1. A man has worked in a high-stress job for 22 years. Progressively over his 22-year career, he has learned that there is no way to remove the stress from the job, but only to make changes in his life that will help him cope with the physical signs of anxiety. This scenario is typical of:
A.adjustment.
B.adjournment.
C.accommodation.
D.active participation.


2. You are called to a residence to care for a man who is having a psychiatric crisis. When you arrive, a police officer at the scene tells you that the man is conscious, but is acting bizarre. You enter the house and see the man sitting on his couch. He is conscious but not aware of his surroundings. He states that he takes medications, but cannot remember why. His skin is pale and clammy and he has noticeable tremors to his hands. The EMT-B should manage this patient as though he were:
A.a schizophrenic.
B.severely depressed.
C.hypoglycemic.
D.suicidal.


3. General safety guidelines to follow when managing a patient with a behavioral emergency include all of the following, EXCEPT:
A.having a definite plan of action.
B.being honest and reassuring.
C.rapidly transporting the patient.
D.avoiding a fight with the patient.


4. Which of the following signs would be LEAST indicative of a patient who has a high potential for violence?
A.The patient appears tense and "edgy."
B.The patient is loud and shouting obscenities.
C.The patient is standing toward you with clenched fists.
D.The patient is 6' 9" tall and weighs 200 lb.


5. As you are assessing a deeply unconscious patient suspected of being acutely intoxicated with alcohol, you note that the patient has a .22 caliber handgun tucked in his boot. The police department is not on the scene yet. How should this matter be handled?
A.Continue your assessment because the patient is unconscious.
B.Remove the gun and give it to a family member, then continue assessing.
C.Secure the gun and turn it over to the emergency department physician.
D.Ensure that the weapon is turned over to law enforcement upon their arrival.


6. You respond to the scene where a patient states, "the Russians are after me." The patient is conscious and alert to his surroundings, and his vital signs are stable. The patient states that he does not need to go to the hospital because he is not sick. The MOST appropriate action for the EMT-B in this case should be to:
A.restrain the patient and transport, because he is clearly delusional.
B.request the assistance of law enforcement personnel.
C.obtain permission from medical control to transport.
D.have the patient committed to a psychiatric facility.


7. When it becomes necessary to restrain a patient, which of the following factors is NOT typically a consideration during the restraining process?
A.The patient's gender
B.The patient's age
C.The medical history of the patient
D.The mental status of the patient


8. The first step in the management of a patient who is exhibiting disruptive behavior is to:
A.call the police.
B.assess the situation.
C.give supplemental oxygen.
D.notify the emergency department.


9. When you are dealing with an emotionally disturbed patient, the best legal situation is to:
A.always transport the patient with restraints.
B.try to obtain the patient's consent to medical treatment.
C.have law enforcement restrain the patient with police-type handcuffs.
D.allow the patient to refuse treatment when the patient presents a threat to self or others.


10. Which of the following patients would be considered to be at HIGHEST risk for suicide?
A.A 45-year-old man who recently found out his cancer is in full remission.
B.A 33-year-old man who regularly consumes alcohol and purchased a gun.
C.A 24-year-old woman who is successfully being treated for depression.
D.A 29-year-old man who was recently promoted with a large pay increase.


11. When physically restraining a patient, it would be appropriate for the EMT-B to:
A.remove the restraints if the patient appears to be calming down.
B.use additional force if the restrained patient begins to yell at you.
C.continually talk to the patient as he or she is being restrained.
D.check circulation in all extremities only if the patient is prone.


12. When assessing a patient with a behavioral crisis, the EMT-B must be concerned with:
A.gathering all the patient's belongings and taking them to the hospital.
B.letting the patient express himself to you in his own words.
C.setting your personal feelings aside and providing needed care.
D.whether or not the patient will cause harm to you or your partner.


13. After you restrain a patient, which of the following information does NOT need to be documented?
A.The reason for the restraint
B.The technique that was used
C.The patient's abnormal behavior
D.A listing of the patient's personal belongings


14. When trying to manage a disruptive patient, you should:
A.turn your back on the patient to show that you are not a threat.
B.attempt to disarm the patient yourself if the patient has a gun or knife.
C.leave the patient alone for a few minutes to think about the situation.
D.keep your eyes on the patient at all times and be alert for aggressive behavior.



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