EMT Chapter 4

In a state requiring EMTs to report​ child, elder, or domestic​ abuse, which of the following situations is the EMT required to​ report? A.A fall injury at a nursing home has resulted in a fractured femur. B.A motor vehicle accident involving a child has left that child unconscious. C.A child appears to have been burned on the arm deliberately. D.A professional sporting injury has left a player with a motor impairment.

A child appears to have been burned on the arm deliberately.

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

Allergies

If the EMT is in doubt as to whether a patient in cardiac arrest should be​ resuscitated, which of the following is the best​ decision? A.Have the​ patient's family put their wishes in writing. B.Withhold resuscitative measures. C.Consult with the​ patient's physician. D.Begin resuscitative measures.

Begin resuscitative measures.

While documenting a​ call, you add a false statement that was made about a local doctor. This could constitute which of the​ following? A.Libel B.Slander C.HIPAA violation D.Degradation of character

Libel

Which of the following statements is true concerning protection by Good Samaritan​ laws? A.An EMT is expected to act as a lay person when providing emergency care off duty. B.The purpose of Good Samaritan laws is to protect people who are trying to help in an emergency.. C.A Good Samaritan law allows an EMT to exceed the scope of​ practice, if​ necessary, when providing emergency care off duty. D.An EMT cannot be sued for negligence if the state in which he works has a Good Samaritan law.

The purpose of Good Samaritan laws is to protect people who are trying to help in an emergency.

Which of the following incidents might the EMT be legally required to report to law​ enforcement? A.Your patient has facial and head injuries and states that her husband beat her with a telephone receiver. B.Your patient is a​ 12-year-old male who fell from his​ bicycle, breaking his left​ arm, and tells you his parents are at work. C.Your patient is an​ 18-year-old college student who has been consuming large amounts of alcohol at a fraternity party. D.You suspect the wife of the patient you are treating for chest pain has been smoking marijuana.

Your patient has facial and head injuries and states that her husband beat her with a telephone receiver.

An EMT called to the scene of a​ multiple-vehicle collision​ has: A.the need to secure expressed consent for care. B.no liability for abandonment. C.a clear duty to act. D.liability for proximate causation.

a clear duty to act.

The person who is legally designated to make healthcare decisions for the patient if the patient is unable to do so is​ called: A.the attorney of record. B.the executor of the estate. C.a patient advocate. D.a healthcare proxy.

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

a violation of professional ethics and possibly a crime.

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.begin resuscitation and consider establishing​ on-line medical direction. B.withhold resuscitation. It is clear the patient is terminally​ ill, and the family is on scene instructing the crew 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 healthcare decisions for the patient. D.provide the family with a blank DNR and have them fill it out.

begin resuscitation and consider establishing​ on-line medical direction.

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.in loco parentis. B.proximate causation. C.implied consent. D.expressed consent.

expressed consent.

You are on the scene of a cardiac arrest. You have already begun resuscitation when family members arrive and present you with a valid DNR order. You​ should: A.follow your local protocols and contact medical direction if unsure how to proceed. B.notify the family that once CPR has been​ initiated, you are required to transport the patient. C.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. D.complete two more rounds of CPR and then check for a pulse. If there is no​ pulse, you should stop resuscitation.

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

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

inform the patient of your concern and try to persuade the patient to go to the ED and receive treatment.

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

law enforcement.

An adult​ patient's consent may be obtained through expressed or implied​ consent, depending on the​ patient's: A.level of consciousness. B.need for emergency intervention. C.understanding of the care. D.assumption of risk.

level of consciousness.

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.negligence. C.libel. D.a HIPAA violation.

libel.

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.slanderous. B.proximate causation. C.libelous. D.res ipsa loquitur.

libelous.

You observe what appears to be elder abuse in a call to a nursing home. You have a​ clear: A.release from liability for negligence in your care. B.implied consent to provide care to any patients at the home. C.legal obligation to report the abuse. D.moral obligation to report the abuse.

moral obligation to report the abuse.

