Chapter 4 Quizzes

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. 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. B. 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. C. obtain a signature of refusal and return to service. D. have law enforcement respond to the scene so that they can witness the refusal.

A

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. a​ patient's right to​ self-determination. B. beneficence. C. avoiding a conflict of interest. D. full disclosure.

A

According to​ HIPAA, in which situation is the EMT NOT allowed to share protected health information about a​ patient? A. A family member pulls the EMT aside at the scene and asks what is going on with the patient. B. The information is required for billing purposes. C. There is a court order compelling the release of information. D. The patient​ consents, in​ writing, for his information to be released to a third party.

A

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

A

EMS is called to a scene where a patient with a terminal illness is experiencing an anaphylactic reaction to peanuts. The family presents the EMS crew with a valid DNR form. The EMS crew​ should: A. provide full treatment to the patient as in any anaphylactic reaction because the DNR is for resuscitation wishes only. B. provide oxygen via​ blow-by and wait on scene to see whether the patient improves. C. transport the patient to the hospital but withhold any treatment during transport. D. withhold all treatment and transport the patient only if the family chooses.

A

For which of the following situations would the EMT NOT be allowed to share protected health information about a​ patient? A. A news reporter pulls you aside and starts to ask you questions about the people involved in a school bus accident. B. The patient​ consents, in​ writing, for his information to be released to a third party. C. There is a court order compelling the release of information. D. The information is required for billing purposes.

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. immunity proclamations. C. advance directives. D. protocols.

A

The document that is MOST often used to cover general health care​ issues, including the use of​ long-term life support​ equipment, is called​ a: A. living will. B. health care proxy. C. modified support order. D. DNR order.

A

To preserve evidence at a crime​ scene, which of the following actions will be most​ helpful? A. Stay in the area where patient care is taking place. B. Use the redial button on the phone to determine whether the patient called 911. C. Cut through​ clothing, leaving no more than three inches from any hole. D. Focus on the patient and pay no attention to the actions of others.

A

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

A

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

A

Who is responsible for overseeing HIPAA issues at an EMS​ agency? A. The privacy officer B. The billing officer C. The​ highest-ranking EMS provider D. The EMS supervisor

A

You are off duty and on your way to the grocery store when you witness a car accident in front of the store entrance. You stop to render assistance and identify yourself as an EMT to the occupants of the vehicles. The patient in the first car denies the need for​ assistance, but the second driver is complaining of neck pain. She tells you that she thinks she will be okay but would like to get checked out. You are in a​ hurry, as you have an appointment and want to get your shopping done first. You​ should: A. stay with the patient until someone with an equal or higher care level of training or certification assumes care. B. assure the patient that EMS is on the way and go shopping. C. leave the patient because she is conscious and alert. D. leave the patient because she has only minor injuries.

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. nonmalfeasance. D. justice.

A

You respond to the scene of an automobile accident where a patient has an obvious fractured femur. You ask your partner to get the traction splint from the ambulance. Your partner returns and tells you there is no traction splint in the ambulance. The EMTs could be guilty​ of: A. negligence. B. tort law. C. ethical oath. D. failure of duty to act.

A

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. advance directive C. health care proxy D. standard of care

B

A patient is suing an EMT for failing to administer oxygen for a heart attack. The patient is alleging that the EMT was negligent. This case would be considered​ a: A. criminal case. B. civil case. C. mediation case. D. adjudication case.

B

An adult​ patient's consent may be obtained through expressed consent​ or: A. directed consent. B. implied consent. C. emergency consent. D. indirect consent.

B

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

B

EMS is called to a cardiac arrest. The family states that the patient does NOT want resuscitative efforts to be made. To withhold​ resuscitation, which of the following valid documents would the EMS crew would need to have supplied to​ them? A. Health care instructions B. DNR order C. Health care designation form D. Vial of life

B

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. negligence. B. abandonment. C. gross negligence. D. violating standard of care.

B

In most​ states, an​ off-duty EMT: A. cannot be guilty of abandonment. B. has no legal obligation to provide care. C. is not allowed to render aid. D. has a duty to act.

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

This is said to occur when care has been initiated and an EMT then leaves a patient without ensuring that the patient has been turned over to someone with an equal or greater level of medical training. A. Proximate cause B. Abandonment C. Negligence D. Duty to act

B

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

B

When you care for a patient at a crime​ scene, you​ should: A. remain by the ambulance and have the patient brought to you. B. remember everything you touch and let law enforcement know. C. put everything back where you found it before you leave. D. have your partner record video of your actions at the scene to protect you.

