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Flashcards in Chapter 3 - Public Health Deck (35):
1

1. From an injury prevention standpoint, the term “intervention” is defined as:
A) any activity or measure that is performed following an injury and that is designed to decrease mortality.
B) specific prevention measures or activities designed to increase positive health and safety outcomes.
C) on-the-spot education of an injured person regarding how his or her injury could have been prevented.
D) participating in a mortality/morbidity review following a series of major motor vehicle crashes.

B) specific prevention measures or activities designed to increase positive health and safety outcomes.

Ans: B
Page: 66
Type: General Knowledge

2

2. In contrast to secondary prevention, primary prevention focuses on:
A) rapid transport to an appropriate medical facility.
B) rehabilitating a person who has survived an injury.
C) keeping an injury from occurring in the first place.
D) reducing the effects of an injury that has already occurred.

C) keeping an injury from occurring in the first place.

Ans: C
Page: 67
Type: General Knowledge

3

3. Which of the following is an example of secondary injury prevention?
A) Administering oxygen to a patient with a closed head injury
B) Inspecting a child safety seat to ensure that it is installed properly
C) Transporting a patient from home to a physical therapy appointment
D) Conducting a seminar regarding the appropriate use of bicycle helmets

A) Administering oxygen to a patient with a closed head injury

Ans: A
Page: 67
Type: General Knowledge

4

4. As a paramedic, your priority is to:
A) teach the public why injuries tend to reoccur in the same place.
B) provide definitive emergency care for severely injured patients.
C) prevent an injury from occurring through education of the public.
D) be prepared to respond to and treat injuries that inevitably will occur.

D) be prepared to respond to and treat injuries that inevitably will occur.

Ans: D
Page: 67
Type: General Knowledge

5

5. Which of the following is NOT a reason why EMS providers are in the ideal position to serve as advocates for injury prevention?
A) In many rural communities, the EMT might be the most medically sophisticated person.
B) Most EMS systems require their personnel to participate actively in injury prevention programs.
C) EMS providers are high-profile role models and are perceived as champions of their patients.
D) EMS providers are distributed widely in the population and are welcome in environments conducive to delivering prevention messages.

B) Most EMS systems require their personnel to participate actively in injury prevention programs.

Ans: B
Page: 67-68
Type: General Knowledge

6

6. Which of the following general statements regarding injuries and injury prevention is correct?
A) Injury is defined as intentional damage inflicted upon a person.
B) EMS has the greatest impact in preventing unintentional injuries.
C) Most assaults and suicides can be prevented effectively by EMS.
D) Intentional injuries outnumber unintentional injuries every year

B) EMS has the greatest impact in preventing unintentional injuries.

Ans: B
Page: 61
Type: General Knowledge

7

7. Most unintentional injuries are the result of:
A) accidental shootings.
B) water-related incidents.
C) motor vehicle accidents.
D) sports-related incidents.

C) motor vehicle accidents.

Ans: C
Page: 62
Type: General Knowledge

8

8. Which of the following results in the MOST years of potential life lost?
A) Cancer
B) Suicide
C) Heart disease
D) Unintentional injury

D) Unintentional injury

Ans: D
Page: 63
Type: General Knowledge

9

9. The leading cause of death in the United States is:
A) stroke.
B) cancer.
C) heart disease.
D) unintentional injury.

C) heart disease.

Ans: C
Page: 63
Type: General Knowledge

10

10. With regard to injury prevention, effective educational techniques include all of the following, EXCEPT:
A) incentives.
B) penalties.
C) modeling.
D) behavioral feedback.

B) penalties.

Ans: B
Page: 68
Type: General Knowledge

11

11. Which of the following would MOST likely encourage manufacturers to remove dangerous products from the market or make them safer?
A) Product education
B) Economic incentives
C) Increased morbidity rates
D) Product liability litigation

D) Product liability litigation

Ans: D
Page: 69
Type: General Knowledge

12

12. Which of the following is NOT an example of a passive injury prevention intervention?
A) The manufacture of child-resistant bottles
B) Providing public education on the use of AEDs
C) The use of softer materials for playground surfaces
D) Installing sprinkler systems in commercial buildings

B) Providing public education on the use of AEDs

Ans: B
Page: 69
Type: General Knowledge

13

13. All of the following are economic incentives used to help prevent injury, EXCEPT:
A) increasing taxes to install guardrails.
B) decreasing insurance rates for safe drivers.
C) offering free bike helmets to encourage use.
D) threatening a lawsuit against product manufacturers.

