EMT Chapter 4

_______ are helpful when you are away from the ambulance and need to communicate with dispatch, another unit, or medical control

portable radios

The ______ officially occurs during your oral report at the hospital, not as a result of your radio report en route

transfer of care

During your assessment of a 20-year-old man with a severe headache and nausea, you ask him when his headache began, but he does not answer your question immediately. You should: Select one: A. allow him time to think about the question and respond to it. B. tell him that you cannot help him unless he answers your questions. C. repeat your question because he probably did not hear you. D. ask him if he frequently experiences severe headaches and nausea.

A. allow him time to think about the question and respond to it.

When relaying patient information via radio, communications should be: Select one: A. brief and easily understood. B. lengthy and complete. C. spoken in a loud voice. D. coded and scripted.

A. brief and easily understood.

Ethnocentrism is defined as: Select one: A. considering your own cultural values to be more important when interacting with people of a different culture. B. understanding that people from different cultural backgrounds respond to pain and stress differently. C. subconsciously forcing your cultural values onto a patient because you feel that your own values are more acceptable. D. suspecting that a person has an ulterior motive based on the tone of his or her voice when answering a question.

A. considering your own cultural values to be more important when interacting with people of a different culture.

When providing a patient report via radio, you should protect the patient's privacy by: Select one: A. not disclosing his or her name. B. refraining from objective statements. C. withholding medical history data. D. using coded medical language.

A. not disclosing his or her name.

You could be sued for ___________ if your radio report to the hospital describes the patient in a manner that injures his or her reputation. Select one: A. slander B. negligence C. assault D. libel

A. slander

You are caring for a 56-year-old male patient complaining of abdominal pain. Your service has recently switched to an electronic PCR system (ePCR). When completing the ePCR, it is important to be aware that: Select one: A. the ePCR allows patient information to be transmitted directly to the receiving hospital's computers. B. the ePCR is relatively unsecured and should not contain patient-specific information. C. a written patient care record will need to be completed on arrival at the hospital. D. the ePCR does not contain the same level of information as the written version and your verbal report should be expanded.

A. the ePCR allows patient information to be transmitted directly to the receiving hospital's computers.

Which of the following types of questions allow for the most detailed response? Select one: A. Closed-ended questions B. Open-ended questions C. Multiple questions asked at once D. Yes or no questions

B. Open-ended questions

Which of the following will help improve radio communications? Select one: A. Use codes to speed communication. B. Wait 1 second after pressing the transmit button before speaking. C. Answer questions with "yes" or "no." D. Hold the radio at least 6 inches from your mouth.

B. Wait 1 second after pressing the transmit button before speaking.

Medical control gives you an order that seems inappropriate for the patient's condition. After confirming that you heard the physician correctly, you should: Select one: A. carry out the order and then carefully document it on the run form. B. advise the physician that the order is unclear and ask for clarification. C. state that you will not carry out the order because it is inappropriate. D. obtain consent from the patient and then carry out the order as usual.

B. advise the physician that the order is unclear and ask for clarification.

A 4-year-old boy had an apparent seizure. He is conscious and calm and is sitting on his mother's lap. His father is sitting in a nearby chair. The child's mother suddenly begins crying uncontrollably, which causes the child to start crying. You should: Select one: A. attempt to calm the child's mother, but avoid separating her from her child because this will increase her anxiety. B. ask the father to hold the child so you can assess him while your partner tries to calm the mother. C. reassure the child's mother that seizures in children are very common and that there is nothing to worry about. D. give the child a favorite toy or blanket to hold onto and perform your assessment to the best of your ability.

B. ask the father to hold the child so you can assess him while your partner tries to calm the mother.

When you are communicating with an older patient, it is important to remember that: Select one: A. your questions should focus exclusively on the patient's obvious problem. B. most older people think clearly and are capable of answering questions. C. speaking loudly and distinctly will ensure that the patient can hear you. D. hostility and confusion should be presumed to be due to the patient's age.

