EMT Chapter 17 PreTest, Homework, Test

A radio that is located at a stationary site is called a: A. portable. B. base station. C. repeater. D. mobile.

B. base station.

Which of the following best describes a portable radio? A. A two-way radio that is mounted in a vehicle B. A device that receives and amplifies signals that must be sent over long distances C. A two-way radio that can be carried on a belt clip D. A two-way radio at a fixed site

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

Which of the following should not be included in a patient care report? A. Patient's subjective statements B. Chief complaint C. Pertinent negative findings D. Radio codes

D. Radio codes

Which of the following should be avoided in completing the vital signs division of the PCR? A. Documenting the position the patient was in when vitals were taken B. If you take only one set of vital signs, estimating a second set C. Taking and recording at least two complete sets of vital signs D. Documenting the time the patient's vital signs were taken

B. If you take only one set of vital signs, estimating a second set

What power output do most portable radios have? A. 25-35 watts B. 5-10 watts C. 1-5 watts D. 0.5-3 watts

C. 1-5 watts

A device that receives transmissions from one source, boosts the signal power, and then rebroadcasts the transmissions is called a: A. delay circuit. B. frequency modulator. C. repeater. D. converter.

C. repeater.

Which type of radio is typically used in a vehicle? A. Base B. Repeater C. Portable D. Mobile

D. Mobile

How many parts does a standard medical radio report have as described in your textbook? A. 8 B. 5 C. 10 D. 12

D. 12

Another name for an abbreviated transfer-of-care form is: A. short report. B. condensed report. C. incomplete report. D. drop report.

D. drop report.

The physician has asked you to administer nitroglycerin to your patient. However, the patient's blood pressure is 80/50. Which of the following responses is most appropriate? A. "Received order for nitroglycerin. Did you copy that the patient's blood pressure is 80/50?" B. "Sorry, doc. I can't hear you. You're breaking up." C. "I refuse to administer nitroglycerin to this patient." D. "Maybe I'm breaking up, doc. Did you hear the blood pressure?"

A. "Received order for nitroglycerin. Did you copy that the patient's blood pressure is 80/50?"

What type of report is usually left with the receiving facility if the EMS system is using electronic charting? A. A drop report B. A full written PCR C. A temporary report D. A PCR with only the patient demographics and administrative sections completed

A. A drop report

Which of the following best describes a base station? A. A two-way radio at a fixed site B. A two-way radio mounted in a vehicle C. A device used to receive and then amplify transmissions that must be carried over long distances D. A two-way radio that can be carried on a belt clip

A. A two-way radio at a fixed site

Which of the following is not part of a medical radio report? A. Address at which the patient was located B. Patient's response to medical care provided C. Unit identification D. Estimated time of arrival

A. 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? A. Avoid communicating with the patient so there is no misunderstanding of your intentions. B. Use an interpreter. C. Use a manual that provides translation. D. Contact dispatch for assistance in finding a translator.

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

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? A. Document the empty pill bottle. It may provide important clues to the patient's condition. B. Document the empty pill bottle. It is obvious that she took the pills. C. Do not document the empty pill bottle. It does not belong to the patient. D. Do not document the empty pill bottle. You cannot prove that she took the pills and could lead the doctor to make a false diagnosis.

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

When correcting an error on a report, you should do what in addition to initialing it and writing the correct information beside it? A. Draw a horizontal line through it B. Highlight it in yellow C. Circle it D. Underline it twice

A. Draw a horizontal line through it

Which of the following statements about receiving orders over the radio is true? A. If an order appears to be inappropriate, repeat the order to the physician and ask pertinent questions about the order. B. If an order appears to be inappropriate, contact your dispatcher to report. C. If an order appears to be inappropriate, call another hospital to confirm. D. If an order appears to be inappropriate, write down every word so that you may defend yourself later, if necessary.

A. If an order appears to be inappropriate, repeat the order to the physician and ask pertinent questions about the order.

Guidelines for communicating with your patient include which of the following? A. Listen carefully and allow time for the patient to answer. B. Refrain from explaining what you are doing, as it takes too much time. C. Never touch a patient in a comforting manner, as the patient may perceive it as encroachment. D. Be informal with older patients and call them by their first name.

