EMT - CHAPTER 2 - WORKFORCE SAFETY AND WELLNESS

Determination of exposure is an important component of an infection control plan because it: A. Determines which type of communicable disease might be present in the workplace. B. Defines who is at risk for contact with blood and body fluids and which tasks pose a risk of exposure C. Determines the time of day when most exposures are likely to occur D. 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

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: A. Restrain her if she is extremely emotional and will not calm down B. Demonstrate courtesy and speak worth a professional tone of voice C. Discourage her from expressing fears until a counselor is available D. Tell her that "everything will be all right" to calm her down

Demonstrate courtesy and speak with a professional tone of voice

What should you do before attempting to access a patient trapped in a vehicle? A. Ensure the vehicle is stable B. Contact medical control C. Request another ambulance D. Check fo other patients

Ensure the vehicle is stable

The most important consideration at the scene of a hazardous materials incident is: A. Evacuating the bystanders B. Calling the hazardous materials team C. Identifying the hazardous material D. ensuring your personal safety

Ensuring your personal safety

The hepatitis B vaccine program, a component of the infection control plan, addresses all of the following issues, except: A. Vaccine safety and efficacy B. Record keeping and tracking C. Postvaccine antibody titers D. Family history off hepatitis

Family history of hepatitis

Which of the following is the most significant factor in determining whether a person will become ill from certain germs? A. Age B. Immunity C. Gender D. Race

Immunity

Characteristics of eustress following dispatch to a high-speed motor vehicle collision may include: A. The inability to remain focused, because the task at hand is demanding B. Increased self-image from performing well under a challenging situation C. long-term feelings of being overwhelmed by the nature of the call D. Short term loss of energy due to the high physical demands of the job

Increased self - image from performing well under a challenging situation

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: A. Begin chest compressions if she experiences cardiac arrest B. Provide no interventions and transport to the hospital C. Make her comfortable and provide emotional support D. Depart the scene and allow her tie with dignity

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: A. Advise the patients to carefully get out of the car B. Mark off a danger zone around the downed lines C. Proceed with normal extrication procedures D. Remove the lines with a non conductive object

Mark off a danger zone around the downed lines

If a person is partially immune to a particular disease, he or she: A. Might develop illness from germs that lie dormant from the initial infection. B. Must be revaccinated at least every 18 months to avoid infection. C. Will not experience future illness, even if his or her immune system is stressed. D. Is not protected from a new infection if exposed to another individual.

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

Which of the following statements regarding the HEP B vaccine is correct? A. Vaccination against hepatitis B provides partial immunity for life B. Vaccination with the hepatitis B vaccine confers immunity against Hepatitis A C. OSHA requires that your employer offer you the vaccine free of charge D. The Hep B vaccine provides protection against the disease for two years

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

According to Occupational Safety and Health Administration (OSHA) regulations, an employer must: A. Provide gloves and other personal protective equipment to full-time paid employees only B. Guarantee a 100% risk-free environment prior to employment C. Screen all prospective employees for blood borne pathogens D. Offer a workplace environment that reduces the risk of exposure

Offer a workplace environment that reduces the risk of exposure

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

Offer little or no side protection

When treating a patient who is trapped in a vehicle and covered with broken glass, it is best to wear: A. Thick firefighter gloves over two pairs of latex gloves B. Firefighter gloves only, to preserve manual dexterity C. Latex gloves with thick leather gloves underneath D. Puncture-proof leather gloves over your latex gloves

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

Put on high-visibility safety vests.

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: A. Allowing each worker to sleep in 15- to 30-minute increments B. Providing large amounts of caffeine to the rescue workers C. Requesting a CISM team to provide on- scene peer support D. Conducting a critical incident stress debriefing the next day

Requesting a CISM team to provide on-scene peer support

Quid pro quo, a type of sexual harassment, occurs when the harasser: A. Makes rude remarks about a person's body parts B. Touches another person without his or her consent C. Stares at certain parts of another person's anatomy D. Requests sexual favors in exchange for something else.

