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Behavioral Emergencies in EMS/Prehospital Care:, Exams of Medicine

Virginia State University (VSU)Medicine

Behavioral Emergencies in EMS/Prehospital Care:

Typology: Exams

2024/2025

Available from 07/03/2025

hesigrader002 🇺🇸

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Behavioral Emergencies in EMS/Prehospital Care:

1. Which of the following would best define a behavioral emergency?

A. A patient that cannot be woken up

B. A patient that is having difficulty speaking

C. A patient unable to walk as he normally would

D. A patient exhibiting harmful behavior: D. A patient exhibiting harmful

behavior

2. A 50-year-old male has had an acute onset of altered mental status and

erratic behavior. You find him with a stumbling gate and slurred speech. The

patient's wife states the patient has not been abusing alcohol and has had

no recent injuries. The patient's only past medical history is diabetes. You

should first:

A. restrain this patient for safety.

B. initiate transport.

C. test this patient's blood glucose.

D. complete a detailed physical examination.: C. test this patient's blood

glucose.

3. On a freezing cold night in December, a 65-year-old female was found

staggering on the street mumbling incomprehensible words. Bystanders

note that they believe the patient is homeless. They have seen her before,

but tonight she is acting very strangely. Which of the following problems

would most likely explain the patient's unusual behavior?

A. Hypothermia

B. Hypoglycemia

C. A behavioral crisis

D.This behavior is the patient's baseline.: A. Hypothermia

4. A 19-year-old female is completely emotionally distressed after being in-

volved in a relatively minor car crash. You find her sobbing and lashing

out violently when spoken to. You note her face is flushed and her

behavior displays agitation. You should:

A. tell the patient everything will be fine.

B. assert control by using a loud authoritarian voice.

C. be honest with your emotions and demonstrate that you are getting

frus- trated.

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1 /

Behavioral Emergencies in EMS/Prehospital Care:

Which of the following would best define a behavioral emergency? A. A patient that cannot be woken up B. A patient that is having difficulty speaking C. A patient unable to walk as he normally would D. A patient exhibiting harmful behavior: D. A patient exhibiting harmful behavior
A 50-year-old male has had an acute onset of altered mental status and erratic behavior. You find him with a stumbling gate and slurred speech. The patient's wife states the patient has not been abusing alcohol and has had no recent injuries. The patient's only past medical history is diabetes. You should first: A. restrain this patient for safety. B. initiate transport. C. test this patient's blood glucose. D. complete a detailed physical examination.: C. test this patient's blood glucose.
On a freezing cold night in December, a 65-year-old female was found staggering on the street mumbling incomprehensible words. Bystanders note that they believe the patient is homeless. They have seen her before, but tonight she is acting very strangely. Which of the following problems would most likely explain the patient's unusual behavior? A. Hypothermia B. Hypoglycemia C. A behavioral crisis D. This behavior is the patient's baseline.: A. Hypothermia
A 19-year-old female is completely emotionally distressed after being in- volved in a relatively minor car crash. You find her sobbing and lashing out violently when spoken to. You note her face is flushed and her behavior displays agitation. You should: A. tell the patient everything will be fine. B. assert control by using a loud authoritarian voice. C. be honest with your emotions and demonstrate that you are getting frus- trated.

2 / D. quietly let the patient know that you are listening to what she is saying.: D. quietly let the patient know that you are listening to what she is saying.

A 49-year-old female is suffering with an acute onset of hallucinations and has begun interacting with her caregivers violently. Your assessment reveals no physical illnesses or injuries, and the patient's only medical history is schizophrenia. Which of the following would best describe her current con- dition? A. Acute psychosis B. Acute stress reaction C. An organic behavioral change D. A catatonic state: A. Acute psychosis
A 35-year-old male has been found shouting and pacing back and forth on his front porch. Neighbors called EMS after he broke a window. They state that the patient is normally a nice person and that this behavior is extremely unusual. You should: A. engage him with a calm voice and assure him you are listening. B. aggressively restrain the patient to prevent him from injuring himself. C. stage outside his line of sight and await law enforcement assistance. D. approach him professionally and provide a structured authoritarian re- sponse.: C. stage outside his line of sight and await law enforcement assistance.
A 17-year-old female is experiencing delusions, and her parents are con- cerned she may want to harm herself. Upon approaching her, you note she is visibly upset and scared. You should: A. not identify yourself as an EMT. B. not make eye contact with her. C. tell her how sorry you feel for her. D. use positive body language as you draw near.: D. use positive body language as you draw near.
When assessing an agitated behavioral emergency patient, you should maintain a distance of at least feet to keep yourself safe. A. two B. three

4 / assess the patient. You should: A. approach him with a calm and quiet voice. B. use an open body position to attempt to calm him. C. move into his personal space to show him your concern. D. use law enforcement to restrain this patient.: D. use law enforcement to restrain this patient.

