ALL CORRECT ANSWERS
During a crisis, the paramedic is able to focus and function, but afterwards, he or she
may be left with nervous, excited energy that continues to build. This is indicative of:
A) burnout.
B) an acute stress reaction.
C) a delayed stress reaction.
D) a cumulative stress reaction. - Answer-C
Signs and symptoms of cumulative stress include:
A) insomnia or hypersomnia.
B) increased sexual function.
C) bradycardia and hypotension.
D) decreased interest in alcohol. - Answer-A
Prolonged or excessive stress has been proven to be a strong contributor to:
A) depression.
B) hypotension.
C) schizophrenia.
D) bipolar disorder - Answer-D
Chronic stress:
A) has actually been shown to lower one's risk for cancer.
B) places the body in a continuous, unrelieved state of alert.
C) most commonly results from a single acute stress reaction.
D) is preferentially treated with a benzodiazepine medication. - Answer-B
Unrecognized or unrelieved stress:
A) is less harmful than acute stress.
B) results in nervous system failure.
C) can result in poor physical health.
D) requires antipsychotic medications. - Answer-C
Which of the following is NOT an early warning sign of stress?
A) Heart palpitations
B) Dry, irritated skin
C) Chest pain or tightness
D) Difficult or rapid breathing - Answer-B
,When attempting to control your own anxiety through controlled breathing, you should:
A) take deep breaths in through the nose and out through the mouth.
B) take in several shallow breaths followed by prolonged exhalation.
C) wait until the call is over before attempting this form of anxiety relief.
D) breathe rapidly for 5 seconds and then hold your breath for 5 seconds. - Answer-A
When managing stress, it is important to:
A) consume only moderate amounts of alcohol.
B) avoid taking sleeping aids after a stressful event.
C) avoid vigorous exercise because it raises your heart rate.
D) increase your caffeine intake to increase your alertness. - Answer-B
Progressive relaxation is a technique of anxiety relief that:
A) allows you to relax without being noticed by others.
B) utilizes sedative medications to facilitate anxiety relief.
C) can easily be used even if you are on an emergency call.
D) involves tightening and relaxing specific muscle groups. - Answer-D
To prepare for or handle stress, you should:
A) increase your caffeine intake to facilitate the fight-or-flight mechanism.
B) stop taking any prescribed anxiolytic medications so you can stay focused.
C) exercise vigorously and regularly during the 12 hours preceding your shift.
D) avoid using alcohol during the 12-hour period before the start of your shift. - Answer-
C
A patient's response to an emergency is determined by:
A) the type of illness or injury that is involved.
B) the patient's personal methods of adapting to stress.
C) the patient's inherent ability to accept the situation.
D) the paramedic's perception of the patient's condition. - Answer-B
What type of person is particularly vulnerable to anxiety when he or she experiences an
illness or injury?
A) One whose self-esteem depends on being active, independent, and aggressive
B) One who understands that his or her situation is hopeless but who is easily able to
accept it
C) One who can evaluate the competence level of the paramedic taking care of him or
her
D) One who takes medications for conditions such as high blood pressure and
hyperactivity - Answer-A
It is MOST important for you to remember that an angry or resentful patient:
A) can only be calmed by a family member or friend.
B) is usually extremely difficult to effectively care for.
C) usually thinks that you are incompetent and uncaring.
D) is acting in such a manner due to fear of the situation. - Answer-D
, When caring for a confused elderly patient, it is MOST important for the paramedic to:
A) request the presence of a family member.
B) explain what he or she is doing at all times.
C) recognize that this is normal in elderly people.
D) avoid talking to the patient to minimize anxiety. - Answer-B
When a patient minimizes his or her symptoms by stating, "I'm fine," the paramedic
should:
A) recognize that his or her condition is not life threatening.
B) realize that he or she is subconsciously in a state of regression.
C) find a reliable informant among the patient's family or friends.
D) explain that the situation is indeed urgent and requires evaluation. - Answer-C
When people are ill or injured, they are often forced into a state of dependency. This
usually manifests as:
A) denial.
B) regression.
C) projection.
D) displacement. - Answer-B
The attribution of one's own behavior or feelings to others is called:
A) projection.
B) regression.
C) digression.
D) displacement. - Answer-A
A man having a possible heart attack redirects his anger away from his condition and
toward the paramedic. This is called:
A) digression.
B) projection.
C) regression.
D) displacement. - Answer-D
A return to an earlier age level of behavior or emotional adjustment during a crisis
situation is called:
A) projection.
B) regression.
C) digression.
D) redirection. - Answer-B
Most of a patient's psychological stress responses to an illness or injury are:
A) predictable, so the paramedic can prepare for them.
B) not under his or her conscious control.
C) related to the patient's level of maturity.
D) a direct result of the paramedic's presence. - Answer-B