Podcast
Questions and Answers
What is the first action to take if a patient cannot be controlled verbally?
What is the first action to take if a patient cannot be controlled verbally?
- Restrain the patient using the nearest available materials.
- Bring the patient to a horizontal position on the floor. (correct)
- Administer medication immediately.
- Contact security for assistance.
How many people should assist if restraint is necessary for a violent patient?
How many people should assist if restraint is necessary for a violent patient?
- Four to five people. (correct)
- Two to three people.
- As many as possible, regardless of number.
- Only one other person.
What is a key consideration before administering medication to a violent patient?
What is a key consideration before administering medication to a violent patient?
- Staff should be aware of the dosage levels.
- The cause of violent behavior should be determined first. (correct)
- It should be administered immediately.
- It should be given only in a group setting.
What should you do if confronted by an armed, violent patient?
What should you do if confronted by an armed, violent patient?
When should you offer the armed patient free access to exit?
When should you offer the armed patient free access to exit?
What attitude should you convey to a violent patient?
What attitude should you convey to a violent patient?
What is a suggested statement to use with an armed patient?
What is a suggested statement to use with an armed patient?
What is crucial to remember once you have decided to take action with a violent patient?
What is crucial to remember once you have decided to take action with a violent patient?
What is defined as violent behavior in a medical context?
What is defined as violent behavior in a medical context?
What is often a common cause of violent behavior?
What is often a common cause of violent behavior?
When encountering a violent patient, what should be the first attempt at management?
When encountering a violent patient, what should be the first attempt at management?
What technique is suggested when attempting to calm a violent patient verbally?
What technique is suggested when attempting to calm a violent patient verbally?
Which technique can help stimulate rational thinking in a distressed patient?
Which technique can help stimulate rational thinking in a distressed patient?
If verbal control of a violent patient is successful, what should follow?
If verbal control of a violent patient is successful, what should follow?
Which of the following terms describes someone experiencing delusions or hallucinations?
Which of the following terms describes someone experiencing delusions or hallucinations?
In what situation might fear associated with patients become exaggerated?
In what situation might fear associated with patients become exaggerated?
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Study Notes
Management of Violent or Hostile Behavior
- Medical Non-Commissioned Officers (NCOs) may face situations requiring prompt reactions, such as at a rifle range where a soldier displays violent behavior.
- Violent behavior is defined as actions that pose a risk to oneself or others, commonly arising from psychiatric conditions.
- Misconceptions exist regarding the prevalence of violent behavior among psychiatric patients, leading to exaggerated fears.
Causes of Violent Behavior
- Medical illnesses, particularly organic brain syndrome, can lead to violent actions.
- Personality disorders often manifest through poor impulse control, contributing to hostility.
- True neuropsychiatric illnesses can cause delusions of persecution and auditory hallucinations, increasing the risk of violence.
Verbal Control Techniques
- Initial response should be verbal control; approach the patient calmly without threats.
- Introduce yourself and clarify your intent to provide help, using reorienting information to ease agitation.
- Ask open-ended questions to uncover the source of distress, promoting rational thought.
Continued Management of Violent Patients
- If verbal control succeeds and the patient calms down, continue reassurance and provide orienting information.
- Emphasize a "medical care image" to reinforce trust and compliance.
Physical Restraint Procedures
- If verbal control is ineffective, incapacitate the patient using a horizontal position on the ground for safety, gathering a team of four to five people for assistance.
- If immediate restraint is necessary due to danger, act quickly and place the patient on a stretcher, using restraints as needed.
- Avoid administering medication until the cause of violence is identified to prevent adverse interactions with potential underlying conditions.
Aftercare and Transfer
- Follow-up is critical once medication is administered to manage the patient's condition.
- Maintain a compassionate attitude, assuring the patient they are valued and supported, while ensuring their safety and the safety of others.
- Arrange for the patient’s expeditious transfer to a medical treatment facility for evaluation.
Management of Violent or Armed Behavior
- In scenarios involving armed individuals, prioritize evacuating the area and alerting authorities.
- If leaving is not an option, maintain dialogue to prevent silence; express understanding of the tension, highlighting mutual fears.
- Make non-threatening appeals to encourage the individual to relinquish their weapon, offering to hold it temporarily.
- Avoid sudden movements and provide the individual with the option to leave the space, facilitating a calmer environment.
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