Chapter 4

C. conduct a primary assessment as long as the scene is safe.

A 25-year-old male has been shot in the chest. You arrive and identify him lying on the front porch of his house. You should first: A. limit access to the scene by stretching crime scene tape around the yard. B. document the condition of the front yard before approaching the patient. C. conduct a primary assessment as long as the scene is safe. D. find the phone in the home and use it to report your findings to law enforcement.

B. implied consent.

A 49-year-old male has been found unconscious with gurgling respirations. An EMT immediately opens and suctions his airway without obtaining permission from the patient. This would be considered an example of: A. expressed consent. B. implied consent. C. in loco parentis. D. res ipsa loquitor.

D. ask the patient to sign a release form.

A 61-year-old male was witnessed to pass out while shoveling snow. On arrival the patient is awake and alert. You examine him and describe the risks associated with syncope. He states, "I understand the risks, but I do not wish to go to the hospital." You should: A. restrain the patient and initiate transport. B. immediately have law enforcement place the patient in protective custody. C. leave the scene immediately. D. ask the patient to sign a release form.

A. immediately treat the child.

A 9-year-old male has collapsed on the playground after being stung by a bee. His friends called EMS and note that the child's parent is not available. You should: A. immediately treat the child. B. withhold treatment until a parent can be reached. C. provide basic care but withhold medications. D. contact law enforcement prior to delivering care.

D. an advance directive.

A legal document allowing the health care provider to withhold resuscitation from a chronically or terminally ill patient is the known​ as: A. a health care proxy. B. a standard of care. C. a termination of resuscitation. D. an advance directive.

A. do not resuscitate order.

A legal document usually signed by the patient and his or her physician stating that the patient has a terminal illness and does not wish to prolong life through resuscitative efforts is​ a: A. do not resuscitate order. B. refusal of care release form. C. standard of care. D. Physician Order for​ Life-Sustaining Treatment.

A. usually pertains to situations occurring in a hospital.

A living​ will: A. usually pertains to situations occurring in a hospital. B. must be witnessed and signed by an EMT. C. legally releases EMTs for liability for failing to provide care. D. is typically involved with prehospital situations.

A. implied consent.

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. involuntary transportation. C. informed consent. D. expressed consent.

D. perform an​ assessment, let the patient know the findings and​ recommendations, and try to persuade the patient to be transported because of the mechanism of injury.

A patient fell from the roof of a house while doing repair work. The patient is alert and oriented and has no injuries. The patient wants to refuse transport. The EMT​ should: A. obtain a signature on the refusal form and advise the patient that he should drive himself to the ED if he experiences any changes over the next four hours. B. have law enforcement respond to the scene so that they can witness the refusal. C. obtain a signature of refusal and return to service. D. perform an​ assessment, let the patient know the findings and​ recommendations, and try to persuade the patient to be transported because of the mechanism of injury.

A. liability for not providing care.

A patient is injured but refuses to be transported by ambulance. He is competent to make​ decisions, and you have exhausted all avenues to convince him to be​ transported, so you have him sign a refusal of treatment form. This form is intended to release you​ from: A. liability for not providing care. B. the responsibility to stay on the scene. C. properly informing the patient of the consequences of refusing care. D. the need to provide any care for this patient at any time.

B. try to convince the patient to accept care and transport.

A patient refuses care and transport. You can see that this patient is in serious need of care. You need​ to: A. tell the patient that denial about the seriousness of a condition will lead to a bad result. B. try to convince the patient to accept care and transport. C. involve the police immediately and call medical direction. D. describe the negative effects for past patients who refused care and transport.

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

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

B. res ipsa loquitur.

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. abandonment. B. res ipsa loquitur. C. a patient refusal situation. D. proximate causation.

A. scope of practice.

A set of regulations and ethical considerations that defines the extent and limit of an EMT's job is known as: A. scope of practice. B. duty to act. C. in loco parentis. D. standard of care.

