13865679
Beschreibung
Quiz von Seth Weaver, aktualisiert more than 1 year ago
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Erstellt von Seth Weaver
vor etwa 6 Jahre
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Frage 1
Frage
A 15-year-old boy was killed when he was struck by a car while riding his bicycle. He has numerous disfiguring injuries and has been placed in the back of the ambulance to shield him from curious bystanders. When the child's parents arrive at the scene, they demand to see him. You should:
Antworten
-
A. advise them that their son had severely disfiguring injuries and ask them if there is anyone they would like you to contact first. Correct
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B. discreetly escort them to the back of the ambulance and allow them to see their child by themselves while you wait outside.
-
C. let them know that because of the circumstances of their child's death, they will not be permitted to see him at this time.
-
D. express your sincere condolences over their loss and have them escorted away from the scene by a law enforcement officer.
Frage 2
Frage
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:
Antworten
-
retreat and notify law enforcement personnel.
-
tell the family member that it is not your fault.
-
subdue the family member until the police arrive.
-
ignore the family member and assess the patient.
Frage 3
Frage
A critical incident stress debriefing should be conducted no longer than ________ hours following the incident.
Antworten
-
6
-
12
-
24
-
72
Frage 4
Frage
A positive TB skin test indicates that:
Antworten
-
the disease is dormant and may become active.
-
you are actively infected with the disease.
-
you have been exposed to the disease.
-
you have never been exposed to TB.
Frage 5
Frage
According to Occupational Safety and Health Administration (OSHA) regulations, an employer must:
Antworten
-
screen all prospective employees for bloodborne pathogens.
-
provide gloves and other personal protective equipment (PPE) to full-time paid employees only.
-
offer a workplace environment that reduces the risk for exposure.
-
guarantee a 100% risk-free environment prior to employment.
Frage 6
Frage
According to the CDC, recommended immunizations and tests include a
Antworten
-
smallpox vaccine every 5 years.
-
TB skin test every 6 months.
-
two-shot hepatitis A vaccination series.
-
tetanus-diphtheria booster every 10 years.
Frage 7
Frage
As an EMT, it is important to remember that the signs and symptoms of cumulative stress:
Antworten
-
may not be obvious or present all the time.
-
usually manifest suddenly and without warning.
-
cannot be identified and can cause health problems.
-
are most effectively treated with medications.
Frage 8
Frage
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:
Antworten
-
mark off a danger zone around the downed lines
-
advise the patients to carefully get out of the car.
-
remove the lines with a nonconductive object.
-
proceed with normal extrication procedures.
Frage 9
Frage
Carbon monoxide blocks the ability of the blood to oxygenate the body because it:
Antworten
-
binds with the hemoglobin in the red blood cells.
-
fills the lungs with secretions.
-
causes the body to expel too much carbon dioxide.
-
destroys the number of circulating red blood cells.
Frage 10
Frage
Common factors that influence how a patient reacts to the stress of an illness or injury include all of the following, EXCEPT:
Antworten
-
distrust of the EMT.
-
mental disorders.
-
history of chronic disease.
-
fear of medical personnel.
Frage 11
Frage
Common questions asked by patients with a serious illness or injury include all of the following, EXCEPT:
Antworten
-
“Am I going to die?”
-
“What hospital am I going to?”
-
“What are you doing to me?”
-
“Will I be permanently disabled?”
Frage 12
Frage
Critical incident stress management (CISM) can occur at an ongoing scene in all of the following circumstances, EXCEPT:
Antworten
-
when personnel are assessed during periods of rest.
-
before personnel are preparing to reenter the scene.
-
when patients are actively being assessed or treated.
-
before leaving the scene after the incident is resolved.
Frage 13
Frage
Determination of exposure is an important component of an infection control plan because it:
Antworten
-
determines the time of day that most exposures are likely to occur.
-
determines which type of communicable disease might be present in the workplace.
-
defines who is most likely to transmit communicable diseases in the workplace.
-
defines who is at risk for contact with blood and body fluids and which tasks pose a risk of exposure. Correct
Frage 14
Frage
Gloves, a mask, eye protection, and a face shield should be used:
Select one:
Antworten
-
any time you touch non-intact skin.
-
during routine cleaning of the ambulance.
-
while handling needles or other sharps.
-
when performing endotracheal intubation.
Frage 15
Frage
Hazards that are associated with a structural fire include all of the following, EXCEPT:
Select one:
Antworten
-
the risk of building collapse.
-
high ambient temperatures.