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. You could be guilty​ of: A.negligence. B.abandonment. C.acting outside of your scope of practice. D.a threat to safety.

negligence.

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.transporting the patient to a facility other than the trauma center to which you are going. D.withholding CPR until the​ patient's donor status is confirmed.

notifying medical direction of the​ patient's organ donor status.

A​ 42-year-old patient who is mentally competent has refused care but appears to be experiencing respiratory difficulty. He demands you get into your ambulance and go. You​ should: A.immediately leave the scene. B.plead with the patient to sign a release form. C.remain on the scene and try to persuade the patient to consent to care. D.restrain the patient to provide emergency care.

remain on the scene and try to persuade the patient to consent to care.

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

scope of practice

Even if the Good Samaritan laws in a particular state cover the actions of EMTs as​ rescuers, the EMTs can still be held liable and are NOT protected by these laws​ if: A.their actions demonstrate poor clinical reasoning. B.their actions cause embarrassment for the patient. C.their actions demonstrate gross negligence. D.the patient dies from the injuries.

their actions demonstrate gross negligence.

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

A reporter pulls you aside to ask you questions about the people involved in a school bus accident.

Which of the following situations best illustrates the act of abandonment by the​ EMT? A.An EMT who is off duty sees a motor vehicle collision with probable injuries but does not stop to help. B.The EMT resuscitates a patient who has a DNR order signed by his physician. C.An EMT transports a patient to the emergency​ department, leaves the patient in the waiting​ room, but does not advise the ED staff. D.An EMT begins care of a​ patient, then turns the patient over to a paramedic.

An EMT transports a patient to the emergency​ department, leaves the patient in the waiting​ room, but does not advise the ED staff.

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

Assault

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

Blood spatter

Sharing information about a​ patient's medical history with your neighbor after you hear a call on a radio scanner would constitute which of the​ following? A.Violation of patient privacy B.Breach of confidentiality C.Libel D.Slander

Breach of confidentiality

Your patient is a​ 10-year-old boy who suffered a possible fractured arm while rollerblading at a​ friend's house. Which of the following is the best way to obtain consent for​ treatment? A.Call the​ patient's mother at work. B.Get consent from the​ patient's 15-year-old​ sister, who is at the scene. C.Allow the patient to consent as an emancipated minor. D.Act on implied consent.

Call the​ patient's mother at work.

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 need to have supplied to​ them? A.Patient refusal checklist B.Standard of care C.Living will D.DNR order

DNR order

The​ EMT's obligation to provide care to a patient either as a formal or ethical responsibility is known as which of the​ following? A.Standard of care B.Legal responsibility C.Duty to act D.Scope of practice

Duty to act

You respond to a bus accident with multiple patients. As you arrive at the​ scene, you are approached by a local politician who states that his wife has been involved. He tells you that if you will take care of her​ first, he will ensure that you get the promotion you are up for. This becomes what type of decision for you as an​ EMT? A.Legal C.Financial D.Medical

Ethical

Which type of consent must be used by the EMT when seeking to treat a mentally competent​ adult? A.Expressed consent B.Implied consent C.Conscious consent D.Unconditional consent

Expressed consent

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

Fingerprints

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

Footprints

You are on the scene with a​ 72-year-old male patient with chest pain. The patient is complaining of shortness of breath but also refuses to go to the​ hospital, even after multiple attempts urging him to go. Which of the following should you do​ next? A.Contact medical direction for orders to restrain the patient. B.Fully inform the patient about his situation and the implications of refusing care. C.Inform the patient that he is having a​ "heart attack" and must be taken to the hospital for evaluation. D.Stay with the patient until he loses consciousness.

Fully inform the patient about his situation and the implications of refusing care.

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.advance directives. B.protocols. C.Good Samaritan laws. D.immunity proclamations.

Good Samaritan laws.

