CHAPTER 41 – Flashcards
Unlock all answers in this set
Unlock answersquestion
Which choice is considered a "signature" wound of the Iraq and Afghanistan wars?
answer
Amputation
question
Which of these statements concerning assessing a returning combat veteran's potential for suicide or violence against others is a myth?
answer
Those who talk of or threaten suicide rarely follow through with it.
question
Which of these behaviors is characteristic of PTSD?
answer
Feelings of anger, fear, horror, and hopelessness
question
Which of these divisions of the nervous system is responsible for initiating and maintaining the body's survival response when a person is confronted with a stressor?
answer
The sympathetic nervous system
question
Which of these predisposes a returning combat veteran to chronic traumatic encephalopathy?
answer
Repeated traumatic brain injury
question
Which of these signs or symptoms is associated with PTSD?
answer
Relationship problems
question
Which of these problems is associated with PTSD?
answer
History of a traumatic event
question
Which choice is considered the four essential features of PTSD?
answer
Response, relives, avoids, and anxiety/anger
question
Which of these statements BEST characterizes the problems of traumatic brain injury (TBI) and post traumatic stress disorder (PTSD) in returning combat veterans?
answer
There is overlap in the signs and symptoms of TBI and PTSD.
question
PTSD stands for
answer
Post-traumatic stress disorder
question
Which of these is a common characteristic of PTSD?
answer
Reliving traumatic experiences
question
Which of the following BEST describes the nature of post traumatic stress disorder?
answer
It is a reaction that occurs to normal people who are exposed to abnormal stressors or dangerous conditions.
question
Which of the following hormones are released in a stress reaction?
answer
Norepinephrine
question
A returning combat veteran is experiencing difficulty at work because of impulsive behavior, difficulty reading instructions, lack of focus, and getting lost while performing tasks. For which of these should you maintain the highest index of suspicion?
answer
Traumatic brain injury
question
Which of these organs is the source of the substances that initiate and maintain the stress response?
answer
Adrenal glands
question
Which of these findings is MOST likely with PTSD?
answer
Anger
question
Which of the following statements would be considered detrimental to establishing rapport and a therapeutic relationship with a returning combat veteran in need of your assistance?
answer
"Did you have to kill anyone while you were deployed?"
question
Which of these findings is LEAST likely to be associated with PTSD?
answer
Confusion
question
Which choice is LEAST likely to occur in a combat veteran with PTSD?
answer
Aggressive behavior toward others
question
Which of these findings is more likely to be associated with traumatic brain injury than with posttraumatic stress disorder?
answer
Difficulty finding the right words
question
Which of these guidelines is helpful in assessing and communicating with a returning combat veteran in need of your assistance?
answer
Provide structure and organization in your approach to the call and your interaction with the patient.
question
Which of these substances is involved in initiating and maintaining the stress response?
answer
Epinephrine
question
Which choice is one of the four essential features of PTSD?
answer
Anger
question
An alteration in brain function caused by an external force can be caused by a(n)
answer
TBI
question
Which of these reactions is LEAST likely to occur in returning combat veterans with PTSD?
answer
Increased impulsiveness
question
Which of these findings should alert you to the possibility that a patient diagnosed with PTSD may have an undiagnosed traumatic brain injury?
answer
Reports he was told he was involved in an IED explosion, but does not remember it, impulsive behavior, and relationship difficulties
question
Which of the following neurochemicals is released during a stressful event?
answer
Epinephrine
question
When approaching a combat veteran who is highly agitated, the EMT must remember that:
answer
reassurance with a firm, calm voice may be necessary.
question
As an EMT, you realize that post-traumatic stress disorder (PTSD) occurs when:
answer
an individual is exposed to an abnormal or dangerous condition.
question
Regarding suicide in the combat veteran, which of the following is true?
answer
There is often no preventing suicide when this course of action is decided.
question
You are assessing a military veteran complaining of a headache, visual disturbances, and generalized anxiety. You suspect that he may be suffering from post-traumatic stress disorder (PTSD). What questions would be most appropriate in getting additional information regarding the possibility of PTSD?