-
carbon dioxide deficiency
-
smoke and toxic gases.
Frage 16
Frage
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.
Antworten
-
2
-
3
-
4
-
5
Frage 17
Frage
If a person is partially immune to a particular disease, he or she:
Select one:
Antworten
-
is not protected from a new infection if exposed to another individual.
-
must be revaccinated at least every 18 months to avoid infection.
-
may develop illness from germs that lie dormant from the initial infection.
-
will not experience future illness, even if his or her immune system is stressed.
Frage 18
Frage
If it is not possible to adequately clean your ambulance at the hospital following a call, you should:
Select one:
Antworten
-
thoroughly wash the back of the ambulance at a local car wash or similar facility.
-
wait until the end of your shift and then disinfect the entire patient compartment.
-
clean the ambulance at your station in a designated area that is well ventilated.
-
quickly wipe down all high contact surfaces with an antibacterial solution.
Frage 19
Frage
If you are exposed to a patient's blood or other bodily fluid, your first action should be to:
Antworten
-
report the incident to the infection control officer.
-
abandon patient care and seek medical attention.
-
transfer care of your patient to another EMS provider.
-
vigorously clean the area with soap and water.
Frage 20
Frage
If you use a waterless handwashing substitute in the field, it is important to:
Select one:
Antworten
-
wash your hands with soap and water at the hospital.
-
immediately dry your hands with a paper towe
-
wait at least 5 minutes before touching another patient.
-
avoid donning another pair of gloves for at least 10 minutes.
Frage 21
Frage
It is especially important for EMS personnel to develop nonadversarial relationships with their coworkers because they:
Select one:
Antworten
-
may have to bunk in the same rooom
-
must work together every third day.
-
depend on each other for their safety.
-
are highly prone to stress and burnout.
Frage 22
Frage
Patients who become dependent upon EMS personnel or other health care providers often feel:
Select one:
Antworten
-
shamed.
-
hopeful.
-
superior.
-
relieved.
Frage 23
Frage
Physiologic manifestations of stress include:
Select one:
Antworten
-
increased blood pressure, decreased blood glucose levels, and chest pain.
-
perspiration, increased blood glucose levels, and dilated pupils.
-
slow heart rate, low blood pressure, and severe headaches.
-
flushed skin, decreased muscle control, and vomiting.
Frage 24
Frage
Prescription glasses do not provide adequate eye protection because they:
Select one:
Antworten
-
do not have shatterproof lenses.
-
offer little or no side protection.
-
are not secured with a strap.
-
have large rounded lenses.
Frage 25
Frage
Quid pro quo, a type of sexual harassment, occurs when the harasser:
Select one:
Antworten
-
makes rude remarks about a person's body parts.
-
stares at certain parts of another person's anatomy.
-
touches another person without his or her consent.
-
requests sexual favors in exchange for something else.
Frage 26
Frage
The BEST way to reduce your risk of contracting a work-related disease following exposure is to:
Antworten
-
vigorously wash the affected area with an antimicrobial solution.
-
be evaluated by a physician within 72 hours following the exposure.
-
get vaccinated against the disease you think you were exposed to.
-
activate your department's infection control plan as soon as possible.
Frage 27
Frage
The compliance monitoring component of an infection control plan should:
Select one:
Antworten
-
ensure that employees understand what they should do and why it is important
-
identify who to notify after an exposure and where treatment should be provided.
-
consist of a list of tasks that pose a risk for contact with blood or other body fluids.
-
address issues such as medical waste collection, storage, and ambulance disinfection.
Frage 28
Frage
The final stage of death and dying is MOST commonly displayed as:
Select one:
Antworten
-
acceptance.
-
depression.
-
denial.
-
anger.
Frage 29
Frage
The general adaptation syndrome is characterized by which of the following phases?
Select one:
Antworten
-
immediate reaction, psychological exhaustion, and recovery
-
reaction and resistance, euphoria, and physical exhaustion
-
delayed reaction, alarm response, and physical recovery
-
alarm response, reaction and resistance, and recovery
Frage 30
Frage
The hepatitis B vaccine program, a component of the infection control plan, addresses all of the following issues, EXCEPT:
Select one:
Antworten
-
family history of hepatitis.
-
postvaccine antibody titers.
-
vaccine safety and efficacy.
-
record keeping and tracking.
Frage 31
Frage
The MOST effective way to preserve your own body heat when functioning in cold, wet weather is to:
Antworten
-
wear socks made of heavy-duty cotton.
