Chapter 2 Questions

Question 1

During the grieving process, a "Why me?" response is an example of what might be said during which stage?
A) Denial
B) Bargaining
C) Anger
D) Depression

Answer 1

C) Anger

Question 2

A paramedic has been exposed to repeated stressful emergency calls with no stress relief. His or her home life is also stressful. The paramedic has begun to lose concentration at work and is withdrawing from co-workers. What term best describes the paramedic's current state? 
A) Paranoia
B) Delusions
C) Chronic anxiety
D) Depression

Answer 2

C) Chronic anxiety

Question 3

What nervous system mediates the alarm reaction phase of a stress response?
A) Peripheral
B) Autonomic
C) Central
D) Asomatic

Answer 3

B) Autonomic

Question 4

A steady diet rich in cold-water fish and canola oil will have what effect to the body?
A) Lowering blood cholesterol from an abundance of saturated fats
B) Rising blood cholesterol from trans fats
C) Rising blood cholesterol from unsaturated fats
D) Lowering blood cholesterol from polyunsaturated fats

Answer 4

D) Lowering blood cholesterol from polyunsaturated fats

Question 5

A paramedic has been under extreme stress because of forced overtime following a flood in the local township. A small child was killed in the flood and the paramedic attempted to resuscitate the patient. The paramedic has not been able to deal with rising stress levels and is beginning to use some defense mechanisms to deal with this elevated stress. What term describes a paramedic that begins to criticize the patient care skills of other paramedics to cover for his or her own perceived mistakes in resuscitating the child?
A) Projection
B) Reaction formation
C) Compensation
D) Repression

Answer 5

A) Projection

Question 6

Approximately what percentage of the human body is composed of water?
A) 45%
B) 35%
C) 25%
D) 55%

Answer 6

D) 55%

Question 7

What form of stress is associated with the need to be liked?
A) Environmental
B) Personality
C) Psychosocial
D) Behavioral

Answer 7

B) Personality

Question 8

A paramedic is talking to a patient with a newly identified heart disease. Which dietary guideline provides good advice for this patient?
A) Limit salt intake to about 12g (4800 mg sodium) daily.
B) Limit cholesterol to 200 mg a day
C) Favor foods with trans fats over those with polyunsaturated fats.
D) Eat one or two servings of fruits or vegetables daily.

Answer 8

B) Limit cholesterol to 200 mg a day

Question 9

What action should a patient with total cholesterol of 200 mg/dl, LDL of 160 mg/dL take?
A) Decrease foods high in HDL
B) Make sure that the VLDL numbers are at least 200 mg/dL
C) Attempt to raise the LDL; this number is too low
D) Try to lower overall cholesterol intake

Answer 9

D) Try to lower overall cholesterol intake

Question 10

An 80-year-old woman has just died in her home. Her anxious family members ask you how she is doing. What is the most appropriate response?
A) "She has passed on"
B) "She has died"
C) "She is gone"
D) "she is no longer with us"

Answer 10

B) “She has died”

Question 11

What term is best described as a positive stress that is considered to be protective?
A) Antistress
B) Distress
C) Eustress
D) Prostress

Answer 11

C) Eustress

Question 12

What is a benefit of performing isometric exercises?
A) Helps move a joint through a range of motion
B) Increases muscle bulk considerably
C) Aids in the development of tendon strength
D) Strengthens muscles at joint angles

Answer 12

D) Strengthens muscles at joint angles

Question 13

What is the purpose of critical-incident stress management?
A) Gives medical direction the opportunity to provide a learning example, based on an emergency response?
B) Determines the fault for the unsuccessful outcome of an emergency response
C) Looks objectively at an emergency response and finds what went wrong
D) Allows emergency workers opportunities to vent their feelings

Answer 13

D) Allows emergency workers opportunities to vent their feelings

Question 14

During the alarm reaction phase of the stress response, what physical reaction takes place?
A) The pupils constrict
B) The bronchial tree constricts
C) Blood pressure drops
D) ACTH is released

