide safeguards of the rights for persons with a mental illness
D) To protect members of the public against injury, either psychological or physical, from persons with a mental health illness

Question 14

What is the most common mental health disorder within the Australian community?

A) Bipolar disorder
B) Schizophrenia
C) Depression
D) Anxiety disorder

Question 15

Due to its broad spectrum of efficacy and good tolerance, what class of medication is most commonly prescribed as the first line pharmacological agent to treat most mood disorders?

A) Monoamine oxidase inhibitors
B) Tricyclic antidepressants
C) Benzodiazepines
D) Selective serotonin re-uptake inhibitors

Question 16

A condition in which an individual intentionally feigns physical or psychological signs and symptoms in order to gain attention is:

A) Fictitious syndrome
B) Munchausen's syndrome
C) Korsakoff syndrome
D) Munchausen syndrome by proxy

Question 17

Schizophrenia affects about one in 100 people at some time in their life. Most of these individuals will be first affected:

A) In their late teens to mid-twenties
B) Between the ages of 10-15 years
C) Between the ages of 40-50
D) In their mid to late thirties

Question 18

Schizophrenia is characterised by:

A) Split personalities
B) Multiple personalities
C) Disturbance in perception, thought, cognition and biophysical functioning
D) Disturbance in perception, thought, cognition and psychosocial functioning

Question 19

Which of the following statements is CORRECT?

A) Any patient exhibiting abnormal behavior should be assumed to have a psychiatric disorder until proven otherwise
B) Any patient exhibiting abnormal behavior should be assumed to be suffering from psychosis until proven otherwise
C) Any patient exhibiting abnormal behavior should be assumed to have an underlying medical condition until proven otherwise
D) Any patient exhibiting abnormal behavior should be assumed to have an affective mental health condition until proven otherwise

Question 20

Three months after you and your colleague attend a road traffic accident that involved five severely injured patients, your colleague advises you that she is having recurrent nightmares, is unable to sleep properly and is reliving the accident on a daily basis. What mental health disorder is your colleague likely suffering?

A) Schizophrenia
B) Post-traumatic stress disorder
C) Anxiety disorder
D) Depression