-
wear at least three layers of clothing
-
avoid outer clothing with zippers.
-
wear a heavy, thick jacket or coat.
Frage 32
Frage
The MOST important consideration at the scene of a hazardous material incident is:
Select one:
Antworten
-
identifying the material.
-
calling the hazardous materials team.
-
evacuating the bystanders.
-
ensuring your personal safety.
Frage 33
Frage
The MOST serious consequence of drug or alcohol abuse among EMS personnel is:
Select one:
Antworten
-
substandard or inappropriate patient care.
-
punitive action and the loss of a job.
-
low morale and frequently missed shifts.
-
tension among coworkers and supervisors.
Frage 34
Frage
The simplest yet most effective method of preventing the spread of an infectious disease is to:
Select one:
Antworten
-
undergo an annual physical examination.
-
ensure that your immunizations are up-to-date.
-
wash your hands in between patient contacts
-
undergo human immunodeficiency virus (HIV) testing at least twice a year.
Frage 35
Frage
The spread of HIV and hepatitis in the health care setting can usually be traced to:
Select one:
Antworten
-
a noncompliance with standard precautions.
-
excessive blood splashing or splattering.
-
a lack of proper immunizations.
-
careless handling of sharps.
Frage 36
Frage
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:
Select one:
Antworten
-
put on high-visibility safety vests.
-
quickly begin the triage process.
-
assist with vehicle stabilization.
-
report to the incident commander.
Frage 37
Frage
Vaccination against the hepatitis A virus is unnecessary if you:
Select one:
Antworten
-
received a hepatitis B vaccination.
-
are older than 35 years of age.
-
have a weak immune system.
-
have been infected in the past.
Frage 38
Frage
Vector-borne transmission of an infectious organism occurs via:
Select one:
Antworten
-
inanimate objects.
-
direct contact.
-
smoke or dust.
-
animals or insects.
Frage 39
Frage
What should you do before attempting to access a patient trapped in a vehicle?
Select one:
Antworten
-
Contact medical control.
-
Request another ambulance.
-
Ensure the vehicle is stable
-
Check for other patients.
Frage 40
Frage
What type of stress reaction occurs when an EMT is exposed to many insignificant stressors over a period of several months or years?
Select one:
Antworten
-
critical incident stress reaction
-
posttraumatic stress reaction
-
cumulative stress reaction
-
acute stress reaction
Frage 41
Frage
When a patient is dying, he or she may experience regression. This is MOST accurately defined as:
Antworten
-
anger projected toward the EMT or other providers.
-
a decreased ability to exercise age-appropriate judgment.
-
behavior consistent with an earlier developmental stage
-
fear of being completely dependent upon other people.
Frage 42
Frage
When caring for the parents of a child who has died of leukemia, the EMT should:
Antworten
-
acknowledge the death of their child in private
-
refrain from using words such as “died” or “dead.”
-
tell them that their feelings are understood.
-
immediately refer them to a counselor.
Frage 43
Frage
When considering his or her personal life, it is important for the EMT to realize that:
Select one:
Antworten
-
it is more difficult to effectively relax at home than it is while on duty.
-
family or friends may not understand the stress associated with EMS.
-
shift work is the least stressful type of an EMS-related work schedule.
-
he or she should not discuss stressful issues with family members.
Frage 44
Frage
When decontaminating the back of your ambulance after a call, you should:
Select one:
Antworten
-
spray the contaminated areas and then immediately wipe them dry with a towel.
-
clean all surfaces and patient contact areas with a mixture of alcohol and water.
-
use a bleach and water solution at a 1:2 dilution ratio to thoroughly wipe all surfaces.
-
allow surfaces to air dry unless otherwise indicated in the product directions
Frage 45
Frage
When treating a patient who is trapped in a vehicle and covered with broken glass, it is BEST to wear:
Select one:
Antworten
-
thick fire fighter gloves over two pairs of latex gloves.
-
fire fighter gloves only, to preserve manual dexterity.
-
puncture-proof leather gloves over your latex gloves
-
latex gloves with thick leather gloves underneath.
Frage 46
Frage
Which of the following factors is NOT taken into consideration when assessing a person's potential for violence?
Select one:
Antworten
-
large physical size
-
substance abuse
-
tattoos, such as those with gang identification
-
poor impulse control
Frage 47
Frage
Which of the following infectious diseases confers no protection from re-infection after exposure?
Select one:
Antworten
-
mumps
-
rubella
-
syphilis
-
chickenpox
Frage 48
Frage
Which of the following is the MOST effective strategy for managing stress?
