behavioralflashcards.txt

You are called to the home of 28-year-old male who called 911 complaining of "a severe panic attack." When you arrive, he informs you that he has a history of panic attacks, and he is currently experiencing chest pain and a feeling of doom. The most appropriate action is to:

Your crew is called to the home of a 28-year-old male to check on his welfare after his neighbors called 911. They have not seen the patient for several days despite the fact that his car is in the driveway. When you arrive, a neighbor informs you that the patient has been very depressed since the loss of his fianc�e in an automobile crash that occurred while the patient was driving. You find the patient sitting in a chair in his bedroom. He informs you that he hasn't slept well in weeks because of nightmares. He expresses remorse and responsibility over the loss of his fianc�e, saying that it should have been he who died. He is most likely suffering from:

When the decision has been made to restrain a patient, you should exert:

The mania phase of bipolar disorder is characterized by:

Medication designed to treat schizophrenia includes antipsychotic drugs and agents that block the action of the brain chemical:

Another term for multiple personality disorder is:

Your crew is called to the home of a 67-year-old male. The patient's wife tells you that her husband has progressively lost awareness of his surroundings and cannot recall recent events such as breakfast. These findings are indicative that this patient may be suffering from:

You notice that your partner washes her hands five times after every patient contact. She realizes that washing them once thoroughly is sufficient, but says she feels the need to wash them again and again. This is an example of:

A behavioral emergency is best defined as a:

Your crew is called to the home of a 44-year-old male who is threatening suicide. Local law enforcement personnel are already on scene when you arrive, and you find the patient sitting on the hood of his car in the garage. During your interview of this patient, you should:

Delirium and dementia are classified as:

A dual diagnosis means a patient has a mental illness and a:

Your crew is called to the home of a 44-year-old male who is threatening suicide. Local law enforcement personnel are already on scene when you arrive, and you find the patient sitting on the hood of his car in the garage. The patient informs you that he intends to put a garden hose in his car's exhaust, place the other end of the hose inside the vehicle, and sit in the vehicle with the windows up until he is dead. His detailed plan:

A factitious disorder in which the patient makes habitual pleas for treatment and hospitalization for a symptomatic but imaginary acute illness is:

911 is called for a man who is sitting in his office after returning from a physical examination in which he was pronounced "in good health." Suddenly he experiences a feeling of terror. His heart pounds, he feels as though he cannot breathe, and he cannot focus on what is being said to him. This experience can be assessed as a possible

A patient is having a series of diagnostic tests. He insists there is nothing wrong with him except a chest cold that he can't "shake off." His wife says he smokes and coughs a lot, has lost 15 pounds, and is easily fatigued. What defense mechanism is he using?

Flashbacks are characteristic of

A patient who is a veteran of the Gulf War has intrusive thoughts of missiles screaming toward her and exploding. She reexperiences feelings of terror. These recurrent events are part of

You note that an elderly patient has fluctuating levels of awareness. She seems anxious. She tells you that she saw her granddaughter standing at the foot of the bed during the night. Later, you see her moving her hands as though picking things out of the air. You should suspect:

Medication use can lead to confusion in older adults because

Individuals with an acute onset of delusions or hallucinations who are agitated and hyperactive may be experiencing

Depression in the elderly is

Whixh of the following types of perceptual alteration is most commonly displayed by patients with schizophrenia?

A withdrawn patient exhibits peculiar gestures and facial contortions, but does not otherwise respond verbally. These symptoms are consistent with the schizophrenia subtype called

The patient is hostile, angry, and suspicious. He thinks that his family is trying to poison him. He is classified as being

Unlike dementia, delirium:

Statistically, which of the following is true regarding suicide?

Before physically restraining a violently combative patient, it is a good idea to:

Depression is characterized by an impairment of normal function and:

Before beginning a suicidal patient's interview, you should:

Your crew is called to the home of a 28-year-old male to check on his welfare after his neighbors called 911. They have not seen the patient for several days despite the fact that his car is in the driveway. When you arrive, a neighbor informs you that the patient has been very depressed since the loss of his fianc�e in an automobile crash that occurred while the patient was driving. You find the patient sitting in a chair in his bedroom. He informs you that he hasn't slept well in weeks because of nightmares. He expresses remorse and responsibility over the loss of his fianc�e, saying that it should have been he who died. He is most likely suffering from:

Your crew is called to the home of a 34-year-old female for a nonspecific abdominal complaint. She informs you that she has had many abdominal surgeries that have not resolved her complaints. Which of the following disorders is a condition in which an individual has complaints (lasting several years) of various physical problems for which no physical cause can be found?

Which of the following is true regarding schizophrenic patients' ability to function in society?