B. most older people think clearly and are capable of answering questions.

You are providing care to a 61-year-old female complaining of chest pain that is cardiac in origin. Your service utilizes a multiplex communication system. You wish to transmit the patient's electrocardiogram to the hospital. In order to accomplish this, you must: Select one: A. wait until you reach the hospital to transmit the information. B. use the multiplex system to transmit the information . C. be aware that only audio or data transmissions can be sent at any one time. D. send the electrocardiogram from the back of the ambulance.

B. use the multiplex system to transmit the information .

Which of the following statements regarding a "dedicated line" is correct? Select one: A. It is a frequency that is used exclusively by EMTs to communicate with one another in the field. B. It is a designated frequency on a portable radio that provides direct access to medical control. C. It is a constantly open line of communication that cannot be accessed by outside users. D. It is a constantly open line of communication that is under exclusive control of a single user.

C. It is a constantly open line of communication that cannot be accessed by outside users.

As you are wheeling your patient through the emergency department doors, you receive another call for a major motor vehicle crash. You should: Select one: A. place the patient in a high-visibility area and then respond to the call. B. leave a copy of the run form with a nurse and then respond to the call. C. inform the admissions clerk of the situation and then respond at once. D. respond only after giving a verbal patient report to a nurse or physician.

D. respond only after giving a verbal patient report to a nurse or physician.

Which of the following statements is NOT appropriate to document in the narrative section of a PCR? Select one: A. "The patient admits to smoking marijuana earlier in the day." B. "Significant damage was noted to the front end of the vehicle." C. "After oxygen was administered, the patient's breathing improved." D. "General impression revealed that the patient was intoxicated."

D. "General impression revealed that the patient was intoxicated."

Which of the following statements regarding a patient refusal is correct? Select one: A. Documentation of proposed care is unnecessary if the patient refuses treatment. B. Advice given to a patient who refuses EMS treatment should not be documented. C. A patient who consumed a few beers will likely be able to refuse EMS treatment. D. A mentally competent adult has the legal right to refuse EMS care and transport.

D. A mentally competent adult has the legal right to refuse EMS care and transport.

Which of the following incidents does NOT require a report to be filed with local authorities? Select one: A. Animal bites B. Gunshot wounds C. Spousal abuse D. Cardiac arrest

D. Cardiac arrest

You are transporting a 54-year-old male in respiratory arrest. An EMR is driving the ambulance as you and your partner are caring for the patient. Which of the following is the MOST logical way of notifying the hospital? Select one: A. Wait until you arrive at the hospital and then quickly apprise the staff of the situation. B. Call the receiving hospital with your cell phone while providing patient care. C. Request that a police officer respond to the hospital to apprise the staff of your arrival. D. Have the driver contact dispatch and relay the patient information to the hospital.

D. Have the driver contact dispatch and relay the patient information to the hospital.

Communicating with patients who are deaf or hard-of-hearing can be facilitated by doing all of the following, EXCEPT: Select one: A. shining a light on your face when you are in a darkened environment. B. placing yourself in a position to ensure that the patient can see your lips. C. providing pen and paper if the patient prefers to write his or her response. D. elevating the tone of your voice and exaggerating word pronunciation.

D. elevating the tone of your voice and exaggerating word pronunciation.

Effective therapeutic communication skills require _________. Select one: A. supervision by advanced life support personnel B. correct use of complex medical terminology C. English-speaking patients or family members D. verbal and nonverbal communication techniques

D. verbal and nonverbal communication techniques

The patient report commonly includes all of the following except:

a list of the patients medications

Depending on how the protocols are written, you may need to call medical control for direct orders to:

administer certain treatments

Digital signals are used in some kinds of paging and tone alerting systems because they transmit______ and allow for more choices and flexibilty.

faster

You have responded to a scene at which a 45 year old man has run his SUV into a utility pole. On arrival, the driver was found slumped over the steering wheel, unconscious. An electrical wire was lying across the hood of the car. After securing scene safety, you completed patient assessment and found a 6 inch laceration across his forehead. The patient regained responsiveness, was alert and oriented, and refused care. You should:

have a credible witness sign the form testifying that he or she witnessed the patient refuse care

Which is not true with regard to simplex mode?

it is called a "pair of frequencies"

Which type of question allows for the most detailed response?

open ended questions

When attempting to communicate with non english speaking patients, you should:

use short, simple questions and simple words whenever possible