Mixed Practice 5

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Check each answer as you goTimer (45 min)

Case 1 of 10Managing challenging clinical encounters (e.g., delivering bad news, de-escalation of aggression, boundary setting)

A 32-year-old man is brought to the emergency department by his sister because he has been shouting at neighbours and has not slept for 3 days. He has a history of schizophrenia and stopped his antipsychotic 2 months ago. He has no other medical conditions and no known allergies. In the triage room he is pacing, speaking loudly, and clenching his fists, and he says that staff are "sending signals" about him. Capillary glucose is 5.6 mmol/L (4.0-7.8), and he has no signs of head injury or intoxication. You are about to assess him.

Heart rate	104/min
Respiratory rate	20/min
Temperature	36.9 °C
O2 saturation	98%, room air
Blood pressure	148/88 mm Hg

Question 1 of 30

Which of the following precautions should be taken when assessing this patient?

Select 3. (0 / 3 selected)

A. Wear a lanyard and stethoscope around the neck

B. Gently touch his arm to convey reassurance

C. Remove objects that could be thrown or used as weapons

D. Keep at least two arm lengths of distance from him

E. Stand directly facing him and maintain continuous eye contact

F. Interview him alone in a closed room for privacy

G. Ensure the clinician has unobstructed access to the exit

H. Sit between the patient and the door to prevent him leaving

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