Deck 29: Psychiatric Disorders

Question 1

The way in which a person acts or performs, including mental and physical activity is defined as

A) gestures.
B) perceptions.
C) behaviors.
D) actions.

Answer 1

behaviors.

Question 2

Behavior which may be harmful to the individual or to other people is ___________ behavior.

A) situational
B) abnormal
C) destructive
D) psychotic

Answer 2

abnormal

Question 3

A disorder or behavior which occurs in a person without obvious signs of brain damage is a ___________ disorder.

A) situational
B) mental
C) psychiatric
D) pathway

Answer 3

psychiatric

Question 4

Which of the followings statements about behavioral emergencies is correct?

A) Patients in a behavioral emergency are displaying behavior that is acceptable to them.
B) Behavioral emergencies are common situations which an EMT will encounter during his/her career.
C) Behavioral emergencies are rarely caused by a medical illness or health condition.
D) Patients in behavioral emergencies are a danger to close family members but not to strangers.

Question 5

An intense fear that occurs for no apparent reason is

A) anxiety.
B) a panic attack.
C) a phobia.
D) an obsession.

Question 6

Withdrawal symptoms from drug or alcohol abuse may cause behavioral changes as a result of

A) an uncontrolled agitator.
B) a situational stressor.
C) a medical illness.
D) a psychological emergency.

Question 7

Anxiety and panic are examples of

A) situational stressors.
B) behavioral emergencies.
C) mental emergencies.
D) psychological crises.

Question 8

Which of the following statements about anxiety is correct?

A) Anxiety is usually triggered by a specific situation.
B) Anxiety normally remains after the stressor is removed.
C) Anxiety is not a normal psychological response.
D) Anxiety can sometimes increase performance.

Question 9

Common signs and symptoms of panic attacks include

A) muscle twitches and seizures.
B) loss of coordination and fainting.
C) shortness of breath and irregular heartbeat.
D) mottled skin and decreased temperature.

Question 10

A type of anxiety disorder that is characterized by an irrational and constant fear of a specific activity, object or situation is a(n)

A) obsession.
B) phobia.
C) panic attack.
D) aversion.

Question 11

A person who has extreme anxiety in a situation where he may be seen by others is experiencing a(n)

A) obsessive reaction.
B) anxiety attack.
C) situational fear.
D) social phobia.

Question 12

A common type of specific phobia is

A) riding in vehicles.
B) speaking in front of others.
C) using public restrooms.
D) drowning in the bath.

Question 13

Which brain disorder causes unusual shifts in a person's mood and ability to function without provocation?

A) Obsessive-compulsive disorder
B) Bipolar disorder
C) Anxiety disorder
D) Phobic disorder

Question 14

Recurring thoughts, impulses, or images which cause a person anxiety are

A) compulsions.
B) repetitions.
C) obsessions.
D) rituals.

Question 15

You are talking with parents who are concerned about their 12 year old son. The boy has been extremely irritable, acting out in school and has been complaining of frequent headaches. You should suspect which type of behavioral condition?

A) Bipolar
B) Depression
C) Paranoia
D) Panic attacks

Question 16

You are at an emergency scene where a 52 year old woman is behaving abnormally. She is extremely restless, reports that she has slept little in the past few days, and she begins to talk about plans to move to Hollywood to become an actress. You conclude that this patient may be suffering from

A) anxiety disorder.
B) bipolar disorder.
C) depression.
D) delusions.

Question 17

You arrive at an emergency scene where a 47 year old man is standing on the roof of his house claiming that he can fly. This man is suffering from

A) hallucinations.
B) delusions.
C) visions.
D) fantasies.

Question 18

A group of mental disorders characterized by disordered thinking, delusions, hallucinations, and disorganized behavior is

A) obsessive-compulsive disorders.
B) schizophrenia disorders.
C) bipolar disorders.
D) multiple personality disorders.

Question 19

Which of the following statements about excited delirium is correct?

A) The beginning phase of fatal excited delirium is an elevated temperature.
B) Vital signs rapidly improve once excited delirium patients stop struggling.
C) It is best to restrain an excited delirium patient in a prone position.
D) Excited delirium patients often struggle violently after being restrained.

