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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) Refusal to answer some questions
D) Increased sighing - ANSWER B) The clenching of both fists
2. Which of the following pieces of information is most important to an OEC
technician in assessing a patient with abnormal behavior?
A) What the patient's diagnosis is
B) Whether or not the patient is dangerous
C) Whether the patient is anxious or depressed
D) What medications the patient takes - ANSWER B) Whether or not the
patient is dangerous
3. Which of the following actions is best to keep a behavioral patient calm and to
avoid provoking a violent outburst?
,A) Inform 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) Inform the patient that he is responsible for all of his actions, and that if he
hurts you, you will sue him.
D) Involve as many people as possible in the situation as a "s - ANSWER A)
Inform the patient of everything that is happening and use a calm voice
throughout care.
4. You and a fellow OEC technician are discussing how to talk with someone
experiencing a behavioral emergency. Which of the following statements indicates
that you have a good understanding of the correct approach?
A) "If the patient is hallucinating, you should go along with them so they won't get
upset."
B) "Don't encourage patients to talk about what is bothering them. They should
only talk with a psychiatrist about that."
C) "Demonstrate active listening skills by repeating or paraphrasing wha - ANSWER
C) "Demonstrate active listening skills by repeating or paraphrasing what the
patient said."
5. You are called to the lodge to assist a 25-year-old man who reportedly is having
hallucinations. When you arrive, he is sitting quietly and appears calm.
Information obtained in your SAMPLE history indicates that the patient started
having hallucinations yesterday. He was diagnosed with schizophrenia a few years
ago and has been prescribed two different medications. Which of the following
questions is most pertinent to the situation and should be asked next?
A) "Do you believe that the hallucinations are real?"
,B) "Have you been taking your medications as prescribed?"
C) "Have you been eating and drinking adequately?"
D) "Has your doctor considered increasing the dose of your medication?" -
ANSWER B) "Have you been taking your medications as prescribed?"
6. Which of the following situations is an indication for the use of restraints?
A) The patient is in imminent danger of harming himself.
B) The patient is alert, rational, and refuses medical care.
C) The patient's friend is requesting restraints.
D) The patient responds to the use of verbal calming skills - ANSWER A) The
patient is in imminent danger of harming himself.
7. When treating a patient exhibiting abnormal behavior, you should:
A) assume until proven otherwise that the source of the abnormal behavior is an
underlying medical condition.
B) restrain the patient as a precaution.
C) assist the patient in taking glucose in case the patient is hyperglycemic.
D) assume that the abnormal behavior is a manifestation of an underlying
psychological problem. - ANSWER A) assume until proven otherwise that the
source of the abnormal behavior is an underlying medical condition.
8. 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) Law enforcement personnel can restrain anyone for any reason.
, C) Once you decide to restrain a patient, use the maximum force possible.
D) Physicians have unlimited latitude in ordering the physical restraint of a patient.
- ANSWER A) An OEC technician must follow local protocols for restraining
patients.
9. You are out with a group of friends in a local tavern. One of the patrons gets
argumentative and will not calm down. By the time the police arrive, the patron
has gotten combative and is breaking glass bottles. The police subdue the patron
and have him restrained. As you watch all of this happening, 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 floor, with officers holdi - ANSWER A) The
police have restrained the patron in a prone position on the floor.
10. When mechanically restraining a patient, you should:
A) tell the patient you will release the restraints as soon as he calms down.
B) speak as harshly as necessary to get the patient to cooperate.
C) use a prone position when possible to ensure an open airway.
D) use a method consistent with your local protocols. - ANSWER D) use a
method consistent with your local protocols.
11. You are assisting a 29-year-old spinal injury paraplegic skier who lost control
of his sit ski and hit a tree. Even though there are no obvious signs of injury, the
patient suddenly starts to feel panicky, and you become concerned about
autonomic dysreflexia. Other signs/symptoms that would support this assessment
include all of the following except: