Ch. 4 Post Test EMT

A patient appears to be in the midst of a psychotic episode and is unable to make a rational decision about consenting to emergency care. The EMT may care for the patient on the basis​ of: A. implied consent. B. expressed consent. C. involuntary transportation. D. informed consent.

A

The actions that an EMT is legally allowed to perform while caring for an injured or ill patient are known​ as: A. the scope of practice. B. the standard of practice. C. the standard of care. D. medical direction.

A

When an EMT takes the time to ask permission from a conscious adult to do an assessment and​ procedures, this is respecting the legal principle​ of: A. implied consent. B. expressed consent. C. in loco parentis. D. proximate cause.

B

Quality improvement relates primarily​ to: A. scope of practice. B. the limits of the EMT job. C. standard of care. D. ​state-by-state regulations.

C

Which of the following would MOST likely be considered evidence at a crime​ scene? A. Movies on DVD B. A paper towel roll C. A​ child's toy D. Footprints

D

You are transporting a patient from a​ doctor's office and see that the patient has not been well cared for. On your​ documentation, you write that the doctor seemed to be​ "a quack." This comment could be viewed​ as: A. slanderous. B. proximate causation. C. res ipsa loquitur. D. libelous.

D

You have just returned to the station after completing a call in which you transported an elderly female patient to the hospital for nausea and vomiting. Upon exiting the​ ambulance, you are approached by an adult male who indicates that the patient you just transported was his mother and he wants to know the details of the run. You​ should: A. allow him to read the patient care​ report, as that is public information. B. ask to see his​ driver's license to verify last names​ and, if they​ match, give him the information. C. give the patient the information he is​ requesting, as he is the​ patient's son. D. tell him that you can pass his contact information along to the privacy officer at your department.

D

A photo of a pair of EMTs on a call shows them laughing and looking casual and relaxed a few feet away from a patient in apparent distress. This would most likely be used to​ demonstrate: A. res ipsa loquitur. B. a patient refusal situation. C. abandonment. D. proximate causation.

A

You are at the scene of a patient with obvious signs of traumatic death. You are required by law in your state to report violent deaths. Your duty as an EMT is to​ notify: A. your EMS chief. B. the district​ attorney's office. C. law enforcement. D. medical direction.

C

As you enter a hectic possible crime​ scene, you find that a coffee table is blocking your access to the patient. Which of the following is the BEST way to manage this​ situation? A. Move the table as little as​ possible, wearing​ gloves; notify police on the​ scene; and document your actions precisely in your patient care report. B. Wait until one of the police officers can move the table for you. C. Use the table as a place to set your equipment as you are working on the patient. D. Move the table and get on with your work of caring for the patient.

A

EMS is on the scene of the cardiac arrest of a terminally ill cancer patient. The family states that the patient has a valid DNR but they are unable to locate it. The family is upset and adamant that the patient does not want resuscitation. The EMS crew​ should: A. begin resuscitation and consider establishing​ on-line medical direction. B. withhold resuscitation. It is clear the patient is terminally​ ill, and the family is on scene instructing the crew to withhold care. C. verify that the family on scene is related to the patient by asking for identification. If a family member is immediate​ family, that person can make health care decisions for the patient. D. provide the family with a blank DNR and have them fill it out.

A

Leaving a patient after initiating care and before the patient has been transferred to someone with equal or greater medical training is known​ as: A. abandonment. B. negligence. C. in loco parentis. D. res ipsa loquitur.

A

The person who is legally designated to make health care decisions for the patient if the patient is unable to do so is​ called: A. a health care proxy. B. a patient advocate. C. the attorney of record. D. the executor of the estate.

A

Which is concerned generally with what you can​ do, as opposed to what you should do and how you should do​ it? A. Scope of practice B. Quality improvement C. Standard of care D. Scope of practice and standard of care

A

Which of the following would MOST likely be considered evidence at a crime​ scene? A. Blood spatter B. Mouthwash C. Mail coupons D. Time of day

A

You are caring for a patient who was stabbed. During your​ assessment, you find a small knife impaled in one of the stab wounds. You determine that removing the weapon now would be dangerous for the patient. You​ should: A. treat the wound as​ usual, but notify police that you must transport the weapon with the patient. B. ask the police officer whether it is acceptable for you to leave the knife in place for transport. C. remove the knife and place it in an evidence bag. D. have a police officer remove the knife before you transport.