Select one:
Antworten
-
Frequently reflect on troublesome calls.
-
Avoid friends and interests outside of EMS.
-
Request overtime to increase your income.
-
Focus on delivering high-quality patient care
Frage 49
Frage
Which of the following is the MOST significant factor in determining if a person will become ill from certain germs?
Antworten
-
immunity
-
gender
-
race
-
age
Frage 50
Frage
Which of the following scenarios MOST accurately depicts a posttraumatic stress disorder (PTSD) reaction?
Select one:
Antworten
-
An EMT becomes distracted at the scene of a motor vehicle crash involving the same type of car in which a child was previously killed.
-
An EMT is emotionally exhausted and depressed after a school bus crash involving critical injuries and the death of several children.
-
A newly certified EMT becomes extremely nauseated and diaphoretic at the scene of an incident involving grotesque injuries.
-
An EMT with many years of field experience becomes irritable with her coworkers and experiences headaches and insomnia.
Frage 51
Frage
Which of the following signs would indicate that your partner is experiencing significant stress?
Select one:
Antworten
-
acute increase in his or her appetite
-
hyperactivity during an EMS call
-
isolation from the rest of the crew
-
increased interest in daily activities
Frage 52
Frage
Which of the following statements is MOST consistent with the bargaining phase of the grieving process?
Select one:
Antworten
-
“The doctors must be wrong in their diagnosis because I have always been healthy.”
-
“I understand that my death is inevitable and I am ready to die when the time comes.”
-
“I will be compliant with all my medications if I can just see my grandson graduate.
-
“It is because of our lousy health care system that I developed this brain tumor.”
Frage 53
Frage
Which of the following statements regarding a patient with a behavioral crisis is correct?
Select one:
Antworten
-
People who say that they are “hearing voices” are usually bluffing you.
-
Depression accounts for a very small percentage of violent attacks.
-
A quiet patient is not as likely to attack you as one who is screaming
-
A past history of violence is an unreliable indicator of future violence.
Frage 54
Frage
Which of the following statements regarding HIV is correct?
Select one:
Antworten
-
There is no vaccine against HIV infection.
-
HIV is transmitted exclusively via blood.
-
It is far more contagious than hepatitis B.
-
It is easily transmittable in the EMS field.
Frage 55
Frage
Which of the following statements regarding the different stages of the grieving process is correct?
Select one:
Antworten
-
Bargaining is the most unpleasant stage of the grieving process.
-
The grieving process typically begins with severe depression.
-
It is rare that people will jump back and forth between stages.
-
The stages of the grieving process may occur simultaneously.
Frage 56
Frage
Which of the following statements regarding the hepatitis B vaccine is correct?
Antworten
-
Vaccination with the hepatitis B vaccine confers immunity against hepatitis A.
-
The hepatitis B vaccine provides protection against the disease for 2 years.
-
OSHA requires that your employer offer you the vaccine free of charge
-
Vaccination against hepatitis B provides partial immunity for life.
Frage 57
Frage
Which of the following statements would NOT be appropriate to say to the family of a dying patient?
Antworten
-
Things will get better in time
-
“It is okay to be angry and sad.”
-
This must be painful for you.”
-
“Tell me how you are feeling.”
Frage 58
Frage
While assisting an advanced life support (ALS) ambulance crew, you are accidentally stuck with an IV needle. You should:
Antworten
-
discontinue patient care and seek medical attention.
-
get immunized against hepatitis as soon as possible.
-
report the incident to your supervisor after the call.
-
immerse your wound in an alcohol-based solution.
Frage 59
Frage
While on duty, your partner asks you out on a date and touches you in an inappropriate location without your consent. You should:
Select one:
Antworten
-
tell your partner to stop and report the incident to your supervisor.
-
notify law enforcement personnel and have your partner arrested.
-
warn your partner that you will report him or her if it happens again.
-
tell your partner to quit kidding around and focus on his or her job.
Frage 60
Frage
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?
Antworten
-
vector-borne transmission
-
airborne transmission
-
indirect contact
-
direct contact
Frage 61
Frage
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:
Select one:
Antworten
-
your partner's caring and supportive attitude.
-
coaching them through the grieving process.
-
a show of respect for the person who has died.
-
your partner's attempt to diminish their grief.
Frage 62
Frage
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:
Select one:
Antworten
-
immediately notify the incident commander or safety officer.
-
stay where you are until fire fighters remove her from the house.
-
don a self-contained breathing apparatus (SCBA) and rescue the woman.
