Chapter 2

53問 • 11ヶ月前

問題一覧

A distraught husband awoke to find his 26-year-old wife not breathing and cold to the touch. Since your assessment indicates that the woman has been dead for some time, you contact medical direction for authorization to withhold emergency care. The medical director agrees and the coroner is notified. At this time, your immediate responsibility is:

Providing supportive care to the husband.

You are doing CPR on a male patient who is unresponsive, not breathing, and pulseless. Emergency Medical Responders (EMRs) were on the scene first and applied the AED, which did not deliver a shock to the patient. The patient's wife is crying and asks how her husband is doing. Your response would be:

Right now he is not breathing and his heart is not beating, but we are doing everything we possibly can for him."

The EMT practice of protecting oneself from disease transmission through exposure to blood and other body fluids is referred to as

Standard Precautions.

An EMT is correct when he describes a communicable disease as:

A disease that can be spread from one person to another.

What is the single best technique that the EMT can use to prevent the spread of infection?

Washing hands

The EMT is correctly performing routine handwashing when they:

Lather and scrub with plain soap for 20 seconds.

A patient with human immunodeficiency virus (HIV) infection is complaining of chest pain. In this situation, which personal protective equipment, at a minimum, is required to be donned prior to contact with the patient?

Gloves and eyewear

The hospital staff has just returned the long spine board that you used during a patient extrication from a cluttered home. There is no blood or vomitus on the board, but your service policy states that all equipment is to be disinfected anytime that it is used. To properly disinfect the long spine board, which type of product should you use?

Germicidal solution

Which immunization should the EMT receive annually?

Influenza vaccine

You have been told that you must get your purified protein derivative (PPD) test for tuberculosis (TB). As a knowledgeable EMT, you recognize that the PPD test will:

Need to be repeated annually.

Which statement made by an EMT demonstrates that he has an accurate understanding of hepatitis C?

Wearing gloves, using eye protection, and washing hands are the recommended means by which to prevent the transmission of hepatitis C to health care workers."

While you are assessing a patient with abdominal pain, the patient informs you that they are a chronic carrier of hepatitis B. Their skin is not jaundiced, nor do they have a fever. As an EMT, you realize:

The patient's blood and body fluids are infectious.

You are treating a patient with active tuberculosis. What additional precaution would afford you the best protection from the disease given the mode of transmission for this disease?

High-efficiency particulate aspirator mask

A male patient informs you that he was recently diagnosed with the human immunodeficiency virus (HIV) infection but has yet to develop AIDS. Given this information, which statement is true?

Gloves and eye protection will be adequate protection under most conditions unless body fluids are present.

Preincident stress education, one-on-one support, and disaster support services are all part of:

A comprehensive critical incident stress management (CISM) program.

You are dispatched to a motor vehicle collision on a remote country road. It is night, and your scene size-up reveals a heavily damaged car that rolled several times. The driver has been ejected and is lying prone in the middle of the road. In this situation, which type of protective clothing as listed, is it most essential that you don prior to making patient contact?

Reflective vest

As EMTs leave a house where the patient refused care, a panicked boy approaches them and states that some men just shot his friend in a house two doors up the street. The EMTs' immediate action should be to:

Contact the police and move the ambulance from the immediate area.

You are transporting a 58-year-old female with terminal breast cancer. While in the ambulance, she becomes tearful yet agitated, and repeatedly asks, "Why me?" As a knowledgeable EMT, you recognize that she is in which stage of grieving?

Anger

A reaction to death or dying where the patient asserts "Not me!" is recognized as which stage of grieving?

Denial

What statement would you expect to hear from a patient who has accepted the fact that he is terminally ill and will die sooner than later?

It's okay. I am not afraid."

Organisms that cause diseases are called:

Pathogens

A reference tool that should be placed in every emergency vehicle for use when responding to a possible "hazmat" incident is: A) B) C) D)

The Emergency Response Guidebook.

To ensure your own safety and the safety of your crew, you should:

Evaluate every scene for danger before entering.