A. Listen carefully and allow time for the patient to answer.

You have an urgent transmission you need to make to the dispatch center. Which of the following is the appropriate way to communicate this? A. Listen to the frequency first to avoid stepping on another transmission. B. Interrupt less-urgent radio traffic to get your message across. C. Use the phrase, "Attention, attention, I have priority traffic." D. Speak loudly to convey the urgency of the message.

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

In which of the following circumstances is a fully documented prehospital care report not necessary? A. Multiple patients come from an office building evacuation. B. A patient is treated but not transported. C. A patient says that someone else called EMS and he does not want any assistance. D. A fully documented patient care report is required for all of the above

A. Multiple patients come from an office building evacuation.

Which of the following is not a component of the radio medical report? A. Patient name B. Estimated time of arrival C. Patient age and sex D. Chief complaint

A. Patient name

Which of the following is not appropriate to document on your patient care report? A. Patient's attitude B. Patient's race C. Patient's mental status D. All should be documented

A. Patient's attitude

Which of the following is typically included in the patient information section of a prehospital care report? A. Patient's name, address, and phone number B. Description of patient's physical appearance and clothing C. Patient's physician's name D. Patient's primary and secondary contacts

A. Patient's name, address, and phone number

What does "PTT" mean on a portable or mobile radio? A. Press to talk B. Pre-transmit toggle C. Patient telemetry transmit D. Press to terminate

A. Press to talk

You are en 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? A. Providing the receiving hospital with all information via a cell phone B. Using the ambulance radio but not using the patient's name C. Using the handheld radio D. Using the ambulance radio but not providing details of the injury

A. Providing the receiving hospital with all information via a cell phone

Which of the following is the term for a device that picks up signals from lower-power radio units and retransmits them at a higher power? A. Repeater B. Cell phone C. Mobile radio D. Base station

A. Repeater

You were on a call involving ALS. It is likely that you will have to fill out which type of form to add to the PCR? A. Supplemental B. Special incident C. Triage D. Patient refusal

A. Supplemental

Which of the following should be documented as subjective patient information? A. Symptoms B. Medications C. Vital signs D. Description of the surroundings

A. Symptoms

Which of the following can be correctly noted as a chief complaint? A. The patient stated that she felt sick. B. The patient was confused. C. The patient had a respiratory rate of 44. D. The patient was found sitting in the driver's seat of a full-size sedan.

A. The patient stated that she felt sick.

When you are attempting to make contact with another ambulance unit using the radio, it is necessary to declare the name of which entity first? A. The unit you are calling B. The repeater location C. The base station D. Your unit number

A. The unit you are calling

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? A. Time of arrival at the patient's location B. Amount charged for ambulance services C. Patient's insurance coverage D. Patient's name

A. Time of arrival at the patient's location

The EMT accurately documents that she gave a medication without appropriate medical direction. This is an example of: A. an error of commission. B. falsification of the PCR. C. gross negligence. D. an error of omission.

A. an error of commission.

When communicating with medical direction, you must: A. be clear and concise. B. match your emotion to the severity of the patient's condition. C. speak as quickly as possible. D. give as much detail as possible.

A. be clear and concise.

The gestures, mannerisms, and postures by which you communicate with others should: A. convey warmth and openness. B. convey a strict formality to discourage unnecessary conversation. C. make it clear that you don't intend to speak unless absolutely necessary. D. signal your authority at all times.

A. convey warmth and openness.

If a patient refusing care or transport also refuses to sign a refusal-of-care form, then you must: A. document this refusal as well. B. fill out a special situation report. C. request medical direction to advise. D. report the patient to the police.

A. document this refusal as well.

Documentation is part of the: A. patient care process. B. interpersonal communications with the patient. C. general impression of a patient. D. oral report to emergency department staff.

A. patient care process.

The ground rules for radio communication include: A. pushing the "press to talk" button and waiting one second before speaking. B. telling the receiving hospital what you believe the patient's diagnosis is. C. pressing your lips against the microphone for clarity while speaking. D. using EMS frequencies for all radio traffic, including personal messages.

A. pushing the "press to talk" button and waiting one second before speaking.

When receiving orders from medical direction, you should do all of the following except: A. refuse to follow any order that you do not immediately understand. B. avoid phrases such as "please," "thank you," and "you're welcome." C. ask for clarification of an order that you did not understand or feel is inappropriate. D. repeat the order word for word.