You are managing a potentially hostile patient. Which of the following rooms in his house should be avoided when conducting a patient assess- ment? A. The bedroom B. The kitchen C. The bathroom D. The living room: B. The kitchen
What is part of a suicide plan? A. Talking about not being able to go on B. Giving away personal possessions C. Saying that a current problem seems insurmountable D. Expressing feelings of depression: B. Giving away personal possessions
Which of the following techniques in caring for a patient with a stress reaction is LEAST helpful in managing the situation? A. Displaying a genuine, empathetic approach to the patient's concerns B. Moving through your assessment quickly to ease the patient's tension C. Gaining the patient's full attention by speaking to him or her in a calm voice D. Having the patient take deep, slow breaths to help induce calm: B. Moving through your assessment quickly to ease the patient's tension
Most states have a provision in law that will allow a patient to be transport- ed against his will if he is A. obviously in need of care. B. belligerent. C. uncooperative. D. a danger to himself or others.: D. a danger to himself or others.
You arrive at the scene of a 25-year-old male patient who is reportedly suf- fering from an acute episode of paranoia schizophrenia and has

5 / threatened self-harm. On arrival, you should FIRST:

7 / superficial lacerations on the wrists. The patient has been disarmed but is still threatening to commit suicide. What should you do?

8 / A. Make the lacerations on the patient's wrists your primary concern. B. Tell the patient that you are not trained in suicide counseling. C. Try to convince the patient that suicide is not the answer. D. Avoid visual or verbal contact with the patient.: A. Make the lacerations on the patient's wrists your primary concern.

To position a restrained patient, you should: A. place your knee against the patient's chest. B. place the patient face up. C. first hog tie the patient. D. secure any two limbs of the patient.: B. place the patient face up.
Which of the following medical conditions is MOST likely to present as a psychiatric or emotional disorder? A. Gastroenteritis B. Stroke C. Emphysema D. Heart attack: B. Stroke
Which of the following statements regarding suicide is TRUE? A. Most attempts at suicide are just attention-seeking behavior. B. Suicide decreases with age, occurring least often among the elderly. C. People are always at their most depressed just before committing suicide. D. Suicide rates are high among 15- to 25-year-olds.: D. Suicide rates are high among 15- to 25-year-olds.
You are called to the home of a young female who is reported to be agitated and threatening her family members. The police are in the kitchen interviewing the family members, and the patient is lying on the couch in the living room, face down with her hands under the pillow on which her head is resting. How should you proceed? A. Sit on the couch next to the patient, and gently begin interacting with her. B. Remove the patient's hands from underneath the pillow before interacting with her. C. From a safe distance, ask the patient to sit up or move to another chair, and ask one of the police officers to accompany you. D. Kneel down next to the patient while trying to coax her to sit up.: C. From a

10 / A. A person is screaming at someone who just hit him with his bicycle and knocked him down.

11 / B. A person is holding a balloon in a park and screaming. C. A person on a rollercoaster going into its first plunge is screaming. D. A person is screaming at someone who just stole his wallet.: B. A person is holding a balloon in a park and screaming.

You are assessing a patient with a behavioral disorder who appears to be slightly agitated. Which of the following can you do to help calm the patient's anxiety and avoid escalation? A. Encourage the patient to voice what is bothering her. B. Put your hands on the patient's shoulders and restrain her. C. Show your commitment to the patient's care by moving as quickly as possible. D. Retreat to the ambulance and depart the scene.: A. Encourage the patient to voice what is bothering her.
A behavioral emergency is one in which: A. a patient's behavior is not typical for the situation. B. a person's behavior is necessary to address an emergency. C. an emergency demands specific behavior in response to it. D. an emergency has caused EMS personnel to behave a particular way.: A. a patient's behavior is not typical for the situation.
While you are en route to a young male patient who is reported to be combative and despondent, your FIRST course of action should be to: A. slow your response to allow time for the patient to relax and become more cooperative. B. alert police, and request their presence at the scene to establish its safety. C. request additional EMTs to the scene to assist with "taking down" the patient. D. speed up your response, as the situation has a potential for a bad outcome- : B. alert police, and request their presence at the scene to establish its safety.
Your partner is conducting a detailed examination of a 19-year-old female patient who is experiencing depression and displaying an abnormal distrust of others (paranoia). Your partner immediately begins assessing the patient's abdomen by exposing it, inspecting it, and palpating it carefully without introducing himself or explaining what he is going to do. Do you consider this approach to be appropriate? Why or why not?

