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34 Cards in this Set
- Front
- Back
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what are the five stages when dealing with death and dying
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1. denial "no not me"
2. anger 3. bargaining "attempt to postpone death" 4. depression "sadness or despair" 5. Acceptance |
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What are examples or stressful situations
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mass casualty situations
infant and children trauma amputations incedence of abuse death or injury of coworker |
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Name the warning signs of stress
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irritability toward coworkers
inability to concentrate difficulty sleeping anxiety indecisiveness guilt loss of appetite loss of interest in sexual activity isolation loss of interest in work |
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When involved in an highly stressful call it is important to call a:
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critical incedent stress debriefing
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You are treating a critically injured child. The mother is crying saying "Please God let him live I swear I will never ask for anything again. The mothers reaction is best described as:
a. bargaining b. anger c. denial d. depression |
a. bargaining
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you informed a family that their loved one is dead and that there is nothing that you can do for her. The patients son screams at you and punches the wall. this is best described as ______________ which is an _______________ response to the death of a loved one.
a. anguish, expected b. anguish, unexpected c. anger, expected d. anger, unexpected |
c. anger expected
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which of the following situations would most likely produce critical incident stress in EMS presonnel?
a. repeatedly responding to the same address for a patient who is not really sick b. delivering a baby c. responding to an elderly female who was forced by her caregiver to sit in a bathtub of hot water until she received full thickness burns d. inability to successfully resuscitate an 80 yr old male found in cardiac arrest in bed |
c. responding to an elderly female who was forced by her caregiver to sit in a bathtub of hot water until she received full thickness burns
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you respond to a home of an 85 yr old male who died in his sleep. the body is cool to the touch, mottled, and rigored. the patients wife asks if their is anything you can do. How do you respond?
a. state I am sorry ma'am your husband is dead b. state yes ma'am we will do our best. then initiate rescitation attempts and transport c. state no I am afraid he has past d. initiate rescitation attempts but stop as soon as you are in the back of the ambulance |
a. state I am sorry ma'am your husband is dead
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your patient has signs and symptoms of TB. Which action is most appropriate to protect yourself?
a. wear a hepa mask or N-95 Resperator and gloves b. place a hepa mask or N-95 respirator on patient c. Place a non-rebreather on patient and sit as far away as possible d. place surgical mask on yourself and your patient wear gloves, goggles and gown |
a. wear a hepa mask or N-95 Resperator and gloves
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your partners spouse is placing alott of pressure on her because of the time she spends away from him on the job. she says she does not know what to do about it. but in reality she is stressing out which response is the most appropriate?
a. don't worry he'll get used to it b. what a jerk don't lethim lay this on you c. have you thought about requesting a shift that might allow you to spend more time together d. it seldom works out when a person in EMS is mattied to someone who isn't in the medical field |
c. have you thought about requesting a shift that might allow you to spend more time together
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critical incedent stress debriefing is effective when it is conducted within ____ of the event
a. 1 hour b. 24 to 72 hours c. 4 days d. 1 week |
b. 24 to 72 hours
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which of the following dietary habits is helpful in minimizing the effects of stress
a. using caffeine to stay awake when working the night shift b. having three or four alcoholic drinks each day c. eating a variety or foods, limiting fat and sugar intake d. all of the above |
c. eating a variety or foods, limiting fat and sugar intake
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you recently notice that you are irritated with your spouse, you are not sleeping well, what will help
a. request a couple of overtime shifts to avoid conflict with your family b. walk a mile or so before or after your shift and on your days off c. have a beer or glass of wine before bed to help you relax d. call in sick for your next shift |
b. walk a mile or so before or after your shift and on your days off
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PPE for rescue situtations include everything but:
a. turnout gear b. helmet c. eye protection d. latex gloves |
d. latex gloves they do not provide enough protection. You must wear heavier ones
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1: The organization in the United States government that is responsible for establishing the National Standard Curriculum for each EMT level is the:
A: Department of Transportation. B: Department of Health and Human Services. C: Department of Homeland Security. D: Department of Defense. |
A: Department of Transportation.
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2: Why is the year 1966 usually referred to as the beginning of the modern era of EMS?
A: It was the year the first EMT textbook was published. B: It was the year the term "paramedic" was first used. C: The report "Accidental Death and Disability: The Neglected Disease of Modern Society" was published. D: The first "van ambulance" was manufactured. |
C: The report "Accidental Death and Disability: The Neglected Disease of Modern Society" was published.
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3: EMS providers who can perform advanced cardiac life support skills, may use a manual defibrillator, and are trained for 800 to 1,500 hours are called:
A: first responders. B: EMT-Basics. C: EMT-Intermediates. 3: EMS providers who can perform advanced cardiac life support skills, may use a manual defibrillator, and are trained for 800 to 1,500 hours are called: A: first responders. B: EMT-Basics. C: EMT-Intermediates. D: EMT-Paramedics. |
D: EMT-Paramedics.