Which of the following has specific requirements for​ storing, accessing, and sharing patient​ information? A.DNR B.HIAPA C.POLST D.HIPAA

HIPAA

Which of the following information may be important to law enforcement officers investigating a crime​ scene? A.Your experience as an EMT B.What route you took when responding to the scene C.How you gained access to the scene D.Your opinion of what happened before you arrived on scene

How you gained access to the scene

Your patient is a​ 40-year-old known diabetic who was found unconscious at work by a coworker. What type of consent allows you to treat this​ patient? A.Implied consent B.Consent for mentally incompetent adults C.Consent for treatment of minor emergencies D.Expressed consent

Implied consent

In a​ kindergarten, the teachers can give consent for EMT care of their students. Which form of consent applies​ here? A.In loco parentis B.Parental consent C.Informed consent D.Expressed consent

In loco parentis

You respond to a middle school for a​ 12-year-old male patient who has been hit by a car. You get consent to treat the patient from the school principal. What concept allows the principal to speak for the​ parents? A.In loco parentis B.Healthcare proxy C.Res ipsa loquitur D.Informed consent

In loco parentis

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

Local legislation

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

Making patient care and the​ patient's well-being a priority

You respond to the report of an unconscious female patient. You can acquire important medical information about the patient through which of the​ following? A.Driver's license B.Medical history identifier C.On-call Medical Director D.Medical identification device

Medical identification device

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

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

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

Patient care and transport

You arrive on the scene of a​ 55-year-old male patient. The​ patient's wife called 911 because he is having chest pains. The patient is very angry with his wife for calling 911 because he states he only has heartburn and adamantly refuses any treatment or transport. After signing the patient refusal​ form, the patient collapses and goes into sudden cardiac arrest. The wife is crying uncontrollably and begging you to do something. What should you​ do? A.Provide emergency care under implied consent. B.Provide emergency care for the patient only if his wife signs a document stating they will not sue the EMS service. C.Explain to the wife that her husband signed a legal document refusing​ care, and if you intervened to help him​ now, you would be breaking the law. D.Respect his legal right to not have any​ treatment, regardless of how much the wife begs you to help.

Provide emergency care under implied consent.

Which of the following is the​ EMT's primary responsibility at a secured crime​ scene? A.Identifying any potential suspects encountered at the scene B.Providing patient care C.Taking notes that may be needed during court testimony D.Preserving evidence

Providing patient care

The administration of oxygen and the application of spinal immobilization are part of which of the following for the​ EMT? A.Standard of care B.Expressed consent C.Scope of practice D.Duty to act

Scope of practice

Which of the following is concerned generally with what you can​ do, as opposed to what you should do and how you should do​ it? A.Standard of care B.Scope of practice C.Scope of practice and standard of care D.Quality improvement

Scope of practice

Which of the following refers to the set of regulations that defines the legal actions expected of and limitations placed on the​ EMT? A.Legal standards of practice B.Scope of practice C.Professional standards D.Protocols and standing orders

Scope of practice

Which of the following refers to the care that would be expected to be provided by an EMT with similar training when caring for a patient in a similar​ situation? A.Professional standards B.Protocols and standing orders C.Standard of care D.Scope of practice

Standard of care

An​ off-duty EMT is driving down the road when she sees a major vehicle accident. There are no Emergency Medical Responders on the scene yet. There are only Good Samaritans. The EMT is late for a​ doctor's appointment, so she decides that she will not stop and help. The driver of the vehicle dies before help arrives. One of the Good Samaritans notices her EMT license plates and writes them down as she passes by. The Good Samaritan is angry that the EMT did not stop and help and tries to get the EMT fired for not helping. Which of the following statements is true​? A.The EMT is negligent for not stopping and helping. B.The EMT is negligent because the patient died. C.The EMT is not negligent because she did not have a duty to act. D.The EMT is not negligent because she had a​ doctor's appointment.

The EMT is not negligent because she did not have a duty to act.