Requests sexual favors in exchange for something else

The most serious consequence of drug or alcohol abuse among EMS personnel is: A. Tension among coworkers and supervisors B. Sub standards or inappropriate patient care. C. Punitive action and the loss of a job D. Low morale and frequently missed shifts

Substandard or inappropriate patient care

Which of the following infectious diseases confers no protection from reinfection after exposure? A. Syphilis B. Mumps C. Chickenpox D. Rubella

Syphilis

According to the Centers for Disease Control (CDC), recommend immunizations and tests include a: A. Smallpox vaccine every five years B. Tetanus/diphtheria/pertussis booster every 10 years. C. TB skin test every six months D. Two-shot hep A vaccination series

TDAP 10 years

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

Things will get better in time

The simplest, yet most effective method of preventing the spread of an infectious disease is to: A. Undergo an annual physical examination B. Undergo annual testing for tuberculosis and hepatitis C. Ensure that your immunization are up-to-date D. Wash your hands in between patient contacts

Wash your hands in between patient contacts

If you use a waterless handwashing substitute in the field, it is important to: A. Avoid donning another pair of gloves for at least 10 minutes B. Wait at least five minutes before touching another patient C. Wash your hands with soap and water at the hospital D. Immediately dry your hands with a paper towel

Wash your hands with soap and water at the hospital

A positive TB skin test indicated that: A. you have never been exposed to TB B. You are actively infected with TB C. The TB disease is currently dormant but might later become active D. You have been exposed to TB

You have been exposed to TB

Hazards that are associated with a structural fire include all of the following, EXCEPT: A. Carbon dioxide deficiency B. Smoke and toxic gases C. Risk of building collapse D. High ambient temperatures

Carbon dioxide deficiency

Vaccination against the hepatitis A virus is unnecessary if you: A. Have been infected with Hepatitis A in the past B. Are older than 35 years of age C. Have a weak immune system D. Received a hepatitis B vaccination

Have been infected with hepatitis A in the past

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

Let clergy or hospital staff relay the bad news if possible

The capacity of an individual to cope with and recover stress is called: A. eustress B. Resilience C. Distress D. Wellness

Resilience

Which of the following statements regarding HIV is correct? A. There is no vaccine against HIV infection B. HIV is easily transmittable in the EMS field. C. HIV is far more contagious than hepatitis B D. HIV is transmitted exclusively via blood

There is no vaccine against HIV infection

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

Wear at least three layers of clothing.

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

When performing endotracheal intubation

The spread of HIV and hepatitis in the healthcare setting can usually be traced to: A. Excessive blood splashing or splattering B. Lack of proper immunizations C. Noncompliance with standard precautions D. Careless handling of sharps

careless handling of sharps

A critical incident stress debriefing should be conducted no longer than _____ hours following the incident. A. six B. 24 C. 12 D. 72

72

Which of the following would provide the EMT with the best cover in a situation involving active gunfire? A. Stacked empty barrels B. A concrete barricade C. Behind a car door D. A large cluster of shrubs

A concrete barricade

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. Tell her that you understand why she is scared and that everything will likely be okay C. Maintain eye contact at all times and tell her that there is no need for her to be scared D. Acknowledge that she is scared and tell her that you will take good care of her

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

The BEST way to reduce your risk of contracting a work-related disease following exposure is to: A. Vigorously wash the affected area with an anti microbial solution B. Be evaluated but a physician C. Activate your department's infection control plan as soon as possible D. Get vaccinated against the disease you think you were exposed to

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

General adaptation syndrome is characterized by which of the following phrases? A. Alarm response, reaction and resistance, and recovery. B. Reaction and resistance, euphoria, and physical exhaustion C. Delayed reaction. Alarm response, and physical recovery D. Immediate reaction, psychological exhaustion, and recovery.

Alarm response, reaction and resistance, and recovery

When decontaminating the back of your ambulance after a call, you should: A. Use a bleach and water solution at a 1:2 dilution ratio to thoroughly wipe all surfaces B. Allow surfaces to air dry unless otherwise indicated in the product directions C. spray the contaminated areas and the immediately wipe them dry with a towel D. Clean all surfaces and patient contact areas with a mixture of alcohol and water

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

Vector-borne transmission of an infectious organism occurs via: A. Inanimate objects B. Smokes or dust C. Animals or insects D. Direct contact

Animals or insects

You are assessing a woman who was thrown from a horse. She is located in a large field an 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: A. Immediately lie down on your side and draw your knees into your abdomen. B. Crouch down in a position so that only your feet are touching the ground C. Sit down, bend your knees, and holds your crossed arms close to your body D. Quickly cover the patient with a blanket and then lie down flat on the ground.

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