An emt should consider wearing protective eyewear when caring for which of these patients?

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Well-Being of an EMT
What is the primary reason for an EMT to change gloves between contact with different patients?
Which of the following is a physiologic effect of the stress Triad as described by the physician Hans Selye?
What is the most important consideration at the scene of a hazardous materials incident?
Which of the following terms refers to a positive form of stress that helps people work when under pressure and respond effectively?

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Well-Being of an EMT

Question	Answer
Stress is:	A state of physical or psychological arousal to a stimulus
The standard against infection that assumes that all blood and body fluids are infectious and requires all emergency workers to practice a strict form of infection control is called:	Standard Precautions
Eye protection, protective gloves, gowns and masks are known as:	Personal Protective Equipment
A general release of a harmful substance into the environment is called:	Hazardous Material Incident
What is the acronym for a comprehensive system the includes education and resources to both prevent stress and deal with stress appropriately when it occurs?	CISM
Exercising, eating a healthy diet, getting adequate sleep and rest, and keeping up to date on vaccines are all ways of managing:	Health and Well Being
Which of the following core components of well-being relates to the need to maintain physical fitness?	Cardiovascular Endurance
Which of the following aspects of fatigue most relates to mental functioning? A) Leads to illness by decreasing immune system function B) It harms personal relationships C) Significant Factor in medical errors and improper decision making	C) Significant Factor in medical errors and improper decision making
What is the BEST situation for an EMT as regards well-being? A) Personal Popularity regardless of professional accomplishment B) Strong support system built on solid relationships C) Social isolation but high professional success	B) Strong support system build on solid relationships
What is a professional dimension MOST likely to be directly affected by an EMT's health and well-being? A) Compliance with protocols B) Preparedness C) Commitment to duty D) Job knowledge	B) Preparedness
Limiting alcohol and caffeine intake even during off hours is important because, why?	Excess intake reduces performance
Why is it important to ensure that you attend to your mental health as much as physical health?	The EMT profession imposes strong mental and physical demands
When managing a 28 yr old male patient who has been vomiting blood and has a fever, the EMT considers that the patient might have a bloodborne illness. Bloodborne pathogens can be contracted through exposure to:	An infected person's blood through breaks of the noninfected person's skin
What type of precautions should an EMT take when caring for an intoxicated female who is trying to spit on the EMS crew?	Gloves, eye protection, and a mask
What are two protective measures the EMT should take for a patient who is known to be infected with Hep B & C to specifically protect against exposure to fluids that may be infected?	Gloves and eyewear
What specific protective measure should the EMT take for a patient who is known to be infected with TB?	N-95 or HEPA Mask
To reduce the risk of illness, the EMT should?	Use standard precautions during each patient contact
If you respond to the scene of a motor-vehicle collision and see broken glass, you should expect: A) severe wounds and wear a mask B) dangerous environment and hold off until glass is cleared C)Potential for contact with blood and wear gloves	C)Potential for contact with blood and wear gloves
You respond to the scene of an elderly patients home that hasn't been well maintained & appears to be unsanitary, rotting food in kitchen, mold, and urine stains on the person and furniture. Personal Equip. should be sued as a barrier against:	Infection
Alcohol-based hand cleaners are effective at:	Helping kill microorganisms
When soap and water are available, what method of hand cleaning should be utilized? A) Vigorous hand-washing B) Abrasive scrubbing pad C) Alcohol- based hand cleaner	A) Vigorous hand washing
After washing your hands, turn off the faucet: A) wear a glove when turning the handle B) Use a paper towel to touch the handle C) apply alcohol-based hand cleaner to the faucet handle first	B) Use a paper towel to touch the handle
When applying an alcohol-based hand cleaner, you should: A) Rub your hands until they are dry B) use at least 2 ounces C) allow your hands to air dry	A) Rub your hands until they are dry
What is a mode of transmission for AIDS?	Unprotected sexual contact
Which of the following poses the greatest risk of exposure to TB? A) Places with domestic animals B) Institutions such as nursing homes D) Private residences	B) Institutions such as nursing homes
Why does AIDS present far less risk to health care workers then HEP and TB?	AIDS does not survive well outside the human body
A dried blood spill that is days old presents: A) no threat B) threat of AIDS C) threat of HEP D) threat of TB	C) Threat of Hepatitis
What contagion spreads through the air? A) TB B) HEP A C) HEP B D) AIDS	A) TB
Which of the following caused concern worldwide when it emerged and caused almost 800 deaths?	SARS
What is found in poultry and can affect humans?	Avian Flu
MERS is found where?	Primary on the Arabian Peninsula
Which of the following is found in birds but can affect humans? A) SARS B) Avian Flu C) Meningitis D) Pertussis	B) Avian Flu
What US entity establishment guidelines that require certain precautions to be taken to prevent the transmission of disease through contact with body fluids?	Occupational Safety and Health Admin
Under the Ryan White CARE Act, how might you learn that you were exposed to a bloodborne infection?	By being informed by the designated officer
According to the TB Compliance Mandate, after using a disposable bag-valve-mask (BVM) device to ventilate a patient with TB, the EMT should do what?	Dispose the BVM according to hospital or EMS service policy
What establishes procedures by which emergency response workers may find out whether they have been exposed to life-threatening infectious disease?	Ryan White CARE Act
What type of mask should you don if you suspect that the elderly patient for whom you are caring has TB?	N-95 respirator
Which of the following procedures carries the highest risk of spreading TB to the EMT? A) Bag-valve-mask breathing B) Modified jaw thrust C) Endotracheal suctioning D) Oral airway placement	C) Endotracheal Suctioning
A HEPA or N-95 mask would be MOST likely to be required in caring for patients in what setting? A) Amusement park B) Shopping center C) Drug treatment center D) A professional office building	C) Drug Treatment Center
Which of the following is LEAST likely to be a high-risk environment for catching TB? A) Local playground B) homeless shelter C) Correctional Facility	A) Local Playground
Which of the following is often part of an employment physical? A) HIV Test B) Chest X-Ray C) HEP C D) TB Test	D) TB Test
What test can detect whether an EMT has been exposed to TB?	TST
A TST or PPD test is used to test for?	TB
If the TST determines that you have been exposed to TB, then you should seek treatment and...	Follow-up from a doctor or other health care professional
