EMT Chapter 4 Post

Which of the following is likely to be inscribed on a medical identification device worn as a​ bracelet? Question content area bottom Part 1 A. Allergies B. Hospital preference C. Date of birth D. Emergency contact

A. Allergies

Which of the following would MOST likely be considered evidence at a crime​ scene? Question content area bottom Part 1 A. Footprints B. Movies on DVD C. A paper towel roll D. A​ child's toy

A. Footprints

An EMT who turns the care of a multisystem trauma patient over to a doctor of dermatology has​ likely: Question content area bottom Part 1 A. abandoned the patient. B. legally and appropriately transferred care. C. acted on an assumption of implied consent. D. violated patient confidentiality laws.

A. abandoned the patient.

Question content area top Part 1 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: Question content area bottom Part 1 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.

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

Question content area top Part 1 Good Samaritan laws are based​ on: Question content area bottom Part 1 A. providing care in good faith. B. the​ patient's having no serious injuries. C. having no formal training. D. being a volunteer EMT.

A. providing care in good faith.

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: Question content area bottom Part 1 A. slander. B. res ipsa loquitur. C. libel. D. a HIPAA violation.

A. slander.

Question content area top Part 1 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: Question content area bottom Part 1 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.

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

Question content area top Part 1 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? Question content area bottom Part 1 A. Standard of care B. DNR order C. Patient refusal checklist D. Living will

B. DNR order

Why does the​ EMT's scope of practice vary from state to​ state? Question content area bottom Part 1 A. National standards B. Local legislation C. Company insurance D. EMT preference

B. Local legislation

Question content area top Part 1 Which of the following could be a source of information to let the EMT know that a patient is an organ​ donor? Question content area bottom Part 1 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

B. The​ patient's driver's license

Question content area top Part 1 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: Question content area bottom Part 1 A. a reasonable judgment call. B. a violation of professional ethics and possibly a crime. C. an ethical violation but definitely not a crime. D. a violation of policy but not an ethical violation.

B. a violation of professional ethics and possibly a crime.

Question content area top Part 1 Leaving a patient after initiating care and before the patient has been transferred to someone with equal or greater medical training is known​ as: Question content area bottom Part 1 A. res ipsa loquitur. B. abandonment. C. negligence. D. in loco parentis.

B. abandonment.

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: Question content area bottom Part 1 A. adjudication case. B. civil case. C. criminal case. D. mediation case.

B. 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: Question content area bottom Part 1 A. leave after telling the patient that​ it's not appropriate to abuse the EMS system. B. contact medical direction for a consult. C. explain to the patient that she cannot refuse because you have already begun treatment. D. tell the patient that she can refuse​ transport, but because you gave her a​ medication, she has to see a doctor within 24 hours.

B. contact medical direction for a consult.

You explain a risky procedure to a patient. He​ says, "As long as​ it's guaranteed to​ work, you can do​ it." You​ should: Question content area bottom Part 1 A. consult medical direction. B. explain that a risky procedure is not guaranteed. C. begin the procedure. D. decide not to use the procedure.

B. explain that a risky procedure is not guaranteed.

Question content area top Part 1 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: Question content area bottom Part 1 A. implied consent. B. expressed consent. C. in loco parentis. D. proximate causation.

B. expressed consent.

Question content area top Part 1 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: Question content area bottom Part 1 A. notify the family that once CPR has been​ initiated, you are required to transport the patient. B. follow your local protocols and contact medical direction if unsure how to proceed. 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.

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

Question content area top Part 1 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: Question content area bottom Part 1 A. your EMS chief. B. law enforcement. C. medical direction. D. the district​ attorney's office.

B. law enforcement.

Question content area top Part 1 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: Question content area bottom Part 1 A. abandonment. B. negligence. C. acting outside of your scope of practice. D. a threat to safety.