C. provide the care she needs.

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. inform medical direction that you will withhold care. B. call her parents. C. provide the care she needs. D. wait for the girl to change her mind or lose consciousness.

C. the patient's wishes regarding resuscitation.

An 81-year-old female has been found in cardiac arrest. On arrival the family states the patient has a signed POLST form. This form would most likely indicate: A. transport destination instructions. B. a health care proxy. C. the patient's wishes regarding resuscitation. D. the patient's past medical history.

D. the care that would be expected to be provided on the basis of training.

An EMS​ provider's standard of care represents and​ defines: A. the national curriculum of care taught by EMT instructors. B. specific care that is provided to patients once they reach a hospital. C. laws that define and govern the specific actions of EMTs. D. the care that would be expected to be provided on the basis of training.

A. Abandonment

An EMT arrives at a busy hospital with a patient. At the same time a second, urgent call comes in. Instead of the usual pass-on procedure, the EMT simply transfers the patient to the nearest bed and leaves for the second call. Which of the following best applies to this situation? A. Abandonment B. Duty to act C. Proximate causation D. Good Samaritan laws

C. a clear duty to act.

An EMT called to the scene of a​ multiple-vehicle collision​ has: A. the need to secure expressed consent for care. B. no liability for abandonment. C. a clear duty to act. D. liability for proximate causation

C. negligence.

An EMT fails to properly care for a patient despite having a duty to act. The EMT is most likely guilty​ of: A. psychological abuse. B. child endangerment. C. negligence. D. domestic abuse.

B. has no legal obligation to provide care.

An EMT is off duty and near a patient in a restaurant who appears to suffer a choking​ episode, but another person in the​ patient's group helps dislodge the obstruction so that the patient can begin breathing normally. The EMT provides no care to this patient. In most​ states, this​ EMT: A. is guilty of abandonment. B. has no legal obligation to provide care. C. is not allowed to render aid if off duty. D. has a duty to act even if off duty.

D. abandoned the patient.

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. acted on an assumption of implied consent. C. violated patient confidentiality laws. D. abandoned the patient.

A. level of consciousness.

An adult​ patient's consent may be obtained through expressed or implied​ consent, depending on the​ patient's: A. level of consciousness. B. need for emergency intervention. C. assumption of risk. D. understanding of the care.

D. what an EMT may do.

An​ EMT's scope of practice would​ encompass: A. maintaining EMT skills and knowledge. B. what an EMT should do in a particular situation. C. how an EMT should provide a specific care intervention. D. what an EMT may do.

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

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. Use the table as a place to set your equipment as you are working on the patient. B. Move the table as little as​ possible, wearing​ gloves; notify police on the​ scene; and document your actions precisely in your patient care report. C. Wait until one of the police officers can move the table for you. D. Move the table and get on with your work of caring for the patient.

B. Patient care and transport

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

C. can't legally refuse care.

A​ 13-year-old patient involved in a collision who appears to be under the influence of drugs refuses care. Regarding the issue of providing care to this​ patient, you must consider that this​ patient: A. should sign a release form. B. has legally refused care. C. can't legally refuse care. D. should be reported to the police.

B. remain on the scene and try to persuade the patient to consent to care.

A​ 42-year-old patient who is mentally competent has refused care but appears to be experiencing respiratory difficulty. He demands you get into your ambulance and go. You​ should: A. immediately leave the scene. B. remain on the scene and try to persuade the patient to consent to care. C. restrain the patient to provide emergency care. D. plead with the patient to sign a release form.

D. advance directives.

Documents signed by a patient that communicate his or her wishes regarding medical care are​ called: A. physician orders. B. automated care orders. C. extended patient directives. D. advance directives.

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

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. 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. C. withhold resuscitation. It is clear the patient is terminally​ ill, and the family is on scene instructing the crew to withhold care. D. provide the family with a blank DNR and have them fill it out.