Two paramedics were considered for promotion. The promotion was announced via a memo on the station bulletin board. The paramedic who was not promoted told another friend, "I knew I'd never get the job. The medical director hates me." If he actually believes this of the medical director (who in reality knows little of him) he is demonstrating

A patient tells you that he experiences palpitations, difficulty breathing, and a sense of overwhelming dread whenever he goes out of his home. He has been unable to go to his office for over a month. You recognizes this problem as

A paramedic who recently unsuccessfully worked a cardiac arrest patient is being interviewed by the medical director. He blames the loss on his partner, saying, "she is not competent in giving CPR." The paramedic may be using this defense mechanism:

An elderly female patient, age 72, lives alone. Her daughter visits weekly. The patient takes digoxin, hydrochlorothiazide, and an antihypertensive drug. She also has a prescription for diazepam (Valium) to be used for moderate to severe anxiety. When the daughter visited today she found her mother confused. Her speech was thick and slurred and she had an unsteady gait. You have assessed the patient as having several cognitive problems, including memory and attention deficits, and fluctuating levels of orientation. You confirms that the patient's symptoms developed over a 2-day period. The patient's symptoms are most characteristic of

Severe, prolonged depression affects a person's risk for suicide by _________ the risk.

A patient with schizophrenia believes that he is a Presidential aide. He has expressed fear that hostile forces are looking for him. He carries a sheaf of papers and writes notes in "code." The patient can be assessed as demonstrating

A patient displays disorganized, difficult to understand speech, behavioral disorganization, and a silly, inappropriate affect. The paramedic assesses that this patient's behavior most closely conforms to the characteristic behavior of

A schizophrenic patient approaches you and says, "The voices are bothering me. They're yelling and telling me I'm bad. Can't you hear them?" The most helpful reply for you to make would be

While you are gathering a medical history, your patient reports that she takes Zoloft, leading you to ask whether the patient has a history of:

You are called to treat a 23-year-old woman who reports sudden paralysis of her arm. She states she has no feeling in or ability to move her arm. Last week this same patient was treated for sudden blindness. The patient was recently the victim of a violent crime. You suspect:

Your crew is called to the workplace of a 43-year-old female who is despondent. Her coworkers inform you that she is normally a very "bizarre" person and has acted out inappropriately in the past. They further inform you that the patient has been muttering to herself all morning and shouting at inanimate objects (walls, coffee maker, toilets, etc.). The patient explains her current dilemma. In doing so, she exhibits an abnormal thought process, inappropriate judgment, and delusions. She further informs you that she is hearing voices. These findings are all hallmark symptoms of:

Your crew is called to the workplace of a 43-year-old female who is despondent. Her coworkers inform you that she is normally a very "bizarre" person and has acted out inappropriately in the past. They further inform you that the patient has been muttering to herself all morning and shouting at inanimate objects (walls, coffee maker, toilets, etc.). After responding to a few of your questions, the patient becomes verbally abusive. To mitigate the situation, your proper response should be to:

One particular manifestation of depression is the inability to derive pleasure from events or experiences that ordinarily are pleasurable. This is referred to as:

Typical causes of behavioral emergencies include:

What is the minimum number of capable individuals necessary to restrain a physically violent patient?

The DSM-IV is a(n):

Two paramedics were considered for promotion. The promotion was announced via a memo on the station bulletin board. The paramedic who was not promoted told a friend, "Oh, well, I really didn't want the job anyway." This is an example of

An elderly man presents with symptoms of delirium. The family states that he has not seemed ill and has not changed anything about his usual lifestyle. The most important data to obtain would be

A depressed patient tells you during transport, "The night is blackest before the dawn. Things will be better soon." You wonders if the patient is alluding to making a suicide attempt. You should

A homeless individual is found by police trying to break down a door of a storefront mental health clinic. His explanation was, "The sign said 'mental health' and I need some." The police think that his symptoms of mental illness have recently worsened. Which of the following should the paramedic make it a priority to learn about?

The paramedic observes a patient in a restaurant sitting alone. He covers his ears and loudly commands, "You leave me alone. Stop calling me humpty dumpty." It is assumed that the patient is

Your crew is called to a local high school for a 14-year-old female who has passed out in the restroom. Her teacher secretly informs you that the patient is known to follow eating binges with purging using the assistance of laxatives. She is very frail. These are classic findings associated with:

What is a common misconception about schizophrenia?

You are called to the home of a 27-year-old male who refuses to come out of his bathroom. Through the door, he explains that he saw a large spider on the wall of his bedroom and is deathly afraid of spiders. He ran in the bathroom, stuffed a towel under the door, and got in the bathtub. The patient most likely:

You are called to the home of a 27-year-old male who refuses to come out of his bathroom. Through the door, he explains that he saw a large spider on the wall of his bedroom and is deathly afraid of spiders. He ran in the bathroom, stuffed a towel under the door, and got in the bathtub. When coaxing the patient out of the bathroom, your actions should include:

A paramedic student has to perform a scenario in front of the class. As the time draws near, he begins to feel lightheaded, his heart begins to race, he feels short of breath, and he is afraid of losing control. The student is experiencing a(n)

The patient is unable to leave the house without turning off all electrical appliances at least 3 times. She must check every electrical socket and reassure herself that everything is unplugged before she leaves. Otherwise she experiences intense discomfort. The patient's behavior is suggestive of

911 is called for a man who is sitting in his office after returning from a physical examination in which he was pronounced "in good health." Suddenly he experiences a feeling of terror. His heart pounds, he feels as though he cannot breathe, and he cannot focus on what is being said to him. This experience can be assessed as a possible

The nurse on night shift during a transfer tells you that a patient with dementia "gets flakier in the evening." meaning that the patient becomes more agitated and anxious and minimally responds. You can assume that this behavior represents:

A patient has fluctuating levels of consciousness, disturbed orientation, and perceptual alterations. An important facet of care enroute to the hospital will be

You are transporting an elderly woman is to a hospital from an assisted care facility with a diagnosis of delirium secondary to a urinary tract infection. The family is very concerned with whether she will return to her old self. The best information that you can provide is:

The patient lives his life rapidly bouncing from feelings of deep sadness to great joy. The patient's diagnosis is most likely

The paramedic should focus assessment for a patient with schizophrenia primarily on gathering data about

The kind of disorder diagnosed when a person's anxiety is broad, long lasting, and excessive is called

Which piece of subjective data obtained during your psychiatric assessment of a patient may indicate the possibility of posttraumatic stress disorder?

A prolonged emotional state that influences one's personality and life functioning is for greater than one month is called

Expressing one's own feelings about another person's problem is known as:

An open-ended question:

A paramedic dealing with a patient who is acting out should:

Placing a message in an understandable format (either written or verbal) is called:

In the mnemonic memory device SAMPLE, the M stands for _____

One component of a patient's past medical history would include:

Using the results of questions to think about associated problems and body system changes related to the patient's complaint is known as:

The SOAP acronym is used as a memory aid for:

The "echo" procedure for communications:

In a call-prioritization-prearrival instructions system, the emergency medical dispatcher:

Refusal or failure to fulfill obligations to a person is called:

Male victims of battering:

Which of the following is a true statement?

Elder abuse is most commonly inflicted by:

Sensorineural deafness:

The most common form of emotional/mental impairment is:

Patients with severe hearing loss may also have associated:

You are transferring a patient to convalescent care following a stroke. The patient is aphasic. You should also expect that the patient will exhibit:

Duchenne's muscular dystrophy affects only:

Dispatch informs you that you are responding to a medical call involving a patient with Down syndrome. You know that Down syndrome results from:

You are evaluating an 80-year-old man who presents with cyanosis, wheezing, and diminished breath sounds. He has JVD and low pulse oximetry readings. He has smoked cigarettes for 60 years and has recently had an upper respiratory tract infection. You suspect he may have:

The most common type of diabetes in elderly patients who are overweight is:

An elderly patient will succumb more quickly to shock resulting from trauma because of:

An 86-year-old is being transported for sudden onset of a rapid, irregular rhythm. Which rhythm is most likely?

The most common complaint of patients over 70 years of age experiencing an MI is:

Communication that facilitates improved patient care, prevents escalation of potentially violent situations, and reduces the risk of litigation is known as:

A patient's "private space" is:

A paramedic who is skilled and thorough in interviewing patients will always:

Asking a patient with abdominal pain about his or her last bowel movement helps the paramedic to determine the patient's:

What does the letter Q represent in the mnemonic memory device OPQRST?

The chief complaint is best derived from:

In a call-prioritization-prearrival instructions system, the emergency medical dispatcher:

A device that retransmits a signal at a higher power on another frequency to increase coverage is called a(n):

If any form of abuse or neglect is suspected by the paramedic team, it must:

The most common type of injury seen in child abuse is:

Domestic violence against women:

The most common type of child abuse is:

Patients with severe hearing loss may also have associated:

You are treating an unresponsive cancer patient with a ventilatory rate of 4 and pinpoint pupils. How should you treat this patient?

Which of the following types of deafness may be curable?

You are dispatched to the home of an 86-year-old male in the final stages of terminal lung cancer. His daughter called because of the patient's increasing distress over the past 3 days. He is alert and answers questions slowly but appropriately, although with much discomfort. He is prescribed oral narcotics to deal with the pain, and a Prehospital Medical Care Directive is properly filled out, indicating the patient's desire for no resuscitative measures when he dies. His daughter would like him transported to the hospital. The patient is alert and oriented and is refusing care and transport. You should:

Which of the following complications is associated with Duchenne's muscular dystrophy?

