PARAMEDIC FINAL PRACTICE EXAM PREP TEST||
ACCURATE AND FREQUENTLY TESTED QUESTIONS
AND 100% CORRECT ANSWERS WITH RATIONALES||
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VERIFIED SOLUTIONS|| SURE PASS!!
For clients who have risk for impending violence, list assessments in order of
escalating aggression, from the lowest risk to the highest.
Increasing tension in facial expression
Having difficulty waiting to take turns during a group project
Pacing in the hall
Engaging in verbal abuse toward the nurse
Pushing another client while waiting in line to the dining room - ANSWER:
1. Increasing tension in facial expression
2. Having difficulty waiting to take turns during a group project
3. Pacing in the hall
4. Engaging in verbal abuse toward the nurse
5. Pushing another client while waiting in line to the dining room
According to the Diagnostic and Statistical Manual of Mental Disorders, 5th
edition (DSM-5), which behaviors describe an individual with a cluster A
personality disorder?
⭕Odd and eccentric
⭕Anxious and fearful
⭕Dramatic and erratic
⭕Hostile and impulsive - ANSWER: Odd and eccentric
Cluster A includes paranoid, schizoid, and schizotypal personality disorders. These
clients are odd and eccentric and use strange speech and have impaired
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relationships. Cluster C includes avoidant, dependent, and obsessive-compulsive
personality disorders. These clients are anxious, fearful, tense, and rigid. Cluster B
includes antisocial, borderline, histrionic, and narcissistic personality disorders.
These clients are dramatic, erratic, labile, impulsive, hostile, and manipulative.
Which primary purpose is served when an individual takes action to reduce
anxiety?
⭕Reduction of tension
⭕Denial of the situation
⭕Avoidance of physical discomfort
⭕Resolution in decision-making - ANSWER: Reduction of tension
The primary purpose for action when a client is anxious is the reduction of
emotional tension and prevention of escalation of the anxiety. When tension is
reduced, anxiety is diminished, and the person feels more comfortable, safe, and
secure. When acting to reduce anxiety, the person does not deny its existence, but
causation is not always known. If physical symptoms are occurring because of
anxiety, reduction of the emotional component reduces the physical manifestations.
Mild anxiety can enhance decision-making and problem-solving, but higher levels
of anxiety interfere with those cognitive functions.
Which age group of hospitalized children will have the most difficulty with
separation anxiety?
⭕6 to 30 months
⭕36 to 59 months
⭕5 to 11 years
⭕12 to 18 years - ANSWER: 6 to 30 months
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Infants and toddlers ages 6 to 30 months experience separation anxiety. Separation
anxiety occurs in preschool and young school-aged children, but it is less obvious
and less serious than it is in the toddler. The school-aged child is more accustomed
to periods of separation from parents. Adolescents when hospitalized are often
ambivalent about whether they want their parents with them. Peer group separation
may pose more anxiety for the adolescent.
Which actions would be included in the safety plan for a woman in crisis, who is
emotionally and physically abused by her husband? Select all that apply.
🔲Limiting contact with the abuser
🔲Determining a safe place to go in an emergency
🔲Memorizing the domestic violence hotline number
🔲Obtaining a bank loan to finance leaving the abuser
🔲Arranging for a family member to assist her in leaving - ANSWER:
Determining a safe place to go in an emergency
Memorizing the domestic violence hotline number
Which tertiary interventions would the nurse use for a young adult who sustained
injuries as a result of physical battering by her partner? Select all that apply.
🔲Contacting family members to provide support
🔲Discussing the legal ramifications of not pressing charges
🔲Offering to discuss the abusive behavior with the woman's partner
🔲Identifying the benefits of attending a support group for battered women
🔲Providing her with information regarding local domestic violence shelters -
ANSWER: Identifying the benefits of attending a support group for battered
women
Providing her with information regarding local domestic violence shelters
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Which question is the priority for a client with bipolar disorder who discloses a
variety of chronic health and social issues?
"I've had health issues most of my adult life. can't work because of the
unpredictable episodes of depression and mania. I've had diabetes for 16 years and
my Alc is always above 8%, no matter what do. should stop smoking because of
my COPD, but I can't. I'm tired and don't think want to see another day."
⭕"What do you mean when you say that you don't want to see another day?"
⭕"Would you be willing to cut back on your smoking if you can't stop entirely?"
⭕"Would you like to join a diabetic support group that deals with long-term
issues?"
⭕"Have you spoken to a social services representative about your financial
issues?" - ANSWER: 'What do you mean when you say that you don't want to see
another day?"
For a client with obsessive-compulsive disorder, which event will increase the
client's anxiety level?
- ANSWER: Limits are set on the performance of a ritual.
For a client with the diagnosis of borderline personality disorder, which problem is
most likely to underlie angry or hostile behavior?
- ANSWER: Low self-esteem
The client has low self-esteem and reacts by using hostile behavior. People with
borderline personality disorder often have identity disturbances: Reality testing and
hallucinations are psychotic features that do not accompany personality disorders.
Impaired verbal communication can be related to organic causes, such as stroke or
dementia, or to thought disturbances, such as schizophrenia