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

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

A. their actions demonstrate gross negligence.

Even if the Good Samaritan laws in a particular state cover the actions of EMTs as​ rescuers, they can still be held liable and are NOT protected by these laws​ if: A. their actions demonstrate gross negligence. B. the patient dies from the injuries. C. their actions cause embarrassment for the patient. D. their actions demonstrate poor clinical reasoning.

B. a situation in which an adult patient is conscious and alert.

Expressed consent is involved​ in: A. acting to provide care for a minor with a​ life-threatening injury. B. a situation in which an adult patient is conscious and alert. C. a patient who is drunk and confused resisting EMT attempts to provide care. D. providing care to an unconscious patient found near a crashed car.

A. libel.

False or injurious information in written form is known as: A. libel. B. slander. C. assault. D. battery.

A. providing care in good faith.

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

A. protect individuals who try to help people in emergencies.

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

D. libel.

If an EMT were to release information about how intoxicated a patient was onto a social networking​ site, this could be​ considered: A. breach of faith. B. battery. C. slander. D. libel.

D. treat the patient the same as a nondonor.

If emergency care providers discover that a seriously injured patient is an organ​ donor, they​ should: A. ignore a DNR order and perform CPR. B. treat the patient as having given prior expressed consent for all emergency care. C. confirm with the family that this was the​ patient's decision. D. treat the patient the same as a nondonor.

C. abandonment.

If you stop providing care to a patient without ensuring that equivalent or better care will be​ provided, you could be legally liable​ for: A. violation of consent. B. neglecting scope of practice. C. abandonment. D. breach of confidentiality.

B. A child appears to have been burned on the arm deliberately.

In a state requiring EMTs to report​ child, elder, or domestic​ abuse, which of the following situations is the EMT required to​ report? A. A motor vehicle accident involving a child has left that child unconscious. B. A child appears to have been burned on the arm deliberately. C. A professional sporting injury has left a player with a motor impairment. D. A fall injury at a nursing home has resulted in a fractured femur.

B. In loco parentis

In a​ kindergarten, the teachers can give consent for EMT care of their students. Which form of consent applies​ here? A. Parental consent B. In loco parentis C. Expressed consent D. Informed consent

Patient must be legally able to consent Patient must be awake and oriented Patient must be fully informed Patient will be asked to sign a "release" form

In order for a patient to refuse care or transport, what several conditions must be fulfilled?

C. Good Samaritan laws.

Laws that have been developed by states to minimize the risk of individuals being held liable for providing emergency care to victims of illness or injury are​ called: A. immunity proclamations. B. protocols. C. Good Samaritan laws. D. advance directives.

C. abandonment.

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. negligence. B. in loco parentis. C. abandonment. D. res ipsa loquitur.

The EMT had a duty to act. The EMT did not provide the standard of care. There was proximate causation.

List three circumstances that must be present to establish a finding of negligence:

A. standard of care.

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

B. allows you to discuss​ patient-specific information only with individuals with whom it is medically necessary to do so.

The Health Insurance Portability and Accountability Act​ (HIPAA): A. allows you to discuss specific patient information with other personnel at the station. B. allows you to discuss​ patient-specific information only with individuals with whom it is medically necessary to do so. C. requires you to obtain the​ patient's signature acknowledging receipt of your​ agency's privacy policy before you perform any patient interventions. D. allows you to provide specific patient information to the media without additional patient consent.

D. scope of practice.

The actions and care that are legally allowed for the EMT are called​ the: A. standing orders. B. standard of care. C. Good Samaritan law. D. scope of practice.

D. the scope of practice.

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

C. standard of care.

The care that would be expected to be provided to the same patient under the same circumstances by another EMT who had received the same training is called​ the: A. protocol. B. scope of practice. C. standard of care. D. duty to act.

D. harm to a patient in the care of EMTs.

The concept of res ipsa loquitur would be MOST relevant to a situation​ involving: A. EMTs explaining the consequences of refusing care to a patient. B. EMTs remaining with a patient who had refused care. C. EMTs providing care to an unconscious patient. D. harm to a patient in the care of EMTs.