A. refuse to follow any order that you do not immediately understand.

You may receive an order from medical direction over the radio to help a patient with the patient's medication. After receiving the order, you should next: A. repeat the order. B. administer the medication. C. confirm the order with your partner. D. repeat vital signs.

A. repeat the order.

Your activities as an EMT may take you to some unusual situations, such as exposure to infectious disease, that will require documentation on a form other than a prehospital care report. Such forms are usually specific to a local agency rather than mandated statewide. They are called: A. special incident reports. B. refusal information sheets. C. drop reports. D. supplemental forms.

A. special incident reports.

A triage tag is affixed to the patient and records: A. the patient's chief complaint and injuries, vital signs, and treatments given. B. the patient's transport priority on a scale of 1-10, with 1 being the highest priority. C. the patient's name, address, and date of birth. D. a narrative history of the patient that paints a picture of the patient's condition.

A. the patient's chief complaint and injuries, vital signs, and treatments given.

Once you arrive at the hospital with your patient, it is important to give the ED staff an oral report. This report should include: A. treatment that was given to the patient en route and the patient's response to that treatment. B. only new information. It is not necessary to repeat your broadcasted report. C. the patient's billing and insurance information. D. personal information about the patient that is not pertinent to medical care.

A. treatment that was given to the patient en route and the patient's response to that treatment.

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? A. "It doesn't matter, we have to do it anyway." B. "I will do my best, but it may hurt while we put the splint on." C. "Relax, this is not a painful procedure." D. "If you're stressed out like this, it's going to hurt a lot more."

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

When the EMT calls to receive an order from medical direction to assist the patient with the patient's bronchodilator treatment, it is important to: A. be sure to say "please" and "thank you" for the order. B. "echo" or immediately repeat the order back for verification. C. use as many codes as possible, because people may be listening. D. tell the physician what the EMT's diagnosis is.

B. "echo" or immediately repeat the order back for verification.

Which of the following best describes a repeater? A. A two-way radio that can be carried on a belt clip B. A device that receives and amplifies a signal that must be carried over long distances C. A two-way radio that is mounted in a vehicle D. A two-way radio at a fixed site

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

Which of the following information on a patient care report is not considered run data? A. Time unit left the scene B. Chief complaint C. Time of the incident report D. Time of arrival at the receiving facility

B. Chief complaint

You suspect that a 6-year-old female patient with multiple bruises and a 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 this situation in the patient report? A. Document what was said as well as your opinion that the child was too afraid to tell the truth. B. Document any pertinent information that was said by the stepmother and child exactly in quotations. C. Document only the actual exam findings. Do not document anything that was said. D. Document who you suspect caused the injuries in the narrative so that law enforcement has a record of the incident.

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

Which of the following statements regarding eye contact with a patient is not true? A. It shows you are interested in the patient. B. Eye contact is always appropriate. C. It shows you are attentive. D. Failure to make eye contact may signal uneasiness to the patient.

B. Eye contact is always appropriate.

Jurisdiction over all EMS radio operations in the United States is held by the: A. Department of Transportation. B. Federal Communications Commission. C. Federal Emergency Management Agency. D. Department of Health and Human Services.

B. Federal Communications Commission.

Which of the following is not an appropriate use of prehospital care report (PCR) information? A. To conduct research B. For referral to Alcoholics Anonymous or similar social services C. To provide EMS personnel with education and quality assurance D. For billing and insurance purposes

B. For referral to Alcoholics Anonymous or similar social services

Which of the following is information that is not generally included in the oral report at the receiving hospital? A. Most recent vital signs B. Insurance information C. Patient name D. Additional treatment given en route

B. Insurance information

What is a short-term benefit of documentation? A. It becomes part of the permanent patient record. B. It helps you remember important facts during a call. C. It can be used for quality improvement purposes. D. It can be a part of research efforts to trend data.

B. It helps you remember important facts during a call.

Which of the following is true of the prehospital care report? A. It is not part of the patient's permanent medical record. B. It serves only a legal purpose, in providing proof of proper care. C. It serves administrative functions. D. It is only for the eyes of other EMS providers.

