Chapter 2-1 - Workforce Safety and Wellness (Test Questions)

domineeringdodo's version from 2015-05-26 05:59

General Knowledge

Question Answer
While providing care to a patient, blood got onto the ambulance stretcher. Because the stretcher was not properly cleaned afterward, a virus was transmitted to another emergency medical technician (EMT) several days later. What route of transmission does this scenario describe?
     A.) direct contact
     B.) indirect contact
     C.) airborne transmission
     D.) vector-borne transmission
Vector-borne transmission of an infectious organism occurs via...
     A.) animals or insects.
     B.) smoke or dust.
     C.) direct contact.
     D.) inanimate objects.
The simplest yet most effective method of preventing the spread of an infectious disease is to...
     A.) undergo an annual physical examination.
     B.) ensure that your immunizations are up-to-date.
     C.) wash your hands in between patient contacts.
     D.) undergo human immunodeficiency virus (HIV) testing at least twice a year.
If you use a waterless handwashing substitute in the field, it is important to...
     A.) wash your hands with soap and water at the hospital.
     B.) immediately dry your hands with a paper towel.
     C.) wait at least 5 minutes before touching another patient.
     D.) avoid donning another pair of gloves for at least 10 minutes.
Gloves, a mask, eye protection, and a face shield should be use

     A.) any time you touch non-intact skin.
     B.) during routine cleaning of the ambulance.
     C.) while handling needles or other sharps.
     D.) when performing endotracheal intubation.
If a mask cannot be placed on a coughing patient, the Centers for Disease Control and Prevention (CDC) recommend that you maintain a distance of at least ________ feet if possible.
     A.) 2
     B.) 3
     C.) 4
     D.) 5
Prescription glasses do not provide adequate eye protection because they...
     A.) have large rounded lenses.
     B.) are not secured with a strap.
     C.) offer little or no side protection.
     D.) do not have shatterproof lenses.
The spread of HIV and hepatitis in the health care setting can usually be traced to...
     A.) careless handling of sharps.
     B.) a lack of proper immunizations.
     C.) excessive blood splashing or splattering.
     D.) a noncompliance with standard precautions.
According to Occupational Safety and Health Administration (OSHA) regulations, an employer must...
     A.) guarantee a 100% risk-free environment prior to employment.
     B.) offer a workplace environment that reduces the risk for exposure.
     C.) provide gloves and other personal protective equipment (PPE) to full-time paid employees only.
     D.) screen all prospective employees for bloodborne pathogens.
Determination of exposure is an important component of an infection control plan because it...
     A.) determines the time of day that most exposures are likely to occur.
     B.) determines which type of communicable disease might be present in the workplace.
     C.) defines who is most likely to transmit communicable diseases in the workplace.
     D.) defines who is at risk for contact with blood and body fluids and which tasks pose a risk of exposure.
The hepatitis B vaccine program, a component of the infection control plan, addresses all of the following issues, EXCEPT...
     A.) family history of hepatitis.
     B.) postvaccine antibody titers.
     C.) vaccine safety and efficacy.
     D.) record keeping and tracking.
The compliance monitoring component of an infection control plan should...
     A.) ensure that employees understand what they should do and why it is important.
     B.) identify who to notify after an exposure and where treatment should be provided.
     C.) consist of a list of tasks that pose a risk for contact with blood or other body fluids.
     D.) address issues such as medical waste collection, storage, and ambulance disinfection.
The compliance monitoring component of an infection control plan should...
     A.) ensure that employees understand what they should do and why it is important.
     B.) identify who to notify after an exposure and where treatment should be provide
     C.) consist of a list of tasks that pose a risk for contact with blood or other body fluids.
     D.) address issues such as medical waste collection, storage, and ambulance disinfection.
If it is not possible to adequately clean your ambulance at the hospital following a call, you should...
     A.) quickly wipe down all high contact surfaces with an antibacterial solution.
     B.) clean the ambulance at your station in a designated area that is well ventilated.
     C.) wait until the end of your shift and then disinfect the entire patient compartment.
     D.) thoroughly wash the back of the ambulance at a local car wash or similar facility.
When decontaminating the back of your ambulance after a call, you should...
     A.) allow surfaces to air dry unless otherwise indicated in the product directions.
     B.) use a bleach and water solution at a 1-to-2 dilution ratio to thoroughly wipe all surfaces.
     C.) clean all surfaces and patient contact areas with a mixture of alcohol and water.
     D.) spray the contaminated areas and then immediately wipe them dry with a towel.
Which of the following is the MOST significant factor in determining if a person will become ill from certain germs?
     A.) age
     B.) race
     C.) gender
     D.) immunity
Which of the following statements regarding the hepatitis B vaccine is correct?
     A.) Vaccination against hepatitis B provides partial immunity for life.