D. proximate causation.

The concept that the damages that occurred to the patient were the result of an action or inaction on the part of the EMT is known as: A. duty to act. B. standard of care. C. res ipsa loquitor. D. proximate causation.

B. a health care proxy.

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. the executor of the estate. B. a health care proxy. C. a patient advocate. D. the attorney of record.

Remember what you touch Minimize your impact on the scene Work with the police

To preserve evidence at a crime scene you should:

A. Personnel responding to an emergency when off duty

To which of the following situations would Good Samaritan laws generally​ apply? A. Personnel responding to an emergency when off duty B. Emergency care personnel committing acts of gross negligence C. Individuals establishing online medical direction D. Government employees mandating standards of care

B. When giving a​ hand-off report to a nurse at the receiving hospital

Under which of the following circumstances would it be appropriate to share personally identifiable information about a​ patient's medical​ condition? A. When talking to anyone who would be unlikely to know or be related to the patient B. When giving a​ hand-off report to a nurse at the receiving hospital C. When lecturing to a group of EMT students D. When asked over the phone by an attorney who says that she is representing the patient

A. notify law enforcement.

Upon​ arrival, you discover a deceased patient who apparently committed suicide. You must​ first: A. notify law enforcement. B. begin taking statements from bystanders. C. contact a member of the immediate family. D. document the scene.

Spend time speaking with the patient Listen carefully to try to determine why the patient is refusing care Inform the patient of the consequences of not going to the hospital Consult medical direction Ask the patient if it is alright if you call a family member Call law enforcement if necessary

What are some actions you can take to try to persuade a patient to go to the hospital but refuses?

A. Scope of practice

What is a set of regulations and ethical considerations that define the extent and limits of the​ EMT's job? A. Scope of practice B. Tort C. Res ipsa loquitur D. Standard of care

B. Making patient care and the​ patient's well-being a priority

What is an​ EMT's primary ethical​ consideration? A. Making the company bottom line a priority B. Making patient care and the​ patient's well-being a priority C. Making partner relations a priority D. Making efficiency a priority

The condition of the scene The patient Fingerprints and footprints Microscopic evidence

What is evidence at a crime scene?

C. Assault

What is the term for placing a person in fear of bodily​ harm? A. Battery B. Slander C. Assault D. Libel

B. The police want to interview the patient.

What may interfere with an​ EMT's ability to care for a patient at a crime​ scene? A. The patient is bleeding from a wrist laceration. B. The police want to interview the patient. C. The police have secured the scene. D. The patient has multiple injuries.

A. Pry marks

What part of a door at a crime scene is likely​ evidence? A. Pry marks B. The doorknob C. The latch D. The peephole

A. abandonment.

Wheeling a​ non-emergency patient into the hospital emergency​ department, placing him in a​ bed, and leaving without transferring care directly to ED staff​ constitutes: A. abandonment. B. acceptable actions if you have an emergency call to respond to. C. acceptable actions if the ED is very busy. D. acceptable actions if someone sees you do them.

A. expressed consent.

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. expressed consent. B. proximate cause. C. in loco parentis. D. implied consent.

C. Scope of practice

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

A. The​ patient's driver's license

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

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

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

A. A donor must complete a legal document registering as an organ donor.

Which of the following is TRUE about organ​ donation? A. A donor must complete a legal document registering as an organ donor. B. Organ donation is automatic once a person turns 18 years age. C. EMS providers can make a patient an organ donor if the family approves. D. EMS providers are required to perform CPR on all organ donors.

C. It is governed by many​ medical, legal, and ethical guidelines.

Which of the following is TRUE about the scope of​ practice? A. The scope of practice is the same in all jurisdictions. B. It is governed solely by the​ EMT's employer. C. It is governed by many​ medical, legal, and ethical guidelines. D. Each EMT determines his or her own scope of practice.

