Ch. 4 Quiz

Which of the following statements regarding a patient refusal is MOST correct? Choose one answer. A. A mentally competent adult has the legal right to refuse EMS care and transport. B. A patient who consumed a few beers will likely be able to refuse EMS treatment. C. Documentation of proposed care is unnecessary if the patient refuses treatment. D. Advice given to a patient who refuses EMS treatment should not be documented.

A. A mentally competent adult has the legal right to refuse EMS care and transport.

A patient's refusal for EMS treatment and/or transport must be: Choose one answer. A. an informed refusal. B. authorized by a judge. C. reported to the police. D. witnessed by a notary.

A. an informed refusal.

You and your partner are attempting to resuscitate a middle-aged female in cardiac arrest. Because of the remote location you are in, you are unable to contact medical control. What should you do? Choose one answer. A. Ask the husband if he wants to continue resuscitation. B. Follow locally established protocols or standing orders. C. Perform CPR only and initiate immediate transport. D. Make continuous attempts to contact medical control.

B. Follow locally established protocols or standing orders.

A 4-year-old boy had an apparent seizure. He is conscious and calm and is sitting on his mother's lap. His father is sitting in a nearby chair. The child's mother suddenly begins crying uncontrollably, which causes the child to start crying. You should: Choose one answer. A. give the child a favorite toy or blanket to hold onto and perform your assessment to the best of your ability. B. consider asking the father to hold the child so you can assess him while your partner tries to calm the mother. C. attempt to calm the child's mother, but avoid separating her from her child because this will increase her anxiety. D. reassure the child's mother that seizures in children are very common and that there is nothing to worry about.

B. consider asking the father to hold the child so you can assess him while your partner tries to calm the mother.

When communicating with a visually impaired patient, you should: Choose one answer. A. expect him or her to have difficulty understanding. B. determine the degree of the patient's impairment. C. recall that most visually impaired patients are blind. D. possess an in-depth knowledge of sign language.

B. determine the degree of the patient's impairment.

You are dispatched to the residence of an Asian family for a child with a high fever. When you assess the child, you note that he has numerous red marks on his back. The child's parents explain that these marks represent coining—a traditional Asian healing practice in which hot coins are rubbed on the back. You should: Choose one answer. A. advise the emergency department physician that you feel as though the child was intentionally abused by his parents. B. document this on your patient care report and advise the emergency department staff of what the child's parents told you. C. advise the child's parents that this is a harmful practice and is considered a form of child abuse in the United States. D. acknowledge and respect this practice as a cultural belief, but advise the child's parents that it has no healing power.

B. document this on your patient care report and advise the emergency department staff of what the child's parents told you.

Communicating with hearing-impaired patients can be facilitated by doing all of the following, EXCEPT: Choose one answer. A. providing pen and paper if the patient prefers to write his or her response. B. elevating the tone of your voice and exaggerating word pronunciation. C. shining a light on your face when you are in a darkened environment. D. placing yourself in a position to ensure that the patient can see your lips.

B. elevating the tone of your voice and exaggerating word pronunciation.

When communicating with an older patient, it is important to remember that: Choose one answer. A. speaking loudly and distinctly will ensure that the patient can hear you. B. most older people think clearly and are capable of answering questions. C. your questions should focus exclusively on the patient's obvious problem. D. hostility and confusion should be presumed to be due to the patient's age.

B. most older people think clearly and are capable of answering questions.

A 60-year-old man complains of chest pain. He is conscious and alert and denies shortness of breath. Which of the following questions would be the MOST appropriate to ask him? Choose one answer. A. "Does the pain in your chest move to either of your arms?" B. "Does the pain in your chest feel like a stabbing sensation?" C. "Do you have any heart problems or take any medications?" D. "Were you exerting yourself when the chest pain began?"

C. "Do you have any heart problems or take any medications?"

While at the scene of a motor vehicle crash, you determine that there are two critically injured patients and that another ambulance is needed. You attempt to contact the dispatcher with your portable radio but are unsuccessful. You should: Choose one answer. A. ask a police officer to call dispatch with his portable radio. B. place both patients in the ambulance and transport at once. C. use the mobile radio in the ambulance to contact dispatch. D. reattempt to contact dispatch from an area of higher terrain.

C. use the mobile radio in the ambulance to contact dispatch.