DCSAR EMR CH 1 and 2 Test

A​ 13-year-old female requests that an Emergency Medical Responder treat her broken arm. The parents were​ called, but they have not arrived on the scene yet. The Emergency Medical​ Responder:

implied consent

You and your partner are on the way back to work when you see a child who has been struck by a vehicle and is unresponsive in the road. You begin care for her and call for advanced care to transport her to a nearby emergency department. You know she can be legally transported based​ on:

implied consent

You are called to the scene of a​ 57-year-old that had​ "passed out" in the hallway of his home. On arrival the scene is​ safe, and the patient remains unresponsive. You begin treatment under the concept​ of:

implied consent

Your patient is a​ 26-year-old known diabetic who was found unconscious by a coworker. You may treat this patient on the basis​ of:

implied consent

Continuous quality improvement programs are specifically designed​ to:

make regular improvements to all parts of the EMS system

If a patient is under the influence of drugs or​ alcohol, an Emergency Medical Responder should recognize that he​ is:

not competent to make medical decisions

What is the most basic level of EMS​ certification?

Emergency Medical Responder

The four levels of nationally recognized EMS training​ are:

Emergency Medical​ Responder, Emergency Medical​ Technician, Advanced Emergency Medical​ Technician, and Paramedic

A bystander who provides aid in an emergency in good faith is protected by​ the:

Good Samaritan Act

You are driving in your car and see a crash. You stop to provide care. You are protected​ by:

Good Samaritan law

Calling medical control and obtaining permission to administer a medication is an example​ of:

on-line medical direction

Medical direction obtained by speaking directly with Medical Control is​ called:

on-line medical direction

Rarely, a situation may require an Emergency Medical Responder to contact the Medical Director for guidance during patient care. This is an example​ of:

on-line medical direction

You have received an order over the phone from the Medical Director to administer oxygen to the patient. This would be​ called:

on-line medical direction

Which of the following is NOT an attribute of an EMS​ system?

Law enforcement agencies

The Medical Director is a physician who assumes the ultimate responsibility​ for:

patient care and protocols

Emergency Medical Dispatchers are trained​ to:

provide patient care instructions to 911 callers

Patient confidentiality applies to all of the following situations​ EXCEPT:

relaying concerns of abuse to appropriate authorities

The Emergency Medical Responder acts as a designated agent of​ the:

Medical Director

After an​ incident, the Emergency Medical Responder may legally discuss patient information for all of the following reasons​ EXCEPT:

relaying events to the​ patient's friends and family

The first concern at the scene of an emergency​ is:

scene safety

The first priority of an Emergency Medical Responder should​ be:

scene safety

The procedures that an Emergency Medical Responder can legally provide as care for a patient are​ called:

scope of practice

Written protocols that have been authorized by the Medical Director as guidelines for patient care are an example​ of:

standing orders

You respond to a residence where an elderly woman was found pulseless and apneic. As you begin​ CPR, a family member hands you a DNR that is signed and dated. You​ should:

stop CPR.

Public health systems help​ ensure:

the quality of life and health of the population

Emergency Medical Responders are trained in the care and management of ill and injured patients. An Emergency Medical Responder should not be involved in the process​ of:

traffic control

You respond to a home to care for a​ 6-year-old male. The child is withdrawn and has bruises on his upper arms. The caregiver gives you several slightly different explanations for the​ bruises, none of which seem to make sense. You​ should:

transport the child to the ER and notify the proper authorities that you suspect abuse

You have a patient that stops breathing and has no signs of circulation. You notice a medical alert bracelet indicating the patient is a registered organ donor. You​ should:

treat the patient as you would any other.

An Emergency Medical Responder provides emergency​ care:

until EMTs or paramedics take over care

When moving or lifting a​ patient, you​ should:

use good body mechanics

As an Emergency Medical​ Responder, you are legally required to provide care for​ patients:

whenever you are on duty as an EMR

Your patient has been shot during a domestic dispute. To fully assess the​ patient, you remove her shirt. What should you do with this​ patient's clothing?

Place the clothing in an evidence​ bag, and give it to law enforcement

Which of the following is the responsibility of every Emergency Medical​ Responder?

Staying current with new research

You are on your way home when you see a child fall off her bicycle. You stop to help and find that the child has a deformed right wrist. You call 911 from your cellular phone. Which of the following information might you need to provide to the 911​ dispatcher?

