EMT Chp 4-

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

Footprints

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

Local legislation

Which of the following is used to help establish an​ EMT's standard of​ care? A. EMT preference B. Local protocols C. Trade journals D. Investigative journalism

Local protocols

At a crime​ scene, which of the following is the first priority of the​ EMT? A. Critiquing the scene B. Patient care and transport C. Evidence preservation D. Working with police

Patient care and transport

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

The​ patient's driver's license

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

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

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

a health care proxy.

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

a violation of professional ethics and possibly a crime.

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. abandoned the patient. C. provided implied consent. D. violated patient confidentiality laws.

abandoned the patient.

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

abandonment.

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. allow him to read the patient care​ report, as that is public information. B. give the patient the information he is​ requesting, as he is the​ patient's son. C. advise him that you can take his information and pass it along to the privacy officer at your​ department, who will contact him with instructions for accessing the information he requests. D. ask to see his​ driver's license to verify last names​ and, if they​ match, give him the information.

advise him that you can take his information and pass it along to the privacy officer at your​ department, who will contact him with instructions for accessing the information he requests.

A patient who called 911 is now refusing transport. You​ should: A. assess the​ patient, advise the patient of the risks of​ refusal, and clearly document everything in the patient care report. B. make sure there is a law enforcement officer to act as a witness on the scene of every patient 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. make sure that there is an immediate family member on scene who can sign as a witness to the refusal.

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

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

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

When a patient 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. minor consent. C. expressed consent. D. informed consent.

implied consent.

You are at the scene of a patient with obvious signs of traumatic death. Your duty as an EMT is to​ notify: A. your EMS chief. B. law enforcement. C. the district​ attorney's office. D. medical direction.

law enforcement.

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. libelous. B. a professional opinion. C. slanderous. D. a confidentiality issue.

libelous.

​Typically, the burden of proof of negligence rests with​ the: A. prosecutor. B. plaintiff. C. defendant. D. respondent.

plaintiff.

Applying the principles of right and wrong to your role as EMT is known​ as: A. beneficence. B. Good Samaritan laws. C. personal beliefs. D. professional ethics.

professional ethics

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

protect individuals who try to help people in emergencies.

The MOST effective protection against a lawsuit is​ to: A. subscribe to a prepaid legal service. B. purchase malpractice insurance. C. have the patient sign a general release. D. provide the best emergency care that you can.

provide the best emergency care that you can.

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. This is the correct answer.B. res ipsa loquitur. C. libel. D. a HIPAA violation.

slander.

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

the scope of practice

The scope of practice is governed​ by: A. the state EMS medical director. B. the National Association of EMTs. C. the state in which the EMT is providing care. D. the National Registry of EMTs.

the state in which the EMT is providing care.

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

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

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

Allergies

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

Blood spatter

How should quality improvement be​ practiced? A. By providing care that​ wouldn't be expected of an EMT with similar training B. By maintaining the standards you would wish to have provided for your family C. By doing what you should​ do, but never talking about how you should do it D. By making patient care and​ well-being a​ priority, without personal sacrifice

By maintaining the standards you would wish to have provided for your family

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

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

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. implied consent. D. abandonment.

expressed consent.

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

providing care in good faith.

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. provide the family with a blank DNR and have them fill it out. B. withhold resuscitation. It is clear the patient is terminally​ ill, and the family is on scene instructing to withhold care. C. 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. D. begin resuscitation and consider establishing online medical direction.

begin resuscitation and consider establishing online medical direction.

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

contact medical direction for a consult.