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D: whether or not the patient will cause harm to you or your partner.
2. When you are dealing with an emotionally disturbed patient, the best
legal situation is to:
A: always transport the patient with restraints.
4. 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.
B: severely depressed.
C: hypoglycemic.
D: suicidal.
9. 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: adjournment.
C: accommodation.
D: active participation.
Answers:
NO ANS REASON
Reason: There are many things that the EMT-B must be concerned with
when assessing a patient with a behavioral crisis, including all of the items
1. D
listed in the question.Your primary concern, however, should be your and
your partner's personal safety. (ECTSI 8, pp. 480 - 481)
Reason: When dealing with emotionally disturbed patients, the best legal
situation is to try to obtain the patient's consent to medical treatment. This
may be difficult, since these patients often resist treatment to try to threaten
2. B
you. If the patient presents a threat to self or others, you can legally care for,
and even restrain, the patient against his or her will. (ECTSI 8, pp. 484 -
485)
Reason: There are causes other than psychiatric problems that can result in
bizarre behavior, including hypoglycemia, hypoxia, sudden physical illness,
and diseases of the brain. This patient, because of his pallor and tremors,
8. C should be managed as though he his hypoglycemic. In the best interest of
the patient, the EMT-B should consider physical causes. This particular
patient would most likely improve with a tube of oral glucose. (ECTSI 8, pp.
479 - 480)
Reason: When trying to manage a disruptive patient, you should keep your
9. D eyes on the patient at all times and be alert for aggressive behavior. (ECTSI
8, p. 486)
Reason: In assessing a patient for the potential for violence, the EMT-B
should note if the patient has any past history of violence; if the patient is
tense, rigid, or sitting on the edge of his or her seat; whether or not the
10. D patient is in possession of a weapon; if there is any vocal activity, including
being loud and shouting obscenities; and if there is any physical activity,
such as clenching of the fists or glaring eyes. There is no correlation
between physical size and the potential for violence. (ECTSI 8, p. 486)
Reason: Patients who are at high risk of suicide include, but are not limited
to those with a chronic, debilitating illness or recently diagnosed with a
serious illness; those with a severe mental illness, such as depression (the
11. B patient in choice"C" is successfully being treated); those who have had a
financial setback or recent loss of a job; those who consume alcohol
regularly; and those who recently have acquired items that can cause death,
such as a gun. (ECTSI 8, p. 483)