Your exact location

The minimum personal protective equipment that must be worn when caring for a patient​ is:

a pair of gloves

Using spinal restriction on a patient who does not give​ his/her consent for treatment could be classified as any of these​ EXCEPT:

abandonment

A competent adult may refuse​ treatment:

for any reason

A minor is considered legally emancipated in all of the following situations​ EXCEPT:

foster care

Enhanced 911 provides which of the following to the​ dispatcher?

Address or approximate location of the call

An Emergency Medical Responder may choose to alter her care of a patient based on which of the​ following:

Age

An Emergency Medical Responder could be charged with abandonment in which of the following​ situations?

Allowing a Paramedic to take over care and leaving the scene without giving a report

You respond to a motor vehicle crash with your crew and begin providing care to a patient from a different culture. Which of the following can you legally consider when making decisions about the care you​ provide?

Any unique medical needs of the patient

Your crew responds to a distress call and finds a man in cardiac arrest. Several family members are demanding you begin​ CPR, but one family member hands you a piece of paper that proves to be a legal Do Not Resuscitate order. What should you​ do?

Begin​ CPR, and call for medical direction

You and your partner are called to a​ one-vehicle collision. A car has collided with a telephone pole. You arrive on the scene and notice that the police are controlling the traffic and that the power company has turned the power off. You and your partner find a​ 65-year-old male unconscious in the​ driver's seat. He is breathing and has a pulse. You notice a starburst to the​ windshield, and the patient is unrestrained. As your crew is securing spinal​ immobilization, the local Advanced Life Support Crew arrives on scene. You assist the Paramedic and Emergency Medical Technician with securing the patient to the long backboard and into their unit for transport. You give the crew a​ report, and they transport the patient to the hospital while you return to the fire department for resupply. During your assistance in the above​ event, which of the following personnel are NOT recognized levels of​ EMS-trained individuals?

Bystanders

Which of the following skills is within the scope of practice of an Emergency Medical​ Responder?

Controlling severe bleeding

You respond to a​ 67-year-old female who has fallen at home. On arrival the patient is conscious and​ alert, with no respiratory or cardiac compromise. She states she tripped and fell and now has pain in her left hip. She thinks she might have heard a​ "pop" as she hit the floor. She has her neighbor at her side and says it is all right if you​ leave, and the neighbor can get her up and to her favorite chair.​ She's afraid she​ can't afford the ambulance and the​ hospital, and she is sure she is just feeling her age. You know that the ambulance is on its way and should arrive soon. The patient requests that you​ leave, and she tells you that she will get help from her neighbor. You know the ambulance will be there​ soon, and you consider leaving. If you leave without a signed Release of Care​ form, it could be considered that you have​ committed:

abandonment

You are attending an Emergency Medical Responder​ course, and your friend asks​ you, "What are the duties of an Emergency Medical​ Responder?" You know that your​ patient-related duties include all of the following​ EXCEPT:

administering medication to ill and injured persons

During your assessment of an unresponsive​ patient, the patient becomes responsive. He claims that he does not want any care and asks you to leave him alone. You should do all of the following​ EXCEPT:

advise additional resources to return to their station

The personal protective equipment that minimizes contact with infectious bodily fluids​ includes:

all of the above

You have an ethical responsibility​ to:

all of the above

Unlawful physical contact with a patient is​ called:

battery

You respond to a​ 67-year-old female who has fallen at home. On arrival the patient is conscious and​ alert, with no respiratory or cardiac compromise. She states she tripped and fell and now has pain in her left hip. She thinks she might have heard a​ "pop" as she hit the floor. She has her neighbor at her side and says it is all right if you​ leave, and the neighbor can get her up and to her favorite chair.​ She's afraid she​ can't afford the ambulance and the​ hospital, and she is sure she is just feeling her age. You know that the ambulance is on its way and should arrive soon. For you to care for this​ patient, you must get her consent for treatment and transport. If you treat this patient against her​ will, you have​ committed:

battery

Engine 111 is called to a motor vehicle crash. As you​ arrive, you see two cars and two victims walking around. As you approach the two​ victims, they state that they are not injured and do not need your help. You​ should:

carefully document the refusal of care

As an Emergency Medical​ Responder, when you are helping a person you​ should:

communicate honestly and directly

It is the responsibility of an Emergency Medical Responder​ to:

communicate honestly with every patient

You respond to a​ 67-year-old female who has fallen at home. On arrival the patient is conscious and​ alert, with no respiratory or cardiac compromise. She states she tripped and fell and now has pain in her left hip. She thinks she might have heard a​ "pop" as she hit the floor. She has her neighbor at her side and says it is all right if you​ leave, and the neighbor can get her up and to her favorite chair.​ She's afraid she​ can't afford the ambulance and the​ hospital, and she is sure she is just feeling her age. You know that the ambulance is on its way and should arrive soon. You explain to the woman that you feel she may have injured her hip and ask her questions regarding the​ day, date, and time. You are doing this to decide if the patient is able to make an informed decision or if she​ is:

competent

You are caring for a patient who has been involved in a motor vehicle collision. Appropriate personal protective equipment for this patient should​ include:

gloves and eye protection

You respond to a​ 67-year-old female who has fallen at home. On arrival the patient is conscious and​ alert, with no respiratory or cardiac compromise. She states she tripped and fell and now has pain in her left hip. She thinks she might have heard a​ "pop" as she hit the floor. She has her neighbor at her side and says it is all right if you​ leave, and the neighbor can get her up and to her favorite chair.​ She's afraid she​ can't afford the ambulance and the​ hospital, and she is sure she is just feeling her age. You know that the ambulance is on its way and should arrive soon. Following the​ call, one of the neighbors stops you and asks what happened over at that house. You know you cannot speak with the neighbor concerning the​ patient's condition because it would​ breach:

confidentiality

The process of using facts and information to change​ protocols, policies, and procedures for the better is​ called:

continuous quality improvement

Enhanced 911 systems allow the​ caller's information to be received electronically by​ the:

dispatch center

As a paid Emergency Medical​ Responder, while on duty you are expected to provide care according to the standard operating procedures outlined by your department. This is​ called:

duty to act

While working as an Emergency Medical Responder you have a legal responsibility to provide care. This is​ called:

duty to act

To be convicted of negligence an Emergency Medical Responder must be guilty​ of:

duty to​ act, breach of​ duty, damages, and cause.

As a member of the EMS​ team, you have an ethical responsibility​ to:

educate yourself about current standards of care

You and your partner are called to a​ one-vehicle collision. A car has collided with a telephone pole. You arrive on the scene and notice that the police are controlling the traffic and that the power company has turned the power off. You and your partner find a​ 65-year-old male unconscious in the​ driver's seat. He is breathing and has a pulse. You notice a starburst to the​ windshield, and the patient is unrestrained. As your crew is securing spinal​ immobilization, the local Advanced Life Support Crew arrives on scene. You assist the Paramedic and Emergency Medical Technician with securing the patient to the long backboard and into their unit for transport. You give the crew a​ report, and they transport the patient to the hospital while you return to the fire department for resupply. As an Emergency Medical Responder on this​ call, the first responsibility for you and your crew would be​ to:

ensure that it is safe for you and your crew to enter the area

As an Emergency Medical​ Responder, you have to behave in a way that puts your​ patient's needs before your own. This is​ called:

ethical responsibilities

You and your partner are called to a​ one-vehicle collision. A car has collided with a telephone pole. You arrive on the scene and notice that the police are controlling the traffic and that the power company has turned the power off. You and your partner find a​ 65-year-old male unconscious in the​ driver's seat. He is breathing and has a pulse. You notice a starburst to the​ windshield, and the patient is unrestrained. As your crew is securing spinal​ immobilization, the local Advanced Life Support Crew arrives on scene. You assist the Paramedic and Emergency Medical Technician with securing the patient to the long backboard and into their unit for transport. You give the crew a​ report, and they transport the patient to the hospital while you return to the fire department for resupply. Spinal immobilization protocols in your area recently changed because of new research regarding cervical spine injuries. This change in protocol is an example​ of:

evidence-based practices

Your adult patient is adamantly refusing to go to the hospital. You believe she should be transported. You​ should:

explain the risks of​ refusal, then have the patient sign a refusal of care form

You respond to a​ 67-year-old female who has fallen at home. On arrival the patient is conscious and​ alert, with no respiratory or cardiac compromise. She states she tripped and fell and now has pain in her left hip. She thinks she might have heard a​ "pop" as she hit the floor. She has her neighbor at her side and says it is all right if you​ leave, and the neighbor can get her up and to her favorite chair.​ She's afraid she​ can't afford the ambulance and the​ hospital, and she is sure she is just feeling her age. You know that the ambulance is on its way and should arrive soon. After you talk with the​ patient, she decides to allow you to treat her injury and says that she will go in the ambulance to the hospital. This form of consent is known​ as:

expressed consent