You have worked with the same partner for several years and know him well. Over the past three months, the two of you have had four horrific pediatric calls with death as the outcome of each. Which observation would make you the most suspicious that your partner is experiencing a possible stress reaction that might encumber his ability to work as an EMT?

Excessive and uncharacteristic irritability

Changes in your lifestyle that may help you manage stress include:

Practicing relaxation techniques such as meditation.

You have just been instructed to stop emergency care on an unresponsive and pulseless 61-year-old man found by his wife in the bathroom. When you tell his wife that there is nothing more that can be done, she erupts in an episode of rage and starts screaming that there must be something else that can be done and you are not doing your job well enough. In this situation, which action is best?

Be tolerant of the angry reaction

After a particularly disturbing call the previous day, your partner is unusually angry and having a difficult time concentrating on his work. Which type of stress reaction would you suspect?

Acute stress reaction

A coworker is suffering from posttraumatic stress. Which statement made by you would be the most appropriate and beneficial to the coworker?

I think that it would be best if you saw a mental health professional."

A prospective student is interested in becoming an EMT but is unsure how it will affect his family. He says that his wife is very worried about the danger associated with Emergency Medical Services and has never had to deal with him being gone for 24 hours at a time. What is the most appropriate response?

It may help to bring your wife here so she can see what we do and the safety precautions we take."

You and your partner were among several rescuers on a call involving a house fire in which a 4-year-old girl died. That night, your partner states that he did not sleep well and is extremely bothered by the little girl's death. The next day he calls you and states that he is so upset that he is now having chest pain. What is the most appropriate response?

You really need to get yourself to the emergency department to get checked out."

You would be concerned about cumulative stress when an Emergency Medical Services provider informs you that they:

Drink a small amount of alcohol every night to help them sleep because they are always so irritated.

A shooting at a public mall leaves three people dead and nine injured, several critically. As operations wind down, many rescuers are physically and emotionally upset. Which event may be most appropriate at this specific time?

A gathering that allows the rescuers to vent their emotions

A tornado ripped through a small town, killing 5 people and seriously injuring 21, including several young children. At a defusing session, which action is most appropriate?

Allow the rescuers to vent their emotions

If you have questions regarding the steps to take when exposed to an infectious disease, your best resource would be:

Your service's written exposure control plan.

You have just transferred care of a patient to an emergency department nurse. There is no blood, fluid, or dirt on your gloves. After taking them off, your best action would be to:

Wash your hands with soap and water.

You are accidentally stuck with a needle used to administer a medication to a patient with a known history of hepatitis B. You have already completed your hepatitis B vaccine series. In this case, which statement is true?

You need to report the needle stick to your supervisor as soon as possible.

A patient with a history of hepatitis C has called 911 because they have a headache. Given the complaint and medical history, which personal protective equipment, at a minimum, is most appropriate?

Gloves

In the field setting, the best way to avoid becoming infected with human immunodeficiency virus (HIV) is:

Use the appropriate protective personal equipment.

You are by the side of a patient whom you suspect has severe acute respiratory syndrome (SARS). What is an effective way to prevent transmission of the disease from the patient to you?

Place a surgical mask on the patient

You have been called to transport a patient from one medical facility to another. The patient is infected with vancomycin-resistant enterococci (VRE), but does not have any open wounds and is medically stable. Given this information, which action is most appropriate?

Use the appropriate personal protective equipment and handwashing

Which rationale best explains the reason for wearing a high-visibility safety vest at the scene of a motor vehicle collision?

The use of the vest can increase your visibility to passing drivers at the scene of an accident.

What action taken by an EMT illustrates an effort toward maintaining well-being in the field of EMS?

Creating a healthy balance between work and family life

After 20 minutes of performing CPR on a 65-year-old female with end-stage multiple sclerosis, your medical director orders you to stop resuscitation and inform the family that the patient has died. The family members are upset and crying. You notice the patient's daughter holding her hand. Your immediate response would be:

It's okay to hold her hand."