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4: Emergency Medical Dispatch has been developed to:
A: provide an exact location of the caller using GPS. B: see what is going on at the scene. C: allow dispatchers to provide instructions to the caller until EMS arrives. D: all of the above. |
C: allow dispatchers to provide instructions to the caller until EMS arrives
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5: The type of medical control where a physician may either confirm or modify a proposed treatment plan over the radio or telephone is referred to as:
A: offline or indirect medical control. B: retrospective Medical control. C: online or direct medical control. D: implied medical control. |
C: online or direct medical control.
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6: A Continuous Quality Improvement (CQI) system is designed to:
A: identify medical mistakes and punish those who commit them. B: identify new trends in medical care and implement them. C: identify EMS providers who have to recertify. D: identify areas of improvement and appropriate education to help fix them. |
D: identify areas of improvement and appropriate education to help fix them.
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7: The roles and responsibilities of the EMT-B do not include:
A: placing yourself or your partner at risk to save a patient's life. B: providing essential immediate intervention. C: advising the patient of any procedures you will perform. D: documenting all findings and care on the patient care report. |
A: placing yourself or your partner at risk to save a patient's life.
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8: When you are called to assist a patient who is uncooperative and verbally abusive, you should:
A: treat the patient in a similar manner to gain control of the situation. B: leave the scene and go back in service. C: threaten the patient with force if they don't calm down D: treat the patient with respect and call for law enforcement assistance. |
D: treat the patient with respect and call for law enforcement assistance
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9: The second phase of a coordinated continuum of care is:
A: the patient receives assessment and stabilization in the hospital emergency department. B: the patient receives the necessary definitive specialized care. C: the patient recognizes an emergency and initiates the EMS system. D: the patient is assessed, treated, packaged, and transported to the hospital. |
D: the patient is assessed, treated, packaged, and transported to the hospital.
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10: The party responsible for ensuring that an EMT-B maintains his or her ability to provide high-quality EMS care and updates his or her knowledge of EMS care is the:
A: state regulatory authority. B: EMT-B. C: medical director. D: EMS agency chief. |
B: EMT-B.
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1: According to Dr. Kubler-Ross, the stage of the grieving process identified by the open expression of grief, hopelessness, and the desire to die is:
A: denial. B: acceptance. C: bargaining. D: depression. |
D: depression
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When dealing with the death of a child, the EMT-B should:
A: attempt to joke with the family regarding the circumstances. B: tell the family that child is going to "make it." C: acknowledge to the family that the child is dead. D: not tell the family anything until a clergy member is present |
C: acknowledge to the family that the child is dead.
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The three stages of the body's reaction to stress (general adaptation syndrome) do not include:
A: the alarm response. B: burnout. C: reaction and resistance. D: recovery or exhaustion. |
B: burnout.
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Strategies that EMT-Bs may use to positively manage the stress of the job include the following except:
A: sustaining friends and interests outside of EMS. B: regular physical activity. C: eating a balanced diet of carbohydrates, protein, and limited fats. D: learning how to hold your stress reaction inside. |
D: learning how to hold your stress reaction inside.
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The goal of universal precautions is to:
A: protect you from all infectious diseases. B: protect you from all hazardous materials. C: interrupt the transmission of germs. D: prevent exposure to stressful situations |
C: interrupt the transmission of germs.
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If you suspect that a patient has a communicable disease, you may:
A: refuse to treat them. B: delay treating them while you wait to learn the seriousness of the condition. C: pause to don appropriate personal protective equipment. D: none of the above. |
C: pause to don appropriate personal protective equipment
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The carrier of an infectious organism:
A: may never know that they have the disease. B: will always tell an EMT-B that they are contagious. C: can only transmit the disease by exposure to blood. D: can be traced through an investigation. |
A: may never know that they have the disease
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One of the simplest and most effective ways to control disease transmission is to:
A: wear latex gloves on all EMS calls. B: wear a HEPA mask during long transports. C: wash your hands after every call. D: recap a dirty needle after it is used |
C: wash your hands after every call.
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If you arrive at the scene of a motor vehicle crash involving a truck with a black and white diamond-shaped label stating "corrosive" that is leaking a fluid, you should:
A: slowly walk around the vehicles, looking for more leaks. B: keep a safe distance from the scene and notify dispatch of a hazardous material. C: quickly but carefully run to the cab of the truck to check for patients. D: begin treating any patients. |
B: keep a safe distance from the scene and notify dispatch of a hazardous material.
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At violent situations, EMS personnel should:
A: assume that parties will not try to harm EMS providers. B: enter the scene as soon as law enforcement arrives. C: trust that bystanders will protect them from possible harm. D: enter the scene only when law enforcement indicates it is safe |
D: enter the scene only when law enforcement indicates it is safe
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