Answer 14

D) ACTH is released

Question 15

What term describes an active process in which one gathers information and uses it to change or adjust to a new situation?
A) Coping 
B) Projection
C) Defense mechanism
D) Mastery

Answer 15

A) Coping

Question 16

How can most infectious diseases be avoided?
A) Handwashing and following universal precautions
B) Asking patients to wear a mask
C) Drinking water that has been boiled for at least 10 minutes
D) Cooking foods thoroughly to kill bacteria

Answer 16

A) Handwashing and following universal precautions

Question 17

What are fats found primarily i n meat and dairy products that raise cholesterol levels in the blood called?
A) Saturated fats
B) Polyunsaturated fats
C) Monounsaturated fats
D) Omega-3 fatty acids

Answer 17

A) Saturated fats

Question 18

How do 3- to 6-year old children deal with death and dying?
A) Might want a detailed explanation of what has happened
B) Might engage in magical thinking and feel responsible for the death
C) Are typically matter-of-fact and accept the death at face value
D) Are not old enough to be affected by a death in the family

Answer 18

B) Might engage in magical thinking and feel responsible for the death

Question 19

What statement best describes Elisabeth Kubler-Ross’s stages of death and dying?
A) Experienced in order by most grieving families
B) Usually complete within 60 to 90 days following the death of a loved one
C) Experienced by the dying patient only, not the family members
D) Not rigid and may fluctuate among stages and order in each person

Answer 19

D) Not rigid and may fluctuate among stages and order in each person

Question 20

A veteran paramedic has been responding to emergency calls for 15 years. The person has developed \_\_\_\_\_ to the alarm response.
A) Capacity
B) Desensitization
C) Resistance
D) Tolerance

Answer 20

C) Resistance

Question 21

A paramedic has been under extreme stress because of forced overtime following a flood in the local township. A small child was killed in the flood, and the paramedic attempted to resuscitate the patient. The paramedic has not been able to deal with rising stress levels and is beginning to use some defense mechanisms to deal with this elevated stress. What term describes a paramedic trying to keep the memories of the attempted resuscitation of the child out of conscious memory?
A) Repression
B) Reaction formation
C) Compensation
D) Projection

Answer 21

A) Repression

Question 22

What rhythm is most likely disturbed if a paramedic works 12-hour day shifts for 3 days followed by 12-hour night shifts for 3 days?
A) Circadian
B) Circular
C) Solar day
D) Lunar tide

Answer 22

A) Circadian

Question 23

What is an aspect of water-soluble vitamins?
A) Are stored in the liver and pancreas
B) Must be ingested through daily food intake
C) Are inorganic substances
D) Include vitamins A, D, E, and K

Answer 23

B) Must be ingested through daily food intake

Question 24

What are two main components of wellness and physical well-being?
A) Adequate nutrition and minimal exercise
B) Mental and emotional health
C) Physical fitness and adequate nutrition
D) Prevention of disease and taking vitamins

Answer 24

B) Mental and emotional health

Question 25

What is an element of essential amino acids?
A) Derived from carbohydrate sources only
B) Vitamins that can be ingested as tablets
C) Obtained from food sources
D) Produced in the body

Answer 25

C) Obtained from food sources

Question 26

A paramedic has been under extreme stress because of forced overtime following a flood in the local township. A small child was killed in the flood, and the paramedic attempted to resuscitate the patient. The paramedic has not been able to deal with rising stress levels and is beginning to use some defense mechanisms to deal with this elevated stress. What term describes a paramedic that continues to be frustrated by the forced overtime but enthusiastically tells co-workers that he or she welcomes the overtime and the opportunity to help the flood victims?
A) Reaction formation
B) Repression
C) Compensation
D) Projection

Answer 26

A) Reaction formation

Question 27

A paramedic beginning a new exercise program should aim to keep his or her hear rate in the target zone for \_\_\_\_\_ minutes to increase cardiovascular endurance.
A) 60
B) 40
C) 80
D) 20

Answer 27

D) 20