Two EMTs respond to the scene of a syncopal episode. They evaluate a​ 50-year-old male patient who passed out and cut his upper lip. The EMTs examine the patient and his vital signs are normal. The EMTs talk the patient out of an expensive ambulance ride and suggest he will save money by driving himself to the urgent care clinic for stitches for his lip rather than waiting all night in the emergency department as a nonemergency patient. The patient signs the EMS refusal form. The patient decides to see his own doctor the next morning but dies at his house from sudden cardiac arrest an hour later. Which of the following statements is​ true? A.The EMTs are not negligent because the EMTs have no control over the​ patient's medical condition. B.The EMTs are not negligent because the patient signed the refusal form. C.The EMTs are negligent because the patient died. D.The EMTs are negligent because there was proximate causation.

The EMTs are negligent because there was proximate causation.

Which of the following is not required to prove a claim of negligence against an​ EMT? A.The EMT failed to act according to the standard of care. B.The EMT had a duty to act. C.The patient was in fear of bodily harm at the time of the incident. D.Proximate causation existed.

The patient was in fear of bodily harm at the time of the incident.

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 patient is bleeding from a wrist laceration. C.The police have secured the scene. D.The police want to interview the patient.

The police want to interview the patient.

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

The position in which the patient is found

In which of the following situations is it legal to share information about treatment you provided to a​ patient? A.The triage nurse at the emergency department asks about the care you provided to the patient. B.The​ patient's lawyer requests the information over the phone. C.You are asked by a coworker who knows the patient. D.The patient gives verbal consent to release information to a friend.

The triage nurse at the emergency department asks about the care you provided to the patient.

In which of the following situations should an EMT withhold resuscitative measures from a patient in cardiac​ arrest? A.The​ EMT's religious beliefs permit withholding resuscitation. B.Family members request that nothing be done. C.The​ patient's caregiver presents a DNR order signed by the patient and his physician. D.The​ patient's caregiver believes the patient would not want resuscitative measures

The​ patient's caregiver presents a DNR order signed by the patient and his physician.

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

The​ patient's driver's license

Your patient is a​ 45-year-old man who is suffering from chest pain. Upon​ arrival, the patient is​ pale, sweaty, and seems short of breath. The patient is angry with his daughter for calling 911 and refuses transport. He says that he had some spicy sausage for breakfast and has indigestion. Which of the following is an appropriate means of getting the patient the care he​ needs? A.Tell the patient that his chest pain is most likely caused by his​ diet, have him take an antacid and go to bed. B.Ask the​ patient's daughter for the number of another family member you can call to convince him to consent to care. C.Try to find out why the patient does not want to go to the hospital. D.Inform the patient that if he does not agree to​ treatment, you will have to take him against his will because he has a potentially​ life-threatening problem

Try to find out why the patient does not want to go to the hospital

While treating a patient involved in a shooting at the​ patient's vacation​ home, which of the following actions will NOT interfere with the investigation of a crime​ scene? A.Using the bathroom B.Moving the patient C.Using the​ patient's phone D.Wearing gloves at the scene

Wearing gloves at the scene

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

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

You are treating an elderly male patient in the back of your ambulance. En​ route, the patient becomes unresponsive. Upon​ arrival, the ED nurse asks you several questions about his condition. What should you​ do? A.You should not disclose the information to the nurse because it is protected confidential​ information, and the patient did not sign a release authorizing you to discuss his condition. B.You should answer her questions because you may legally share the​ patient's medical condition with other pertinent health care providers. C.You should not disclose the information because HIPAA laws only allow you to provide the information to the emergency department physician. D.You should disclose the​ information, as it is not protected by law.

You should answer her questions because you may legally share the​ patient's medical condition with other pertinent health care providers.

