Chapter 2 Part 4

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Questions and Answers

A patient is informed of their terminal illness and responds by stating, 'This can't be happening to me; the lab results must be wrong.' Which stage of grieving, as defined by Kübler-Ross, is the patient most likely experiencing?

  • Anger
  • Denial (correct)
  • Bargaining
  • Depression

During a resuscitation attempt, a family member becomes verbally abusive towards the EMS team, expressing frustration and directing anger at the paramedics. Which of the following is the MOST appropriate course of action for the EMS providers?

  • Explain to the family member that their behavior is inappropriate and threaten to involve law enforcement if it continues.
  • Ignore the behavior and continue providing care as if nothing is happening.
  • Recognize that the anger may be a manifestation of grief and prioritize the safety of the team while continuing to provide care. (correct)
  • Immediately cease resuscitation efforts and leave the scene.

A 7-year-old child's parent has just died. How should the paramedic address the child's emotional needs, according to the guidelines?

  • Encourage the child to suppress their feelings to avoid appearing babyish.
  • Avoid discussing the death to prevent further emotional distress.
  • Explain that death is temporary and the parent will return soon.
  • Reassure the child that they are not responsible for the parent's death, and it's okay to cry. (correct)

Which of the following statements is MOST appropriate when communicating with the family of a deceased patient?

<p>&quot;I'm so sorry, she is dead.&quot; (B)</p> Signup and view all the answers

What is the primary goal of Critical Incident Stress Management (CISM) following a traumatic EMS call?

<p>To address acute stress and potentially decrease the likelihood of post-traumatic stress disorder (PTSD). (B)</p> Signup and view all the answers

An EMS provider is experiencing nightmares, difficulty concentrating, and withdrawal from coworkers following a call involving a seriously injured child. Which of the following actions should a supervisor take FIRST?

<p>Notify the employee assistance program (EAP) and recommend the provider seek professional help. (C)</p> Signup and view all the answers

Which of the following is the MOST appropriate action for EMS providers to take when a dying patient expresses a desire to talk about their impending death?

<p>Let the dying person know that you understand and will talk about death if they wish. (B)</p> Signup and view all the answers

After a challenging call, members of the EMS team participate in a brief, informal session to discuss their immediate feelings and reactions. What is this session called?

<p>Diffusing session (B)</p> Signup and view all the answers

An EMS provider is dispatched to the scene of a pediatric death. Which of the following interventions is MOST appropriate for assisting the grieving family?

<p>Provide the family with time with their loved ones to say goodbye in their own way. (B)</p> Signup and view all the answers

Which of the following is LEAST appropriate when assisting grieving families at the scene of a death?

<p>Expressing personal opinions about the circumstances surrounding the death. (B)</p> Signup and view all the answers

Flashcards

Denial (in grieving)

A defense mechanism used to ignore a problem, providing a buffer against bad news and allowing the person to mobilize resources to cope.

Anger (in grieving)

A stage where the reality of a situation can no longer be ignored, often resulting in randomly displaced emotions.

Bargaining (in grieving)

An attempt to postpone the inevitable by making deals or promises.

Depression (in grieving)

An overwhelming sense of loss, leading to quietness and withdrawal; common among long-time couples.

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Acceptance (in grieving)

Preparing to disengage from the world, shedding fears, and loosening ties to the living.

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Communicating with Dying Patients

Maintain reassurance, allow them to talk, acknowledge the condition's seriousness, enable participation in care, and fulfill requests.

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Assisting Grieving Families

Avoid hiding the body, warn about disfigurement, use the word "dead," and allow time for goodbye and support arrangements.

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Diffusing Session

A brief session after a traumatic call for personnel to express feelings.

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Formal Debriefing

A formal session 24-72 hours after a seriously impactful incident

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Employee Assistance Program (EAP)

A resource with trained professional counselors, successful when attendance is voluntary and all issues are shared.

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Study Notes

The provided text is identical to the existing notes, therefore, no updates are needed.

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