You have stopped a male skier and a female skier who were racing down a closed trail. Initially, the man was calm, but suddenly he becomes angered and says that you can't tell me what to do. When you try to talk with him, he pulls out a knife and tells you to get away or I'll kill you. The female skier is frightened and states that her friend sometimes gets very aggressive when he drinks. You put in a call for security and additional staff, but you know it will be a few minutes before they arrive. Which of the following statements describes your best course of action in the interim?
a. Immediately attempt to physically restrain the man or take away his knife.
b. Approach the man slowly and calmly and ask him to hand you the knife.
c. Move quickly to pull the woman a safe distance away from the man.
d. Remain a safe distance from the man and let him know you are there to help.
Question 2You are describing techniques for remaining safe when responding to a call for a patient with a behavioral emergency. Which of the following statements is appropriate?
a. You need to encounter the patient first, and then come up with your safety plan.
b. You cannot be empathetic to the patient's feelings because that would be a sign of weakness.
c. You should approach patients quietly and try to surprise them so they don't have time to develop a plan to attack you.
d. You should be sure that you have at least one exit route, and do not let the patient get between you and that way out.
Question 3You 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 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.
c
Question 4You 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?
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