Ems Ch 15: Chapter Test

Which part of the following transmissions refers to the patient complaint? "St. Luke Hospital, this is Community ALS1 Ambulance 12 route to your location with a twenty-minute ETA. We are transporting a fifty seven-year-old male patient who says his chest hurts."

"who says his chest hurts"

Medical direction has requested that you administer 70 grams of activated charcoal to an overdose patient. Which of the following should you do next?

Repeat the order back to the physician to make sure you understand correctly

Which of the following does NOT need to be documented regarding a patient refusal of​ treatment?

Any insulting remarks the patient made to you

Why is it important to not give the name or Social Security number of your patient over the ambulance radio when contacting medical​ control?

Anything said over the radio can be heard by the public on a scanner

After giving your radio report in route to the hospital, you should:

Continue with the reassessment of the patient in route to the hospital

Which of the following is the correct manner for noting an error on a patient care report?

Draw a single line through the error and initial it

You are treating a patient with a possible fractured ankle. The patient appears to be in a lot of pain and is uneasy. As you are getting ready to splint the​ patient's leg, he asks you if it is going to hurt. Which of the following is the BEST​ response?

​"I will do my​ best, but it may hurt while we put the splint​ on."

Which of the following agencies assigns and licenses radio frequencies?

Federal communications commission

The Health Insurance Portability and Accountability Act​ (HIPAA) requires ambulance services to do all of the following except​:

Report child abuse

What is the best way to communicate with a young pediatric​ patient?

Sit at the level of the​ child, if​ possible, and always be honest.

Painting a picture of the patient in words involves

Giving the details pertinent to a patient's condition clearly and concisely

Which of the following should be placed in quotes in the patient care​ report?

Chief complaint

Which of the following best describes a repeater?

A device that receives and amplifies a signal that must be carried over long distances

On a triage tag, you would NOT include:

A narrative description of the call

Which of the following BEST describes a base​ station?

A two way radio at a fixed site

Which of the following is NOT part of a medical radio​ report?

Address at which the patient was located

Which of the following is NOT an appropriate way of dealing with a patient who does not speak the same language as you​ do?

Avoid communicating with the patient so there is no misunderstanding of your intentions.

Which of the following BEST describes a portable​ radio?

A​ two-way radio that can be carried on a belt clip

Which of the following BEST describes a mobile​ radio?

A​ two-way radio that is mounted in a vehicle

An objective statement made in a prehospital patient care report meets all of the following criteria except which​ one?

Biased

Which of the following information on a patient care report is NOT considered run​ data?

Chief complaint

You suspect that a 6-year-old female patient with multiple bruises and broken wrist was abused. The stepmother states the patient fell down the stairs. The patient is crying and sheepishly nods in agreement with the stepmother's statements. How should you document the situation and the patient report?

Document any pertinent information that was said by the stepmother and child exactly in quotations

You are on the scene of an unresponsive adult female patient. You find an empty pill bottle lying next to her bed. You look up the medication in your field guide and discover the medication is a powerful sedative. The prescription on the bottle is for the​ patient's husband, who is not present to answer questions about the medication. What should you​ do?

Document the empty pill bottle. It may provide important clues to the​ patient's condition.

Falsification of a documentation is:

Documenting two sets of vitals signs when you took one

You are attempting to place a nonrebreather mask on a patient who is experiencing difficulty breathing. The patient is anxious and does not want the mask on his face. Which of the following is the BEST course of​ action?

Explain the importance of oxygen and ask the patient to at least try to leave the mask​ on, but that if he​ can't tolerate it you can try another method.

Which of the following statements regarding eye contact with a patient is NOT​ true?

Eye contact is always appropriate.

Which of the following pieces of legislation applies to use of information on a patient care​ report?

HIPAA​ (Health Insurance Portability and Accountability​ Act)

Which of the following should NOT be included in a patient care​ report?

Radio codes

After arriving at the assigned location for a call, you NEXT would?

Inform dispatch of your arrival at the assigned location

Which of the following LEAST describes the importance of effective communication of patient information in the verbal report?

It is a standard part of calls involving transferred to a hospital

Confidential patient information is protected so that

It is distributed only to properly authorized person

Patient data includes all of all of the following EXCEPT the:

Levels of unit personal certification

You have an urgent transmission you need to make to the dispatch center. Which of the following is the appropriate way to communicate​ this?

Listen to the frequency first to avoid stepping on another transmission.

You are treating a​ 32-year-old man who is deaf. You need to find out why he called for an ambulance. What is the BEST way to communicate with this​ patient?

Make sure the patient can see your lips when you speak.

What is the typical order of events?

Radio communication, verbal transfer of care report, prehospital care report

Your elderly male patient tells you his name is Joe Smith. Which of the following is the BEST way to address​ him?

