Well Being of the EMT

Vaccination against the hepatitis A virus is unnecessary if you:

Have been infected in the past.

What is a general statement MOST consistent with the bargaining phase of the grieving process?

I will do this if this happens

As an EMT, it is important to remember that the signs and symptoms of cumulative stress:

May not be obvious or present all the time.

Is there an HIV vaccine?

No

OSHA requires what regarding the hepatitis B vaccine

OSHA requires that your employer offer you the vaccine free of charge.

Physiologic manifestations of stress include:

Perspiration, increased blood glucose levels, and dilated pupils.

Which of the following statements regarding the different stages of the grieving process is correct?

The stages of the grieving process may occur simultaneously.

Which of the following statements would NOT be appropriate to say to the family of a dying patient?

Things will get better in time.

Common questions asked by patients with a serious illness or injury include all of the following, EXCEPT:

What hospital am I going to

While assisting an advanced life support (ALS) ambulance crew, you are accidentally stuck with an IV needle. You should:

report the incident to your supervisor after the call.

The simplest yet most effective method of preventing the spread of an infectious disease is to:

wash your hands in between patient contacts.

If you use a waterless handwashing substitute in the field, it is important to:

wash your hands with soap and water at the hospital.

Critical incident stress management (CISM) can occur at an ongoing scene in all of the following circumstances, EXCEPT:

when patients are actively being assessed or treated.

Gloves, a mask, eye protection, and a face shield should be used:

when performing endotracheal intubation.

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.

3

The final stage of death and dying is MOST commonly displayed as:

Acceptance

The BEST way to reduce your risk of contracting a work-related disease following exposure is to:

Activate your department's infection control plan as soon as possible.

The general adaptation syndrome is characterized by which of the following phases?

Alarm response, reaction and resistance, and recovery

When decontaminating the back of your ambulance after a call, you should:

Allow surfaces to air dry unless otherwise indicated in the product directions.

Which of the following scenarios MOST accurately depicts a posttraumatic stress disorder (PTSD) reaction?

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.

The hepatitis B vaccine program, a component of the infection control plan, addresses all of the following issues, EXCEPT:

Family history of hepatitis.

It is especially important for EMS personnel to develop nonadversarial relationships with their coworkers because they:

Depend on each other for their safety.

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?

Discreetly report your suspicions to your supervisor.

The compliance monitoring component of an infection control plan should:

Ensure that employees understand what they should do and why it is important.

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?

Indirect contact

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:

Requesting a CISM team to provide on-scene peer support.

Which infectious diseases confers no protection from reinfection after exposure?

Syphilis

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:

apply a nonrebreathing mask on the patient and a high-efficiency particulate air (HEPA) respirator on yourself.

The spread of HIV and hepatitis in the health care setting can usually be traced to:

careless handling of sharps.

What type of stress reaction occurs when an EMT is exposed to many insignificant stressers over a period of several months or years?

cumulative stress reaction

Determination of exposure is an important component of an infection control plan because it

defines who is at risk for contact with blood and body fluids and which tasks pose a risk of exposure.

When considering his or her personal life, it is important for the EMT to realize that

family or friends may not understand the stress associated with EMS.

Which of the following is the MOST significant factor in determining if a person will become ill from certain germs?

immunity

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:

make her comfortable and provide emotional support.

If a person is partially immune to a particular disease, he or she:

may develop illness from germs that lie dormant from the initial infection.

According to Occupational Safety and Health Administration (OSHA) regulations, an employer must:

offer a workplace environment that reduces the risk for exposure.

Prescription glasses do not provide adequate eye protection because they:

offer little or no side protection.

Quid pro quo, a type of sexual harassment, occurs when the harasser:

requests sexual favors in exchange for something else.

The MOST serious consequence of drug or alcohol abuse among EMS personnel is:

substandard or inappropriate patient care.