B. It serves only a legal purpose, in providing proof of proper care.

Which of the following is not appropriate for inclusion in the radio report to the receiving hospital? A. Pertinent past illnesses B. Name of the patient's health insurance provider C. Major past illnesses of the patient D. Pertinent physical exam findings

B. Name of the patient's health insurance provider

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? A. Vital signs B. Notification that extra security is needed for a VIP C. The appearance of the shoulder D. How the injury occurred

B. Notification that extra security is needed for a VIP

What is the best way to communicate with a young pediatric patient? A. Only talk with the parents. The child is too young to know his or her medical history. B. Sit at the level of the child, if possible, and always be honest. C. Do not tell the child that a procedure will hurt beforehand because the child will become terrified. D. Tell the child the procedure will hurt much more than it actually will so that he or she will be pleasantly surprised when the procedure is over.

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

Which of the following best describes the position you should take when dealing with a cooperative patient who is sitting in a chair? A. Stand next to the chair. B. Sit or kneel at the same level as the patient. C. Sit on the floor at the patient's feet. D. Stand behind the patient's chair.

B. 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? A. Use plain English. B. Speak as quickly as possible. C. Speak with your lips 2 to 3 inches from the microphone. D. Make sure the radio is on before speaking.

B. Speak as quickly as possible.

When you arrive at the receiving facility, the nurse asks your partner for a verbal report of the patient's condition. This is in addition to the radio report your partner gave to the hospital en route. Afterwards, you ask your partner why you must give a second verbal report and a written report to the receiving nurse. What is the best reason to provide both reports? A. The nurse may be too busy to read the written report. B. The nurse may have to perform critical interventions on the patient before you complete your written report. C. The patient's condition may have changed since the first radio report. D. The nurse may not have heard the first radio report.

B. The nurse may have to perform critical interventions on the patient before you complete your written report.

What is the difference between the patient information section of the minimum data set and the administrative information that is included on the minimum data set? A. The patient information includes the patient assessment information, and the administrative section is the name and address of the EMS system. B. The patient information includes specific assessment findings, and the administrative information includes the trip times. C. The patient information is the chief complaint, and the administrative information is the EMS arrival time. D. The patient information includes the patient's address only, and the administrative section includes the trip times.

B. The patient information includes specific assessment findings, and the administrative information includes the trip times.

Which of the following is not an appropriate statement for the EMT to make on a patient care report? A. The patient had wheezes that were audible without using a stethoscope. B. The patient was having an asthma attack. C. The patient has a history of asthma. D. The patient complains of difficulty breathing.

B. The patient was having an asthma attack.

After telling the hospital the age and sex of your patient, what is the next thing you need to report? A. The patient's vital signs B. The patient's chief complaint C. The patient's name D. The estimated time of arrival (ETA)

B. The patient's chief complaint

Which of the following can lead to medical error on a patient care report? A. Stating only facts as you found them B. Using medical abbreviations C. Using anatomical language D. Using quotations to document the language of the patient

B. Using medical abbreviations

For calls for assistance during scene size-up, carry: A. a repeater. B. a portable radio. C. a mobile radio. D. a cell phone.

B. a portable radio.

The prehospital care report is: A. proofread by an attorney for the hospital. B. completely confidential information. C. delivered to the patient's family. D. publicly available information.

B. completely confidential information.

Eye contact should be: A. brief. B. frequent. C. only employed if the patient demands it. D. avoided.

B. frequent.

When speaking to a patient who is a child, try to: A. avoid eye contact until the child knows you better. B. get down to the child's level. C. avoid crouching down. D. speak from a position of authority above the patient.

B. get down to the child's level.

The first information you give to the emergency department staff when you arrive with a patient is: A. communicated through dispatch. B. oral. C. written. D. form-based.

B. oral

When communicating with an elderly patient: A. use terms of endearment such as "Dear" and "Honey" to make them feel better. B. remember that many elderly people are well-oriented and physically able. C. remember that elderly people are all at some stage of Alzheimer's disease. D. always speak loudly and slowly, as elderly people are hearing-impaired.

B. remember that many elderly people are well-oriented and physically able.

A home healthcare aide is on the scene when you respond to a call for an elderly patient with respiratory difficulty. You should: A. inform the aide to speak to medical direction, not to you, about information regarding the patient. B. respectfully ask the aide for information about the patient and the present emergency. C. request that the aide accompany you in transporting the patient. D. respectfully ask the aide to leave the scene immediately.

B. respectfully ask the aide for information about the patient and the present emergency.

A refusal-of-care form: A. must be witnessed by an attorney when signed. B. should be read and signed by the patient. C. must include the NHTSA minimum data set. D. takes the place of a prehospital care report

B. should be read and signed by the patient.

The first information you give to the receiving hospital will be: A. the minimum data set. B. your oral report. C. the patient refusal form. D. your prehospital care report.