     B.) OSHA requires that your employer offer you the vaccine free of charge.
     C.) The hepatitis B vaccine provides protection against the disease for 2 years.
     D.) Vaccination with the hepatitis B vaccine confers immunity against hepatitis A.
According to the CDC, recommended immunizations and tests include...
     A.) smallpox vaccine every 5 years.
     B.) TB skin test every 6 months.
     C.) two-shot hepatitis A vaccination series.
     D.) tetanus-diphtheria booster every 10 years.
Vaccination against the hepatitis A virus is unnecessary if you...
     A.) are older than 35 years of age.
     B.) have a weak immune system.
     C.) have been infected in the past.
     D.) received a hepatitis B vaccination.
If a person is partially immune to a particular disease, he or she...
     A.) is not protected from a new infection if exposed to another individual.
     B.) must be revaccinated at least every 18 months to avoid infection.
     C.) may develop illness from germs that lie dormant from the initial infection.
     D.) will not experience future illness, even if his or her immune system is stressed.
Which of the following infectious diseases confers no protection from reinfection after exposure?
     A.) mumps
     B.) rubella
     C.) syphilis
     D.) chickenpox
Which of the following statements regarding HIV is correct?
     A.) It is far more contagious than hepatitis B.
     B.) It is easily transmittable in the EMS field.
     C.) HIV is transmitted exclusively via blood.
     D.) There is no vaccine against HIV infection.
A positive TB skin test indicates that...
     A.) you have never been exposed to TB.
     B.) you have been exposed to the disease.
     C.) you are actively infected with the disease.
     D.) the disease is dormant and may become active.
If you are exposed to a patient’s blood or other bodily fluid, your first action should be to...
     A.) report the incident to the infection control officer.
     B.) abandon patient care and seek medical attention.
     C.) transfer care of your patient to another EMS provider.
     D.) vigorously clean the area with soap and water.
The BEST way to reduce your risk of contracting a work-related disease following exposure is to...
     A.) vigorously wash the affected area with an antimicrobial solution.
     B.) be evaluated by a physician within 72 hours following the exposure.
     C.) get vaccinated against the disease you think you were exposed to.
     D.) activate your department’s infection control plan as soon as possible.
The general adaptation syndrome is characterized by which of the following phases?
     A.) alarm response, reaction and resistance, and recovery
     B.) delayed reaction, alarm response, and physical recovery
     C.) reaction and resistance, euphoria, and physical exhaustion
     D.) immediate reaction, psychological exhaustion, and recovery
Physiologic manifestations of stress include...
     A.) flushed skin, decreased muscle control, and vomiting.
     B.) slow heart rate, low blood pressure, and severe headaches.
     C.) perspiration, increased blood glucose levels, and dilated pupils.
     D.) increased blood pressure, decreased blood glucose levels, and chest pain.
What type of stress reaction occurs when an EMT is exposed to many insignificant stressors over a period of several months or years?
     A.) acute stress reaction
     B.) cumulative stress reaction
     C.) posttraumatic stress reaction
     D.) critical incident stress reaction
Which of the following scenarios MOST accurately depicts a posttraumatic stress disorder (PTSD) reaction?
     A.) An EMT with many years of field experience becomes irritable with her coworkers and experiences headaches and insomnia.
     B.) A newly certified EMT becomes extremely nauseated and diaphoretic at the scene of an incident involving grotesque injuries.
     C.) An EMT is emotionally exhausted and depressed after a school bus crash involving critical injuries and the death of several children.
     D.) An EMT becomes distracted at the scene of a motor vehicle crash involving the same type of car in which a child was previously killed.
Critical incident stress management (CISM) can occur at an ongoing scene in all of the following circumstances, EXCEPT...
     A.) when personnel are assessed during periods of rest.
     B.) before personnel are preparing to re-enter the scene.
     C.) when patients are actively being assessed or treated.
     D.) before leaving the scene after the incident is resolved.
A critical incident stress debriefing should be conducted no longer than ________ hours following the incident.
     A.) 6
     B.) 12
     C.) 24
     D.) 72
As an EMT, it is important to remember that the signs and symptoms of cumulative stress...
     A.) may not be obvious or present all the time.
     B.) usually manifest suddenly and without warning.
     C.) cannot be identified and can cause health problems.
     D.) are most effectively treated with medications.
Which of the following signs would indicate that your partner is experiencing significant stress?
     A.) increased interest in daily activities
     B.) isolation from the rest of the crew
     C.) hyperactivity during an EMS call
     D.) acute increase in his or her appetite
Which of the following is the MOST effective strategy for managing stress?
     A.) Frequently reflect on troublesome calls.
     B.) Avoid friends and interests outside of EMS.
     C.) Request overtime to increase your income.
     D.) Focus on delivering high-quality patient care.