Chapter 2-3 - Workforce Safety and Wellness (Test Questions)

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

Critical Thinking

Question Answer
You are transporting a 40-year-old male with respiratory distress. The patient tells you that he recently had a positive tuberculosis (TB) skin test and is currently being evaluated for possible T
     B.) You should...

     A.) apply a nonrebreathing mask on the patient and a high-efficiency particulate air (HEPA) respirator on yourself.
     B.) remain at least 3 feet away from the patient and apply a surgical mask on him.
     C.) apply a sterile surgical mask on yourself and a HEPA respirator on the patient.
     D.) apply a nasal cannula on the patient and a sterile surgical mask on yourself.
While assisting an advanced life support (ALS) ambulance crew, you are accidentally stuck with an IV needle. You should...
     A.) immerse your wound in an alcohol-based solution.
     B.) report the incident to your supervisor after the call.
     C.) get immunized against hepatitis as soon as possible.
     D.) discontinue patient care and seek medical attention.
You have been working at the scene of a major building collapse for 8 hours. Many injured people are still being removed, and everyone is becoming frustrated and losing focus. This situation is MOST effectively managed by...
     A.) providing large amounts of caffeine to the rescue workers.
     B.) requesting a CISM team to provide on-scene peer support.
     C.) conducting a critical incident stress debriefing the next day.
     D.) allowing each worker to sleep in 15- to 30-minute increments.
While on duty, your partner asks you out on a date and touches you in an inappropriate location without your consent. You should...
     A.) tell your partner to quit kidding around and focus on his or her job.
     B.) warn your partner that you will report him or her if it happens again.
     C.) notify law enforcement personnel and have your partner arrested,
     D.) tell your partner to stop and report the incident to your supervisor.
Your partner, a veteran EMT who you have worked with regularly for the past 4 years, seems unusually agitated during a call involving an elderly patient. Upon arrival back at your station, you note the obvious smell of alcohol on his breath. What should you do?
     A.) Remain quiet and simply request another partner.
     B.) Report the incident to your EMS medical director.
     C.) Discreetly report your suspicions to your supervisor.
     D.) Tell your partner that he must seek professional help.
You and your partner respond to the residence of a 66-year-old male with shortness of breath. As you are assessing the patient, his wife tells you that he was recently diagnosed with lung cancer. The patient is verbally abusive and tells you that failure of the health care system caused his disease. What stage of the grieving process is this patient’s behavior consistent with?
     A.) denial
     B.) anger
     C.) bargaining
     D.) depression
You are summoned to a convalescent center for an 88-year-old female with an altered mental status. A staff nurse advises you that the patient has terminal cancer and her physician stated that she would probably die within the next few hours; a valid do not resuscitate (DNR) order is presented to you. When caring for this patient, you should...
     A.) depart the scene and allow her to die with dignity.
     B.) start cardiopulmonary resuscitation (CPR) if she experiences cardiopulmonary arrest.
     C.) provide no interventions and transport to the hospital.
     D.) make her comfortable and provide emotional support.
You are transporting an elderly woman who has possibly experienced a stroke. She is obviously scared but is unable to talk and cannot move the entire right side of her body. In addition to providing the medical care that she needs, you should...
     A.) reassure her that after proper treatment in the hospital, she will regain her speech in time.
     B.) acknowledge that she is scared and tell her that you are going to take good care of her.
     C.) maintain eye contact at all times and tell her that there is no need for her to be scared.
     D.) tell her that you understand why she is scared and that everything will likely be okay.
A 75-year-old male with a terminal illness has died at home. As you and your partner enter the residence, a family member becomes verbally abusive, pushes you, and states that you took too long to get there. You should...
     A.) retreat and notify law enforcement personnel.
     B.) tell the family member that it is not your fault.
     C.) subdue the family member until the police arrive.
     D.) ignore the family member and assess the patient.
You are assessing a middle-aged man with chest pain that you suspect is caused by a cardiac problem. The patient tells you that he does not want to go to the hospital and insists that you leave him alone. You should...
     A.) reassure him that he will not receive a bill for the EMS call if he cannot pay.
     B.) tell him that he is having a heart attack and that he needs to go to the hospital.
     C.) explain the seriousness of the situation to him, but avoid causing undue alarm.
     D.) proceed to treat him because the stress of the situation has impaired his thinking.
A 15-year-old boy was killed when he was struck by a car while riding his bicycle. He has numerous disfiguring injuries and has been placed in the back of the ambulance to shield him from curious bystanders. When the child’s parents arrive at the scene, they demand to see him. You should...
     A.) advise them that their son had severely disfiguring injuries and ask them if there is anyone they would like you to contact first.
     B.) discreetly escort them to the back of the ambulance and allow them to see their child by themselves while you wait outside.
     C.) let them know that because of the circumstances of their child’s death, they will not be permitted to see him at this time.
     D.) express your sincere condolences over their loss and have them escorted away from the scene by a law enforcement officer.
You are caring for a 35-year-old female with pregnancy-related complications. She is clearly experiencing significant stress and is crying uncontrollably. Your MOST appropriate action would be to...
     A.) demonstrate courtesy and speak with a professional tone of voice.
     B.) discourage her from expressing fears until a counselor is available.
     C.) explain to her that “everything will be all right” in order to calm her down.
     D.) restrain her if she is extremely emotional and will not calm down.
You are caring for a 40-year-old female who was involved in a motor vehicle crash. Her husband, who was driving the vehicle, was killed. When the patient asks you if her husband is all right, you should...
     A.) tell her that he is being resuscitated by other EMTs.
     B.) immediately tell her of his death so that she may grieve.
     C.) let clergy or hospital staff relay the bad news if possible.
     D.) avoid answering her questions and focus on her injuries.
You are dispatched to the scene of a crash involving a large tanker truck. While you are en route, dispatch advises you that there are multiple patients and that the fire department is en route as well. As you approach the scene, you should...
     A.) maintain a safe distance and try to read the placard with binoculars.
     B.) cordon off the area and quickly remove all of the injured patients.
     C.) immediately begin evacuating residents that live near the crash site.
     D.) don PPE and quickly triage all patients.
At the scene of an automobile crash, a utility pole has been broken, and power lines are lying across the car. The patients inside the car are conscious. You should...
     A.) proceed with normal extrication procedures.
     B.) remove the lines with a nonconductive object.
     C.) advise the patients to carefully get out of the car.
     D.) mark off a danger zone around the downed lines.
You are assessing a woman who was thrown from her horse. She is located in a large field and you can see that a thunderstorm is rapidly approaching. Suddenly, you feel your skin begin to tingle and the hair on your arms stands on en
     D.) The ambulance is located about 30 yards away. You should...

