Chapter 4 Pre-Test
If they discovered that a seriously injured patient is an organ donor, the emergency care providers should: A. treat the patient the same as a nondonor. B. confirm with the family that this was the patient's decision. C. transport the patient to a donor harvesting site. D. ignore a DNR order and perform CPR.
A
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. Good Samaritan laws. B. advance directives. C. immunity proclamations. D. protocols.
A
What is an EMT's primary ethical consideration? A. Making patient care and the patient's well-being a priority B. Making the company bottom line a priority C. Making efficiency a priority D. Making partner relations a priority
A
What is the term for placing a person in fear of bodily harm? A. Assault B. Slander C. Libel D. Battery
A
What may interfere with an EMT's ability to care for a patient at a crime scene? A. The police want to interview the patient. B. The patient is bleeding from a wrist laceration. C. The patient has multiple injuries. D. The EMT's name badge contains improper credentials.
A
Which of the following would MOST likely be considered evidence at a crime scene? A. The position in which the patient is found B. The homeowner's pet C. The refrigerator icemaker D. Clean napkins in a drawer
A
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. inform the patient of your concern and try to persuade her to go to the ED and receive treatment. B. have the law enforcement officer place the patient under arrest, as she is obviously in danger. 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.
A
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
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. objectivity. C. justice. D. nonmalfeasance.
A
If an EMT were to release information about how intoxicated a patient was onto a social networking site, this could be considered: A. slander. B. libel. C. breach of faith. D. battery.
B
The actions and care that are legally allowed for the EMT are called the: A. standard of care. B. scope of practice. C. Good Samaritan law. D. standing orders.
B
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. duty to act. B. standard of care. C. protocol. D. scope of practice.
B
Which of the following would MOST likely be considered evidence at a crime scene? A. Patient advocacy B. Fingerprints C. Family pictures D. Medical care by an EMT
B
Who is responsible for overseeing HIPAA issues at an EMS agency? A. The EMS supervisor B. The privacy officer C. The highest-ranking EMS provider D. The billing officer
B
You and your partner have arrived on the scene of a person injured as a result of a gunshot wound during a burglary. It is unclear whether the shooter is still on the scene. You should: A. ask the patient to identify the person who shot him. B. request law enforcement immediately. C. quickly stabilize and transport the patient. D. locate the shooter and restrain him or her.
B
A legal document allowing the health care provider to withhold resuscitation from a chronically or terminally ill patient is the known as the: A. termination of resuscitation B. standard of care C. advance directive D. health care proxy
C
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. You are demonstrating the ethical principle of: A. avoiding a conflict of interest. B. beneficence. C. a patient's right to self-determination. D. full disclosure.
C
An EMT who demonstrates ideal conduct when treating patients is displaying good: A. critical thinking. B. discipline. C. ethics. D. clinical judgment.
C
EMTs can still be held liable and NOT protected by Good Samaritan laws if: A. the patient dies from the injuries. B. their actions cause embarrassment for the patient. C. their actions demonstrate gross negligence. D. their actions demonstrate poor clinical reasoning.
C
The BEST defense for lawsuits relating to the care that has been provided a patient is to: A. wait for advanced life support personnel to provide care. B. allow the most senior EMT to provide the patient care. C. keep your patient's best interests in mind when rendering care. D. always contact on-line medical control before providing any care.
C
While providing patient care at a secured crime scene, you should: A. use the telephone to call in a report to medical control. B. pick up any evidence that you find and give it directly to a police officer. C. not cut through holes in clothing that might have been caused by bullets or stabbing. D. cover the deceased patient with a sheet and move the body to the ambulance.
C
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. 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. B. withholding CPR until the patient's donor status is confirmed. C. notifying medical direction of the patient's organ donor status. D. transporting the patient to facility other than the trauma center to which you are going.
C
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. libel. D. slander.
C
An EMT fails to properly care for a patient despite having a duty to act. The EMT is most likely guilty of: A. domestic abuse. B. psychological abuse. C. child endangerment. D. negligence.
D
Documents signed by a patient that communicate his or her wishes regarding medical care are called: A. extended patient directives. B. physician orders. C. automated care orders. D. advance directives.
D
If a patient feels that he received harmful care by an EMT, he would need to prove that: A. the patient suffered a permanent injury. B. the injuries were due to gross negligence. C. there was intent to harm. D. the EMT had a duty to act.
D
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 provide specific patient information to the media without additional patient consent. 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 discuss patient-specific information only with individuals with whom it is medically necessary to do so.
D
What is a set of regulations and ethical considerations that define the extent and limits of the EMT's job? A. Tort B. Res ipsa loquitur C. Standard of care D. Scope of practice
D
Wheeling a non-emergency patient into the hospital emergency department, placing him in a bed, and leaving without transferring care directly to ED staff constitute: A. acceptable actions if someone sees you do them. B. acceptable actions if the ED is very busy. C. acceptable actions if you have an emergency call to respond to. D. abandonment.
D
When you unexpectedly find yourself at a crime scene, you should immediately: A. request fire department personnel. B. handle it by yourself. C. request more EMTs to the scene. D. request law enforcement.
D
Which of the following terms means "in place of the parents"? A. Minor consent B. Parental transfer C. Quid pro quo D. In loco parentis
D
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. quit talking about your problems at work, as you are worried what your crew members would say. B. go see your physician. C. tell your partner that you feel better after talking to him and go about your work. D. take off work until you can straighten out your family problem and make sure that you are mentally prepared to work.
D