answer
"Where did you see combat?"
question
During scene size-up on an unknown medical call, which clue would best indicate that the patient very well may be a veteran of the military?
answer
Military style haircut
question
When faced with danger, what component of the nervous system is immediately activated for basic survival?
answer
Sympathetic
question
The EMT would suspect that a patient suffers from a traumatic brain injury (TBI), as opposed to post-traumatic stress disorder (PTSD) when he observes:
answer
confusion and disorientation.
question
You arrived on scene of a local restaurant and encounter a highly agitated combat veteran who is yelling at patrons. Given the public nature of the scene and a known history of post-traumatic stress disorder (PTSD), which of the following statements indicates appropriate initial management of the situation?
answer
"Let me see if I can establish a rapport and calm him."
question
When caring for a 34-year-old male with a history of post-traumatic stress disorder (PTSD), which of the following instructions to your crew would be most appropriate?
answer
"We need to determine if he feels suicidal or homicidal."
question
A combat veteran patient with a history of severe PTSD states that he has a headache that feels worse than any other he has ever had. The patient is alert and oriented with no threats to the airway, breathing, or circulation. His vital signs are: pulse 68, respirations 16, blood pressure 168/100 mmHg, and SpO2 95% on room air. You next action is to:
answer
perform a neurological assessment.
question
You have been dispatched to a Veteran's Administration (VA) clinic for a male patient with a behavioral emergency. On scene, the VA physician tells you that the patient is a returning veteran with newly diagnosed post-traumatic stress disorder (PTSD). Based on this, you would realize:
answer
the veteran may have been in the military but never involved in combat.
question
Which of the following is true regarding post-traumatic stress disorder?
answer
There is no cure for the post-traumatic stress disorder.
question
The signature wound of recent combat missions in the Middle East is typically caused by:
answer
improvised explosive devices.
question
A combat veteran's wife has summoned 911 after her husband suddenly became confused and agitated. She states that he takes several mood stabilizing drugs and has a history of traumatic brain injury (TBI) from an improvised explosive device (IED) while on tour in the Middle East. There is no other medical history. In the bedroom, the patient is staring at you with a face that appears angry. Your initial priority in the care of this patient would be to:
answer
establish a rapport with the patient and ensure personal safety.
question
In post-traumatic stress disorder (PTSD), the EMT would recognize that a patient is reliving an event when he states:
answer
"I cannot sleep well because of nightmares that I am back in the desert."
question
The EMT would recognize an era veteran when a family member states:
answer
"He trained for combat but was never deployed."
question
The EMT would recognize what response when a patient states "I still see them burning but cannot do anything about it"?
answer
Relive
question
The four essential features of post-traumatic stress disorder include:
answer
feelings of anger.
question
The EMT recognizes that alcohol or drug dependence often occurs in those with postminus−traumatic stress disorder (PTSD) because:
answer
it is used to blunt the sympathetic nervous system and emotional mental anguish.
question
A wife of a returning combat veteran has called EMS because her husband is complaining of constant headaches. You ask about post-traumatic stress disorder (PTSD) or traumatic brain injury (TBI) and she states that he was injured by an improvised explosive device in Iraq, but cannot remember the event. She continues on by telling you that he has had numerous CTs and MRIs of head and has been told by his family doctor that there is no sign of injury. Regarding either of these medical conditions, you realize that
answer
TBI may exist despite the negative findings of the CT and MRI tests.
question
A traumatic brain injury (TBI) would most likely be caused by:
answer
nearby explosion of a concussion grenade.
question
The wife of a military veteran with PTSD states that her husband became a type II diabetic 10 years after returning from combat. She states that there is no history of this in either side of the family and he is not overweight nor has any other risk factors for the disease. Consequently, she believes the diabetes is resultant from his experience in the military. Your response would be:
answer
"It is not uncommon for combat veterans to unexplainably develop such conditions like this."
question
A soldier patrolling the streets in a foreign country is suddenly fired on by a sniper. In response, what would you expect to occur within his body?
answer
The pupils dilate.