Test Bank Ch 33-36 Flashcards
Which of the following patients should an OEC Technician consider a potential behavioral emergency?
A 29-year-old man with diabetes who is combative and refusing care
Your first priority in managing a patient with a behavioral emergency is:
c. ensuring your own personal safety.
Your OEC class asks you to describe the term behavior. Which of the following statements would be the correct response?
What is acceptable behavior in one community may not be acceptable in another.
Two of the most common medical causes of abnormal behavior are:
c. hypoxia and hypoglycemia.
Which of the following statements about behavioral emergencies is false?
b. The person requires physical restraint before care can be given.
Which of the following patients is exhibiting signs of psychosis?
d. A 37-year-old who is having hallucinations
Elisabeth Kubler-Ross described five distinct phases that occur when a person learns that death is pending. Which of the following statements about these phases is accurate?
a. The five phases are denial, anger, bargaining, depression, and acceptance.
You have stopped a male skier and a female skier who were racing down a closed trail. Initially, the man was calm, but suddenly he becomes angered and says that “you can’t tell me what to do.” When you try to talk with him, he pulls out a knife and tells you to “get away or I’ll kill you.” The female skier is frightened and states that her friend sometimes gets very aggressive when he drinks. You put in a call for security and additional staff, but you know it will be a few minutes before they arrive. Which of the following statements describes your best course of action in the interim?
d. Remain a safe distance from the man and let him know you are there to help.
You are out with a group of friends in a local tavern. One of the patrons gets argumentative and will not calm down. By the time the police arrive, the patron has gotten combative and is breaking glass bottles. The police subdue the patron and have him restrained. As you watch all of this happening, which of the following situations would cause you to be concerned?
a. The police have restrained the patron in a prone position on the floor.
Which of the following statements shows that an OEC Technician has a good understanding of dealing with a patient who is having a behavioral emergency?
a. “Try to assess patients from a safe distance until they start to answer your questions calmly.”
You are called to the lodge to assist a 25-year-old man who reportedly is having hallucinations. When you arrive, he is sitting quietly and appears calm. Information obtained in your SAMPLE history indicates that the patient started having hallucinations yesterday. He was diagnosed with schizophrenia a few years ago and has been prescribed two different medications. Which of the following questions is most pertinent to the situation and should be asked next?
b. “Have you been taking your medications as prescribed?”
You are describing techniques for remaining safe when responding to a call for a patient with a behavioral emergency. Which of the following statements is appropriate?
You should be sure that you have at least one exit route, and do not let the patient get between you and that way out.”
Which of the following behaviors is a sign of potential aggression in a patient?
The clenching of both fists
Which of the following actions is best to keep a behavioral patient calm and to avoid provoking a violent outburst?
a. Inform the patient of everything that is happening and use a calm voice throughout care.
Which of the following pieces of information is not important to OEC Technicians in assessing a patient with abnormal behavior?
a. What the patient’s diagnosis is
You and a fellow OEC Technician are discussing how to talk with someone experiencing a behavioral emergency. Which of the following statements indicates that you have a good understanding of the correct approach?
c. “Demonstrate active listening skills by repeating or paraphrasing what the patient said.”
Which of the following patients is not showing signs of a behavioral emergency?
b. A 24-year-old female who is sobbing loudly after having a miscarriage
When treating a patient exhibiting abnormal behavior, you should always:
a. assume until proven otherwise that the source of the abnormal behavior is an underlying medical condition.
Which of the following situations is not an indication for the use of restraints?
b. The patient is alert, rational, and refuses medical care.
Which of the following statements regarding the use of physical restraint is true?
a. An OEC technician must follow local protocols for restraining patients.
When mechanically restraining a patient, you should:
d. have six people available to safely apply the restraints.
A condition in which a person exhibits abnormal behavior but is able to function within the normal boundaries of reality is known as:
c. a neurosis.
Which of the following structures is not a boundary of the pelvic cavity?
a. The diaphragm (superiorly)
Which of the following structures is not located within the pelvic cavity?
c. The appendix
The function of the uterus in pregnancy is to:
d. provide an environment for the ovum to develop into a fetus.
Which of the following statements about the role of the cervix in pregnancy is true?
d. “Bloody show” comes from the cervix and is a sign of imminent delivery.
The second stage of labor ends with:
c. delivery of the baby.