A young girl with end-stage cancer is unresponsive, not breathing, and pulseless. Her mother and father are by her side, both crying as you start resuscitation. Which statement indicates the most appropriate thing you could say to the parents as you begin?

If you feel comfortable, it's okay to stay and watch how we care for your daughter."

A patient with terminal lung cancer has called EMS for shortness of breath. At the request of your paramedic partner, you are obtaining the patient's blood pressure. While inflating and then deflating the blood pressure cuff, the patient angrily shouts, "That thing is too tight! What are you trying to do—send me to the funeral home early?" Your best reply would be:

"I know that this is tight and uncomfortable, but I am almost done now."

As an EMT, you would recognize what situation as having the greatest potential for causing emotional stress?

Caring for a child whose parents have appeared to have neglected him

Regarding "burnout" and the Emergency Medical Services (EMS), what statement is most accurate?

Burnout can diminish an EMT's ability to provide competent care.

Your supervisor has assigned you the task of designing a program that provides for stress management and health promotion within the department. Which program would accomplish this task in the best way?

Complementary passes to a local fitness center

An EMT has an understanding of the different types of pathogens when they state:

Viruses are resistant to antibiotics because they live within the body's cells."

You are at a long-term care facility at the bedside of an 89-year-old female with an infected area on her back. The staff members state that they are fearful that the patient has a methicillin-resistant Staphylococcus aureus (MRSA) infection, so they have requested transport to the emergency department for further evaluation. To decrease your chance of acquiring MRSA, what should you, as an EMT, do?

Wash your hands following patient contact

You are attempting to increase your cardiovascular endurance in an effort to better perform your job as an EMT. Which action would be the most appropriate in working toward this goal?

Walking on a treadmill 3 to 4 times per week

A coworker is constantly tired and asks you for advice on how to better sleep after a busy night shift. Which response would best address this situation?

Try to make your bedroom dark and keep the temperature cool."

Your friend and coworker got married a little more than a year ago, and then shortly thereafter she became an EMT and started working with you. On your shifts, she complains that her new husband doesn't like the fact she is an EMT, saying that the job is "too risky." Which bit of advice could you provide to your partner to help her calm the nerves of her new husband?

Let the husband know about all the training EMTs have to complete and which types of safety precautions they take on each call.

Chapter 1

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Chapter 1

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Chapter 4

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Chapter 4

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Chapter 5

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Chapter 5

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Chapter 6

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Chapter 6

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Chapter 8

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Chapter 8

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Chapter 9

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Chapter 9

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Chapter 10

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Chapter 10

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Chapter 10 Part 2

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Chapter 10 Part 2

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Chapter 11

ユーザ名非公開 · 59問 · 11ヶ月前

Chapter 11

59問 • 11ヶ月前

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問題一覧

Providing supportive care to the husband.

Right now he is not breathing and his heart is not beating, but we are doing everything we possibly can for him."

The EMT practice of protecting oneself from disease transmission through exposure to blood and other body fluids is referred to as

Standard Precautions.

An EMT is correct when he describes a communicable disease as:

A disease that can be spread from one person to another.

What is the single best technique that the EMT can use to prevent the spread of infection?

Washing hands

The EMT is correctly performing routine handwashing when they:

Lather and scrub with plain soap for 20 seconds.

Gloves and eyewear

Germicidal solution

Which immunization should the EMT receive annually?

Influenza vaccine

You have been told that you must get your purified protein derivative (PPD) test for tuberculosis (TB). As a knowledgeable EMT, you recognize that the PPD test will:

Need to be repeated annually.

Which statement made by an EMT demonstrates that he has an accurate understanding of hepatitis C?

Wearing gloves, using eye protection, and washing hands are the recommended means by which to prevent the transmission of hepatitis C to health care workers."

The patient's blood and body fluids are infectious.

You are treating a patient with active tuberculosis. What additional precaution would afford you the best protection from the disease given the mode of transmission for this disease?

High-efficiency particulate aspirator mask

A male patient informs you that he was recently diagnosed with the human immunodeficiency virus (HIV) infection but has yet to develop AIDS. Given this information, which statement is true?

