Chapter 2 quiz Flashcards
A) “Right now he is not breathing and his heart is not beating, but we are doing everything we possibly can for him.”
B) “I have to be honest, he is probably dead, but we are going to take him to the hospital so the doctor can examine him and make sure.”
C) “I am not a doctor, but if we get him to the hospital very quickly, I am sure he will be just fine.”
D) “Why don’t we wait until we get to the hospital to talk about your husband’s condition?”
A) “Right now he is not breathing and his heart is not beating, but we are doing everything we possibly can for him.”
A reaction to death or dying where the patient asserts "Not me!" is recognized as what stage of grieving? A) Anger B) Bargaining C) Depression D) Denial
D) Denial
A 38-year-old male is complaining of generalized weakness and fatigue. Assessment findings include abdominal pain, fever, and yellowing of the eyes. Given these signs and symptoms, you would be suspicious of: A) West Nile virus. B) hepatitis. C) tuberculosis. D) AIDS.
B) hepatitis.
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 priority action would be:
A) disinfect the stretcher and equipment.
B) wash your hands with soap and water.
C) complete the prehospital care report.
D) use an alcohol-based hand sanitizer.
B) wash your hands with soap and water.
Which one of the following is the single best technique that the EMT can use to prevent the spread of infection? A) Getting immunizations B) Washing hands C) Disinfecting equipment D) Wearing gloves
B) Washing hands
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 EMS and has never had to deal with him being gone for 24 hours at a time. Which of the following is the most appropriate response?
A) “The long hours actually make things easier since there is less time to argue.”
B) “I have found that the family becomes used to it and things are okay after about six months.”
C) “I would just tell her that everything will be okay and avoid talking about work when you are home.”
D) “It may help to bring your wife here so she can see what we do and the safety precautions we take.”
D) “It may help to bring your wife here so she can see what we do and the safety precautions we take.”
A patient informs you that he was recently diagnosed with the human immunodeficiency virus (HIV), but has yet to develop AIDS. Which one of the following statements is true?
A) Gloves will be enough protection unless body fluids are present.
B) Until the patient develops AIDS, he is not infectious.
C) Family members should not share his hand towels or utensils.
D) The hepatitis B and C vaccines provide the EMT limited protection from transmission.
A) Gloves will be enough protection unless body fluids are present.
A patient with human immunodeficiency virus (HIV) is complaining of chest pain. In this situation, what personal protective equipment is most appropriate? A) Gloves, gown, and N-95 respirator B) Gloves and eyewear C) Gloves, gown, goggles, and mask D) Gloves and gown
B) Gloves and eyewear
The EMT is correctly performing routine hand washing when she:
A) dries hands thoroughly for 30 seconds with a reusable towel.
B) uses an alcohol-based hand sanitizer without water.
C) lathers and scrubs with plain soap for 10 to 15 seconds.
D) rinses with hot water after using a disinfectant soap.
C) lathers and scrubs with plain soap for 10 to 15 seconds.
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:
A) establishing the time of death.
B) determining the cause of death.
C) preparing for the next call.
D) providing supportive care to the husband.
D) providing supportive care to the husband.
While assessing a patient with abdominal pain, the patient informs you that he is a chronic carrier of hepatitis B. His skin is not jaundiced (yellow colored) nor does he have a fever. As an EMT, you realize:
A) the hepatitis B vaccine will not protect you if exposed.
B) a mask must be placed over the patient’s mouth.
C) the patient’s blood and body fluids are infectious.
D) the patient has the disease but is not infectious.
C) the patient’s blood and body fluids are infectious.
You have been told that you must get your annual purified protein derivative (PPD) test for tuberculosis (TB). As a knowledgeable EMT, you recognize that the PPD will:
A) provide continued immunity to tuberculosis.
B) determine if you have been exposed to TB.
C) determine the effectiveness of treatment for TB.
D) reveal if you need a TB immunization.
B) determine if you have been exposed to TB.
You would be concerned about cumulative stress when an EMS provider informs you that he:
A) drinks a small amount of alcohol every night to help him sleep.
B) is physically tired and would like one week of unpaid leave to recuperate.
C) is bothered by a call he had yesterday and does not feel like talking.
D) is taking prescribed antidepressants to treat mild depression.
A) drinks a small amount of alcohol every night to help him sleep.
Which one of the following statements should you expect from a patient who has accepted the fact that he is terminally ill?
A) “I have no energy to even think anymore.”
B) “I cannot go on like this any longer.”
C) “It is just not fair.”
D) “It’s okay. I am not afraid.”
D) “It’s okay. I am not afraid.”
Organisms that cause diseases are correctly called: A) antibodies. B) antigens. C) toxins. D) pathogens.
D) pathogens.
You are transporting a 58-year-old female suffering from terminal breast cancer. While in the ambulance, she becomes tearful and repeatedly asks, "Why me?" As a knowledgeable EMT, you recognize that she is in what stage of grieving? A) Bargaining B) Anger C) Denial D) Depression
B) Anger
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. Their immediate action would be:
A) instruct the boy to carry the patient from the house to the yard.
B) notify dispatch and proceed to the home to care for the patient.
C) contact the police and move the ambulance from the immediate area.
D) gather basic equipment and go to the home to care for the patient.
C) contact the police and move the ambulance from the immediate area.
An EMT has an understanding of the different types of pathogens when she states:
A) “Fungal infections typically attack the immune systems of healthy persons.”
B) “Bacteria tend to be larger than viruses and can be seen without a microscope.”
C) “Viruses are resistant to antibiotics because they live within the body’s cells.”
D) “Protozoa are considered parasitic worms and can live within the human body.”
C) “Viruses are resistant to antibiotics because they live within the body’s cells.”
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 one of the following types of protective clothing is it most essential that you don prior to making patient contact? A) Rubber-soled boots B) Protective helmet C) Reflective vest D) HEPA mask
C) Reflective vest
You are the first to arrive on the scene of a motor vehicle collision. The scene size-up reveals a tanker truck on its side with an unresponsive driver in the cab. Multiple bystanders are around the cab waving for you to come over and help the driver. Your immediate action should be to:
A) assess and extricate the patient.
B) determine what material the truck is carrying.
C) make certain the tanker is not leaking.
D) order the bystanders away from the truck.
D) order the bystanders away from the truck.
You are treating a patient with active tuberculosis (TB). Which of the following will afford you the best protection from the disease?
A) Surgical mask with a face shield
B) Gloves, gown, and goggles
C) Purified protein derivative injection
D) High-efficiency particulate aspirator mask
D) High-efficiency particulate aspirator mask
Which one of the following statements made by an EMT shows that he has an accurate understanding of hepatitis C?
A) “Respiratory droplets are the primary means by which hepatitis C is transmitted, making a mask necessary.”
B) “It is important to get the hepatitis C vaccine to decrease my chance of contracting the disease if exposed.”
C) “Since hepatitis C is primarily transmitted in the spring and summer, more precautions are needed during that time.”
D) “Wearing gloves and washing hands are the best means by which to prevent the transmission of hepatitis C to health care workers.”
D) “Wearing gloves and washing hands are the best means by which to prevent the transmission of hepatitis C to health care workers.”