B. your oral report.

Which of the following is appropriate when communicating with medical direction over the phone or radio? A. "Patient presents with myocardial infarction." B. "Patient likely experiencing non-cardiac chest pain." C. "Patient is complaining of chest pain." D. "Patient with symptoms of heart attack."

C. "Patient is complaining of chest pain."

When you press the button on the radio to talk, you should wait at least how many seconds before speaking to avoid cutting off the first words of your transmission? A. 3 B. 5 C. 1 D. 7

C. 1

Which of the following resides at a fixed site, such as a dispatch center? A. Mobile radio B. Portable radio C. Base station D. Cell phone

C. Base station

Which of the following should be placed in quotes in the patient care report? A. Mechanism of injury B. Patient's expressed consent C. Chief complaint D. List of patient's medications

C. Chief complaint

Which of the following best describes the manner in which an EMT should correct a known error on a written patient care report? A. Erase the error and write the correction over the erasure. B. Scribble out the word and write the correct one beside it. C. Draw a single horizontal line through the error and write the correction beside it. D. Circle the word and write the correct one beside it.

C. Draw a single horizontal line through the error and write the correction beside it.

Which of the following is the correct manner for making a correction on a paper copy of a patient care report? A. Get a credible witness to co-sign your patient care report. B. Blacken out the entire error and draw an arrow to the correct information. C. Draw a single line through the error and initial it. D. Use typing correction fluid to cover up the error and write over it.

C. Draw a single line through the error and initial it.

Which of the following is the term for an abbreviated form of the PCR that an EMS crew can leave at the hospital when there is not enough time to complete the PCR before leaving? A. Quality assurance report B. Run data C. Drop report D. Patient care record

C. Drop report

Which of the following information does not need to be provided to the dispatcher? A. When you depart from the hospital B. When you arrive at the hospital C. Estimated time of arrival at the hospital D. Which hospital you are transporting to

C. Estimated time of arrival at the hospital

To whom information about a patient may be distributed is dictated by: A. an attorney for the receiving hospital. B. the patient's family. C. HIPAA, state, and local regulations. D. medical direction.

C. HIPAA, state, and local regulations.

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? A. Use hand gestures to act out what you are trying to say. B. Speak very loudly in case he has a little hearing. C. Make sure the patient can see your lips when you speak. D. Call for an interpreter to meet you at the hospital.

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

Which communication device has an output of 20-50 watts and a range of 10-15 miles? A. Repeater B. Portable radio C. Mobile radio D. Base station

C. Mobile radio

You are treating an elderly man who tells you that his name is Robert Walters. What is the most appropriate way to refer to him? A. Mister B. Robert C. Mr. Walters D. Rob

C. Mr. Walters

Medical direction has requested that you administer 70 grams of activated charcoal to an overdose patient. Which of the following should you do next? A. Document the order in writing before carrying it out. B. Administer the medication without delay. C. Repeat the order back to the physician to make sure you understood correctly. D. Prepare the medication and then call the hospital back to verify the order.

C. Repeat the order back to the physician to make sure you understood correctly.

Which of the following is not a reason for routine review of prehospital care reports in a quality improvement program? A. Reveal excellent patient care. B. Assess conformity to patient care standards. C. Satisfy requirements of the shift supervisor. D. Review poor patient care.

C. Satisfy requirements of the shift supervisor.

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 prehospital care report. Which of the following should you do? A. Get permission from medical control. B. Ask the patient if it is alright with her if you provide the individual with a copy of the prehospital care report. C. State that you are unable to comply with the request due to patient confidentiality. D. Provide the documentation if the individual shows proper identification.

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

Two EMTs are on the 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? A. The fact that the patient was violent and bit the EMT B. The fact that the patient slashed his wrists C. The fact that the EMT had an exposure incident D. The fact that the patient hears voices

C. 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? A. The patient is complaining of chest pain. B. The patient is having a heart attack. C. The patient is a 55-year-old male. D. The patient has taken nitroglycerin.