B. negligence.

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

B. 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: Question content area bottom Part 1 A. wait for the girl to change her mind or lose consciousness. B. provide the care she needs. C. call her parents. D. inform medical direction that you will withhold care.

B. provide the care she needs.

Question content area top Part 1 Ethical​ considerations: Question content area bottom Part 1 A. fall outside the scope of practice. B. relate primarily to making patient care and​ well-being a priority. C. are the sole consideration of the scope of practice. D. are less important than following regulations.

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

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: Question content area bottom Part 1 A. remove the knife and place it in an evidence bag. B. treat the wound as​ usual, but notify police that you must transport the weapon with the patient. C. have a police officer remove the knife before you transport. D. ask the police officer whether it is acceptable for you to leave the knife in place for transport.

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

For which of the following situations would the EMT NOT be allowed to share protected health information about a​ patient? Question content area bottom A. The patient​ consents, in​ writing, for his information to be released to a third party. 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. There is a court order compelling the release of information.

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

Which of the following would MOST likely be considered evidence at a crime​ scene? Question content area bottom Part 1 A. Mail coupons B. Time of day C. Blood spatter D. Mouthwash

C. Blood spatter

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? Question content area bottom Part 1 A. Use the table as a place to set your equipment as you are working on the patient. B. Move the table and get on with your work of caring for the patient. C. Move the table as little as​ possible, wearing​ gloves; notify police on the​ scene; and document your actions precisely in your patient care report. D. Wait until one of the police officers can move the table for you.

C. 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? Question content area bottom Part 1 A. Working with police B. Evidence preservation C. Patient care and transport D. Critiquing the scene

C. Patient care and transport

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? Question content area bottom Part 1 A. Standard of care B. Scope of practice and standard of care C. Scope of practice D. Quality improvement

C. Scope of practice

Question content area top Part 1 The person who is legally designated to make healthcare decisions for the patient if the patient is unable to do so is​ called: Question content area bottom Part 1 A. the executor of the estate. B. a patient advocate. C. a healthcare proxy. D. the attorney of record.

C. a healthcare proxy.

A patient who called 911 is now refusing transport. You​ should: Question content area bottom Part 1 A. direct the patient to contact the​ patient's primary care physician for instructions on whether or not to go to the hospital. B. make sure there is a law enforcement officer to act as a witness on the scene of every patient refusal. 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.

C. assess the​ patient, advise the patient of the risks of​ refusal, and clearly document everything in the patient care report.

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: Question content area bottom Part 1 A. res ipsa loquitur. B. proximate causation. C. libelous. D. slanderous.

C. libelous.

Question content area top Part 1 Quality improvement relates primarily​ to: Question content area bottom Part 1 A. ​state-by-state regulations. B. scope of practice. C. standard of care. D. the limits of the EMT job.

C. standard of care.

Question content area top Part 1 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: Question content area bottom Part 1 A. give the patient the information he is​ requesting, as he is the​ patient's son. 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. ask to see his​ driver's license to verify last names​ and, if they​ match, give him the information.

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

Question content area top Part 1 Which of the following is MOST clearly a HIPAA​ violation? Question content area bottom Part 1 A. You provide certain health information on the billing copy of the patient care report. B. You provide a copy of the patient care report to a paramedic who is assuming care of your patient at the scene. C. Your agency receives a subpoena authorizing the release of a copy of a patient care report to a​ plaintiff's attorney. D. You provide a personal injury attorney with a copy of a patient care report.

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

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: Question content area bottom Part 1 A. expressed consent. B. informed consent. C. involuntary transportation. D. implied consent.

D. implied consent.

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: Question content area bottom Part 1 A. abandonment. B. proximate causation. C. a patient refusal situation. D. res ipsa loquitur.

D. res ipsa loquitur.

The actions that an EMT is legally allowed to perform while caring for an injured or ill patient are known​ as: Question content area bottom Part 1 A. the standard of care. B. the standard of practice. C. medical direction. D. the scope of practice.

D. the scope of practice.