WEST COAST EMT FINAL EXAM LATEST 2023-2024
REAL EXAM CHAPTER 1-29QUESTIONS AND
100%CORRECT ANSWERS|AGRADE
A general impression of the patient is formed by an EMT:
• when the patient is in the ambulance.
• speaking with family members or bystanders first.
• C. speaking privately with the patient.
D. at a distance when the patient is first seen. - Answer at a distance when the
patient is first seen.
Everyone exhibits some signs and symptoms of mental illness at some point in life
.
• but that does not mean a person is mentally ill
• and should be physically restrained for their own safety and the safety of the EMT
• C. and needs medication administered to control them
D. because mental illness affects everyone - Answer but that does not mean a
person is mentally ill
From a mental health standpoint, an abnormal or disturbing pattern of behavior is a
matter of concern if it lasts for at least:
A. 1 month.
B. 1 week.
C. 2 weeks.
D. 3 weeks. - Answer 1 month.
Signs of excited delirium include:
A. subdued behavior, crying, and suicidal thoughts.
B. pallor, hypotension, and constricted pupils.
C. diaphoresis, tachycardia, and hallucinations.
D. slurred speech, bradycardia, and a high fever. - Answer diaphoresis, tachycardia,
and hallucinations.
The two basic categories of diagnosis that a physician will use for behavioral crises
or psychiatric emergencies are .
• organic brain syndrome and altered mental status
• functional and nonfunctional
• C. physical and
psychological
D. All of these answers are correct. - Answer physical and psychological
,What is the most common misconception surrounding mental illness?
A. All persons with mental disorders are physically violent and dangerous.
B. Everyone has some form of mental illness.
C. Feeling "bad" or "depressed" means that you must be "sick."
D. Many mental illnesses stem from drug or alcohol abuse. - Answer Feeling "bad"
or "depressed" means that you must be "sick."
When a psychiatric emergency arises, a patient is most likely to exhibit which of the
following behaviors?
• Visual or auditory hallucinations
• Any behaviors unacceptable to the patient, family, or community
• Any behaviors that are a violent threat to the patient, EMTs, or others
• Disruptions to activities of daily living - Answer Any behaviors that are a violent
threat to the patient, EMTs, or others
When caring for a patient experiencing excited delirium, the EMT should remember that:
• most patients will have low blood pressure and hyperglycemia.
• excited delirium is worsened by nervous system depressant drugs.
• C. lights and siren are effective in redirecting the patient's behavior.
D. sudden death can occur if the patient's violence is not controlled. - Answer
sudden death can occur if the patient's violence is not controlled.
Which of the following is a good guideline for physical examination of any patient?
• Examine extremities first.
• Complete the physical exam first, then check the ABCs.
• C. Always work toe-to-head.
D. Avoid touching without permission. - Answer Avoid touching without permission.
Which of the following is an example of a psychiatric emergency?
• A person violently attacking family members
• A person who is depressed and no longer caring for himself
• C. A person going on a week-long "bender" after losing a job
D. A person who is experiencing a panic attack - Answer A person violently attacking
family members
Which of the following is considered an organic brain syndrome?
A. Anxiety conditions
B. Depression
C. Alzheimer dementia
D. Schizophrenia - Answer Alzheimer dementia
Which of the following terms applies to a state of delusion in which the patient is out
of touch with reality?
, • Psychosis
• Schizophrenia
• C. Suicidal
D. Agitated delirium - Answer Psychosis
Why might EMTs encounter a larger proportion of violent patients than the
population at large?
• EMTs respond with law enforcement.
• It is a common misperception; EMTs do NOT encounter a larger proportion of
violent patients than the population at large.
• EMTs have to restrain patients.
• EMTs respond to patients who, by definition, are having an emergency. - Answer
EMTs respond to patients who, by definition, are having an emergency.
You are assessing a 45-year-old female who is severely depressed. She states thatit
seems as though her entire world is crashing down around her. She further states
that she has had frequent thoughts of suicide, but is not sure if she can actually go
through with it. How should you manage this situation?
• Ask the patient if she has developed a suicidal plan.
• Have law enforcement place her in protective custody.
• C. Encourage the patient to remain quiet during
transport.
D. Leave the scene and have a neighbor check in on her. - Answer Ask the patient if
she has developed a suicidal plan.
You are attending to a 27-year-old patient with a history of depression. The patient's
family tells you that she has been openly talking about harming herself and suicide,
and they got scared when she tried to overdose on some medications. The patient
did not take the pills and is alert and oriented. Despite all of your best efforts to
convince her, the patient refuses to go to hospital for treatment. Based on this
information, you should:
• call for the police to attend the scene and, once they arrive, release responsibility
for patient transport to them
• restrain the patient and transport her to the hospital as she represents a threat to
her safety.
• ensure that the patient is competent and completes the required documentation,
and leave her in the care of her family.
• stay with the patient while you arrange for other transport options as a potentially
life-threatening emergency exists. - Answer stay with the patient while you arrange
for other transport options as a potentially life-threatening emergency exists.
