Medic School Review Chapter 1-5

Which of the following questions is the MOST effective when inquiring about a patient's chest pain?

"Can you describe the pain to me?"

Which of the following is NOT an example of an open-ended question?

"Does the pain radiate to your arm or jaw?"

If the wife of a critically ill man asks you if her husband is going to die, the MOST appropriate response should be

"He is very sick, but we are doing everything we can to help him."

You are transporting a 60-year-old man with pancreatic cancer to the local cancer therapy center for his radiation treatment. The man is clearly depressed. Which of the following questions or statements would be MOST appropriate for you to make?

"If there's anything worrying you, I'd be glad to listen."

When a patient thanks you, your MOST appropriate response should be:

"You're welcome."

Which of the following is an example of secondary injury prevention?

Administering oxygen to a patient with a closed head injury

Which of the following is the BEST example of a teachable moment?

Advising the unrestrained passenger with minor injuries following a motor vehicle accident that she easily could have been killed

What is the recommended exercise routine for most adults?

At least 30 minutes a day of moderate to vigorous exercise

In which order do MOST people progress through the stages of grieving?

Denial, anger, bargaining, depression, acceptance

Which of the following is NOT an early warning sign of stress?

Dry, irritated skin

Which aspect of the HIPAA is MOST pertinent to the paramedic?

Ensuring that the patient's privacy is protected

Which of the following statements regarding TB is correct?

It is one of the most common diseases contracted by breathing in germs

Which of the following is an example of slander?

Telling the receiving facility that a patient is drunk, verbally intentionally hurting someones name

Which of the following patient data is NOT typically communicated during your radio report to the hospital?

The patient's ethnicity

Which of the following statements regarding unintentional injuries and death is correct?

They do not involve premeditation

Which of the following results in the MOST years of potential life lost?

Unintentional injury

Which of the following words would be the MOST difficult to hear over the radio?

Yes

Common factors that contribute to childhood injuries in the home include all of the following, EXCEPT:

a lack of sibling supervision

Children are at higher risk for serious injury than adults because of:

a proportionately larger head

If a patient with a possible heart attack asks you if he or she is going to die, you should:

acknowledge the seriousness of the situation without taking away all hope

Repeating the key parts of a patient's responses to your questions demonstrates

active listening

A 17-year-old woman presents with acute abdominal pain while at a party with her husband. You arrive at the scene, assess the patient, and advise her of the need for EMS treatment and transport. However, the patient, who is conscious and alert, refuses EMS treatment and transport and states that her husband will transport her in his car. You should:

advise her of the potential risks of refusing EMS treatment and transport

You deliver a 61-year-old man with abdominal pain to a busy emergency department. A staff nurse instructs you to take the patient to the triage area where he will be tended to later. She further tells you that after you leave a copy of your patient care report with the clerk, you are free to leave. You should:

advise the nurse that you will remain with the patient until the nurse has taken your verbal report and properly assumed care of the patient

A critical incident is MOST accurately defined as

an incident that overwhelms the ability of an EMS worker or system to cope with the experience, either at the scene or later

Standard precautions differ from universal precautions in that standard precautions:

are designed to approach all body fluids as being potentially infectious

You arrive at the scene of a shooting. The patient, a 19-year-old man, has a gunshot wound to the side of his head with a large amount of exposed brain matter. Further assessment reveals that the patient is apneic and pulseless. Law enforcement personnel advise you that the person who shot the patient is in their custody. You should:

avoid unnecessary contact with the patient and document the findings of your visual assessment of the patient and scene.

While caring for a conscious and alert 49-year-old man with a suspected myocardial infarction, you start an IV prior to obtaining the patient's consent. This action constitutes:

battery, acutally touching patient and assult is talking about hitting them

As a paramedic, your priority is to:

be prepared to respond to and treat injuries that inevitably will occur

Prolonged or excessive stress has been proven to be a strong contributor to

bipolar disorder

Abandonment occurs when:

care of a patient was terminated without his or her consent

Scope of practice is defined as

care that a paramedic is permitted to perform under the certifying state.

When dealing with a grieving child, it is important to remember that:

children 9 to 12 years of age may want to know details of the incident.

Burnout is a consequence of:

chronic, unrelieved stress

When focusing on childhood injury prevention, the highest priorities are assigned to those injuries that are:

common, severe, and readily preventable

For the EMS provider, the process of collecting and analyzing data regarding injury prevention begins with

completing a legible prehospital care report

The FIRST step in developing an injury prevention program is to:

conduct a community assessment

A patient who subconsciously converts his or her anxiety into a bodily dysfunction is experiencing:

conversion hysteria

The BEST teachable moments are those that:

convey positive reinforcement

An effective injury prevention program should focus on all of the following data, EXCEPT:

current EMS call volumes

The fight-or-flight response is characterized by all of the following physiologic responses, EXCEPT:

decreased sympathetic tone and pupil constriction

Negative or injurious stress is also called:

distress

According to the 2010 Dietary Guidelines, the keys to controlling body weight include:

eating fewer calories while increasing physical activity

The purpose of a closed-ended question is to:

elicit a specific response from the patient

The Good Samaritan law was originally passed in order to

encourage the public to help at emergency scenes

Before asking a patient to sign a refusal form, the paramedic must

ensure the patient is aware of the risks of his or her refusal

The kind of stress that motivates an individual to achieve is called:

eustress

Maintaining eye contact with a patient enables the paramedic to:

evaluate the patient's neurologic status

Interpersonal communication is MOST accurately defined as the

exchange of information between two or more persons

When caring for a confused elderly patient, it is MOST important for the paramedic to:

explain what he or she is doing at all times

A patient who rolls up his or her sleeve so that you can take his or her blood pressure has given you __________ consent. Choose one answer.