Gloves and eye protection will be adequate protection under most conditions unless body fluids are present.

Preincident stress education, one-on-one support, and disaster support services are all part of:

A comprehensive critical incident stress management (CISM) program.

Reflective vest

Contact the police and move the ambulance from the immediate area.

Anger

A reaction to death or dying where the patient asserts "Not me!" is recognized as which stage of grieving?

Denial

What statement would you expect to hear from a patient who has accepted the fact that he is terminally ill and will die sooner than later?

It's okay. I am not afraid."

Organisms that cause diseases are called:

Pathogens

A reference tool that should be placed in every emergency vehicle for use when responding to a possible "hazmat" incident is: A) B) C) D)

The Emergency Response Guidebook.

To ensure your own safety and the safety of your crew, you should:

Evaluate every scene for danger before entering.

Excessive and uncharacteristic irritability

Changes in your lifestyle that may help you manage stress include:

Practicing relaxation techniques such as meditation.

Be tolerant of the angry reaction

After a particularly disturbing call the previous day, your partner is unusually angry and having a difficult time concentrating on his work. Which type of stress reaction would you suspect?

Acute stress reaction

A coworker is suffering from posttraumatic stress. Which statement made by you would be the most appropriate and beneficial to the coworker?

I think that it would be best if you saw a mental health professional."

It may help to bring your wife here so she can see what we do and the safety precautions we take."

You really need to get yourself to the emergency department to get checked out."

You would be concerned about cumulative stress when an Emergency Medical Services provider informs you that they:

Drink a small amount of alcohol every night to help them sleep because they are always so irritated.

A gathering that allows the rescuers to vent their emotions

A tornado ripped through a small town, killing 5 people and seriously injuring 21, including several young children. At a defusing session, which action is most appropriate?

Allow the rescuers to vent their emotions

If you have questions regarding the steps to take when exposed to an infectious disease, your best resource would be:

Your service's written exposure control plan.

You have just transferred care of a patient to an emergency department nurse. There is no blood, fluid, or dirt on your gloves. After taking them off, your best action would be to:

Wash your hands with soap and water.

You need to report the needle stick to your supervisor as soon as possible.

A patient with a history of hepatitis C has called 911 because they have a headache. Given the complaint and medical history, which personal protective equipment, at a minimum, is most appropriate?

Gloves

In the field setting, the best way to avoid becoming infected with human immunodeficiency virus (HIV) is:

Use the appropriate protective personal equipment.

You are by the side of a patient whom you suspect has severe acute respiratory syndrome (SARS). What is an effective way to prevent transmission of the disease from the patient to you?

Place a surgical mask on the patient

Use the appropriate personal protective equipment and handwashing

Which rationale best explains the reason for wearing a high-visibility safety vest at the scene of a motor vehicle collision?

The use of the vest can increase your visibility to passing drivers at the scene of an accident.

What action taken by an EMT illustrates an effort toward maintaining well-being in the field of EMS?

Creating a healthy balance between work and family life

It's okay to hold her hand."

If you feel comfortable, it's okay to stay and watch how we care for your daughter."

"I know that this is tight and uncomfortable, but I am almost done now."

As an EMT, you would recognize what situation as having the greatest potential for causing emotional stress?

Caring for a child whose parents have appeared to have neglected him

Regarding "burnout" and the Emergency Medical Services (EMS), what statement is most accurate?

Burnout can diminish an EMT's ability to provide competent care.

Complementary passes to a local fitness center

An EMT has an understanding of the different types of pathogens when they state:

Viruses are resistant to antibiotics because they live within the body's cells."

Wash your hands following patient contact

You are attempting to increase your cardiovascular endurance in an effort to better perform your job as an EMT. Which action would be the most appropriate in working toward this goal?

Walking on a treadmill 3 to 4 times per week

A coworker is constantly tired and asks you for advice on how to better sleep after a busy night shift. Which response would best address this situation?

Try to make your bedroom dark and keep the temperature cool."

Let the husband know about all the training EMTs have to complete and which types of safety precautions they take on each call.