A) increasing taxes to install guardrails.

Ans: A
Page: 69
Type: General Knowledge

14

14. Air bags installed in an automobile are more likely to reduce injuries than educating people to wear their seat belts because:
A) failure to wear a seat belt is not punishable by law.
B) air bags are more effective than seat belts during a crash.
C) air bags do not require conscious effort on a person's part.
D) automobile manufacturers are required to install air bags.

C) air bags do not require conscious effort on a person's part.

Ans: C
Page: 69
Type: General Knowledge

15

15. According to the Haddon matrix, which of the following is an example of a pre-event strategy used to prevent injury of a child who is riding in a motor vehicle?
A) Reducing driving during high-risk times
B) Training bystanders in basic pediatric first aid
C) A driver maintaining control of his or her vehicle
D) Outfitting ambulances with pediatric-sized equipment

A) Reducing driving during high-risk times

Ans: A
Page: 70-71
Type: General Knowledge

16

16. The ongoing, systematic collection, analysis, and interpretation of injury data essential to the planning, implementation, and evaluation of public health practice is called:
A) mortality review.
B) the Haddon matrix.
C) morbidity tracking.
D) injury surveillance.

D) injury surveillance.

Ans: D
Page: 70-71
Type: General Knowledge

17

17. An effective injury prevention program should focus on all of the following data, EXCEPT:
A) common injury locations.
B) current EMS call volumes.
C) typical injury mechanisms.
D) the mean age of the patient.

B) current EMS call volumes.

Ans: B
Page: 71
Type: General Knowledge

18

18. Risk factors that increase a person's chances of intentionally injuring another person include all of the following, EXCEPT:
A) male sex.
B) hypoglycemia.
C) alcohol abuse.
D) mental illness.

B) hypoglycemia.

Ans: B
Page: 73
Type: General Knowledge

19

19. EMS providers can be MOST effective in helping reduce the incidence of suicide, domestic violence, and child abuse by:
A) noting risk factors at the scene and reporting data.
B) continuing their education regarding such incidents.
C) conducting seminars that target high-risk populations.
D) working with law enforcement to identify risk factors.

A) noting risk factors at the scene and reporting data.

Ans: A
Page: 73
Type: General Knowledge

20

20. Which of the following statements regarding unintentional injuries and death is correct?
A) Their incidence cannot be reduced.
B) They do not involve premeditation.
C) Few motor vehicle deaths are unintentional.
D) Unintentional falls are the leading cause of death.

B) They do not involve premeditation.

Ans: B
Page: 73
Type: General Knowledge

21

21. The leading cause of death from injury is:
A) homicide by firearm.
B) unintentional fires and burns.
C) suicide by poisoning or overdose.
D) motor vehicle traffic incidents.

D) motor vehicle traffic incidents.

Ans: D
Page: 73
Type: General Knowledge

22

22. Children are at higher risk for serious injury than adults because of:
A) a shorter body stature.
B) inadequate parental guidance.
C) a proportionately larger head.
D) a lack of personal responsibility.

C) a proportionately larger head.

Ans: C
Page: 73
Type: General Knowledge

23

23. Common factors that contribute to childhood injuries in the home include all of the following, EXCEPT:
A) backyard swimming pools.
B) stairwells or loaded firearms.
C) a lack of sibling supervision.
D) toxic agents kept in the home.

C) a lack of sibling supervision.

Ans: C
Page: 73-74
Type: General Knowledge

24

24. When focusing on childhood injury prevention, the highest priorities are assigned to those injuries that are:
A) rare, nonfatal, and difficult to prevent.
B) common, severe, and readily preventable.
C) common, nonfatal, and difficult to prevent.
D) uncommon, serious, and easily preventable.

