You are treating a 54-year-old male complaining of crushing chest pressure. He states that the pain started about 45 minutes ago and has gotten worse in the last 20 minutes. He also complains of nausea and is pale and sweaty. These signs and symptoms are consistent with:
A) congestive heart failure. B) heartburn.
C) myocardial infarction. D) angina pectoris.
Question 2
It can sometimes be difficult to determine whether someone who is showing unusual behavior is having a psychological emergency or is showing an altered level of consciousness due to a physical issue. Which of the following statements are true?
1. Consider patients who are exhibiting crisis or unusual behavior to be having an altered mental status from a nonpsychiatric cause until proven otherwise.
2. Many medical and traumatic conditions are likely to alter a patient's behavior.
3. Lack of oxygen may cause restlessness and confusion, cyanosis (blue or gray skin), and altered mental status.
4. Stroke or inadequate blood to the brain may cause confusion or dizziness and what appears to be erratic behavior.
A) 1, 3, 4 B) 1, 2, 3, 4 C) 1, 2, 3 D) 1, 2
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