You are providing care to a​ 54-year-old male patient complaining of chest pain. The patient asks to speak to you privately. He tells you he is taking Cialis® for erectile dysfunction and his wife does not know he is taking it. He does not want his wife to find out. As you are putting the EMS bags back in the​ ambulance, the wife corners you and insists that you tell her what her husband said. What should you​ do? A.You should tell her. He may be having an affair without her​ knowledge, and she needs to be tested for sexually transmitted diseases. B.You should not tell her. By​ law, your conversation with your patient is confidential. C.You should not tell her. There is no reason to humiliate your patient by disclosing his embarrassing condition. D.You should tell her. As his​ spouse, she is legally entitled to know his medical information.

You should not tell her. By​ law, your conversation with your patient is confidential.

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.violated patient confidentiality laws. D.acted on an assumption of implied consent.

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

abandonment.

Wheeling a​ non-emergency patient into the hospital emergency​ department, placing him in a​ bed, and leaving without transferring care directly to ED staff​ constitutes: A.acceptable actions if someone sees you do them. B.abandonment. C.acceptable actions if you have an emergency call to respond to. D.acceptable actions if the ED is very busy.

abandonment.

A legal document allowing the healthcare provider to withhold resuscitation from a chronically or terminally ill patient is known as​ a(n): A.advance directive. B.termination of resuscitation. C.healthcare proxy. D.standard of care.

advance directive.

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

advance directives.

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​ patient-specific information only with individuals with whom it is medically necessary to do so. C.allows you to discuss specific patient information with other personnel at the station. D.requires you to obtain the​ patient's signature acknowledging receipt of your​ agency's privacy policy before you perform any patient interventions.

allows you to discuss​ patient-specific information only with individuals with whom it is medically necessary to do so.

A patient who called 911 is now refusing transport. You​ should: A.make sure there is a law enforcement officer to act as a witness on the scene of every patient refusal. B.direct the patient to contact the​ patient's primary care physician for instructions on whether or not to go to the hospital. C.assess the​ patient, advise the patient of the risks of​ refusal, and clearly document everything in the patient care report. 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.

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.avoid cutting through holes in clothing that might have been caused by bullets or stabbing.

avoid cutting through holes in clothing that might have been caused by bullets or stabbing.

A​ 13-year-old patient involved in a collision who appears to be under the influence of drugs refuses care. Regarding the issue of providing care to this​ patient, you must consider that this​ patient: A.can't legally refuse care. B.should be reported to the police. C.should sign a release form. D.has legally refused care.

can't legally refuse care.

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.civil case. B.mediation case. C.adjudication case. D.criminal case.

civil case.

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

contact medical direction for a consult.

A legal document usually signed by the patient and the​ patient's physician stating that the patient has a terminal illness and does not wish to prolong life through resuscitative efforts is​ a: A.Physician's Order for​ Life-Sustaining Treatment. B.do not resuscitate order. C.standard of care. D.refusal of care release form.

do not resuscitate order.

You explain a risky procedure to a patient. He​ says, "As long as​ it's guaranteed to​ work, you can do​ it." You​ should: A.decide not to use the procedure. B.consult medical direction. C.explain that a risky procedure is not guaranteed. D.begin the procedure.

explain that a risky procedure is not guaranteed.

You and your partner have arrived on the scene of a person injured as a result of a gunshot wound during a burglary. When police later arrive and secure the​ scene, one of the police tells you to file a complete report describing what you saw when you arrived on​ scene, as required by law in your area. You​ should: A.file a report that leaves out any detail you consider confidential for that patient. B.refuse to file any​ report, citing patient confidentiality. C.file a report in which you explain in detail why you believe a crime was committed. D.file the report and leave out no details.

file the report and leave out no details.

The concept of res ipsa loquitur would be MOST relevant to a situation​ involving: A.EMTs remaining with a patient who had refused care. B.EMTs explaining the consequences of refusing care to a patient. C.EMTs providing care to an unconscious patient. D.harm to a patient in the care of EMTs.

harm to a patient in the care of EMTs.