B

Which of the following does NOT govern the practice of an​ EMT? A. Ethical guidelines B. Social guidelines C. Medical guidelines D. Legal guidelines

B

Which of the following is NOT necessary in attempting to prove​ negligence? A. Duty to act B. Malice C. Breach of duty D. Damages

B

Which of the following is a legal term that is used to describe an obligation to provide emergency care to a​ patient? A. Proximate cause B. Duty to act C. Standard of care D. Advance directive

B

Which of the following terms means​ "in place of the​ parents"? A. Parental transfer B. In loco parentis C. Minor consent D. Quid pro quo

B

You are called to an obviously deceased patient with a stab wound to the lower abdomen. You​ should: A. begin documenting evidence. B. notify law enforcement. C. release the scene to the​ victim's family. D. have dispatch send an EMS supervisor to the scene.

B

You are first on the scene for a patient who has been injured in a motor vehicle collision. The patient has definitive signs of death. You​ should: A. ask fire personnel what to do. B. notify law enforcement. C. begin resuscitation to comfort the family. D. transport the patient to the ED anyway.

B

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. notifying medical direction of the​ patient's organ donor status. C. withholding CPR until the​ patient's donor status is confirmed. D. transporting the patient to facility other than the trauma center to which you are going.

B

You arrive at the scene of a cardiac​ arrest, and your defibrillator has a dead battery. As an​ EMT, you can be charged​ with: A. liable. B. negligence. C. criminally. D. punitive cause.

B

You overhear an EMT talking to your partner about a​ well-known personality whom the other EMT recently treated. This is an example of​ a: A. professional consultation. B. violation of professional ethics. C. duty to act. D. moral decision

B

Your patient has several stab wounds to his anterior torso. You must quickly remove his shirt to access the wounds. The BEST way to remove the shirt from this patient would be​ to: A. cut up both sides of the shirt from the bottom to the sleeves and on each side from the neck down the arms. B. avoid cutting through any holes in the shirt. C. cut straight up the front of the front of the​ shirt, even if it means cutting through a hole in it. D. sit the patient up and pull the shirt over his head.

B

A Good Samaritan law will most likely protect you from a lawsuit​ involving: A. criminal negligence. B. gross negligence. C. care provided in good faith. D. all civil suits related to patient care.

C

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. termination order. B. standard of care. C. do not resuscitate order. D. discontinuation directive.

C

An ambulance company states that its competitor is jumping calls to get all the Medicare money they​ can, doesn't provide​ good-quality care, and never disinfects the insides of its ambulances. This statement could be seen​ as: A. a moral issue. B. an ethical issue. C. slander. D. libel.

C

If a patient feels that he received harmful care by an​ EMT, he would need to prove​ that: A. the injuries were due to gross negligence. B. there was intent to harm. C. the EMT had a duty to act. D. the patient suffered a permanent injury.

C

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

C

To which of the following situations do Good Samaritan laws generally​ apply? A. Emergency care personnel who commit gross negligence B. Only government employees C. Personnel who respond to an emergency when off duty D. Individuals who establish online medical direction

C

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

C

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 you have an emergency call to respond to. B. acceptable actions if someone sees you do them. C. abandonment. D. acceptable actions if the ED is very busy.

C

When confronted with an issue regarding patient consent or restraining a​ patient, if issues are NOT​ clear, which of the following concepts should guide your decision​ making? A. Never transport a patient who does not want to be treated. B. Always transport patients who are making bad decisions. C. Always act in the​ patient's best interest. D. Always assume the least legal risk.

C

Which of the following circumstances should be treated as a potential crime​ scene? A. Death of a terminally ill patient in a nursing home B. Any scene where a child is injured C. Unexplained death of a pediatric patient D. Any scene where an injury occurs

C

Which of the following incidents is the EMT required to​ report? A. Fall injuries B. Accidental trauma C. Child abuse D. Organ donor status

C

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.

C

While on​ duty, you and your partner have just cleared the hospital and are on your way to finally take a lunch break when you see an accident scene. The scene appears​ safe, and you see two people standing outside of their cars. You elect to continue on to lunch without stopping. As​ on-duty EMTs, you could be held liable for violating​ the: A. ethical health law. B. scope of practice. C. duty to act. D. standard of care.

C

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. locate the shooter and restrain him or her. B. ask the patient to identify the person who shot him. C. request law enforcement immediately. D. quickly stabilize and transport the patient.

C

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. use informed consent and tell the patient that since she was​ unconscious, she is not allowed to refuse. C. inform the patient of your concern and try to persuade her to go to the ED and receive treatment. D. leave after having the patient sign the refusal form.

C

You arrive at a residence for a patient who is in cardiac arrest. The patient has a valid DNR but is also an organ donor. Some family members demand that you transport the patient for organ​ donation, and others demand that you not start CPR. You​ should: A. apply the AED but withhold CPR. B. tell the family that they must leave. C. contact medical direction. D. transport the patient immediately.

C

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

C

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. take off work until you can straighten out your family problem and make sure that you are mentally prepared to work. D. tell your partner that you feel better after talking to him and go about your work.

