Test 2 Chapters 4/5
A patient who was involved in a serious car accident shares with you that they do not want a blood transfusion due to their religious beliefs. What should you say to the patient?
"Thank you for sharing. We will be sure to honor your request."
How close should you keep your mouth to the microphone to improve the quality of your radio communications?
2 to 3 inches
If you have a long message to transmit, you should break the message into segments of which length?
30 seconds
Which of the following situations is an example of an act of commission?
A paramedic sutures a patient's lacerated arm
Repeating the key parts of a patients responses to your questions demonstrates:
Active listening
Which type of communication system is the most powerful radio in the communications system?
Base station
You arrive at the scene of a major motor vehicle crash. The 29-year-old patient is in cardiac arrest from an apparent head injury and has been receiving bystander CPR for approximately 10 minutes. A law enforcement official advises you that the patient's driver's license identifies him as an organ donor. You should:
Begin full resuscitative efforts and transport the patient to a trauma center because certain tissues may be viable for harvesting.
When responding to a call in a radio dead spot, which communication method is preferred?
Cell phone or landline
What is the role of the sender in the communication loop?
Confirm receipt of the message.
When transporting a patient experiencing an acute psychotic episode, the patient expresses that they do not want to go to the hospital. You believe that the patient is unable to make that decision and that they are a risk to themselves and others. What should you do?
Continue to transport the patient to the hospital since this is in the patient's best interest.
What is the first step when obtaining informed consent from a patient?
Describe the suspected injury or illness to the patient.
What should you do after receiving the information and acknowledging the call from the dispatcher?
Determine how to get to the call location
When transporting a patient to a health care facility, you consider the patient's insurance coverage when choosing the facility. This is known as:
Economic Triage
Which aspect of HIPAA is most pertinent to the paramedic?
Ensuring that the patient's privacy is protected
A patient who is intentionally and unjustifiably detained by the EMS provider has experienced which of the following?
False imprisonment
One of the major differences between laws and ethics is that laws:
Have sanctions for violation that are enforceable
Upon arriving on the scene of a car accident, you are informed that the individual who allegedly caused the accident fled the scene. Since the accident is a potential crime scene, what should you do with the debris near the accident?
Leave everything where it is until law enforcement investigates.
Which of the following would be a violation of HIPAA?
Leaving patient information in a public area
A paramedic uses judgmental language about a patient in their patient care report. The paramedic could be sued for which of the following?
Libel
If you want reliable answers to personal questions, you should:
Manage the scene so you can ask such questions quietly and privately.
Under the instructions of an EMD, a layperson should be able to:
Perform chest compressions
When treating a patient in an ambulance, the physician orders that you administer oral glucose. Although you see the benefit of giving the glucose, you believe there may be a better treatment option for the patient. What should you do in this situation?
Propose your suggested treatment to the physician.
Which of the following receives a weak signal and retransmits it at a higher power on another frequency?
Repeater
The judicial branch at the state level is responsible for:
Resolving disputes based on interpretation of law
When communicating medical information via radio, you should be:
Simple, brief, and direct
Every decision regarding patient care that a paramedic makes should be based on the:
Standards of good medical care
When using crew resource management (CRM) to respond to calls and during patient transport, communication should be based on which of the following?
Teamwork
When transporting a patient who has had a stroke, the patients wife asks you to take the patient to a specific hospital because it has larger rooms. The hospital she requests is further away and you know that the patient needs care immediately. What should you do?
Tell the patient's wife that you need to take the patient to a closer hospital to ensure the best outcome.
When a caller requests EMS in an area that uses an enhanced 9-1-1 system:
The callers name and address are automatically displayed.
When communicating with the receiving facility, yo should start your transmission with which information?
The identifier of the unit being called
The term "frequency", as it applies to radio communications, is defined as:
The number of oscillations per second of the carrier wave
When communicating with a patient whose cultural background differs from the paramedic's, the paramedic should:
Treat the patient with the utmost respect at all times.
When arriving on the scene of a car accident, the patient is distressed and concerned that they injured their leg. What should you do first to ensure that you obtain accurate information about the patient's condition and medical history?
Try to put the patient at ease and build rapport.
When transmitting information via radio, you should:
Use a normal conversational tone of voice
When gathering information from a person in distress, it is most effective for the dispatcher to use which of the following stages?
Use a series of short questions
During interoperable communications, it is imperative that you:
Wait a few seconds before you start speaking
An advance directive is defined as a:
Written document that expresses the wants, needs, and desires of a patient in reference to his or her future medical care.
When caring for any patient, it is important to remember that:
Your moral standards may conflict with the patients best interests.
Patients with decision-making capacity:
have the right to refuse all or part of the emergency medical care offered to them
If a paramedic is on duty and receives a 9-1-1 call in his or her jurisdiction:
he or she is not covered by the Good Samaritan law
