EMT CH. 2

Which of the following statements would NOT be appropriate to say to the family of a dying patient? A. "Things will get better in time." B. "It is okay to be angry and sad." C. "This must be painful for you." D. "Tell me how you are feeling."

A. "Things will get better in time."

When decontaminating the back of your ambulance after a call, you should: A. Allow surfaces to air dry unless otherwise indicated in the product directions. B. Use a bleach and water solution at a 1.2 dilution ratio to thoroughly wipe all surfaces. C. Clean all surfaces and patient contact areas with a mixture of alcohol and water. D. Spray the contaminated areas and then immediately wipe them dry with a towel.

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

Vector-borne transmission of an infectious organism occurs via: A. animals and insects B. smoke or dust C. direct contact D. inanimate objects

A. Animals and insects

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: A. Retreat and notify law enforcement personnel. B. Tell the family member that it is not your fault. C. Subdue the family member until the police arrive. D. Ignore the family member and assess the patient.

A. Retreat and notify law enforcement personnel.

Which of the following statements regarding a patient with a behavioral crisis is correct? A. Depression accounts for a very small percentage of violent attacks. B. A quiet patient is not as likely to attack you as one who is screaming. C. A past history of violence is an unreliable indicator of future violence. D. People who say that they are "hearing voices" are usually bluffing you.

B. A quiet patient is not as likely to attack you as one who is screaming.

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: A. Reassure her that after proper treatment in the hospital, she will regain her speech in time. B. Acknowledge that she is scared and tell her that you are going to take good care of her. C. Maintain eye contact at all times and tell her that there is no need for her to be sacred. D. Tell her that you understand why she is scared and that everything will likely be okay.

B. Acknowledge that she is scared and tell her that you are going to take good care of her.

When a patient is dying, he or she may experience regression. This is MOST accurately defined as: A. Anger projected toward the EMT or other providers. B. Fear of being completely dependent upon other people. C. Behavior consistent with an earlier developmental stage D. A decreased ability to exercise age-appropriate judgement.

C. Behavior consistent with an earlier developmental stage

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? A. Remain quiet and simply request another partner. B. Report the incident to your EMS medical director. C. Discreetly report your suspicions to your supervisor. D. Tell your partner that he must seek professional help.

C. Discreetly report your suspicions to your supervisor.

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: A. Tell her that he is being resuscitated by other EMTs. B. Immediately tell her of his death so that she may grieve. C. Let clergy or hospital staff relay the bad news if possible. D. Avoid answering her questions and focus on her injuries.

C. Let clergy or hospital staff relay the bad news if possible.

Prescription glasses do not provide adequate eye protection because they: A. Have large rounded lenses B. Are not secured with a strap. C. Offer little or no side protection. D. Do not have shatterproof lenses.

C. Offer little or no side protection.

Which of the following statements regarding the different stages of the grieving process is correct? A. The grieving process typically begins with severe depression. B. It is rare that people will jump back and forth between stages. C. The stages of the grieving process may occur simultaneously . D. Bargaining is the most unpleasant stage of the grieving process.

C. The stages of the grieving process may occur simultaneously .

If you are exposed to a patient's blood or other bodily fluid, your first action should be to: A. Report the incident to the infection control officer. B. Abandon patient care and seek medical attention. C. Transfer care of your patient to another EMS provider. D. Vigorously clean the area with soap and water.

C. Transfer care of your patient to another EMS provider.

The MOST effective way to preserve your own body heat when functioning in cold, wet weather is to: A. Wear a heavy, thick jacket or coat. B. Avoid outer clothing with zippers. C. Wear at least three layers of clothing. D. Wear socks made of heavy-duty cotton.

C. Wear at least three layers of clothing.

Critical incident stress management (CISM) can occur at an ongoing scene in all of the following circumstances, EXCEPT: A. When personnel are assessed during periods of rest. B. Before personnel are preparing to reenter the scene. C. When patients are actively being assessed or treated. D. Before leaving the scene after the incident is resolved.

C. When patients are actively being assessed or treated.

Which of the following infectious diseases confers no protection from reinfection after exposure? A. mumps B. rubella C. syphilis D. chickenpox

C. syphilis

The final stage of death and dying is MOST commonly displayed as: A. Anger B. Denial C. Depression D. Acceptance

D. Acceptance

Which of the following scenarios MOST accurately depicts a posttraumatic stress disorder (PTSD) reaction? A. An EMT with many years of field experience becomes irritable with her coworkers and experiences headaches an insomnia. B. A newly certified EMT becomes extremely nauseated and diaphoretic at the scene of an incident involving grotesque injuries. C. An EMT is emotionally exhausted and depressed after a school bus crash involving critical injuries and the death of several children. D. 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.

D. 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.

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. Request permission from the fire chief to enter the structure. B. Don a self-contained breathing apparatus (SCBA) and rescue the woman. C. Stay where you are until the fire fighters remove her from the house. D. Immediately notify the incident commander or safety officer.

D. Immediately notify the incident commander or safety officer.

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 still 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: A. Quickly begin the triage process. B. Assist with vehicle stabilization. C. Report to the incident commander. D. Put on high-visibility safety vests.

D. Put on high-visibility safety vests.

Gloves, a mask, eye protection, and a face shield should be used: A. Any time you touch non-intact skin. B. During routine cleaning of the ambulance. C. While handling needles or other sharps. D. When performing endotracheal intubation.

D. When performing endotracheal intubation.