Ahhhh and there is the rub! What happens if you are in a tight spot while pulling pitch and things are not happening as you expect? Not all of us fly in a multi crew environment or on a big ramp. Better to expect Mr. Murphy to raise his head and start taking controls while you least expect it. He and I have been mortal enemies for over 50 years .....
"What happens if you are in a tight spot while pulling pitch and things are not happening as you expect?"
If you are referring to the controls being reversed, that would have been there when first taking off/taxiing, so the answer would be "put the collective back down and figure out what is going on."
If you are speaking in generic terms, then that is why you practice emergencies over and over and over, particularly in the simulator where you can have more exotic combinations.