Chapter 1, 2, 3 EMT

paramedic

An EMS provider who has extensive training in various aspects of advanced life support (ALS) is called a(n):

continue to be nonjudgmental, compassionate, and respectful.

An appropriate demonstration of professionalism when your patient is frightened, demanding, or unpleasant is to:

another EMT

As an EMT, the performance of your duties will be compared to that of:

It is a true emergency, so consent is implied.

At 2:00 AM, a 17-year-old boy, accompanied by his 19-year-old girlfriend, had driven to the bar to give his father (who had been drinking large amounts of alcohol) a ride home. On the way back, they were involved in a motor vehicle collision. The boy has a large laceration with profuse bleeding on his forehead. His girlfriend is unconscious in the front passenger floor. The father is standing outside the vehicle, appearing heavily intoxicated, and is refusing care. What is the best way to gain consent to begin care for the driver, considering that he is a minor and his father has an altered mental status?

mark off a danger zone around the downed lines.

At the scene of an automobile crash, a utility pole has been broken and power lines are lying across the car. The patients inside the car are conscious. You should:

paramedic

Cardiac monitoring, pharmacologic interventions, and other advanced treatment skills are functions of the:

when patients are actively being assessed or treated.

Critical incident stress management (CISM) can occur at an ongoing scene in all of the following circumstances, EXCEPT:

are in violation of HIPAA because you did not remove the PHI from the PCR beforehand.

During your monthly internal quality improvement (QI) meeting, you review several patient care reports (PCRs) with the staff of your EMS system. You identify the patient's name, age, and sex, and then discuss the treatment that was provided by the EMTs in the field. By taking this approach to the QI process, you:

the Department of Transportation's White Paper: Death and Dying.

EMS as we know it today had its origins in 1966 with the publication of:

Acts of negligence

Good Samaritan laws generally are designed to offer protection to persons who render care in good faith. They do not offer protection from:

inadequate patient care was administered.

In the eyes of the courts, an incomplete or untidy patient care form indicates:

provide more consistent delivery of EMS care across the United States

National guidelines for EMS care are intended to __________.

Individual EMT

Obtaining continuing medical education is the responsibility of the:

shamed.

Patients who become dependent upon EMS personnel or other health care providers often feel:

EMS research

Prehospital patient care decisions should be based on __________.

A mentally competent adult can withdraw his or her consent to treat at any time.

Shortly after you load your patient, a 50-year-old man with abdominal pain, into the ambulance, he tells you that he changed his mind and does not want to go to the hospital. The patient is conscious and alert and has no signs of mental incapacitation. You are suspicious that the man has a significant underlying condition and feel strongly that he should go to the hospital. Which of the following statements regarding this situation is correct?

HIPAA

The EMT is legally obligated to protect a patient's privacy according to _____________.

ensuring your personal safety.

The MOST important consideration at the scene of a hazardous materials incident is:

time management

The ability to handle multiple tasks based on their priority is called __________.

communication

The ability to understand others and have them understand you is known as __________.

family history of hepatitis.

The hepatitis B vaccine program, a component of the infection control plan, addresses all of the following issues, EXCEPT:

the public receives the highest standard of care.

The major goal of quality improvement is to ensure that:

medical director

The person who is responsible for authorizing EMTs to perform emergency medical care in the field is the:

certification.

The process by which an individual, an institution, or a program is evaluated and recognized as meeting certain standards is called:

glucose

The quickest source of energy is ____________; however, this supply will last less than a day and is consumed in greater quantities during stress.

family or friends may not understand the stress associated with EMS.

When considering his or her personal life, it is important for the EMT to realize that:

When the patient poses a significant threat to self or others

When is forcible restraint permitted?

puncture-proof leather gloves over your latex gloves.

When treating a patient who is trapped in a vehicle and covered with broken glass, it is BEST to wear:

begin two-rescuer CPR and apply the AED as soon as possible.

When you and your partner arrive at the residence of a man in cardiac arrest, you immediately recognize the patient as the drunk driver who killed your brother several years earlier. A backup ambulance is en route to the scene. You should:

driver's license

Where would you MOST likely find information regarding a patient's wishes to be an organ donor?

protecting patient privacy

Which aspect of the Health Insurance Portability and Accountability Act (HIPAA) MOST affects EMS personnel?

Duty to act, breach of duty, injury/damages, and causation

Which of the following components are needed to prove negligence?

EMT

Which of the following courses requires about 150 hours of training?

Syphilis

Which of the following infectious diseases confers no protection from reinfection after exposure?

Automated external defibrillator

Which of the following interventions is used by all levels of EMS providers?

A conscious and alert woman with severe abdominal pain

Which of the following patients has decision-making capacity and can legally refuse emergency medical treatment?

attempted suicide

Which of the following situations requires you to notify the appropriate authorities?

It is difficult to prove actions were performed if they are not included on the report.

Which of the following statements about the patient care report is correct?

"I will be compliant with all my medications if I can just see my grandson graduate."

Which of the following statements is MOST consistent with the bargaining phase of the grieving process?

expressed

Which type of consent is involved when a 39-year-old mentally competent female with a severe headache asks you to take her to the hospital?

off-line

Which type of medical direction do standing orders and protocols describe?

cumulative stress reactions

Which type of stress reaction occurs when an EMT is exposed to many insignificant stressors over a period of several months or years?

contact medical control and notify them of the error.

While transporting a woman with diabetes, you inadvertently give her oral glucose even though her blood glucose level was high. You reassess the patient and note that her condition did not change; she remained stable. You should:

confirm the patient identity and then confirm the DNR by calling the MedicAlert Foundation number on the bracelet.

You are called to attend to an elderly patient with an extensive medical history who is now in cardiac arrest. The patient's family tells you that the patient has a DNR order. There is no paperwork available but the patient does have a MedicAlert bracelet indicating Do Not Resuscitate. You should:

demonstrate courtesy and speak with a professional tone of voice.

You are caring for a 35-year-old female with pregnancy-related complications. She is clearly experiencing significant stress and is crying uncontrollably. Your MOST appropriate action would be to:

let clergy or hospital staff relay the bad news if possible.

You are caring for a 40-year-old female who was involved in a motor vehicle crash. Her husband, who was driving the vehicle, was killed. When the patient asks you if her husband is all right, you should:

seek a safe place and request law enforcement assistance.

You arrive at the scene of a domestic violence situation. As you approach the doorway of the apartment, you hear screaming and the statement "He has a gun!" Your MOST appropriate action should be to:

Transport the child immediately and have the parents meet you at the hospital.

You arrive at the scene of a motor vehicle-versus-pedestrian accident. The patient, a 13-year-old male, is unconscious and has multiple injuries. As you are treating the child, a law enforcement officer advises you that the child's parents will be at the scene in approximately 15 minutes. What should you do?

begin treatment and contact medical control as needed.

You respond to the home of a 59-year-old man who is unconscious; has slow, shallow breathing; and has a weak pulse. The family states that the patient has terminal brain cancer and does not wish to be resuscitated. They further state that there is a DNR order for this patient, but they are unable to locate it. You should:

anxiety

__________ is a response to the anticipation of danger.