An EMT is off duty and near a patient in a restaurant who appears to suffer a choking​ episode, but another person in the​ patient's group helps dislodge the obstruction so that the patient can begin breathing normally. The EMT provides no care to this patient. In most​ states, this​ EMT: A.is not allowed to render aid if off duty. B.has a duty to act even if off duty. C.is guilty of abandonment. D.has no legal obligation to provide care.

has no legal obligation to provide care.

A patient appears to be in the midst of a psychotic episode and 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.informed consent. C.involuntary transportation. D.expressed consent.

implied consent.

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.scope of practice. B.in loco parentis. C.informed consent. D.implied consent.

informed consent.

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. This form is intended to release you​ from: A.the responsibility to stay on the scene. B.the need to provide any care for this patient at any time. C.liability for not providing care. D.properly informing the patient of the consequences of refusing care.

liability for not providing care.

If an EMT were to release information about how intoxicated a patient was onto a social networking​ site, this could be​ considered: A.libel. B.slander. C.breach of faith. D.battery.

libel.

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

negligence.

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 your partner to go get some rest before you get a call. B.tell dispatch that you will be out of service for maintenance. 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.

notify dispatch that you are out of service and have your supervisor come to meet you.

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

protect individuals who try to help people in emergencies.

A suicidal​ 14-year-old who has critically injured herself is trying to get you to withhold care. She is screaming that she wants to die and that you should not touch her or come near her. You​ should: A.wait for the girl to change her mind or lose consciousness. B.provide the care she needs. C.inform medical direction that you will withhold care. D.call her parents.

provide the care she needs.

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

providing care in good faith.

Ethical​ considerations: A.are the sole consideration of the scope of practice. B.relate primarily to making patient care and​ well-being a priority. C.fall outside the scope of practice. D.are less important than following regulations.

relate primarily to making patient care and​ well-being a priority.

A photo of a pair of EMTs on a call shows them laughing and looking casual and relaxed a few feet away from a patient in apparent distress. This would most likely be used to​ demonstrate: A.res ipsa loquitur. B.proximate causation. C.a patient refusal situation. D.abandonment.

res ipsa loquitur.

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

scope of practice.

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. B.a HIPAA violation. C.libel. D.res ipsa loquitur.

slander.

Quality improvement relates primarily​ to: A.scope of practice. B.the limits of the EMT job. C.standard of care. D.state-by-state regulations

standard of care.

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.protocol. B.standard of care. C.duty to act. D.scope of practice.

standard of care.

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 has only minor injuries. D.leave the​ patient, because she is conscious and alert.

stay with the patient until someone with an equal or higher care level of training or certification assumes care.

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.tell your partner that you feel better after talking to​ him, and go about your work. B.inform your partner that your​ well-being is not his concern. C.recognize that talking about your problems at work is unprofessional and distracts your fellow EMTs. D.take off work until you can straighten out your family problem and make sure that you are mentally prepared to work.

take off work until you can straighten out your family problem and make sure that you are mentally prepared to work.

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 that he wants to know the details of the run. You​ should: A.ask to see his​ driver's license to verify last names​ and, if they​ match, give him the information. B.allow him to read the patient care​ report, as that is public information. C.tell him that you can pass his contact information along to the privacy officer at your department. D.give the patient the information he is​ requesting, as he is the​ patient's son.

tell him that you can pass his contact information along to the privacy officer at your department.

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

the scope of practice.

If emergency care providers discover that a seriously injured patient is an organ​ donor, they​ should: A.confirm with the family that this was the​ patient's decision. B.ignore a DNR order and perform CPR. C.treat the patient the same as a non-donor. D.treat the patient as having given prior expressed consent for all emergency care.

treat the patient the same as a non-donor.

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

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

You have not breached a​ patient's confidentiality​ if: A.you talked about that​ patient's medical issues when off duty only with your spouse. B.you shared a funny item from a​ patient's medical history with a colleague. C.you shared information specific to that patient with family and friends. D.you only shared information specific to that patient when medically necessary.

you only shared information specific to that patient when medically necessary.