Chapter 2 EMT

when patients are actively being assessed or treated.
Critical incident stress management (CISM) can occur at an ongoing scene in all of the following circumstances, EXCEPT
retreat and notify law enforcement personnel
A 75-year-old male with a terminal illness has died at home. As you and your partner enter the residence, a family member becomes verbally abusive, pushes you, and states that you took too long to get there. You should
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cumulative stress reaction
What type of stress reaction occurs when an EMT is exposed to many insignificant stressors over a period of several months or years?
activate your department’s infection control plan as soon as possible.
The BEST way to reduce your risk of contracting a work-related disease following exposure is to
you have been exposed to the disease
A positive TB skin test indicates that
immediately notify the incident commander or safety officer.
You and your partner are EMTs and have been dispatched to standby at the scene of a residential fire. While standing next to the ambulance observing the fire fighters, you see a woman frantically moving around in her burning house. You should
A quiet patient is not as likely to attack you as one who is screaming.
Which of the following statements regarding a patient with a behavioral crisis is correct?
substandard or inappropriate patient care.
The MOST serious consequence of drug or alcohol abuse among EMS personnel is
ensure that employees understand what they should do and why it is important.
The compliance monitoring component of an infection control plan should
3
If a mask cannot be placed on a coughing patient, the Centers for Disease Control and Prevention (CDC) recommend that you maintain a distance of at least ________ feet if possible.
The stages of the grieving process may occur simultaneously.
Which of the following statements regarding the different stages of the grieving process is correct?
may develop illness from germs that lie dormant from the initial infection.
If a person is partially immune to a particular disease, he or she:
acknowledge the death of their child in private.
When caring for the parents of a child who has died of leukemia, the EMT should:
When decontaminating the back of your ambulance after a call, you should:
When decontaminating the back of your ambulance after a call, you should:
“What hospital am I going to?”
Common questions asked by patients with a serious illness or injury include all of the following, EXCEPT:
mark off a danger zone around the downed lines.
At the scene of an automobile crash, a utility pole has been broken, and power lines are lying across the car. The patients inside the car are conscious. You should
put on high-visibility safety vests.
Upon arriving at the scene of a motor vehicle crash, you note that two small cars collided head-on; the occupants are still in their vehicles. The fire department is in the process of stabilizing the vehicles and law enforcement personnel are directing traffic. After parking the ambulance at a safe distance, you and your partner should:
clean the ambulance at your station in a designated area that is well ventilated.
If it is not possible to adequately clean your ambulance at the hospital following a call, you should:
D. when performing endotracheal intubation.
Gloves, a mask, eye protection, and a face shield should be used:
Wash your hands in between patient contacts.
The simplest yet most effective method of preventing the spread of an infectious disease is to:
Carbon dioxide deficiency
Hazards that are associated with a structural fire include all of the following, EXCEPT:
indirect contact
While providing care to a patient, blood got onto the ambulance stretcher. Because the stretcher was not properly cleaned afterward, a virus was transmitted to another emergency medical technician (EMT) several days later. What route of transmission does this scenario describe?
acceptance
The final stage of death and dying is MOST commonly displayed as:
Careless handling of sharps.
The spread of HIV and hepatitis in the health care setting can usually be traced to:
perspiration, increased blood glucose levels, and dilated pupils
Physiologic manifestations of stress include:
offer little or no side protection
Prescription glasses do not provide adequate eye protection because they:
transfer care of your patient to another EMS provider
If you are exposed to a patient’s blood or other bodily fluid, your first action should be to:
crouch down in a position so that only your feet are touching the ground
You are assessing a woman who was thrown from her horse. She is located in a large field and you can see that a thunderstorm is rapidly approaching. Suddenly, you feel your skin begin to tingle and the hair on your arms stands on end. The ambulance is located about 30 yards away. You should
animals or insects.
Vector-borne transmission of an infectious organism occurs via
your partner’s attempt to diminish their grief
While trying to make a family member feel better after a loved one has died, your partner uses trite statements. The family members may view this as:
let clergy or hospital staff relay the bad news if possible.
You are caring for a 40-year-old female who was involved in a motor vehicle crash. Her husband, who was driving the vehicle, was killed. When the patient asks you if her husband is all right, you should
puncture-proof leather gloves over your latex gloves.
When treating a patient who is trapped in a vehicle and covered with broken glass, it is BEST to wear:
tell ur partner to stop and report the incident to your supervisor
While on duty, your partner asks you out on a date and touches you in an inappropriate location without your consent. You should:
Ensure the vehicle is stable.
What should you do before attempting to access a patient trapped in a vehicle?
seek a safe place and request law enforcement assistance.
You arrive at the scene of a domestic violence situation. As you approach the doorway of the apartment, you hear screaming and the statement “He has a gun!” Your MOST appropriate action should be to:
depend on each other for their safety.
It is especially important for EMS personnel to develop nonadversarial relationships with their coworkers because they
“I will be compliant with all my medications if I can just see my grandson graduate.”
Which of the following statements is MOST consistent with the bargaining phase of the grieving process?
discreetly report your suspicions to your supervisor
Your partner, a veteran EMT who you have worked with regularly for the past 4 years, seems unusually agitated during a call involving an elderly patient. Upon arrival back at your station, you note the obvious smell of alcohol on his breath. What should you do?
maintain a safe distance and try to read the placard with binoculars
You are dispatched to the scene of a crash involving a large tanker truck. While you are en route, dispatch advises you that there are multiple patients and that the fire department is en route as well. As you approach the scene, you should:
large physical size
Which of the following factors is NOT taken into consideration when assessing a person’s potential for violence?
explain the seriousness of the situation to him, but avoid causing undue alarm
You are assessing a middle-aged man with chest pain that you suspect is caused by a cardiac problem. The patient tells you that he does not want to go to the hospital and insists that you leave him alone. You should:
immunity
Question 10
Which of the following is the MOST significant factor in determining if a person will become ill from certain germs?
shamed.
Patients who become dependent upon EMS personnel or other health care providers often feel:
distrust of the EMT
Common factors that influence how a patient reacts to the stress of an illness or injury include all of the following, EXCEPT
offer a workplace environment that reduces the risk for exposure.
According to Occupational Safety and Health Administration (OSHA) regulations, an employer must:
wash your hands with soap and water at the hospital.
If you use a waterless handwashing substitute in the field, it is important to:
family history of hepatitis
The hepatitis B vaccine program, a component of the infection control plan, addresses all of the following issues, EXCEPT:
72
A critical incident stress debriefing should be conducted no longer than ________ hours following the incident.
behavior consistent with an earlier developmental stage.
When a patient is dying, he or she may experience regression. This is MOST accurately defined as
Focus on delivering high-quality patient care
Which of the following is the MOST effective strategy for managing stress?
acknowledge that she is scared and tell her that you are going to take good care of her
You are transporting an elderly woman who has possibly experienced a stroke. She is obviously scared but is unable to talk and cannot move the entire right side of her body. In addition to providing the medical care that she needs, you should:
OSHA requires that your employer offer you the vaccine free of charge.
Which of the following statements regarding the hepatitis B vaccine is correct?
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