Mr. Smith

In which of the following circumstances is a fully documented patient care report NOT necessary?

Multiple patients come from an office building evacuation

Which of the following is NOT appropriate for inclusion in the radio report to the receiving​ hospital?

Name of the​ patient's health insurance provider

The portion of the prehospital care report in which the EMT writes his description of the​ patient's presentation, assessment​ findings, treatment, and transport information, including both subjective and objective information, is called the:

Narrative

Which of the following is the MOST important possible consequence of using medical terminology about which you are unsure of the meaning incorrectly in your patient care report?

Negative impact on patient care

You are transporting a city councilman to the hospital after he injured his shoulder playing basketball at his gym. His left shoulder is​ swollen, deformed, and bruised. There is pain and tingling when the patient attempts to use his hand. He has a pulse of 92 per​ minute, a respiratory rate of 20 per​ minute, and a blood pressure of​ 132/88 mmHg. Which of the following should NOT be included in the radio​ report?

Notification that extra security is needed for a VIP

Which of the following is the MOST common situation in which an EMT may be liable?

Patient refusal of treatment and transport

Which of the following is NOT appropriate to document on your patient care​ report?

Patient's attitude

During your radio report to the​ hospital, which of the following pieces of information should NOT be​ relayed?

Patient's name

Which of the following is NOT an objective element of documented patient information?

Patients complaint of nausea

You are responding to a nursing home for an​ 85-year-old patient complaining of difficulty breathing. How would you initiate contact with this​ patient?

Place yourself at​ eye-level, identify​ yourself, and ask the patient what she would like to be called.

You have received an order from medical direction that you feel would be detrimental to your patient. Which of the following should you​ do?

Politely question the physician

You are in route to the hospital with a​ 22-year-old male patient who has suffered a very embarrassing injury to his genitalia. Which method of contacting the receiving facility will afford the patient the MOST​ privacy?

Providing the receiving hospital with all information via a cell phone

Which of the following BEST describes the position you should take when dealing with a cooperative patient who is sitting in a​ chair?

Sit or kneel at the same level as the patient.

Which of the following is NOT considered a principle of proper radio usage in​ EMS?

Speak as quickly as possible.

You have responded to a call at a government office building. One of the office workers became very upset during a fire drill and experienced an episode of difficulty breathing. As your partner is speaking with the patient, who is not sure she wants to be transported, an individual wearing civilian clothes approaches you and states she is a security guard in the building. She asks you for the "yellow copy" of your patient care report. Which of the following should you do?

State that you are unable to comply with the request due to patient confidentiality

Which of the following should be documented as subjective patient​ information?

Symptoms

While on the scene with an elderly chest pain​ call, you notice that your partner gets on one knee when talking to the seated patient. What is the best reason for an EMT to kneel down beside the​ patient?

The EMT does not want to appear threatening or intimidating to the patient.

Why is it important that your radio report to the receiving facility be concise?

The emergency department needs to know quickly and accurately the patient's condition

Two EMTs are​ on-scene of a behavioral call at a psychiatric facility. The medical personnel state that the patient had a psychotic episode and slashed his wrists. During the​ call, the patient claims to hear the voice of God and says that the voice is hurting his ears. The patient refuses to be transported to the emergency​ department, becomes​ combative, and bites one of the EMTs. Which of the following should NOT be documented on the EMS​ report?

The fact that the EMT had an exposure incident

When giving a radio report to the​ hospital, which of the following would be the first​ patient-specific information​ provided?

The patient is a 55 year old male

Which of the following can be correctly noted as a chief​ complaint?

The patient stated that she felt sick.

Which of the following is NOT an appropriate statement for the EMT to make on a patient care​ report?

The patient was having an asthma attack.

What statement regarding verbal reports at transfer of care is MOST accurate?

The verbal report summarizes the radio report while communicating new or changed information

Which of the following is part of the minimum data set developed by the National Highway Traffic Safety Administration​ (NHTSA) for purposes of data collection in conducting​ research?

Time of arrival at the​ patient's location

You are on a call of a minor vehicle accident. Your patient is a​ 22-year-old male who was the driver of a moderate​ T-Bone collision. The patient was not wearing a seat belt and there was spidering of the windshield. The patient complains of neck pain and has a scalp laceration. After performing the primary​ assessment, you take vital signs and bandage the​ patient's scalp. When you tell him you need to backboard​ him, he refuses care and ambulance transport. Because the person is alert and oriented to​ time, place, and​ person, you have the patient sign the separate patient refusal form provided by your service. How should you document this incident in your EMS​ report?

You should document everything including all patient care, all of your attempts to persuade the patient to go by ambulance, and who witnessed the patient refusal