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Chapter 2 Workforce Safety and
Wellness – sorted solution
What are the five stages of grieving? - ans-Denial Anger Bargaining Depression Acceptance "Denial" stage of grieving - ans-Often the first stage of grieving, this is a way of buffering bad news until the person can mobilize the resources to deal with that news more effectively. "Anger" stage of grieving - ans-Often the second stage of grieving, when the patient can no longer deny the reality of a situation the patient may ask "why me" and displace their anger randomly to those around them. "Bargaining" stage of grieving - ans-Often the third stage of grieving, people may resort to trying to make some sort of deal in hopes of postponing the inevitable. "If I can just live long enough to see..." "Depression" stage of grieving - ans-Often the fourth stage of grieving, when people must come to terms with dying there is suddenly an enormous sense of loss. "The silence that goes beyond words"
"Acceptance" stage of grieving - ans-Often the fifth and last stage of grieving, the person shed their fears and begin to loosen the ties that bind them to the living. Dr. Elisabeth Kubler-Ross MD - ans-The physician who defined the five stages through which grieving people- usually the dying, but sometimes their survivors - proceed through Acute Stress Reaction - ans-Reaction to stress that occurs during a stressful situation Airborne Transmission - ans-The spread of an organism in aerosol form Blind Panic - ans-A fear reaction in which a person's judgment seems to disappear entirely; it is primarily dangerous because it may precipitate mass panic among others Bloodborne Pathogens - ans-Pathogenic microorganisms that are present in human blood and can cause disease in humans; include, but are not limited to, hepatitis B and human immunodeficiency virus Burnout - ans-The exhaustion of physical or emotional strength Communicable Disease - ans-Any disease that can be spread from person to person or from animal to person Conversion Hysteria - ans-A reaction in which a person subconsciously transforms his or her anxiety into a bodily dysfunction; the person may be unable to see or hear or may become partially paralyzed. Critical Incident - ans-An event that overwhelms the ability to cope with the experience, either at the scene or later. Critical Incident Stress Management - ans-CISM A process that confronts responses to critical incidents and defuses them
Posttruamatic Stress Disorder - ans-PTSD A delayed stress reaction to a previous incident, often the results of one or more unresolved issues concerning the incident Projection - ans-Blaming unacceptable feelings, motives, or desires on others Regression - ans-A return to more childish behavior while under stress Standard Precautions - ans-Protective measures that have traditionally been developed by the CDC for use in dealing with objects, blood, body fluids, or other potential exposure ricks of communicable diseases. Stress - ans-A nonspecific response of the body to any demand made on it Stressor - ans-Any agent or situation that causes stress Transmission - ans-The way in which an infectious agent is spread; contact, airborne, by vehicles (for example, food or needles) or by vectors Universal Precautions - ans-Protective measures that have been traditionally developed by the CDC for use in dealing with objects, blood, body fluids, or other potential exposure risks of communicable diseases. Eustress - ans-The positive type of stress that motivates a person to achieve Distress - ans-The negative stress that a person finds overwhelming and debilitating You respond to a 10 year-old body who has been hit by a car. He is alert, but with a deformity to his lower leg. The boy "baby talks" as he is answering your questions. This is a form of: -Denial -Projection
-Regression -Displacement - ans-Regression You respond to a MCI involving a collision of a charter bus of senior citizens and a car with four teenagers. At the scene, you find one teen with no obvious injuries. You have to tell him numerous times to sit on the side of the road and stay away from moving traffic. His judgment seems impaired and he may be suffering from: -Conversion hysteria -Projection -Depression -Blind Panid - ans-Blind Panic T/F The USDA 2010 Dietary Guidelines contain five different food groups - ans-False There are 6; Fruits, Vegetables, Grains, Meats and Beans, Dairy, and Oils T/F You should avoid caffeine and keep a regular sleep schedule - ans-True Which of the following would NOT be a symptoms of impending paramedic burnout? -Increased interest in hobbies -Chronic fatigue and irritability -Cynical, negative attitude -Decreasing ability to concentrate - ans-Increased interest in hobbies You have been stuck by a needle that was used to start an IV on your patient. Which of the following should be done immediately? -Get a medical evaluation from the ED physician -Document the negligence of your partner -Wash the area of the exposure with soap and water
T/F
Anger is a defense mechanism - ans-False Defense mechanisms are denial, regression, projection, and displacement T/F Blind panic is when a patient will convert anxiety to a bodily dysfunction, such as a paralyzed extremity - ans-False T/F Burnout is a consequence of chronic, unrelieved stress - ans-True T/F The stages of death and dying are denial, anger, bargaining, depression, and anxiety - ans-False The stages of death and dying are denial, anger, bargaining, depression, and acceptance. At a vehicle crash, you believe that you have everyone accounted for and taken care of. Suddenly you hear a baby crying and realize that there is a child you have not found yet. Your heart begins to race; this is an example of a/an: -Acute Stress -Alert Response -Defense Mechanism -Fight-or-Flight Response - ans-Defense Mechanism After being told she might be suffering from a heart attack, an elderly woman hits the paramedic in anger and tells the paramedic he doesn't know what he is talking about. Which defense mechanism relates to this statement? -Displacement -Projection -Alarm Reaction -Denial - ans-Displacement
A paramedic who has been on duty for 6 months begins to show signs of physical and emotional breakdown. He is cynical and doesn't seem to be able to sleep. These are signs of __________. - ans- Burnout T/F Your maximum heart rate during exercise should be 320 minus your age - ans-False Your maximum heart rate should be 220 minus your age multiplied by 60 to 80 percent. In a(n) ________ program, ambulance services provide professional wellness assistance to their employees. -Employee Assistance -Ambulance Wellness Services -EMS Assistance -Professional Wellness - ans-Employee Assistance Which of the following American customs should the EMS provider recognize as a potential multicultural misunderstanding? -Calling an ambulance -Going to a hospital -Respecting a uniform -Making eye contact - ans-Respecting A Uniform Communicable diseases can be transferred from _______ to _______. - ans-Person to Person Studies have shown that __________ calls demand the use of lights and sirens. -Almost All -Zero -Very Few
-Soaking your hands in warm water and rinsing with clean water. - ans--Washing vigorously with antibacterial soap at least 30 seconds. What is the recommended exercise routine for most adults? -No more than 2 hours of vigorous exercise every other day -At least 30 minutes a day of moderate to vigorous exercise -At least 20 minutes a day of moderate to vigorous exercise -At least 1 hour a day of mild to moderate physical activity - ans--At least 30 minutes a day of moderate to vigorous exercise A man having a possible heart attach redirects his anger away from his condition and towards the paramedic. This is called: -Regression -Displacement -Projection -Digression - ans-Displacement As part of your personal health assessment, you should: -Have a routine colonoscopy beginning at age 25 years -Have your cholesterol checked every 3 to 4 months -Consider hereditary factors that can impact your health -See your personal physician at least every 6 months - ans-Consider hereditary factors that can impact your health The part of the nervous system that prepares the body to deal with an emergency is the _______________ nervous system.