C. The patient is a 55-year-old male.

Which of the following violates FCC regulations? A. Improperly using codes B. Saying "please" and "thank you" excessively C. Using offensive language D. Using unauthorized abbreviations

C. Using offensive language

To avoid falsifications in your prehospital care report, follow this rule: A. Avoid writing anything about the patient that could be construed as subjective. B. Write a disclaimer at the top of the report that inaccuracies are simple errors. C. Write everything important that did happen and nothing that didn't. D. Only write down objective, measurable data concerning the patient.

C. Write everything important that did happen and nothing that didn't.

Which of the following statements regarding patient refusal is most accurate? A. You must provide convincing evidence that the patient was mentally incompetent to justify leaving the scene. B. You must note simply that you left the scene at the patient's request. C. You must document all actions you took to persuade the patient to go to the hospital. D. You must note that a secondary assessment was not possible, given the patient's refusal.

C. You must document all actions you took to persuade the patient to go to the hospital.

Administrative information in the Department of Transportation's minimum data set includes the time when the: A. unit left the hospital after transferring care. B. EMT radioed the patient report to the hospital. C. incident was reported. D. unit was en route to the call.

C. incident was reported.

You arrive at a patient's residence and determine that the patient is from a culture that is very different from yours. It is apparent that eye contact makes the patient uncomfortable, and you suspect this a culturally influenced attitude. You should: A. inform the patient that friendly eye contact is normal. B. continue to make eye contact, to express friendliness. C. mirror the patient's behavior. D. try to avoid looking at the patient at all.

C. mirror the patient's behavior.

The portion of the patient care report in which the EMT writes his description of the patient's presentation, assessment findings, treatment, and transport information is called the: A. text. B. deposition. C. narrative. D. data set.

C. narrative.

The Health Insurance Portability and Accountability Act (HIPAA) requires ambulance services to do all of the following except: A. safeguard patient confidentiality. B. place patient care reports in a locked box. C. report child abuse. D. All of the above are required by HIPAA.

C. report child abuse.

Use of the phrase "Be advised" is: A. to be limited to critical information, to signal its importance. B. not necessary unless you are transmitting information regarding the patient's condition. C. to be avoided, because it is implied and serves no purpose. D. a standard way to begin each new transmission.

C. to be avoided, because it is implied and serves no purpose.

The oral report is: A. a part of the patient's permanent hospital record. B. a valuable source for research on trends in emergency care. C. your chance to convey important information about your patient directly to hospital staff. D. a guide for continuing education and quality improvement.

C. your chance to convey important information about your patient directly to hospital staff.

You have received the following order from medical control: "Administer one tablet of nitroglycerin under the patient's tongue." Which of the following is the best response? A. "Copy. Administering medication now." B. "Roger, order received." C. Clear. Will advise of any changes in patient's condition." D. "Order received. One nitroglycerin tablet under the patient's tongue."

D. "Order received. One nitroglycerin tablet under the patient's tongue."

Which of the following describes the importance of effective communication of patient information in the verbal report? A. Additional information that was not given in the radio report can be provided. B. Patient treatment can be based on this information. C. Changes in the patient's condition can be communicated. D. All of the above

D. All of the above

Which of the following is a possible consequence of using medical terminology about which you are unsure of the meaning in your patient care report? A. Loss of credibility B. Negative impact on patient care C. Embarrassment D. All of the above

D. All of the above

Which of the following is true of communicating with patients from a culture different than yours? A. The patient's culture is irrelevant to the EMT. B. Cultural differences have no impact on communication. C. Patients from other cultures generally cannot understand therapeutic communication. D. Cultural differences can make effective communication more challenging

D. Cultural differences can make effective communication more challenging

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? A. Tell the patient the mask is for his benefit, and you will restrain him if necessary to place it on him. B. Document that the patient was uncooperative and refused oxygen. C. Tell the patient he will soon become unconscious without the mask, and then you will be able to place it on him. D. Explain the importance of oxygen, and ask the patient to at least try to leave the mask on, but assure him that if he can't tolerate it, you can try another method.

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

Which of the following terms describes inaccurate information that has been documented on a PCR and may lead to revocation of EMT certification? A. Incomplete B. Confidential C. Inaccurate D. Falsified

D. Falsified

Which of the following agencies assigns and licenses radio frequencies? A. United States Department of Transportation B. Federal Trade Commission C. Transportation Security Administration D. Federal Communications Commission

D. Federal Communications Commission

Which of the following best explains why all patient care reports done in the United States are supposed to have the minimum data set included? A. It shortens the overall length of the PCR. B. It allows the tracking of information to ensure the elderly population is managed correctly. C. It is required for Medicaid and Medicare to provide reimbursement. D. It allows better research and standardization of EMS care.