     A.) crouch down in a position so that only your feet are touching the ground.
     B.) sit down, bend your knees, and hold your crossed arms close to your body.
     C.) quickly cover the patient with a blanket and then lie down flat on the ground.
     D.) immediately lie down on your side and draw your knees into your abdomen.
You and your partner are EMTs and have been dispatched to standby at the scene of a residential fire. While standing next to the ambulance observing the fire fighters, you see a woman frantically moving around in her burning house. You should...
     A.) request permission from the fire chief to enter the structure.
     B.) don a self-contained breathing apparatus (SCBA) and rescue the woman.
     C.) stay where you are until fire fighters remove her from the house.
     D.) immediately notify the incident commander or safety officer.
Upon arriving at the scene of a motor vehicle crash, you note that two small cars collided head-on; the occupants are still in their vehicles. The fire department is in the process of stabilizing the vehicles and law enforcement personnel are directing traffi
     C.) After parking the ambulance at a safe distance, you and your partner should...

     A.) quickly begin the triage process.
     B.) assist with vehicle stabilization.
     C.) report to the incident commander.
     D.) put on high-visibility safety vests.
You arrive at the scene of a domestic violence situation. As you approach the doorway of the apartment, you hear screaming and the statement “He has a gun!” Your MOST appropriate action should be to...
     A.) continue into the apartment using extreme caution.
     B.) proceed into the apartment and apprehend the gunman.
     C.) get in your ambulance and leave the scene immediately.
     D.) seek a safe place and request law enforcement assistance.
Which of the following statements regarding a patient with a behavioral crisis is correct?
     A.) Depression accounts for a very small percentage of violent attacks.
     B.) A quiet patient is not as likely to attack you as one who is screaming.
     C.) A past history of violence is an unreliable indicator of future violence.
     D.) People who say that they are “hearing voices” are usually bluffing you.