The warning signs of stress include: A) Loss of sexual desire or interest B) Increased Appetite C) Intense concentration at work	A) Loss of sexual desire or interest
Which of the following is a work-related stressor for an EMT? A) Close friend severs contact B) Family member commits suicide C)An EMT cannot communicate with a spouse about work	C) an EMT cannot communicate with spouse about work
A situation that often produces an extreme level of stress for the EMT is: A) Emergency involving children B) Transport of a terminally ill patient C) Medical emergency that involves an elderly patient	A) Emergency involving children
The warning signs of stress include: A) Increased interest at work B) long periods of uninterrupted sleep C) irritability with family, friends and coworkers	A) Increased interest at work
What is a positive form of stress?	Eustress
When your pupils dilate, your heart rate increases, your bronchial passage dilate, and blood sugar increases, what stage of stress response is this?	Alarm
An EMT who has adapted to a stimulus so that it no longer produces stress is in what stage of the general adaptation syndrome?	Resistance
What stage of the general adaptation syndrome involves an individual who has last the ability to resist or adapt to a stressor and may become seriously ill as a consequence?	Exhaustion
The body's return to normal functioning is characteristic of which stage of stress response?	Resistance
A state of exhaustion and irritability that can markedly decrease one's effectiveness in delivering emergency medical care is referred to as:	Burnout
Acute stress reactions are often linked to....	Catastrophes such as large-scale natural disasters
The difference between acute and delayed stress reaction is:	The time it takes for the reaction to occur
A specific incident that can provoke a delayed stress reaction is called a...	Trigger
A state of exhaustion, irritability, and fatigue that is brought about by work-related problems and results in the inability to perform one's duties effectively as an EMT; is known as what?	Burnout
You are starting to experience symptoms of stress months after an extremely stressful situation. This is known as:	A delayed stress reaction
What helps burn off stress?	Getting exercise such as aerobics
Which of the following is the best way to reduce stress? A) Spend time alone B)Devote time to relaxation C) More responsibility at work	B) Devote time to relaxations
What is a good way to handle job-related stress?	Recognize the signs of stress when they develop
Which of the following strategies for dealing with stress is the LEAST effective? A) Use of sedative drugs B) Mental imagery C) Increase exercise activity	A) Use of sedative drugs
As an EMT who is looking for ways to improve your personal wellness and ability to resist-job related stress, you should focus on:	Increasing the amount of exercise you get in your day
A bad work relationship with a negative coworker who is unreasonably critical of your performance is causing you stress. What is a good adjustment to make?	Avoid fatty foods and exercise more often
What is the overall purpose of a CISD event?	To provide a means to relieve the stress experienced by those who were involved in the incident
During CISD, who is usually involved in a defusing session?	The people who were directly involved with the most stressful aspects of the incident
When does a CISD meeting usually takes place?	24-72 hours after the incident
The CISD model is now:	used less frequently
Which dying patient is in the depression stage? A) Patient accepts death, but isn't happy B) Refuses to accept the fact of impending death C) Becomes upset about things left undone	C) Patient becomes upset about things left undone
A dying patient becomes withdrawn and doesn't look at most people or speak to them. The emotional stage of dying this patient is most likely in is:	Depression
A dying patient is acting like nothing is wrong, even though she has just heard that her spouse is terminally ill and has very little time left. Which emotional stage of reacting to death and dying is she likely in?	Denial
A dying patient wants you to tell him that it is going to be okay. You should:	Respond that you will do all that you can do to comfort the patient and help control his pain
Statistically, which of the following is the greatest threat to EMS providers? A) Stroke B) Assault C) Air Med Crashes	C) Air Med Crashes
What is the primary rule in dealing with a hazardous material incident?	Maintain a safe distance from the source of hazardous material
You are confronted by a scene in which a patient is entangled in debris from an explosion at a chemical factory. You see the path to the patient appears to be smeared with chemical residue that you can't identify but that seems to be bubbling. You do..	Ask specialized personnel to identify the chemical and proper safety precautions
A car has struck an electrical pole, and there are live wires down on the car. The patient is trapped in the vehicle. What is the MOST appropriate action?	Do not approach the car, and call the electric company
You respond to a scene in which nearby containers of hazardous materials have come open and appear to be leaking. You should do what?	Maintain a minimum safe distance from the materials
You are responding to an incident involving intentional disbursement of a chemical agent that is likely a terrorist attack. In responding to the call, you should:	Recall the specific training you received regarding protocols related to chemical threats
to perform on the scene of a hazardous material incident? A) Taking initial actions for your personal safety B) Contain the hazard C) Setting up a decon shower in the hot zone	A) Taking initial actions for your personal safety
You are responding to a call for a multiple-vehicle collision at a busy intersection. You should have: A) Full turnout gear B) Reflective clothing or vest C) a hard hat	B) Reflective clothing or vest
In reacting to danger, you place your body behind an area that might hide you from view, although it won't protect you from the bullets. This is called:	Concealment
In reacting to danger, an EMT finds a position behind a wall that will both hide and protect his or her body from projectiles. This is called:	Cover
You reenter the scene of a shooting after it has been cleared by police.	Reevaluate
A patient expressed offense that you practice so many precautionary measures, including washing your hands and wearing protective gear. He asks why you treat patients as unclean. Your BEST response should be:	Serious communicable illnesses with bloodborne and airborne pathogens, so precautions are necessary
A patient tells you that he is certain that vaccination is available for all major communicable diseases, but what is a disease for which a vaccination is still not available?	AIDS
Which of the following diseases is transmitted by airborne droplets? A) Chicken pox B) HEP C) Staph infections D) AIDS	Chicken pox
What is one mode of transmission for HIV?	Blood transfusion
Which of the following must the EMT perform on each and every emergency call? A) wear a HEPA or N95 B) Immediately asses all patients on arrival at scene C) Ensure that the scene is safe before entering	C) Ensure that the scene is safe before entering
Gloves worn to protect against contact with blood and other bodily fluids should be: A) Latex B) Nonlatex C) Mesh D) Cotton	Nonlatex
How many types of gloves will the EMT likely use?	2 pairs
You are transporting a patient suspected of TB. You should:	open the windows and turn on nonrecirculated air.

