1. Which of the following patients should an OEC Technician consider a potential behavioral emergency? a. A !year!

old woman with bipolar disorder who is complaining of a fever of "".#$% b. A #&!year!old man with schi'ophrenia who has continued ta(ing his medications c. A )"!year!old man with diabetes who is combative and refusing care d. A *&!year!old man with a (nown history who tells you he is hearing voices Answer+ c Ob,ective+ **! -eference+ 1. . ). /our first priority in managing a patient with a behavioral emergency is+ a. determining if the patient is a threat to himself or herself. b. providing the patient high!concentration o0ygen. c. ensuring your own personal safety. d. assessing and managing the patient1s airway. Answer+ c Ob,ective+ **!2 -eference+ 1.#1 *. /our OEC class as(s you to describe the term behavior. Which of the following statements would be the correct response? a. What is acceptable behavior in one community may not be acceptable in another. b. 3ehavior pertains to how you perform a physical activity only. c. 4editation is the absence of behavior. d. /elling is never an acceptable behavior. Answer+ a Ob,ective+ **!1 -eference+ 1. . . Two of the most common medical causes of abnormal behavior are+ a. b. c. d. e0ercise and hypoglycemia. hypotension and hyperthermia. hypo0ia and hypoglycemia. carbon mono0ide poisoning and acute myocardial infarction.

Answer+ c Ob,ective+ * -eference+ 1. ) #. Which of the following statements about behavioral emergencies is false? a. The person acts in a way that is not tolerable to those around them. b. The person re5uires physical restraint before care can be given. c. The person is often a danger to themselves or others. d. An in,ury to the brain can cause a behavioral emergency.

Answer+ b Ob,ective+ **!1 -eference+ 1.#6 &. Which of the following patients is e0hibiting signs of psychosis? a. An 16!year!old who is so an0ious about peer pressure that he is unable to go to school b. A recently divorced *#!year!old who sleeps most of the day and is losing weight c. A 2)!year!old who was recently diagnosed with dementia d. A *2!year!old who is having hallucinations Answer+ d Ob,ective+ **!) -eference+ 1. 2. Elisabeth 7ubler!-oss described five distinct phases that occur when a person learns that death is pending. Which of the following statements about these phases is accurate? a. The five phases are denial8 anger8 bargaining8 depression8 and acceptance. b. 9ndividuals who do not move through the phases in a specific time frame are suffering from depression. c. Once you fully complete a phase you will not return to it again. d. The grieving process follows similar phases e0cept that you never go through denial. Answer+ a Ob,ective+ **!1. -eference+ 1. 6 6. /ou have stopped a male s(ier and a female s(ier who were racing down a closed trail. 9nitially8 the man was calm8 but suddenly he becomes angered and says that :you can1t tell me what to do.; When you try to tal( with him8 he pulls out a (nife and tells you to :get away or 91ll (ill you.; The female s(ier is frightened and states that her friend sometimes gets very aggressive when he drin(s. /ou put in a call for security and additional staff8 but you (now it will be a few minutes before they arrive. Which of the following statements describes your best course of action in the interim? a. 9mmediately attempt to physically restrain the man or ta(e away his (nife. b. Approach the man slowly and calmly and as( him to hand you the (nife. c. 4ove 5uic(ly to pull the woman a safe distance away from the man. d. -emain a safe distance from the man and let him (now you are there to help. Answer+ d Ob,ective+ **!# -eference+ 1.#1 ". /ou are out with a group of friends in a local tavern. One of the patrons gets argumentative and will not calm down. 3y the time the police arrive8 the patron has gotten combative and is brea(ing glass bottles. The police subdue the patron and have him restrained. As you watch all of this happening8 which of the following situations would cause you to be concerned? a. The police have restrained the patron in a prone position on the floor.

b. The patron is supine on the floor8 with officers holding one of his hands over his head and the other at his side. c. The patron is threatening to sue the officers for physically restraining him. d. The police say they will not release the patron until he has been seen in an emergency department. Answer+ a Ob,ective+ **!" -eference+ 1.#" 1.. Which of the following statements shows that an OEC Technician has a good understanding of dealing with a patient who is having a behavioral emergency? a. :Try to assess patients from a safe distance until they start to answer your 5uestions calmly.; b. :9 avoid ma(ing eye contact because patients may perceive eye contact as a threatening gesture and respond with violence.; c. :Touch conveys concern for a patient8 so 9 try to touch the patient1s shoulder or arm as soon as 9 arrive at the scene.; d. : 9f a patient raises his voice to you8 you must raise your voice in return. -esearch has shown that this helps deter violence.; Answer+ a Ob,ective+ **!& -eference+ 1.#1 11. /ou are called to the lodge to assist a )#!year!old man who reportedly is having hallucinations. When you arrive8 he is sitting 5uietly and appears calm. 9nformation obtained in your <A4=>E history indicates that the patient started having hallucinations yesterday. ?e was diagnosed with schi'ophrenia a few years ago and has been prescribed two different medications. Which of the following 5uestions is most pertinent to the situation and should be as(ed ne0t? a. :@o you believe that the hallucinations are real?; b. :?ave you been ta(ing your medications as prescribed?; c. :?ave you been eating and drin(ing ade5uately?; d. :?as your doctor considered increasing the dose of your medication?; Answer+ b Ob,ective+ **!& -eference+ 1.# 1). /ou are describing techni5ues for remaining safe when responding to a call for a patient with a behavioral emergency. Which of the following statements is appropriate? a. :/ou need to encounter the patient first8 and then come up with your safety plan.; b. :/ou cannot be empathetic to the patient1s feelings because that would be a sign of wea(ness.; c. :/ou should approach patients 5uietly and try to surprise them so they don1t have time to develop a plan to attac( you.; d. /ou should be sure that you have at least one e0it route8 and do not let the patient get between you and that way out.; Answer+ d Ob,ective+ **!#