-
request permission from the fire chief to enter the structure.
Frage 63
Frage
You and your partner respond to the residence of a 66-year-old male with shortness of breath. As you are assessing the patient, his wife tells you that he was recently diagnosed with lung cancer. The patient is verbally abusive and tells you that failure of the health care system caused his disease. What stage of the grieving process is this patient's behavior consistent with?
Select one:
Antworten
-
depression
-
bargaining
-
anger
-
denial
Frage 64
Frage
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:
Select one:
Antworten
-
reassure him that he will not receive a bill for the EMS call if he cannot pay.
-
tell him that he is having a heart attack and that he needs to go to the hospital.
-
explain the seriousness of the situation to him, but avoid causing undue alarm.
-
proceed to treat him because the stress of the situation has impaired his thinking.
Frage 65
Frage
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:
Select one:
Antworten
-
immediately lie down on your side and draw your knees into your abdomen.
-
quickly cover the patient with a blanket and then lie down flat on the ground.
-
sit down, bend your knees, and hold your crossed arms close to your body.
-
crouch down in a position so that only your feet are touching the ground.
Frage 66
Frage
You are caring for a 35-year-old female with pregnancy-related complications. She is clearly experiencing significant stress and is crying uncontrollably. Your MOST appropriate action would be to:
Select one:
Antworten
-
restrain her if she is extremely emotional and will not calm down.
-
explain to her that “everything will be all right” in order to calm her down.
-
discourage her from expressing fears until a counselor is available.
-
demonstrate courtesy and speak with a professional tone of voice.
Frage 67
Frage
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:
Select one:
Antworten
-
avoid answering her questions and focus on her injuries.
-
let clergy or hospital staff relay the bad news if possible.
-
immediately tell her of his death so that she may grieve.
-
tell her that he is being resuscitated by other EMTs.
Frage 68
Frage
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:
Select one:
Antworten
-
don PPE and quickly triage all patients.
-
immediately begin evacuating residents that live near the crash site.
-
cordon off the area and quickly remove all of the injured patients.
-
maintain a safe distance and try to read the placard with binoculars.
Frage 69
Frage
You are summoned to a convalescent center for an 88-year-old female with an altered mental status. A staff nurse advises you that the patient has terminal cancer and her physician stated that she would probably die within the next few hours; a valid do not resuscitate (DNR) order is presented to you. When caring for this patient, you should:
Select one:
Antworten
-
make her comfortable and provide emotional support.
-
provide no interventions and transport to the hospital.
-
start cardiopulmonary resuscitation (CPR) if she experiences cardiopulmonary arrest.
-
depart the scene and allow her to die with dignity.
Frage 70
Frage
You are transporting a 40-year-old male with respiratory distress. The patient tells you that he recently had a positive tuberculosis (TB) skin test and is currently being evaluated for possible TB. You should:
Select one:
Antworten
-
apply a nasal cannula on the patient and a sterile surgical mask on yourself.
-
apply a sterile surgical mask on yourself and a HEPA respirator on the patient.
-
remain at least 3 feet away from the patient and apply a surgical mask on him.
-
apply a nonrebreathing mask on the patient and a high-efficiency particulate air (HEPA) respirator on yourself.
Frage 71
Frage
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:
Select one:
Antworten
-
tell her that you understand why she is scared and that everything will likely be okay.
-
maintain eye contact at all times and tell her that there is no need for her to be scared.
-
acknowledge that she is scared and tell her that you are going to take good care of her.
-
reassure her that after proper treatment in the hospital, she will regain her speech in time.
Frage 72
Frage
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:
Select one:
Antworten
-
seek a safe place and request law enforcement assistance.
-
get in your ambulance and leave the scene immediately.
-
proceed into the apartment and apprehend the gunman.
-
continue into the apartment using extreme caution.
Frage 73
Frage
You have been working at the scene of a major building collapse for 8 hours. Many injured people are still being removed, and everyone is becoming frustrated and losing focus. This situation is MOST effectively managed by:
Select one:
Antworten
-
providing large amounts of caffeine to the rescue workers.
-
requesting a CISM team to provide on-scene peer support.
-
conducting a critical incident stress debriefing the next day.
-
allowing each worker to sleep in 15- to 30-minute increments.
Frage 74
Frage
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?
Select one:
Antworten
-
Remain quiet and simply request another partner.
-
Report the incident to your EMS medical director.
-
Discreetly report your suspicions to your supervisor.
-
Tell your partner that he must seek professional help.
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