What is the primary reason for an EMT to change gloves between contact with different patients?

By not changing gloves during a call, EMS providers can spread an infectious pathogen throughout the ambulance, into the hospital and onto their personal items such as pens, notepads and clothing.

Which of the following is a physiologic effect of the stress Triad as described by the physician Hans Selye?

During this stage, the physiologic effects described by Selye include what he called the stress triad: enlargement (hypertrophy) of the adrenal glands, which produce adrenaline; wasting (atrophy) of lymph nodes; and bleeding gastric ulcers.

What is the most important consideration at the scene of a hazardous materials incident?

The MOST important consideration at the scene of a hazardous material incident is: Ensuring your personal safety.

Which of the following terms refers to a positive form of stress that helps people work when under pressure and respond effectively?

Eustress is perceived as positive and beneficial, while distress is associated with negative outcomes. Eustress may help improve their focus and motivate people to take on new challenges, while distress can lead to anxiety, fear, and other negative emotions.

An emt should consider wearing protective eyewear when caring for which of these patients?

Well-Being of an EMT

What is the primary reason for an EMT to change gloves between contact with different patients?

Which of the following is a physiologic effect of the stress Triad as described by the physician Hans Selye?

What is the most important consideration at the scene of a hazardous materials incident?

Which of the following terms refers to a positive form of stress that helps people work when under pressure and respond effectively?

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