A

You explain a risky procedure to a patient. He​ says, "As long as​ it's guaranteed to​ work, you can do​ it." You​ should: A. explain that a risky procedure is not guaranteed. B. begin the procedure. C. consult medical direction. D. decide not to use the procedure.

A

You suspect that a pediatric patient is being abused. You decide not to report this to the appropriate authorities because the parent is very upset and remorseful. This​ is: A. a violation of professional ethics and possibly a crime. B. a violation of policy but not an ethical violation. C. an ethical violation but definitely not a crime. D. a reasonable judgment call.

A

A suicidal​ 14-year-old who has critically injured herself is trying to get you to withhold care. She is screaming that she wants to die and that you should not touch her or come near her. You​ should: A. call her parents. B. provide the care she needs. C. inform medical direction that you will withhold care. D. wait for the girl to change her mind or lose consciousness.

B

At a crime​ scene, which of the following is the first priority of the​ EMT? A. Working with police B. Patient care and transport C. Critiquing the scene D. Evidence preservation

B

Which of the following is likely to be inscribed on a medical identification device worn as a​ bracelet? A. Hospital preference B. Allergies C. Emergency contact D. Date of birth

B

Why does the​ EMT's scope of practice vary from state to​ state? A. EMT preference B. Local legislation C. Company insurance D. National standards

B

You are at the dinner table with your crew and mention to everyone that a coworker on the opposite shift is moving up the administration chain​ quickly, probably because​ she's sleeping with the company CEO. This comment could be​ considered: A. res ipsa loquitur. B. slander. C. a HIPAA violation. D. libel.

B

You are on the scene of a cardiac arrest. You have begun resuscitation as family members arrive and present you with a valid DNR order. You​ should: A. notify the family that once CPR has been​ initiated, you are required to transport the patient. B. follow your local protocols and contact medical direction if unsure how to proceed. C. have your partner contact the communications center to send law enforcement to the​ scene, as this is now a legal issue and the officer will make the decision. D. complete two more rounds of CPR and then check for a pulse. If there is no​ pulse, you should stop resuscitation.

B

An EMT who turns the care of a multisystem trauma patient over to a doctor of dermatology has​ likely: A. legally and appropriately transferred care. B. violated patient confidentiality laws. C. abandoned the patient. D. acted on an assumption of implied consent.

C

Ethical​ considerations: A. are less important than following regulations. B. fall outside scope of practice. C. relate primarily to making patient care and​ well-being a priority. D. are the sole consideration of scope of practice.

C

Good Samaritan laws were enacted​ to: A. keep patients from suing ambulance companies for the actions of their employees. B. protect patients from poor health care delivered by health professionals. C. protect individuals who try to help people in emergencies. D. protect EMS services from lawsuits.

C

Which of the following could be a source of information to let the EMT know that a patient is an organ​ donor? A. The statement of a bystander who is the​ patient's neighbor B. The​ on-line physician C. The​ patient's driver's license D. A piece of notepaper stating that fact

C

Which of the following is MOST clearly a HIPAA​ violation? A. You provide a copy of the patient care report to a paramedic who is assuming care of your patient at the scene. B. Your agency receives a subpoena authorizing the release of a copy of a patient care report to a​ plaintiff's attorney. C. You provide a personal injury attorney with a copy of a patient care report. D. You provide certain health information on the billing copy of the patient care report.

C

You are on the scene with a patient who is complaining of chest​ pain, and you have administered medication. Your partner brings in the​ stretcher, and the patient tells you that she does not want to be transported to the ED. You​ should: A. tell the patient that she can refuse​ transport, but because you gave her a​ medication, she has to see a doctor within 24 hours. B. explain to the patient that she cannot refuse because you have already begun treatment. C. contact medical direction for a consult. D. leave after telling the patient that​ it's not appropriate to abuse the EMS system.

C

A patient who called 911 is now refusing transport. You​ should: A. direct the patient to contact his or her primary care physician for instructions on whether or not to go to the hospital. B. make sure that there is an immediate family member on scene who can sign as a witness to the refusal. C. make sure there is a law enforcement officer to act as a witness on the scene of every patient refusal. D. assess the​ patient, advise the patient of the risks of​ refusal, and clearly document everything in the patient care report.

D

Good Samaritan laws are based​ on: A. being a volunteer EMT. B. the patient having no serious injuries. C. having no formal training. D. providing care in good faith.

D