C

Your partner is telling others that you are having sexual relations with another person of the same sex. You are not. You could bring your partner up on charges​ of: A. confidentiality. B. libel. C. slander. D. tort.

C

You are on the scene of a patient who has had a seizure. The patient is now postictal and confused. The​ patient's husband is on scene and states that the patient usually is confused after a seizure and she will eventually come around. He states that he does not want her to be​ transported, as they cannot afford another ED bill. You​ should: A. stay on scene with the patient until she becomes alert and oriented to the point at which she can sign the refusal. B. contact medical direction to have them permit the husband to sign the refusal. C. treat and transport the patient to the ED. D. allow the husband to sign the refusal on behalf of the patient.

C If the patient is not conscious and​ alert/oriented, EMS cannot obtain a refusal. If the husband had the legal authority through documentation to sign on behalf of the​ patient, then he could do so. Waiting on scene for the patient to become alert is not an​ option, as it is unknown how long that would take or whether there is a primary​ problem, other than the​ seizure, for which the EMTs would delay care by waiting.

Among the sources that are used to define the​ EMT's scope of practice is​ the: A. The U.S. Department of​ Transportation's Emergency Response Guidebook. B. The EMT textbook. C. The National Registry of Emergency Medical Technicians certification exam. D. The EMS​ system's medical director.

D

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

D

An EMT who demonstrates ideal conduct when treating patients is displaying​ good: A. clinical judgment. B. critical thinking. C. discipline. D. ethics.

D

An EMT who has a duty to act but does not provide the standard of care may be accused​ of: A. acting outside of his or her scope of practice. B. violating the public trust. C. breaking the Good Samaritan law. D. negligence.

D

Consent for treatment that is assumed from an unconscious patient is​ called: A. expressed consent. B. parental consent. C. applied consent. D. implied consent.

D

EMTs can still be held liable and NOT protected by Good Samaritan laws​ if: A. the patient dies from the injuries. B. their actions demonstrate poor clinical reasoning. C. their actions cause embarrassment for the patient. D. their actions demonstrate gross negligence.

D

Expressed​ consent: A. occurs when you assume that a patient who is unresponsive would consent to​ life-saving emergency care. B. is obtained from a parent or legal guardian. C. is obtained from a law enforcement officer who has placed the patient in custody. D. must be obtained from every​ conscious, mentally competent adult before treatment is started.

D

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. battery. C. breach of faith. D. libel.

D

If they discovered that a seriously injured patient is an organ​ donor, the emergency care providers​ should: A. ignore a DNR order and perform CPR. B. transport the patient to a donor harvesting site. C. confirm with the family that this was the​ patient's decision. D. treat the patient the same as a nondonor.

D

In the absence of a DNR order or​ physician's instructions, the EMT is obligated​ to: A. contact medical control before beginning resuscitation efforts. B. withhold resuscitation efforts until the​ patient's physician is contacted. C. comply with the wishes of the​ patient's family. D. begin full resuscitation immediately.

D

The BEST defense for lawsuits relating to the care that has been provided a patient is​ to: A. always contact​ on-line medical control before providing any care. B. allow the most senior EMT to provide the patient care. C. wait for advanced life support personnel to provide care. D. keep your​ patient's best interests in mind when rendering care.

D

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

D

The obligation of an EMT to provide care is called​ the: A. standard of care. B. scope of practice. C. Good Samaritan law. D. duty to act.

D

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

D

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

D

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

D

When confronted with an issue regarding patient consent or restraining a​ patient, which of the following concepts should guide your decision​ making? A. Always assume the least legal risk. B. Never transport a patient who​ doesn't want to be treated. C. Always transport patients who are making bad decisions. D. Always act in the​ patient's best interest.

D

When determining​ negligence, the jury will consider what another​ ________ EMS provider would do in the same circumstances. A. paid B. professional C. veteran​ full-time D. similarly trained and experienced

D

When you unexpectedly find yourself at a crime​ scene, you should​ immediately: A. request more EMTs to the scene. B. handle it by yourself. C. request fire department personnel. D. request law enforcement.

D

Which of the following acts can lead to criminal as well as civil legal​ action? A. Making false statements about a coworker or patient B. Slander C. Libel D. Sharing protected health information with your friends and family

D

Which of the following situations is the EMT required to​ report? A. A fall injury at a nursing home B. A professional sporting injury C. A motor vehicle accident involving a child D. Suspected child abuse

D

Which of the following would MOST likely be considered evidence at a crime​ scene? A. A compass and protractor B. Ice cream wrappers C. Wall hangings and shadowboxes D. The condition of a​ patient's clothes

D

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

D

Which of the following would MOST likely be considered evidence at a crime​ scene? A. Cleaned clothes B. Towels in a dryer C. New window drapes D. A weapon

D

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

D

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

D

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. tell dispatch that you will be out of service for maintenance. 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. notify dispatch that you are out of service and have your supervisor come to meet you.

D