Psychiatric Emergencies: Caring for People in Crisis

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You must score 70% or better to pass this course. Select one answer for each question by clicking the circle at the left of your choice. To change your selection, click a different circle. Do not skip any questions.

Test Question

1. A crisis begins with:

a. Emotional disequilibrium.
b. A precipitating event.
c. Maturational distress.
d. Situational complications.

Test Question

2. Methods or skills people use to solve problems are:

a. Coping mechanisms.
b. Support systems.
c. Crisis equalizers.
d. Inherited talents.

Test Question

3. The goal of crisis intervention is to:

a. Enlarge the person's support system.
b. Avoid experiencing future challenges.
c. Increase the number of balancing factors.
d. Restore the pre-crisis level of functioning.

Test Question

4. An important part of all crisis interventions is:

a. Learn about a person's developmental level.
b. Question the person about suicide ideation.
c. Anticipatory guidance for the future.
d. Giving unconditional positive regard.

Test Question

5. All but one of the following situations would be called "non-emergent." Select the one that would be called "emergent."

a. Two people come to the ED asking for help to settle an argument.
b. A mother calls a hotline and asks about the side effects of a medication.
c. Jane calls a crisis hotline and admits she just took a bottle of pain pills.
d. Jim comes to the ED asking for help, smelling of alcohol, slurring his words.

Test Question

6. When clinicians give people in crisis nonpossessive warmth, empathy, and genuineness, they are exhibiting which ethical principle?

a. Beneficence
b. Justice
c. Honesty
d. Autonomy

Test Question

7. A writ of habeas corpus provides constitutional support for:

a. A right to refuse treatment.
b. The least restrictive alternative.
c. A type of involuntary hospitalization.
d. A judicial discharge.

Test Question

8. All but one of the following are widely used diagnostic systems in the United States. Select the one that is not a diagnostic system.

a. International Statistical Classification of Disease
b. The Merck Manual of Diagnosis and Therapy
c. The Diagnostic and Statistical Manual of Mental Disorder
d. NANDA Nursing Diagnoses: Definitions and Classifications

Test Question

9. Compared to people in manic episodes, people in hypomanic episodes:

a. May not have slept for many days.
b. May be exhausted to the point of death.
c. Have poorer impulse control.
d. Exhibit better impulse control.

Test Question

10. The percentage of depressed people who commit suicide is:

a. 5% to 10%.
b. 10% to 15%.
c. 15% to 20%.
d. 20% to 25%.

Test Question

11. All but one of the following are phases of treatment and recovery of persons with major depression. Select the incorrect phase:

a. Acute: goal of treatment is to reduce symptoms and restore functioning.
b. Continuation: goal of treatment is to prevent relapse with various treatments.
c. Ongoing: goal of treatment is to promote self-testing by means of isolation.
d. Maintenance: goal is to prevent further episodes of sadness and depression.

Test Question

12. Compared to anxiety, fear is a:

a. Vague apprehension that invades the core of personality.
b. Low self-esteem associated with chronic depression.
c. Feeling of disappointment and uncertainty.
d. Reaction to a specific danger.

Test Question

13. Cognitive reframing:

a. Teaches clients to replace negative thoughts with positive ones.
b. Encourages clients to engage in physical activities such as carpentry.
c. Is a new technique to help clients concentrate and relax.
d. Teaches people to forget frightening childhood experiences.

Test Question

14. When dealing with an angry client, the primary outcome criterion is:

a. De-escalation of anger.
b. Moderation of suicide ideation.
c. Safety for staff members.
d. Accurate record keeping.

Test Question

15. After an assaultive episode, debriefing gives staff time to:

a. Identify the culprit.
b. Establish rapport with clients.
c. Regain a sense of personal safety.
d. Write a report to administration.

Test Question

16. A condition in which people take progressively higher doses and exhibit withdrawal symptoms when they stop is called:

a. Polysubstance abuse.
b. Tolerance.
c. Psychological dependence.
d. Physical dependence.

Test Question

17. An individual comes to the ED giggling and acting silly. What substance do you suspect the person has taken?

a. Alcohol
b. Barbiturates
c. Phencyclidine piperidine (PCP)
d. Nitrous oxide

Test Question

18. A man is brought to the ED by a policeman, who reports the man was found wandering in the mall. He has no identification and does not know his name or home address. This man may be suffering from what mental illness?

a. Schizophrenia
b. Dissociative Disorder
c. Delirium
d. Posttraumatic Stress Disorder

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