Behavioral, Biological & Chemical Emergencies

Question 1

Patients exposed to certain chemicals should be _____.

Answer 1

decontaminated

Question 2

A patient presenting with a psychiatric emergency may be:

Answer 2

Violent
Depressed
Suicidal

Question 3

It is an urgent, serious disturbance of behavior, affect, or thought that makes the patient unable to cope with his or her life situation and interpersonal relationships.

Answer 3

Behavioral Emergencies

Question 4

Characterized by shock, numbness, and disbelief.

Answer 4

Acute Phase

Question 5

Different kinds of rape:

Answer 5

• Power – to prove one’s masculinity.
• Anger – a means of retaliation.
• Sadistic – to express erotic feelings.

Question 6

Agents of bioterrorism:

Answer 6

Bacteria
Viruses
Insects
Fungi
Toxins

Question 7

Provide privacy and assist during examination:

Answer 7

Signs of external trauma
Dried semen stains
Broken nails
Oral exams

Question 8

It is a form of terrorism involving the intentional release or dissemination of biological agents in the environment.

Answer 8

Bioterrorism

Question 9

Nursing considerations for suicide

Answer 9

Provide one-on-one monitoring.
Have frequent unscheduled rounds.
Avoid use of metal or glass utensils
Monitor impending signs of suicide (giving away valued possession)

Question 10

Priority Care in a Rape Victim

Answer 10

• Treatment of injuries
• Preservation of evidence

Question 11

Document evidence of trauma with

Answer 11

body diagrams or photographs

Question 12

Example of bioterrorism agents:

Answer 12

• Anthrax
• Botulism
• Small Pox

Question 13

Characterized by the victim’s refusal to talk about the event.

Answer 13

Denial

Question 14

True or False: Management of physical health should be ensure first upon arrival, trauma should be managed in the order of established priorities.

Answer 14

True

Question 15

Examples of large chemical spills:

Answer 15

Ammonia
Chlorine
Asbestos cyanide
Carbon disulfide

Question 16

The ultimate form of self-destruction; “cry for help”

Answer 16

Suicide

Question 17

Rape is generally considered as an act of

Answer 17

Hostility
Anger
Violence

Question 18

Major interventions for suicide

Answer 18

Prevention and Listen

Question 19

It refers to the insertion of the penis into the mouth, vagina, anus of a victim. It also means insertion of any object in the mouth or anus.

Answer 19

Rape

Question 20

Symptoms of chemical leak exposure
local: _____
systemic: _____

Answer 20

skin erythema; dyspnea

Question 21

The Anti-Rape Law of 1997

Answer 21

R.A. 8353

Question 22

Characterized by fear, tension, and nightmares.

Answer 22

Heightened Anxiety

Question 23

It refers to a group of signs and symptoms experienced by a victim in reaction to rape.

Answer 23

Rape Trauma Syndrome

Question 24

Essential Elements of Rape:

Answer 24

• Use of threat/force
• Lack of consent of the victim
• Actual penetration of the penis into the vagina

Question 25

Use a _____ for examination; do not use _____.

Answer 25

water-moistened vaginal speculum; lubricant

Question 26

Ask the patient what may alter interpretation.

Answer 26

douched, bathed, gargled or brushed, changed clothes, urinated or defecated

Question 27

How many Filipinos commit suicide every year?

Answer 27

2.54 of 100,000

Question 28

Priority nursing diagnosis for suicide

Answer 28

Risk for injury; self-directed

Question 29

It is the exposure of a person from a chemical spill that brought symptoms.

Answer 29

Chemical Leak Exposure

Question 30

If eyes do not require flushing, attempt to protect the eyes from _____.

Answer 30

cross contamination

Question 31

Risk Factors for suicide:

Answer 31

S – Sex (more females attempts but more males are successful)
U – Unsuccessful previous attempt
I – Identification with a family member who committed suicide
C – Chronic
I – Illness
D – Depression/dependent personality
A - Age
L - Lethality of previous attempts/losses

Question 32

Patients are treated based on _____ and _____ of symptoms (burns, allergies, pain).

Answer 32

presentation; severity

Question 33

_____ are greater than 1 liter or may be spills containing highly toxic, volatile, or flammable chemicals.

Answer 33

Large spills

Question 34

Suicide Hotline PH

Answer 34

(02) 804-4673; 0917-558-4673 [HOPE]

Question 35

The victim’s life normalizes.

Answer 35

Reorganization