Question 20

You are talking with a 32 year old woman who has an established psychiatric disorder. She is agitated and upset. A method you can use to calm this patient is to

A) go along with her current fantasies or delusions.
B) slightly mimic her tone of voice.
C) ask her questions which require a yes or no answer.
D) repeat or rephrase what the she has said to you.

Question 21

You are at an emergency scene with an emotionally disturbed patient whom you believe requires transport, however, he is refusing to go to the hospital. Your next step should be to

A) arrange for transport.
B) restrain the patient.
C) contact medical direction.
D) call for law enforcement.

Question 22

Compulsions are

A) repeated impulses.
B) socially unacceptable acts.
C) irrational fears.
D) recurring behaviors.

Question 23

You have arrived at a scene where a 22 year old male is behaving abnormally. He is suspicious of EMT personnel, argumentative and excitable. This patient is displaying abnormal behavior associated with

A) depressive psychosis.
B) paranoia.
C) bipolar disorder.
D) delirium.

Question 24

A self-destructive behavior that is unlikely to have fatal consequences is a suicide

A) warning
B) threat
C) attempt
D) gesture

Question 25

Your patient tells you that someone has been following him because he has special powers that can be used to harness the energy of the wind. This patient is most likely suffering from

A) fantasies.
B) visions.
C) delusions.
D) hallucinations.

Question 26

Which of the followings statements about schizophrenia is correct?

A) Schizophrenic patients can become agitated by direct eye contact.
B) Schizophrenia is a specific type of mental disorder.
C) Schizophrenia is not associated with suicidal behavior.
D) Schizophrenic patients are at low risk for homicidal behavior.

Question 27

A 45 year old man said that he tried to kill himself. He has small, superficial scrapes on the inside of his wrist that do not pose any harm to his health. You should identify this situation as a

A) suicide attempt.
B) suicide prediction.
C) suicide avoidance.
D) suicide gesture.

Question 28

Your 19 year old female patient who is only responsive to pain has an empty bottle of Valium next to her. Her father reports that she took 20 to 30 pills. You should identify this situation as a(n)

A) adverse drug reaction.
B) accidental overdose.
C) suicide attempt.
D) suicide gesture.

Question 29

Your 25 year old male patient is intoxicated and threatening to commit suicide. His girlfriend reports that he has been behaving oddly since he lost his job, that he often threatens suicide when he is intoxicated, but he has never attempted to kill himself. You should

A) ask the girlfriend to monitor the patient and call 911 if his threats escalate.
B) tell the man that he should not drink alcohol when he is agitated or depressed.
C) ask the man to call a suicide hotline for help.
D) arrange for the man to be transported so that he can be evaluated.

Question 30

You are at a scene where a 25 year old woman is agitated, aggressive, and has been violently struggling before she was restrained. Suddenly she seems to relax and stop struggling. Your next action should be to

A) attempt to obtain her medical history.
B) arrange for her transport.
C) call for medical direction.
D) immediately reassess the patient.

Question 31

Your 45 year old female patient has been threatening to kill herself and when you arrive on the scene she is lying down on the ground. In this instance you should

A) slowly approach her feet first.
B) ask her to sit up.
C) slowly approach her head first.
D) talk to her from a distance.

Question 32

When you are talking with a patient who is displaying abnormal behavior, you should

A) continually monitor your own reactions to the patient's behavior.
B) interview the patient using close-ended questions.
C) play along with the patient's fantasies to gain his/her trust.
D) keep family members or friends away from the scene.

Question 33

Which of the following statements about anxiety disorder is correct?

A) Anxiety disorders are rare psychological disorders.
B) Anxiety disorders are not accompanied by physical symptoms.
C) Anxiety disorders usually last a few weeks on average.
D) Anxiety disorders may lead to phobias if they are not treated.

Question 34

People with obsessive-compulsive disorder (OCD)

A) do not normally have additional behavioral problems such as depression.
B) usually do not recognize that their behaviors are excessive or abnormal.
C) often develop symptoms gradually in their adolescence or early adulthood.
D) learn to manage their disorder so that their normal daily routine is unaffected.