A 28-year-old paramedic presents for an independent medical examination. He has been on long-term disability for 2 years following an emergency response to a motor vehicle collision that involved fatalities. There is no previous psychiatric or substance use history. He states that he is improving. His wife agrees but notes that he has 'a very quick temper and breaks stuff when he is frustrated.' He reports feeling anxious about returning to work and feeling that 'people are out to get me.' He admits that he sometimes hears 'voices and people screaming.' What is the MOST likely diagnosis?

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PICO Question Psychiatric Emergency Nursing Questions

Question 1 of 5

A 28-year-old paramedic presents for an independent medical examination. He has been on long-term disability for 2 years following an emergency response to a motor vehicle collision that involved fatalities. There is no previous psychiatric or substance use history. He states that he is improving. His wife agrees but notes that he has 'a very quick temper and breaks stuff when he is frustrated.' He reports feeling anxious about returning to work and feeling that 'people are out to get me.' He admits that he sometimes hears 'voices and people screaming.' What is the MOST likely diagnosis?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A college student who failed two tests cried for hours and then tried to telephone a parent but got no answer. The student then gave several expensive sweaters to a roommate and asked to be left alone for a few hours. Which behavior provides the strongest clue of an impending suicide attempt?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A college student who attempted suicide by overdose was hospitalized. When the parents were contacted, they responded, 'We should have seen this coming. We did not do enough.' The parents' reaction reflects:

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A tearful, anxious patient at the outpatient clinic reports, 'I should be dead.' The initial task of the nurse conducting the assessment interview is to:

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

Which behavior best demonstrates aggression?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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