CH 29 Flashcards
(50 cards)
Which of the following questions would be the most appropriate initial question to ask when broaching the subject of suicide with a depressed patient?
“Do you have the means to carry out a suicide attempt?”
“Have you ever thought that life wasn’t worth living?”
“Have you ever thought of causing harm to yourself?”
“Do you ever feel that you’d be better off dead?”
“Have you ever thought that life wasn’t worth living?”
Which of the following drugs is an MAOI?
Pamelor
Elavil
Sinequan
Parnate
Parnate
A state of delusion in which a person is out of touch with reality is called:
derealization.
schizophrenia.
acute dementia.
psychosis.
psychosis.
An example of an impulse control disorder is:
obsessing over one’s health.
pathologic gambling.
fear of public spaces.
uncontrollable worrying.
pathologic gambling.
When asking an emotionally disturbed patient a series of questions, you should:
simplify the process by asking closed-ended questions.
use words such as “how” and “what” whenever possible.
keep your questions as indirect as you possibly can.
try to ask questions that can be answered with a yes or no.
use words such as “how” and “what” whenever possible.
A patient is very demanding and is trying to dictate the care that you provide to him. This is characteristic of which type of personality?
Multiple
Histrionic
Antisocial
Depressed
Histrionic
At a minimum, you should be able to assess an emotionally disturbed patient’s:
blood sugar level.
general appearance.
ability to recall.
blood pressure.
general appearance.
Signs and symptoms of depression that last for at least 2 years:
are typically not associated with anxiety.
require long-term hospitalization to treat.
are typical of major depressive disorder.
are highly suggestive of dysthymic disorder.
are highly suggestive of dysthymic disorder.
If a psychotic person’s level of consciousness is fluctuating, you should:
administer 25 g of dextrose.
immediately assess blood pressure.
suspect an organic brain syndrome.
consider administering haloperidol.
suspect an organic brain syndrome.
You are dispatched to a residence for a patient who has overdosed. You immediately recognize the address as that of a patient with a known psychiatric condition. Law enforcement is at the scene and has ensured its safety. When you arrive and enter the residence, you find the patient, a man in his mid-20s, sitting on the floor. He is conscious and appears anxious. Which of the following questions should you ask the patient first?
“What medication did you take?”
“How long ago did this happen?”
“Did you attempt to kill yourself?”
“How are you feeling right now?”
“What medication did you take?”
Accelerated thinking in which the mind skips very rapidly from one thought to the next is called:
confabulation.
flight of ideas.
circumstantial thinking.
perseveration.
flight of ideas.
A 50-year-old woman called 9-1-1 after she was suddenly awakened in the middle of the night with the feeling that she was being smothered. Your assessment reveals that she is clearly anxious, is trembling, and complains of chest pain and numbness and tingling to her face and hands. Her blood pressure is 168/96 mm Hg, pulse rate is 160 beats/min, and respirations are 30 breaths/min. Her medications include Xanax, Lipitor, and Vasotec. The most appropriate treatment for this patient includes:
applying a cardiac monitor, establishing vascular access and administering adenosine, administering oxygen via nasal cannula, considering a beta adrenergic antagonist to lower her blood pressure, and transporting.
coaching her to slow her breathing, monitoring her oxygen saturation and end-tidal carbon dioxide levels, assessing her cardiac rhythm, establishing vascular access, considering a benzodiazepine, and transporting.
applying a nonrebreathing mask with the flow rate set at 2 L/min, assessing her blood glucose level, administering diazepam for sedation, and transporting her without lights and siren.
attempting to regulate her breathing by asking her to hold her breath, assessing her end-tidal carbon dioxide level, administering 1 g/kg of fentanyl IM for sedation, and transporting.
coaching her to slow her breathing, monitoring her oxygen saturation and end-tidal carbon dioxide levels, assessing her cardiac rhythm, establishing vascular access, considering a benzodiazepine, and transporting.
Abnormal behavior that stems from a psychosocial etiology would most likely occur in a patient who:
experienced emotional trauma as a child.
is under severe stress caused by work.
resorts to alcohol to mitigate daily stress.
recently experienced the death of a loved one.
experienced emotional trauma as a child.
Which of the following scenarios is indicative of posttraumatic stress disorder?
An elderly woman who is afraid of losing her independence becomes agitated when being told that she is being admitted to a skilled nursing care facility.
An experienced paramedic who had a nightmare regarding a case of sudden infant death syndrome cries at the scene of a cardiac arrest involving an infant.
An advanced EMT student who has a morbid fear of needles experiences a syncopal episode during IV skills practice during class.
A paramedic whose son was struck and killed by a car becomes acutely anxious upon arriving at the scene of a motor-vehicle-versus-pedestrian incident.
A paramedic whose son was struck and killed by a car becomes acutely anxious upon arriving at the scene of a motor-vehicle-versus-pedestrian incident.
Which of the following statements regarding schizophrenia is correct?
Although schizophrenia is a complex disorder, it is easily treated.
In schizophrenia, dysfunctional symptoms become less prominent over time.
Social influences have not been shown to contribute to schizophrenia.
The typical onset of schizophrenia occurs during early adulthood.
The typical onset of schizophrenia occurs during early adulthood.
Which of the following statements about panic disorder is correct?
Panic disorder is a random disorder that usually does not run in the family.
Most initial panic attacks occur without a known precipitating stressor.
Men are two-thirds more likely to experience panic disorder than women.
Panic disorder is characterized by sudden, unexpected fear and dread.
Panic disorder is characterized by sudden, unexpected fear and dread.
The most important aspect in the care of a patient who is at risk for suicide is:
identifying the patient’s plan.
never leaving the patient alone.
eliciting the help of family members.
acknowledging the patient’s feelings.
never leaving the patient alone.
A hallmark sign of mania is:
memory distortion.
persistent insomnia.
an elated affect.
speech disorder.
an elated affect.
Which of the following medications would most likely cause prolongation of the QT interval?
Geodon
Ketamine
Inapsine
Midazolam
Inapsine
A psychiatric emergency:
exists when a person’s abnormal behavior threatens the safety and well-being of him- or herself or others.
generally occurs following the use of an illicit drug or excessive consumption of alcohol.
is generally the result of a short-term emotional crisis that is treated effectively with behavior modification.
is caused by a chemical imbalance in the brain but does not interfere with activities of daily living.
exists when a person’s abnormal behavior threatens the safety and well-being of him- or herself or others.
Unlike a person with bulimia nervosa, a person with anorexia nervosa:
is less likely to experience problems related to electrolyte imbalance.
compensates for binge eating by using various purging methods.
experiences weight loss that may cause poor health or even death.
commonly describes his or her eating disorder as “out of control.”
experiences weight loss that may cause poor health or even death.
Psychomotor abnormalities associated with depression include:
fatigue and insomnia.
a flat affect.
agitation and pacing.
distractibility.
agitation and pacing.
Metabolic causes of abnormal behavior include:
thyroid hyperfunction.
amphetamine toxicity.
vitamin deficiencies.
diabetic ketoacidosis.
diabetic ketoacidosis.
Which of the following is a disorder of thought content?
Depression
Euphoria
Anxiety
Delusions
Delusions
