CH 2- Workforce Safety and Wellness

Which of the following statements is most consistent with the bargaining phase of the grieving process?

"I will be complaint with all my medications if I can just see my grandson graduate."

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 of injury include all of the following, except:

"Which hospital am I going to?"

A critical incident stress debriefing should be conducted no longer than _______ hours following the incident

72

Which of the following is an OSHA-recommended vaccine for healthcare workers?

Hepatitis A (HepA)

Which of the following statements regarding the hepatitis B vaccine is correct?

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

Which of the following would provide the EMT with the best cover in a situation involving active gunfire?

a concrete barricade

The final stage of death and dying most commonly takes the form of:

acceptance

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:

acknowledge that she is scared and tell her that you will take good care of her

When caring for the parents of a child who has died of leukemia, the EMT should:

acknowledge the death of their child in private

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:

advise them that their son had severely disfiguring injuries and ask them if there is anyone they would like you to contact first

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 scenarious 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

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 healthcare system caused his disease. Which stage of the grieving process is this patient's behavior consistent with?

anger

Vectorborned transmission of an infectious organism occurs via:

animals or insects

Carbon monoxide blocks the ability of the blood to oxygenate the body because it:

binds with the hemoglobin in red blood cells

Hazards that are associated with a structural fire include all of the following, EXCEPT:

carbon dioxide deficiency

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

careless handling of sharps

If it is not possible to adequately clean your ambulance at the hospital following a call, you should:

clean the ambulance at your station in a designated area that is well ventilated

You are assessing a woman who was thrown from a 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:

crouch down in a position so that only your feet are touching the ground

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

cumulative stress reaction

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:

demonstrate courtesy and speak with a professional tone of voice

It is espeically important for EMS personnel to develop non-adversarial relationships with coworkers because they:

depend on one another for their safety

Which of the following is an effective stress management strategy?

developing a social network outside of EMS

You are transporting a veteran whose legs were amputated in the war. When calling your radio report to the emergency department, which of the following words would be the most appropriate to used when describing the patient?

disabled

Your partner, a veteran EMT with whom you have worked regularly for the past four 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

Common factors that influence how a patient reacts to the stress of an illness or injury include all of the following, EXCEPT:

distrust of EMTs

What should you do before attempting to access a patient trapped in a vehicle?

ensure the vehicle is stable

The most important consideration at the scene of a hazardous materials incident is:

ensuring your personal safety

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:

explain the seriousness of the situation to him, but avoid causing undue alarm

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

family history of hepatitis

When considering one's personal life, it is important for the EMT to realize that:

family or friends might not understand the stess assosicated with EMS

Vaccination against the hepatitis A virus is unnecessary if you:

have been infected with hepatitis A in the past

The _______________ deals with the well-being of the EMT, career progression, and EMT compensation

human resources department

You and your partner are EMTs who have been dispatched to stand by at the scene of a residential fire. While standing next to the ambulance observing the firefighters, you see a woman frantically moving around in her burning house. You should:

immediately notify the incident commander or safety officer

Which of the following is the most significant factor in determine whether a person will become ill from certain germs?

immunity

Characteristics of eustress following dispatch to a high-speed motor vehicle collision may include:

increased self-image from performing well under a challenging situation

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

Which of the following signs would indicate that your partner is experiencing significant stress?

isolation from the rest of the crew

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:

let clergy or hospital staff relay the bad news if possible

You are dispatched to the scene of a motorcycle crash involving a large tanker truck. While you are en route, dispatch advises you that there are multiple patients and that the fire departments is en route as well. As you approach the scene, you should:

maintain a safe distance and try to read the placard with binoculars

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

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:

mark off a danger zone around the downed lines

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

might not be obvious or present at the time

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

offer a workplace environemnt that reduces the risk of exposure

Prescription glasses do not provide adequate eye protection because they:

offer little or no side protection

You and your partner responded to a call in which a traumatically injured child died during ambulance transport. Which of the following actions may best protect you from developing posttraumatic stress disorder (PTSD)?

participating in critical incident stress management

Physiologic manifestations of stress include:

perspiration, increased blood glucose levels, and dilated pupils

When treating a patient who is trapped in a vehicle and covered with broken glass, is it best to wear:

puncture-proof leather gloves over your latex gloves

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:

put on high-visibility safety vests

After assessing a patient's blood glucose level, you accidentally stick yourself with the contaminated lancet. You should:

report the incident to your supervisor after the call

You have been working at the scene of a major building collapse for eight 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

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

requests sexual favors in exchange for something else

The capacity of an individual to cope with and recover from stress is called:

resilience

A 75-year-old male with a terminal illness has died at home. As you and your partner enter the residence, a family member becomesverally abusive, pushes you, and states that you took too long to get there. You should:

retreat and notify law enforcement personnel

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:

seek a safe place and request law enforcement assitance

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

substandard or innapropriate patient care

Which of the following infectious diseases confers no protection from reinfection after exposure?

syphilis

Which of the following is an appropriate fatigue management strategy?

take 20- to 30-minute naps when able during the shift

You have recently been working with a parterner who makes negative comments about responding to calls for nonacute patients. The negative comments are elevating your stress level when you are performing your duties. Which of the following would be the least appropriate way to handle this situation?

tell others about the comments, so they will use peer pressure to get your partner to stop complaining

While you are on duty, your partner asks you out on a date and touches you in an inappropriate location without your consent. You should:

tell your partner to stop and report the incident to your supervisor

According to the Centers for Disease Control and Prevention (CDC), recommended immunizations and tests include a:

tetanus/diphtheria/pertussis booster every 10 years

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

the stages of the grieving process might occur simultaneously

Which of the following statements regarding HIV is correct?

there is no vaccine against HIV infection

If you are exposed to a patient's blood or other bodily fluid, your first action should be to:

transfer care of the patient to another EMS provider

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 used a waterless handwashing substitute in the field, it is important to:

wash your hands with soap and water at the hospital

The most effective way to preserve your own body heat when functioning in cold, wet weather is to:

wear at least three layers of clothing

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

when patients are actively being assessed or treated

A positive TB skin test indicates that:

you have been exposed to TB

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:

your partner's attempt to diminish their grief