B) common, severe, and readily preventable.

Ans: B
Page: 74
Type: General Knowledge

25


25. The MOST effective injury prevention program is one that is:
A) broad and ongoing.
B) financed by the EMS system.
C) targeted to a specific population.
D) implemented within 6 months.

A) broad and ongoing.

Ans: A
Page: 74
Type: General Knowledge

26

26. The FIRST step in developing an injury prevention program is to:
A) define the injury problem.
B) plan and test interventions.
C) establish goals and objectives.
D) conduct a community assessment.

D) conduct a community assessment.

Ans: D
Page: 74-75
Type: General Knowledge

27

27. When defining an injury problem in your community, it is MOST important to determine:
A) if you have support from local law enforcement.
B) the most frequent causes of fatal and nonfatal injuries.
C) how many trauma centers are located in your community.
D) the socioeconomic status of those most commonly injured.

B) the most frequent causes of fatal and nonfatal injuries.

Ans: B
Page: 75
Type: General Knowledge

28

28. The statement, “The bicycle safety program will increase the rate of helmet use by children younger than 18 years of age from 30% to 50% within the next 18 months,” is an example of a(n):
A) process objective.
B) outcome objective.
C) short-term objective.
D) proactive intervention.

B) outcome objective.

Ans: B
Page: 76
Type: General Knowledge

29

29. To be credible, an injury prevention intervention:
A) must be approved by the general public.
B) should be implemented by a paramedic.
C) should have quantitatively measured results.
D) must clearly demonstrate decreased mortality.

C) should have quantitatively measured results.

Ans: C
Page: 76
Type: General Knowledge

30

30. The BEST example the paramedic can set with regard to injury prevention is:
A) taking care of himself or herself and serving as a role model for others.
B) remaining physically fit for the rigors of the prehospital environment.
C) always wearing seat belts while on duty, even on non-emergency calls.
D) regularly reviewing the use of personal protective equipment and practices.

A) taking care of himself or herself and serving as a role model for others.

Ans: A
Page: 76
Type: General Knowledge

31

31. If, when responding to a call for a patient in cardiac arrest, you run every stop sign and drive with unnecessary speed:
A) you are not a credible advocate for injury prevention.
B) law enforcement will generally allow you to do this.
C) the chances of a successful resuscitation are greater.
D) you are more likely to arrive at the scene much sooner.

A) you are not a credible advocate for injury prevention.

Ans: A
Page: 76-77
Type: General Knowledge




32

32. Which of the following is the BEST example of a teachable moment?
A) Lecturing the parent of a small child in cardiac arrest that the parent should have placed a fence around the swimming pool
B) Telling a babysitter that the child for whom she was caring would not have been injured had the babysitter practiced safer babysitting habits
C) Being stern with a man in front of his family when telling him that he would not have fallen from the roof if his son had been helping him
D) Advising the unrestrained passenger with minor injuries following a motor vehicle accident that she easily could have been killed

D) Advising the unrestrained passenger with minor injuries following a motor vehicle accident that she easily could have been killed

Ans: D
Page: 77-78
Type: General Knowledge

33

33. The BEST teachable moments are those that:
A) judge the patient's actions.
B) convey positive reinforcement.
C) employ the use of scare tactics.
D) occur during an acute emergency.

B) convey positive reinforcement.

Ans: B
Page: 78
Type: General Knowledge

34

34. For the EMS provider, the process of collecting and analyzing data regarding injury prevention begins with:
A) following up on the patient's outcome.
B) retrospective research of severe injuries.
C) completing a legible prehospital care report.
D) his or her initial paramedic training program.

C) completing a legible prehospital care report.

Ans: C
Page: 78
Type: General Knowledge

35

35. Many veteran EMS providers have embraced a leadership role in primary injury prevention after:
A) being requested to do so by their captain or chief.
B) witnessing too many episodes of needless suffering.
C) experiencing a personal loss due to a traumatic injury.
D) suffering burnout from caring for severely injured patients

B) witnessing too many episodes of needless suffering.

Ans: B
Page: 78
Type: General Knowledge