A. Allergies

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

C. Fingerprints

Which of the following would MOST likely be considered evidence at a crime​ scene? A. Medical care by an EMT B. Patient advocacy C. Fingerprints D. Family pictures

C. Footprints

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

D. The position in which the patient is found

Which of the following would MOST likely be considered evidence at a crime​ scene? A. The refrigerator icemaker B. Clean napkins in a drawer C. The​ homeowner's pet D. The position in which the patient is found

D. Blood spatter

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

B. not cut through holes in clothing that might have been caused by bullets or stabbing.

While providing patient care at a secured crime​ scene, you​ should: A. use the telephone to call in a report to medical control. B. not cut through holes in clothing that might have been caused by bullets or stabbing. C. pick up any evidence that you find and give it directly to a police officer. D. cover the deceased patient with a sheet and move the body to the ambulance.

C. Local legislation

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

A. file the report and leave out no details.

You and your partner have arrived on the scene of a person injured as a result of a gunshot wound during a burglary. When police later arrive and secure the​ scene, one of the police tells you to file a complete report describing what you saw when you arrived on​ scene, as required by law in your area. You​ should: A. file the report and leave out no details. B. file a report that leaves out any detail you consider confidential for that patient. C. refuse to file any​ report, citing patient confidentiality. D. file a report in which you explain in detail why you believe a crime was committed.

A. slander.

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. slander. B. libel. C. res ipsa loquitur. D. a HIPAA violation.

C. law enforcement.

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. medical direction. B. the district​ attorney's office. C. law enforcement. D. your EMS chief.

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

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. ask the police officer whether it is acceptable for you to leave the knife in place for transport. B. remove the knife and place it in an evidence bag. C. have a police officer remove the knife before you transport. D. treat the wound as​ usual, but notify police that you must transport the weapon with the patient.

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

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. 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. B. notify the family that once CPR has been​ initiated, you are required to transport the patient. C. follow your local protocols and contact medical direction if unsure how to proceed. D. complete two more rounds of CPR and then check for a pulse. If there is no​ pulse, you should stop resuscitation.

B. inform the patient of your concern and try to persuade her to go to the ED and receive treatment.

You are on the scene of a motor vehicle collision where a​ patient's car struck a utility pole. Witnesses reported to you that the patient was unconscious after the impact.​ However, the patient is now​ conscious, alert and​ oriented, and refusing care and transport. You​ should: A. have the law enforcement officer place the patient under​ arrest, as she is obviously in danger. B. inform the patient of your concern and try to persuade her to go to the ED and receive treatment. C. use informed consent and tell the patient that since she was​ unconscious, she is not allowed to refuse. D. leave after having the patient sign the refusal form.

B. contact medical direction for a consult.

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. leave after telling the patient that​ it's not appropriate to abuse the EMS system. B. contact medical direction for a consult. C. explain to the patient that she cannot refuse because you have already begun treatment. D. tell the patient that she can refuse​ transport, but because you gave her a​ medication, she has to see a doctor within 24 hours.

A. continually monitor the​ patient's status once the patient is restrained.

You are ordered by police on the scene to transport a patient under physical restraints because that patient has been behaving violently and unpredictably. Your obligation is​ to: A. continually monitor the​ patient's status once the patient is restrained. B. demand that the police determine the severity of the restraints and take responsibility for transport. C. refuse to provide care for or to transport a restrained patient. D. restrain the patient as securely as possible regardless of the health consequences for the patient.

C. libelous.

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. res ipsa loquitur. B. proximate causation. C. libelous. D. slanderous.

D. notifying medical direction of the​ patient's organ donor status.

You are transporting a victim from a motor vehicle​ collision, and the​ patient's condition is deteriorating rapidly. From your​ experience, you do not think this patient will survive transport. You noticed on the​ patient's driver's license that the patient is an organ donor. You can help to facilitate the​ patient's wishes​ by: A. transporting the patient to facility other than the trauma center to which you are going. B. withholding CPR until the​ patient's donor status is confirmed. C. trying to contact a family member of the patient to discuss the​ patient's wishes so that you can alert the hospital when you arrive. D. notifying medical direction of the​ patient's organ donor status.