A 79-year-old patient presents with orthopnea, a dry hacking cough, nocturia, and ascites. You suspect the patient is experiencing:

Mortality rates due to acute myocardial infarction (AMI) after the age of 70:

Changes in the cardiovascular system are normally associated with:

Physiological factors that contribute to a geriatric patient�s developing hypothermia include:

Shifting focus is a technique employed by:

As a rule, a receiver is more likely to understand a message if it is:

You are on the scene of a motor vehicle crash and you are told that the occupants of one of the cars are Native Americans. While talking to the patients, you notice that they will not look you directly in the eye. You recognize this as:

What is an example of an open-ended question about pain?

The question �What makes your pain better?� is aimed at addressing which part of the OPQRST assessment?

The governmental agency responsible for regulating communications as well as for establishing and enforcing communications rules and guidelines is the:

Which of the following is a role of an emergency medical dispatcher?

Infliction of anguish, pain, or distress through verbal or nonverbal acts is:

Male victims of battering:

The most common type of child abuse is:

Cystic fibrosis is a disease that affects primarily the:

You are transferring a patient to convalescent care following a stroke. The patient is aphasic. You should also expect that the patient will exhibit:

You are preparing to transport a clinically obese patient to the emergency department for severe substernal chest pain. The patient weighs more than 500 pounds and is on the third floor of an apartment complex with no elevator. Currently, there are only you and your partner in the apartment. The patient states that he can walk and doesn�t want you to call for extra lift assistance. You should:

Spina bifida patients have an increased likelihood for allergy to:

The most common reason elderly patients are at risk for adverse drug reactions is because of:

Although all body systems are affected by the aging process, its effects on specific organ systems are particularly relevant to older adults; these systems are:

In elderly patients, thoracic aneurysm:

The most common dysrhythmia experienced by older adults is:

A paramedic dealing with a patient who is acting out should:

A patient smiles when a paramedic tells her that she will be receiving medication to ease her pain. The patient�s smile is nonverbal:

A communication technique in which the paramedic must help the patient identify irrational thoughts or behavior, particularly if the patient is "acting out," is called:

What is an example of "false reassurance"?

A reported diagnosis of psychiatric illness would most accurately be documented by the paramedic as part of the patient's:

Which of the following techniques aids EMS providers in efficient communications?

You are dispatched to a sexual assault. The victim exhibits petechiae of the face and conjunctiva. This would be indicative of:

A major factor in the likelihood of child abuse is:

The form of child abuse most commonly attributed to female perpetrators is:

You are dispatched to the home of a 42-year-old male who complains of diarrhea for the past 3 days. He has been unable to eat for the past 24 hours and would like to go to the emergency department. He is visually impaired by complete blindness and has a leader/work dog to assist him. The patient informs you that he needs to have his dog with him. You should:

Cerebral palsy (CP) is often diagnosed during a child's first year of life after a history of unusual muscle tone and/or poor feeding habits. What is the most common cause of this disease?

Stuttering is an example of which type of speech disorder?

Duchenne's muscular dystrophy affects only:

You are called to a local elementary school for a special-needs 9-year-old male with an unknown medical problem. The school nurse informs you that the patient suffered some neurological impairment as the result of a head injury when involved in a motor vehicle collision (approximately 2 years ago). The patient's 12-year-old sister is present and tells you that the patient has been vomiting all morning. While treating this patient, you observe that he overreacts to minor stimuli such as a penlight. He alternates between being profoundly agitated and periods of sleepiness and lethargy. To assess this patient's mental status, you should:

Talking with a geriatric patient can be enhanced by:

You are called to the home of a 75-year-old male. Neighbors tell you that the patient has been confused, hostile, anorexic, and depressed and has been falling frequently. You suspect that the patient may be abusing:

Most suicide attempts by older adults include:

Decreases in renal function, combined with other physiological changes, make older people more susceptible than young adults to:

A patient who does not want to provide the paramedic with any personal information because he or she is afraid of rejection or ridicule is using the technique of:

Which of the following techniques enhances radio communications?

You are en route to the hospital with a 53-year-old victim of a shooting. After relaying patient information and, with medical direction, developing a treatment plan for this patient, the patient's condition suddenly deteriorates. After stabilizing the patient, your next course of action should be to:

You are called to a group home for a 50-year-old woman who has a debilitating mental illness. Her caregivers say that she has been complaining of chest pain and difficulty breathing. When evaluating this patient, you should:

A woman loses 3 inches in height as she ages. This is:

The lowest blood pressure that can be defined as hypertension is:

Bacterial pneumonia in elderly patients presents with:

The desertion of an elder at a hospital is a form of:

As an individual approaches the age of 65: