CPC Behavioral and Mental Health Support 3

Question 1

The PHQ-9 depression screening tool classifies a score of 15–19 as:

Accepted Answer

Moderately severe depression

Answer

Minimal depression

Answer

Mild depression

Answer

Severe depression

Question 2

A community paramedic responds to a patient in acute psychosis who is agitated but not violent. Which de-escalation approach is MOST appropriate?

Accepted Answer

Use a calm, quiet voice, maintain distance, limit stimulation, and offer choices

Answer

Issue firm commands and establish physical control immediately

Answer

Apply physical restraints prophylactically to ensure safety

Answer

Engage in detailed reality testing to challenge the patient's delusions

Question 3

Which community resource is MOST appropriate for a patient experiencing housing insecurity that is exacerbating their mental health condition?

Accepted Answer

Refer to a Housing and Urban Development (HUD) continuum of care program

Answer

Enroll the patient in Medicaid

Answer

Prescribe anxiolytics to manage stress related to homelessness

Answer

Schedule weekly community paramedic follow-up only

Question 4

Which of the following describes 'trauma-informed care' as practiced in community paramedicine?

Accepted Answer

Recognizing the widespread impact of trauma and integrating knowledge about trauma into policies and practices

Answer

Asking patients to recount traumatic events in detail to promote healing

Answer

Avoiding any discussion of past trauma to prevent re-traumatization

Answer

Providing trauma counseling directly in the patient's home

Question 5

A patient with bipolar disorder reports they stopped taking lithium because of side effects. The community paramedic should FIRST:

Accepted Answer

Explore the specific side effects and barriers, then coordinate with the prescribing provider

Answer

Advise the patient to restart lithium immediately at the previous dose

Answer

Document non-adherence and defer all decisions to the psychiatrist

Answer

Transport the patient to the ED for medication re-initiation

Question 6

Under the Mental Health Parity and Addiction Equity Act (MHPAEA), health insurers must:

Accepted Answer

Apply no more restrictive treatment limitations to mental/substance use benefits than to medical/surgical benefits

Answer

Cover all mental health conditions regardless of cost

Answer

Eliminate all co-pays for psychiatric visits

Answer

Provide unlimited inpatient psychiatric days