-eference+ 1.#1 1*. Which of the following behaviors is a sign of potential aggression in a patient? a. Avoiding eye contact b. The clenching of both fists c. -efusal to answer some 5uestions d. 9ncreased sighing Answer+ b Ob,ective+ **!& -eference+ 1.#) 1 . Which of the following actions is best to (eep a behavioral patient calm and to avoid provo(ing a violent outburst? a. 9nform the patient of everything that is happening and use a calm voice throughout care. b. Establish that you are in control of the situation and that the patient must cooperate or you will restrain him. c. 9nform the patient that he is responsible for all of his actions8 and that if he hurts you8 you will sue him. d. 9nvolve as many people as possible in the situation as a :show of force.; Answer+ a Ob,ective+ **!2 -eference+ 1.#* 1#. Which of the following pieces of information is not important to OEC Technicians in assessing a patient with abnormal behavior? a. What the patient1s diagnosis is b. Whether or not the patient is dangerous c. Whether the patient is an0ious or depressed d. Whether the patient is functioning in reality Answer+ a Ob,ective+ **!& -eference+ 1.#) 1&. /ou and a fellow OEC Technician are discussing how to tal( with someone e0periencing a behavioral emergency. Which of the following statements indicates that you have a good understanding of the correct approach? a. :9f the patient is hallucinating8 you should go along with them so they won1t get upset.; b. :@on1t encourage patients to tal( about what is bothering them. They should only tal( with a psychiatrist about that.; c. :@emonstrate active listening s(ills by repeating or paraphrasing what the patient said.; d. 9f a patient yells8 you should yell bac( so he will (now you are not afraid.; Answer+ c Ob,ective+ **!& -eference+ 1.#*

12. Which of the following patients is not showing signs of a behavioral emergency? a. A 6!year!old female who fears that someone is going to harm her b. A ) !year!old female who is sobbing loudly after having a miscarriage c. A **!year!old male who has been drin(ing heavily and is uncontrollably combative d. A 6)!year!old male who is agitated8 aggressive8 and spea(s in a disorgani'ed way Answer+ b Ob,ective+ **!1 -eference+ 1. . 16. When treating a patient e0hibiting abnormal behavior8 you should always+ a. assume until proven otherwise that the source of the abnormal behavior is an underlying medical condition. b. provide o0ygen with a nonrebreather mas( at 1# >=4. c. assist the patient in ta(ing glucose in case the patient is hyperglycemic. d. assume that the abnormal behavior is a manifestation of an underlying psychological problem. Answer+ a Ob,ective+ **!2 -eference+ 1.#& 1". Which of the following situations is not an indication for the use of restraints? a. The patient is in imminent danger of harming himself. b. The patient is alert8 rational8 and refuses medical care. c. Others present are in imminent danger from the patient. d. The use of verbal calming s(ills is no longer effective8 and the patient is a danger to himself or others. Answer+ b Ob,ective+ **!6 -eference+ 1.#6 ).. Which of the following statements regarding the use of physical restraint is true? a. An OEC technician must follow local protocols for restraining patients. b. >aw enforcement personnel can restrain anyone for any reason. c. Once you decide to restrain a patient8 use the ma0imum force possible. d. =hysicians have unlimited latitude in ordering the physical restraint of a patient. Answer+ a Ob,ective+ **!6 -eference+ 1.#6 )1. When mechanically restraining a patient8 you should+ a. tell the patient you will release the restraints as soon as he calms down. b. spea( as harshly as necessary to get the patient to cooperate. c. designate two leaders+ one to control the patient1s upper e0tremities and one to control the patient1s lower e0tremities.

d. have si0 people available to safely apply the restraints. Answer+ d Ob,ective+ **!" -eference+ 1.#" )). A condition in which a person e0hibits abnormal behavior but is able to function within the normal boundaries of reality is (nown as+ a. a psychosis. b. schi'ophrenia. c. a neurosis. d. a behavioral emergency. Answer+ c Ob,ective+ **!) -eference+ 1. *