D. It allows better research and standardization of EMS care.

Which of the following is true of use of a patient's name over the radio? A. Spell the patient's last name to avoid confusion. B. Most hospitals require you to provide the patient's name. C. Refer to all patients as "Jane Doe" or "John Doe." D. It may violate confidentiality rules.

D. It may violate confidentiality rules.

Which of the following is a routine radio transmission for an EMT? A. Contacting the patient's personal physician while you are en route to the hospital B. Contacting law enforcement with medical information about the patient C. Notifying dispatch when you are 5 minutes from the scene D. Notifying dispatch of your arrival at the hospital

D. Notifying dispatch of your arrival at the hospital

Which of the following sections is used by the EMT to add more detailed information to a PCR? A. Demographic section B. Administrative section C. Treatment section D. Patient narrative section

D. Patient narrative section

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? A. Pick up the patient's wrist and begin taking her pulse. B. Sit on the foot of the bed and ask the patient what's up. C. Stand near the head of the bed and shout to make sure the patient can hear you. D. Place yourself at eye level, identify yourself, and ask the patient for her name.

D. Place yourself at eye level, identify yourself, and ask the patient for her name.

You have received an order from medical direction that you feel would be detrimental to your patient. Which of the following should you do? A. Contact your supervisor for advice. B. Carry out the order but document that you disagreed with it. C. Call a different hospital for orders. D. Politely question the physician.

D. Politely question the physician.

Typically, you should do which of the following when interviewing your patient? A. Change positions frequently. B. Stand above the patient. C. Position yourself at a distance of several feet from the patient. D. Position yourself at or below the patient's eye level.

D. Position yourself at or below the patient's eye level.

When interviewing a patient, which of the following is recommended? A. Assign the patient a friendly nickname. B. Direct the patient to keep statements brief. C. Start important statements with "Now listen". D. Use the patient's proper name.

D. Use the patient's proper name.

In radio communication, phrases such as "please" and "thank you": A. increase cooperation. B. are not allowed by the FCC. C. are common courtesy, and should be included if time and traffic permit. D. are assumed, and should not be stated on the radio.

D. are assumed, and should not be stated on the radio.

To maintain order on the airwaves, the FCC: A. prohibits commercial uses of radio frequencies. B. allows EMS personnel to use any convenient radio frequency. C. decrees the use of a single, universal radio frequency. D. assigns and licenses radio frequencies.

D. assigns and licenses radio frequencies.

Documenting pertinent negatives means documenting: A. your actions when a patient refuses care. B. anything you decided not to do. C. any time the patient said "no." D. examination findings that are negative but important to note.

D. examination findings that are negative but important to note.

Your prehospital care report is: A. of use only in assessing the call itself. B. kept on file for liability reasons only. C. primarily of interest to the receiving emergency department. D. important long after the call.

D. important long after the call.

In the emergency prehospital care communications system, a mobile radio: A. is a portable radio that is useful when you are working at a distance from your vehicle. B. is a device that receives transmissions and rebroadcasts them at a higher power. C. serves as a dispatch and coordination area. D. is a vehicle-based radio that comes in a variety of power ranges.

D. is a vehicle-based radio that comes in a variety of power ranges.

When communicating within the EMS system, you should keep your transmission brief and remember to: A. speak with your lips directly on the microphone. B. state your ID number and then the number of the unit you are calling. C. begin talking as soon as you press the microphone button. D. listen before transmitting.

D. listen before transmitting.

Two types of errors might be committed on a call: A. medical and trauma. B. mental and physical. C. on the scene and during transport. D. omission and commission

D. omission and commission

The NHTSA's minimum data set for patient information gathered by the EMT includes: A. the patient's medical insurance information. B. systolic blood pressure for patients older than 1 year old. C. capillary refill for patients younger than 3 years old. D. the patient's respiratory rate and effort

D. the patient's respiratory rate and effort

You are speaking to a patient and notice that the patient has folded her arms and is clasping her elbows with her hands. She is not looking at you directly. This indicates to you that most likely: A. you need to tell this patient to sit down. B. the patient has understood your message. C. the patient is accepting you as a medical authority. D. your communication efforts may not be working.

D. your communication efforts may not be working.