expressed

Statements such as, "Please say more," or, "Please feel welcome to tell me about that," are examples of:

facilitation

Transporting a competent adult patient without his or her consent would MOST likely result in allegations of:

false imprisonment

In general, paramedics who do not experience burnout are those who:

have learned to value and respect themselves

"Everyday" calls are the most dangerous kinds of calls the paramedic will run because:

he or she becomes naturally comfortable with them

The leading cause of death in the United States is:

heart disease

The term "frequency," as it applies to radio communications, is MOST accurately defined as:

how frequently a radio wave recurs in a given time

When relaying medical information to a physician in person, you should:

include information that you did not provide during your radio report

Cellular telephones are more advantageous than regular two-way radios in that cellular telephones:

incorporate GPS technology to help rescuers find the patient

The ongoing, systematic collection, analysis, and interpretation of injury data essential to the planning, implementation, and evaluation of public health practice is called:

injury surveillance

Signs and symptoms of cumulative stress include:

insomnia or hypersomnia

A formal critical incident stress debriefing (CISD):

is usually coordinated by one or more professional counselors 24 to 72 hours after an incident that is causing persistent symptoms in personnel

If you are approached by a coworker who has noticed a negative change in your behavior, you should:

keep an open mind regarding what the coworker has noticed

In contrast to secondary prevention, primary prevention focuses on

keeping an injury from occurring in the first place

Most unintentional injuries are the result of

motor vehicle accidents

The leading cause of death from injury is:

motor vehicle traffic incidents

When functioning at a noisy scene, communication will be MOST effective if you:

move the patient to the ambulance as soon as you can

In order for the paramedic to talk and transmit an ECG simultaneously on one frequency, a __________ system is required

multiplex

EMS providers can be MOST effective in helping reduce the incidence of suicide, domestic violence, and child abuse by

noting risk factors at the scene and reporting data

Patient autonomy is MOST accurately defined as the:

patient's right to direct his or her own care and to decide how end-of-life care should be provided.

A paramedic who was trained and certified to perform a surgical cricothyrotomy successfully performs the procedure on a patient in the field. However, because the EMS system's medical director does not permit paramedics to perform a needle cricothyrotomy, the paramedic:

performed outside his or her scope of practice

If a patient mentions something in passing or avoids answering a specific question, you should:

politely redirect his or her attention to that question

A patient states, "I can't catch my breath," and the paramedic responds, "You say you can't catch your breath, ma'am'?" This is an example of

reflection

A 40-year-old man presents with bizarre behavior. His speech is slurred and he is very belligerent. His blood glucose level is 35 mg/dL. The patient tells you to get out of his house. You should:

remain professional and advise the patient that he is not legally capable of refusing EMS treatment.

A _____________ receives a weak signal and retransmits it at a higher power on another frequency.

repeater

If a patient provides a confusing or disorganized response to your question, you should:

rephrase the patient's comments with simpler terms and ask if he or she agrees with your synopsis.

You arrive at the scene of an injured person. As you and your partner approach the patient, you see that he is bleeding profusely from a large laceration to his neck. As you are about to begin patient care, a man walks up and states, "I cut him!" You should:

retreat from the scene to a safe area and immediately notify law enforcement

All of the following factors may cause distortion of an ECG signal, EXCEPT:

severe tachycardia

When lifting, the paramedic should spread his or her legs_____________ apart.

shoulder-width

When communicating medical information via radio, you should be:

simple, brief, and direct

From an injury prevention standpoint, the term "intervention" is defined as:

specific prevention measures or activities designed to increase positive health and safety outcomes

While caring for an 80-year-old man with a possible fractured arm, you discover other injury patterns that are suggestive of abuse. The patient is conscious and alert. You should:

splint the patient's arm, transport him to the hospital, and report your suspicions to the emergency department physician

A reasonable paramedic should follow the same ______________ that another paramedic in a similar situation would.

standard of care

To estimate your maximum heart rate, you should

subtract your age from 220

The BEST example the paramedic can set with regard to injury prevention is:

taking care of himself or herself and serving as a role model for others

Biotelemetry is MOST accurately defined as:

the capability of measuring vital signs and ECG tracings and transmitting them to a distant terminal

Burnout is MOST accurately defined as

the exhaustion of physical or emotional strength

Any time you need to move a patient who cannot or should not walk, it is MOST important to consider:

the need for extra help

If a paramedic is attacked by a violent patient

the paramedic may respond with force that is equal to or slightly greater than the force offered by the patient

Ethics is MOST accurately defined as:

the philosophy of right and wrong, of moral duties, and of ideal professional behavior.

Because minors have no legal status

they can neither consent to nor refuse medical care.

The husband of a terminally ill woman called 9-1-1 because he thinks his wife is about to die. The patient has a valid living will and an out-of-hospital DNR order. You should:

treat the husband and his wife with respect and provide emotional support

The ability of multiple agencies or systems to share the same radio frequency is called

trunking, 800 radio

Eye-to-eye contact with a patient reinforces:

trust and honesty

Immediately following exposure to a patient's blood or body fluids, the paramedic should

turn patient care over to another provider

When transmitting information via radio, you should

use a normal conversational tone of voice

While en route to a call for an emotionally disturbed patient, law enforcement notifies you by radio that the patient has become extremely violent. You should:

wait for law enforcement to advise you that they have the patient under control

Implied consent is based on the premise that a patient:

would consent to care because of the seriousness of his or her injury

An advance directive is MOST accurately defined as a

written document that expresses the wants, needs, and desires of a patient in reference to his or her future medical care

A DNR order is MOST accurately defined as a:

written order designed to tell health care providers when resuscitation is or is not appropriate.

It would be MOST appropriate to ask a patient a closed-ended question when

you are trying to obtain medical history information