-Somatic -Voluntary -Sympathetic -Parasympathetic - ans-Sympathetic When attempting to control your own anxiety through controlled breathing, you should: -Take deep breaths in through the nose and out through the mouth -Breathe rapidly for 5 seconds and then hold your breath for 5 seconds -Take in several shallow breaths followed by prolonged exhalation -Wait until the call is over before attempting this form of anxiety relief - ans-Take deep breaths in through the nose and out through the mouth Chronic stress: -Places the body in a continuous, unrelieved state of alert -Has actually been shown to lower one's risk for cancer -Most commonly results from a single acute stress reaction -Is preferentially treated with a benzodiazepine medication - ans-Places the body in a continuous, unrelieved state of alert The BEST way for a paramedic to sustain energy is to: -Eat a large meal at the beginning of his or her shift -Carry numerous small snacks that can be eaten slowly -Drink fewer than four caffeinated beverages before work -Limit water intake to less than 16 ounces per day - ans-Carry numerous small snacks that can be eaten slowly In general, paramedics who do not experience burnout are those who:
The FIRST thing you should do if you think you are beginning to experience symptoms of burnout is: -See a psychologist and try to identify the underlying cause -Request to work at a busier station to keep your mind occupied. -Take at least 3 weeks off from work and go on a vacation. -Reexamine your beliefs and your ways of responding to stress - ans-Reexamine your beliefs and your ways of responding to stress Circadian rhythm is: -The positive inotropic effect of pharmacologic effects on the heart -The negative intotropic effect of pharacologic effects on the heart -The body's natural timing system. -The timing system the body resorts to when the heart's electrical system fails. - ans-The body's natural timing system To protect your back while lifting, do all of the following except: -When lifting spread your legs about waist width -Always keep your back straight -Lift without twisting -Always lift with your legs not your back - ans-When lifting spread your legs about waist width Mild stress can enhance your: -Flight or fight resources -Physical Strength -Appetite -Mental Acuity - ans-Mental acuity Overwhelming stress can:
-Cause decreased sympathetic tone and constriction of pupils. -Cause lower heart rate and increased blood flow to skeletal muscles -Push the body into the flight or fight syndrome -None of the above - ans-Push the body into the flight or fight syndrome. Stress is a reaction of the body to any agent or situation that requires the individual to: -Take antidepressants -Adapt -Take stimulants -Sleep more - ans-Adapt In multiple casualty situations, both victims and bystanders may have reactions such as: -Anxiety -Depression -Conversion hysteria -All of the above - ans-All of the above The dictionary defines burnout as: -The exhaustion of physical strength -The exhaustion of emotional strength -Both of the above -None of the above - ans-Both of the above Distress is a(n) ________ reaction. -Instinctual -Emotional -Learned -Physical - ans-Learned.
-Nancy Caroline - ans-Elisabeth Kubler-Ross The five stages of death are: -Denial, anger, bargaining, acceptance, and depression -Anger, denial bargaining, acceptance, and depression -Denial, anger, bargaining, depression, and acceptance. -Anger, denial, bargaining, depression, and acceptance. - ans-Denial, anger, bargaining, depression, and acceptance. One of the things you can do for a grieving parents mother is: -Call CISD -Use kind words like "passedaway" or "expired" instead of death -Let the family have time with their child to say goodbye -None of the above - ans-Let the family have time with their child to say goodbye Different age groups deal with death in different ways. Which age group may mask their feelings in an effort not to look babyish? -Less than 3 years old -3-6 years old -6-9 years old -9-12 years old - ans-6-9 years old. CISD stands for: -Children's incident stress debriefing -Critical incident stress debriefing -Children's incident stress domain -None of the above - ans-Critical incident stress debriefing A CISD is usually held within ____ hours of an incident.
-24 to 72 -12 to 24 -48 to 60 -48 to 72 - ans-24 to 72 hours T/F Posttruamatic stress disorder is the same thing as CISD - ans-False T/F Body substance isolation and universal precautions are on in the same. - ans-False