13 / performed after trust and rapport has been established. B. Yes, it is important that a thorough abdominal assessment be conducted on all patients. C. Yes, physical findings can disclose problems that a history cannot, so this approach is necessary. D. No, even if the patient also had complaints of abdominal pain, this level of assessment is unnecessary.: A. No, while a physical exam is appropriate for all patients, it should only be performed after trust and rapport has been established.

Which patient is MOST exhibiting unacceptable behavior given the situa- tion? A. A patient with abdominal pain is guarding his stomach. B. An alert patient insists on spitting at your face. C. A patient experiencing respiratory failure expresses a feeling of impending doom. D. A patient in respiratory distress is in the tripod position and grunting.: B. An alert patient insists on spitting at your face.
A patient who threatens to harm himself or his wife because he is sure she is plotting against him with her sister, although both she and her sister deny it, is: A. in a behavioral emergency if he is lying. B. in a behavioral emergency. C. possibly telling the truth and behaving normally if so. D. certainly lying but not in a behavioral emergency.: B. in a behavioral emer- gency.
Early signs of potential impending violence include: A. nervous pacing. B. constant talking or rambling. C. refusing to talk or interact with you. D. quietly sitting and crying.: A. nervous pacing.
Which of the following should you do when interacting with a behavioral patient? A. Encourage the patient to discuss what is troubling him or her. B. Avoid discussing what is troubling the patient.

14 / C. Limit the interaction to no more than 15 minutes.

16 / B. How and why the patient was restrained

17 / C. How long the police were on scene before the procedure was executed D. How far away from the hospital you were when the procedure was execut- ed: B. How and why the patient was restrained

What adjective BEST describes the attitude you should take toward a patient experiencing a severe stress reaction? A. Lofty B. Dominant C. Attentive D. Fawning: C. Attentive
In a patient who is experiencing a situational stress reaction, which of the following statements is TRUE? A.Tell the patient immediately that whatever is causing the patient stress isn't important. B.You need to take a zero-tolerance attitude toward anything the patient does you find unacceptable. C. A quiet and careful review of the patient's situation is best. D.The patient can be snapped out of the reaction by a stern, loud command.: C. A quiet and careful review of the patient's situation is best.
What is a physical, nonpsychiatric cause for strange behavior? A. Hypoxia B. Schizophrenia C. Posttraumatic stress disorder D. Obsessive-compulsive disorder: A. Hypoxia
You are caring for a 27-year-old male who is screaming and throwing dishes in the kitchen. The family called EMS because they are concerned about his behavior. They inform you that his father just died that day. What can you reasonably conclude? A. That the patient's behavior should simply be accepted and ignored until it stops B.That the patient's behavior is in a behavioral emergency brought on by grief C. That the patient's behavior is behaving unacceptably and intolerably even if the reason is understandable D. That the patient's behavior is normal in the circumstances and deserves support and monitoring: D. That the patient's behavior is normal in the

19 /

You are caring for a 19-year-old male patient who has multiple superficial lacerations over each wrist, in different stages of healing. When you ask him what the marks are from, he states that he sustained them when he was trying to climb over a chain link fence.You suspect multiple attempts at suicide. What should you do? A. State that transport must be delayed until an exact cause for injuries may be determined. B. Accept the patient's explanation and simply remind him to be more careful. C. Inform the patient that he needs to be honest about any suicide attempts. D. Report your suspicions to the staff at the receiving hospital.: D. Report your suspicions to the staff at the receiving hospital.
A patient who told his friend that he planned to commit suicide is refusing ambulance transportation but is agreeable to going to the hospital via a friend's private vehicle. What action should you take at this point? A. Allow the friend to transport the patient via private vehicle. B. Have your partner accompany the patient in the friend's car. C. Have the patient sign a refusal of care and transportation form. D. Contact medical direction for assistance.: D. Contact medical direction for assistance.
Which of the following is defined as a situation in which a patient's behav- ior becomes so bizarre, threatening, or dangerous that it alarms the patient or others and requires intervention? A. Psychosis B. Overdose C. Behavioral emergency D. Abnormal behavior: Behavioral emergency
If a patient whose erratic, confused behavior suddenly subsides into calm and rationality, the cause for the erratic, confused behavior is LEAST likely: A. mind-altering substances. B. hypoglycemia. C. hypoxia. D. head trauma.: D. head trauma.
Which patient is LEAST likely to be in danger of committing suicide?

20 / A. A patient tells you he feels hopeless about the world.

Behavioral Emergencies in EMS/Prehospital Care:, Exams of Medicine

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