In which of the following patients would an OEC Technician recognize a full-term pregnancy?
a. A 21 year old who is 39 weeks pregnant and is feeling dizzy
Prior to an emergency delivery, an OEC Technician prepares the delivery field. Which of the following instructions describes the best way to do that task?
d. Place a clean (or if available, a sterile) sheet or towel under the mother’s buttocks and then unfold it down to her feet.
You arrive in the aid room to find an EMT assisting a mother during delivery. You’re told that the patient’s perineum tore and that you need to control the bleeding. Which of the following actions would you take?
c. Place a sterile dressing between the mother’s vagina and rectum.
When asked, a young woman with abdominal pain replies that she is not sure whether she is pregnant or not. Which of the following questions would best help you determine whether the patient could be pregnant?
b. “When was your last menstrual period?”
When assessing a 27-year-old woman who is pregnant, which of the following statements would concern you the most?
c. “I have not been able to see a doctor during this pregnancy.”
You have completed an assessment of a 32-year-old woman in the seventh month of pregnancy. Which of the following assessment findings would concern you the most?
d. Intermittent vaginal bleeding
A 16 year old has come to the aid room complaining of vaginal bleeding. She tells you that she is pregnant and has been bleeding for about 3 hours. After having her lie down, your care would include:
c. offering her a sanitary napkin to place over her vagina to slow the bleeding.
You would most suspect the occurrence of a spontaneous abortion in which of the following patients?
b. A 21 year old who is 6 weeks pregnant and is passing blood clots from her vagina
A 21 year old is five weeks pregnant and is experiencing vaginal bleeding. When reviewing the possible causes of the bleeding, you would suspect:
d. a spontaneous abortion.
A 25-year-old woman arrives in the aid room with her husband. She is 37 weeks pregnant and in labor. Your exam reveals crowning with 60-second contractions occurring at 50-second intervals. Which of the following actions would you take?
c. Open and prepare an obstetrical kit.
You are with a 29-year-old woman who has signs of imminent delivery. She tells you that she has a history of HIV infection. Compared to a patient who has no infectious disease, how will Standard Precautions differ for this patient?
d. Gloves, a gown, and goggles must be worn for both patients with HIV and noninfectious patients.
During a delivery, you note that the umbilical cord is wrapped around the baby’s neck. Which of the following actions should you take immediately?
c. Slip the cord over the baby’s head.
Which of the following instructions describes the correct way to suction a newborn?
a. Suction the mouth first and then the nose.
As soon as a baby is delivered from the vaginal canal, it is crucial that you:
b. vigorously dry and warm the newborn.
You are in the process of delivering a baby and have just delivered the baby’s head. Which of the following actions should you take next?
b. Check the baby’s neck for the presence of the umbilical cord.
At what point during a delivery should you first suction the baby?
After the baby’s head has been delivered but before the torso is out of the vaginal opening and if there is obvious obstruction to spontaneous breathing
When should an OEC Technician cut the umbilical cord?
d. After the delivery of the baby whenever transportation will be delayed more than 20 minutes
Which of the following statements describes the proper care for the cord after delivery?
d. The cord is appropriately clamped and then cut approximately 6 inches from the infant’s abdomen.
Which of the following statements about the placenta is accurate?
d. The placenta typically delivers itself within 30 minutes of the birth of the baby.
After delivery, you note that blood continues to ooze from the mother’s vaginal canal. The sanitary pads that you placed between her legs continue to become soaked. Which of the following actions should you take next?
c. Perform a uterine abdominal massage.
The APGAR scoring system is useful in determining:
c. the status of a newborn’s overall condition.
The components of the APGAR scoring system include:
b. appearance, irritability, and activity.
A newborn’s first APGAR score is 6; his second APGAR score is 9. This information:
a. indicates an improvement in the newborn’s condition.
Which of the following findings should be of greatest concern when assessing a 33-year-old woman who is 8 months pregnant?
d. Vaginal bleeding that is not associated with pain
In abruptio placenta, the greatest threat to the baby is:
c. hypoxia.
A 24-year-old woman complains of sharp pain in her left lower abdominal quadrant. She states that her last period was 7 weeks ago. Which of the following conditions would you most suspect?
c. Ectopic pregnancy
Which of the following statements about the umbilical cord is true?
c. It transmits nourishment from the placenta to the fetus.
The underlying pathophysiology associated with an ectopic pregnancy is that a fertilized egg is:
a. lodged in a fallopian tube.
In an ectopic pregnancy, the primary threat to the pregnant woman is:
b. hemorrhage.