Ch 4: Post Test

Which of the following would MOST likely be considered evidence at a crime​ scene?

Blood spatter

Which of the following would MOST likely be considered evidence at a crime​ scene?

Footprints

Why does the​ EMT's scope of practice vary from state to​ state?

Local legislation

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?

Move the table as little as​ possible, wearing​ gloves; notify police on the​ scene; and document your actions precisely in your patient care report.

At a crime​ scene, which of the following is the first priority of the​ EMT?

Patient care and transport

Which is concerned generally with what you can​ do, as opposed to what you should do and how you should do​ it?

Scope of practice

Which of the following could be a source of information to let the EMT know that a patient is an organ​ donor?

The​ patient's driver's license

Which of the following is MOST clearly a HIPAA​ violation?

You provide a personal injury attorney with a copy of a patient care report.

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 health care proxy.

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 violation of professional ethics and possibly a crime.

An EMT who turns the care of a multisystem trauma patient over to a doctor of dermatology has​ likely:

abandoned the patient.

Leaving a patient after initiating care and before the patient has been transferred to someone with equal or greater medical training is known​ as:

abandonment.

A patient who called 911 is now refusing transport. You​ should:

assess the​ patient, advise the patient of the risks of​ refusal, and clearly document everything in the patient care report.

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:

begin resuscitation and consider establishing​ on-line medical direction.

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:

contact medical direction for a consult.

You explain a risky procedure to a patient. He​ says, "As long as​ it's guaranteed to​ work, you can do​ it." You​ should:

explain that a risky procedure is not guaranteed.

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:

expressed consent.

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:

follow your local protocols and contact medical direction if unsure how to proceed.

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:

implied consent.

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:

law enforcement.

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:

libelous.

Good Samaritan laws were enacted​ to:

protect individuals who try to help people in emergencies.

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:

provide the care she needs.

Good Samaritan laws are based​ on:

providing care in good faith.

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:

res ipsa loquitur.

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:

slander.

Quality improvement relates primarily​ to:

standard of care.

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:

tell him that you can pass his contact information along to the privacy officer at your department.

The actions that an EMT is legally allowed to perform while caring for an injured or ill patient are known​ as:

the scope of practice.

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:

treat the wound as​ usual, but notify police that you must transport the weapon with the patient.

Which of the following is likely to be inscribed on a medical identification device worn as a​ bracelet?

Allergies

Ethical​ considerations:

relate primarily to making patient care and​ well-being a priority.