Medic Chap 12 Critical Thinking and Decision Making
Rearrange the clinical decision making steps in the correct order. -Review performance. -Read the patient. -Reevaluate. -Read the scene. -React. -Revise the treatment plan.
-Read the scene. -Read the patient. -React. -Reevaluate. -Revise the treatment plan. -Review performance.
The "react" phase of critical thinking involves which of the following steps as your first priority in patient care? -Correct life threats. -Consider the worst-case scenario. -Complete a full-body exam. -Establish command of the scene.
Correct life threats.
Which of the following should you NOT do as part of reading the patient? -Auscultate breath sounds. -Develop a differential diagnosis. -Determine the chief complaint. -Obtain complete and accurate vital signs.
Develop a differential diagnosis.
Which of the following is NOT one of the steps of the mental checklist? -Make decisions and act on behalf of your patient. -Regularly and continually reevaluate your patient. -Scan the scene. -Diagnose the patient.
Diagnose the patient.
Which of the following is NOT one of the steps of critical thinking? -Reflection on action -Data interpretation -Concept formation -Memorization of knowledge
Memorization of knowledge
After you finish reading the scene, what's the next step in clinical decision making? -Reevaluating patient care -Readying the patient for transport -Requesting advanced life support -Reading the patient
Reading the patient
Which triage tag would you use for a nonresponsive patient who has lost a significant amount of blood? -Red -Yellow -Green -Black
Red
The emotional state reflected in physical behavior is known as ________. -affect -medical ambiguity -stress -displacement
affect
A negative attitude about pt or pt care situation: -constitutes negligence and carries legal ramifications with it -is usually not sensed by the pt because he or she is frightened -is often observed in paramedics with many years of experience -almost guarantees that the care you provide will be suboptimal
almost guarantees that the care you provide will be suboptimal
No matter how he or she is of the working diagnosis, the thinking paramedic must: -confer with online medical control to confirm his or her diagnosis -always keep part of the thought process open to other possibilities -implement a treatment plan based solely on the working diagnosis -remain confident that his or her working diagnosis is an accurate one
always keep part of the thought process open to other possibilities
When a pt advises you of his or her chief complaint, you should: -quickly perform a head-to-toe exam to identify any immediate life threats -carefully evaluate and of the medications the pt is taking -obtain a 12-lead ECG to rule out a cardiac related cause of the issue -ascertain whether this is a new problem or worsening of a preexisting problem.
ascertain whether this is a new problem or worsening of a preexisting problem.
Synthesizing information about a pt with multiple medical conditions involves: -determining the validity of each pt's medical problems -ruling out each condition as the cause of the pt's chief complaint -determining the pt's perception of his or her multiple conditions -assessing each condition's potential for having a life-threatening impact
assessing each condition's potential for having a life-threatening impact
Conducting a primary survey on a patient is part of ________. -application of principle -concept formation -data interpretation -implementing a treatment plan
concept formation
Gathering information through your senses and diagnostic tools is called ________. -concept formation -cookbook medicine -data interpretation -tunnel vision
concept formation
Evaluating all the information you have gathered is called ________. -data interpretation -working diagnosis -reflection in action -reading the scene Submit
data interpretation
Knowledge of anatomy, physiology, and pathophysiology is MOST important during the ________________ stage of critical thinking. -data interpretation -concept formation -reflection in action -application of principle
data interpretation
If a pt's clinical presentation is not addressed in a specific algorithm, the paramedic must: -focus exclusively on the pt's ABC's -determine what is the pt's best interest -perform a comprehensive head-to-toe -provide supportive care and transport promptly
determine what is the pt's best interest
Which of the following would have the LEAST impact on the care you provide to a pt who fell? -The height of the fall -how the pt landed -object from which the pt fell -object the pt landed on
object from which the pt fell
Which of the following scenarios MOST accurately depicts reflection in action? -Noting a pt's heart rate before you administer any medication -obtaining a room air pulse oximetry reading before you apply oxygen -reassessing a pt's blood pressure after administering NTG -Administering ASA and then immediately applying a cardiac monitor
reassessing a pt's blood pressure after administering NTG
______ occurs after a call is over and commonly is associated with the run review or critique -reflection in action -reflection on action -data interpretation -application of principle
reflection on action
Given the number of possible diagnoses in any situation and the limited physical and technical resources of the field. you will MOST likely: -regularly with be treating pt's who can only be diagnosed at the hospital. -have difficulty providing supportive care secondary to medical ambiguity -not be able to stabilize the pt's condition adequately in the field setting
regularly with be treating pt's who can only be diagnosed at the hospital.