D. libel.

You document on your run sheet that your patient with altered mental status is​ "just another​ drunk." This would likely be​ considered: A. negligence. B. a HIPAA violation. C. slander. D. libel.

B. explain that a risky procedure is not guaranteed.

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. consult medical direction. B. explain that a risky procedure is not guaranteed. C. begin the procedure. D. decide not to use the procedure.

D. take off work until you can straighten out your family problem and make sure that you are mentally prepared to work.

You have been under a lot of family stress​ lately, and you have not been sleeping well. When you got to work this​ morning, you realized that you had forgotten to place your badge on your uniform shirt. You tell your partner that you cannot seem to think clearly. Your partner tells you that he is concerned about your​ well-being. After hearing​ this, you know that your duty as an EMT is​ to: A. recognize that talking about your problems at work is unprofessional and distracts your fellow EMTs. B. tell your partner that you feel better after talking to him and go about your work. C. inform your partner that your​ well-being is not his concern. D. take off work until you can straighten out your family problem and make sure that you are mentally prepared to work.

A. notify dispatch that you are out of service and have your supervisor come to meet you

You have just arrived at the station to start your​ shift, and you notice that your partner is asleep in a chair. You proceed to check out your ambulance. Your partner comes in drinking a cup of​ coffee, and you notice that she has a strong alcohol smell on her breath. Your duty as an EMT is​ to: A. notify dispatch that you are out of service and have your supervisor come to meet you. B. tell your partner to go get some rest before you get a call. C. see whether someone from the night shift can hold over until your partner can sober up. D. tell dispatch that you will be out of service for maintenance.

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

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. tell him that you can pass his contact information along to the privacy officer at your department. 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. allow him to read the patient care​ report, as that is public information.

A. you only share information specific to that patient when medically necessary.

You have not breached a​ patient's confidentiality​ if: A. you only share information specific to that patient when medically necessary. B. you talk about that​ patient's medical issues when off duty only with your spouse. C. you share a funny item from a​ patient's medical history with a colleague. D. you share information specific to that patient with family and friends.

A. moral obligation to report the abuse.

You observe what appears to be elder abuse in a call to a nursing home. You have a​ clear: A. moral obligation to report the abuse. B. legal obligation to report the abuse. C. implied consent to provide care to any patients at the home. D. release from liability for negligence in your care

A. informed consent

You proceed to treat a patient who has consented to​ care, but you have NOT explained the risks and benefits of what you are going to do. This is MOST likely a violation​ of: A. informed consent. B. implied consent. C. in loco parentis. D. scope of practice.

B. a violation of professional ethics and possibly a crime.

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 policy but not an ethical violation. B. a violation of professional ethics and possibly a crime. C. an ethical violation but definitely not a crime. D. a reasonable judgment call.

A. slander.

Your partner is telling others that you have an untreated gambling addiction and are thousands of dollars in debt from your gambling losses. You​ don't have a gambling addiction and are not in serious debt. You could bring your partner up on charges​ of: A. slander. B. abandonment. C. proximate causation. D. libel.

D. should not be cut through.

Your patient has several stab wounds to his anterior torso. You must quickly remove his shirt to access the wounds. The holes in the​ patient's shirt: A. are only important if no other evidence exists for the stabbing. B. are not important. C. should be cut through if they are three or more inches from the site of the cutting. D. should not be cut through.

A. thank the neighbor for her concern but not confirm any names.

Your unit has been dispatched to 127 Spring Street for a man having chest pain. While you are preparing to enter the residence a neighbor runs over and says, "Oh, my goodness, is it Charlie? He's always had a bad heart." You should: A. thank the neighbor for her concern but not confirm any names. B. confirm it is Charlie, as the neighbor clearly is a friend. C. invite the neighbor in to help console the victim's wife. D. immediately dismiss the neighbor and threaten to contact law enforcement.