You are attending to a 32-year-old male patient. The patient's wife tells you that he
returned from Afghanistan last year. While he initially seemed fine, lately he has
become withdrawn and distanced himself from his family and friends. He does not
REAL EXAM CHAPTER 1-29QUESTIONS AND
100%CORRECT ANSWERS|AGRADE
A general impression of the patient is formed by an EMT:
• when the patient is in the ambulance.
• speaking with family members or bystanders first.
• C. speaking privately with the patient.
D. at a distance when the patient is first seen. - Answer at a distance when the
patient is first seen.
Everyone exhibits some signs and symptoms of mental illness at some point in life
.
• but that does not mean a person is mentally ill
• and should be physically restrained for their own safety and the safety of the EMT
• C. and needs medication administered to control them
D. because mental illness affects everyone - Answer but that does not mean a
person is mentally ill
From a mental health standpoint, an abnormal or disturbing pattern of behavior is a
matter of concern if it lasts for at least:
A. 1 month.
B. 1 week.
C. 2 weeks.
D. 3 weeks. - Answer 1 month.
Signs of excited delirium include:
A. subdued behavior, crying, and suicidal thoughts.
B. pallor, hypotension, and constricted pupils.
C. diaphoresis, tachycardia, and hallucinations.
D. slurred speech, bradycardia, and a high fever. - Answer diaphoresis, tachycardia,
and hallucinations.
The two basic categories of diagnosis that a physician will use for behavioral crises
or psychiatric emergencies are .
• organic brain syndrome and altered mental status
• functional and nonfunctional
• C. physical and
psychological
D. All of these answers are correct. - Answer physical and psychological
,What is the most common misconception surrounding mental illness?
A. All persons with mental disorders are physically violent and dangerous.
B. Everyone has some form of mental illness.
C. Feeling "bad" or "depressed" means that you must be "sick."
D. Many mental illnesses stem from drug or alcohol abuse. - Answer Feeling "bad"
or "depressed" means that you must be "sick."
When a psychiatric emergency arises, a patient is most likely to exhibit which of the
following behaviors?
• Visual or auditory hallucinations
• Any behaviors unacceptable to the patient, family, or community
• Any behaviors that are a violent threat to the patient, EMTs, or others
• Disruptions to activities of daily living - Answer Any behaviors that are a violent
threat to the patient, EMTs, or others
When caring for a patient experiencing excited delirium, the EMT should remember that:
• most patients will have low blood pressure and hyperglycemia.
• excited delirium is worsened by nervous system depressant drugs.
• C. lights and siren are effective in redirecting the patient's behavior.
D. sudden death can occur if the patient's violence is not controlled. - Answer
sudden death can occur if the patient's violence is not controlled.
Which of the following is a good guideline for physical examination of any patient?
• Examine extremities first.
• Complete the physical exam first, then check the ABCs.
• C. Always work toe-to-head.
D. Avoid touching without permission. - Answer Avoid touching without permission.
Which of the following is an example of a psychiatric emergency?
• A person violently attacking family members
• A person who is depressed and no longer caring for himself
• C. A person going on a week-long "bender" after losing a job
D. A person who is experiencing a panic attack - Answer A person violently attacking
family members
Which of the following is considered an organic brain syndrome?
A. Anxiety conditions
B. Depression
C. Alzheimer dementia
D. Schizophrenia - Answer Alzheimer dementia
Which of the following terms applies to a state of delusion in which the patient is out
of touch with reality?
, • Psychosis
• Schizophrenia
• C. Suicidal
D. Agitated delirium - Answer Psychosis
Why might EMTs encounter a larger proportion of violent patients than the
population at large?
• EMTs respond with law enforcement.
• It is a common misperception; EMTs do NOT encounter a larger proportion of
violent patients than the population at large.
• EMTs have to restrain patients.
• EMTs respond to patients who, by definition, are having an emergency. - Answer
EMTs respond to patients who, by definition, are having an emergency.
You are assessing a 45-year-old female who is severely depressed. She states thatit
seems as though her entire world is crashing down around her. She further states
that she has had frequent thoughts of suicide, but is not sure if she can actually go
through with it. How should you manage this situation?
• Ask the patient if she has developed a suicidal plan.
• Have law enforcement place her in protective custody.
• C. Encourage the patient to remain quiet during
transport.
D. Leave the scene and have a neighbor check in on her. - Answer Ask the patient if
she has developed a suicidal plan.
You are attending to a 27-year-old patient with a history of depression. The patient's
family tells you that she has been openly talking about harming herself and suicide,
and they got scared when she tried to overdose on some medications. The patient
did not take the pills and is alert and oriented. Despite all of your best efforts to
convince her, the patient refuses to go to hospital for treatment. Based on this
information, you should:
• call for the police to attend the scene and, once they arrive, release responsibility
for patient transport to them
• restrain the patient and transport her to the hospital as she represents a threat to
her safety.
• ensure that the patient is competent and completes the required documentation,
and leave her in the care of her family.
• stay with the patient while you arrange for other transport options as a potentially
life-threatening emergency exists. - Answer stay with the patient while you arrange
for other transport options as a potentially life-threatening emergency exists.
You are attending to a 32-year-old male patient. The patient's wife tells you that he
returned from Afghanistan last year. While he initially seemed fine, lately he has
become withdrawn and distanced himself from his family and friends. He does not
