Chapter 15 Practice Quizzes
As an EMT, you will need to know how to communicate with patients in a manner that establishes a positive relationship. This is often referred to as: A. diagnostic communication. B. decoding feedback loops. C. therapeutic communication. D. Interpersonal dynamics.
C
Which of the following violates FCC regulations? A. Improper use of 10 codes B. Use of unauthorized abbreviations C. Use of offensive language D. Saying "please" and "thank you" excessively
C
While reviewing a written PCR for your CQI committee, you come across a word that was misspelled. There was a single line drawn through it, and the correctly spelled word was next to it. Characterize how well the EMT corrected this mistake. A. The EMT was supposed to circle the correct word, write the correct word beside it, and then initial the change. B. The EMT corrected the mistake correctly. C. The EMT forgot to initial the mistake after striking out the wrong word and writing in the correct one. D. The EMT should have scribbled out the word to make it illegible and then written in the correct word.
C
You are preparing to deliver a radio report to the receiving hospital. After providing your unit ID and ETA, you should NEXT: A. relay the patient's baseline vitals. B. provide the patient's chief complaint. C. identify the patient's age and sex. D. provide the patient's history of present illness.
C
You may receive an order from medical direction over the radio to help a patient with his medication. After receiving the order, you should NEXT: A. repeat vital signs. B. confirm the order with your partner. C. repeat the order. D. administer the medication.
C
Typically, you should do which of the following when interviewing your patient? A. Position yourself below the patient's eye level. B. Stand above the patient. C. Position yourself at the patient's eye level. D. Change positions frequently.
C
A device that receives transmissions from one source, boosts the signal power, and rebroadcasts it is called a: A. converter. B. frequency modulator. C. repeater. D. delay circuit.
C
After telling the hospital the age and sex of your patient, what is the NEXT thing you need to report? A. The estimated time of arrival (ETA) B. The patient's vital signs C. The patient's chief complaint D. The patient's name
C
Arrival and transport times fall under which component of the prehospital care report? A. Subjective field B. Treatment area C. Administrative information D. Narrative section
C
A radio that is located at a stationary site is called a: A. base station. B. mobile. C. portable. D. repeater.
A
After reviewing the PCR forms for the last six months, EMS management determined that a remediation class needed to be set up to improve use of the pediatric immobilization device during transport. What type of function did the PCR serve in that purpose? A. CQI/research use B. Legal use C. Administrative use D. Disciplinary use
A
Guidelines for communicating with your patient includes which of the following? A. Listen carefully and allow time for the patient to answer. B. Never touch a patient in a comforting manner, as the patient will perceive it as encroachment. C. Refrain from explaining what you are doing, as it takes too much time. D. Be informal with older patients and call them by their first name.
A
In interviewing a patient, which of the following is recommended? A. Use the patient's proper name. B. Start important statements with "Now listen." C. Direct the patient to keep statements brief. D. Assign the patient a friendly nickname.
A
Signs and symptoms that might be expected on the basis of a patient's chief complaint but that the patient denies having are examples of: A. pertinent negatives. B. pertinent positives. C. pertinent attributes. D. pertinent circumstances.
A
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. using EMS frequencies for all radio traffic, including personal messages. D. Pressing your lips against the microphone for clarity while speaking.
A
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. "Maybe I'm breaking up, doc. Did you hear the blood pressure?" C. "I refuse to administer nitroglycerin to this patient." D. "Sorry, doc. I can't hear you. You're breaking up."
A
What is the value of documenting a pertinent negative on your PCR? A. The lack of the symptom is relevant to the assessment. B. It demonstrates that the patient was alert. C. It shows that you know to ask lots of questions. D. It helps to fill up the narrative portion of the form.
A
What power output do most portable radios have? A. 1 to 5 watts B. 25 to 35 watts C. 5 to 10 watts D. 0.5 to 3 watts
A
What type of report is usually left with the receiving facility if the EMS system is using electronic charting and normally faxes the chart in later? A. A drop report B. A temporary report C. A PCR with only the patient demographics and administrative section completed D. A full written PCR
A
When a service uses review of patient care reports to track and shorten response times, they are using data for? A. Quality improvement B. Administrative use C. Research use D. Disciplinary use
A
When communicating within the EMS system, you should keep your transmission brief and remember to: A. listen before transmitting. B. speak with your lips directly on the microphone. C. state your ID number and then the number of the unit you are calling. D. begin talking as soon as you depress the microphone button.
A
When you are taking a history from the patient who is complaining of chest pain, a pertinent negative would include: A. the absence of breathing difficulty. B. the lack of a history of allergies. C. the patient's taking nitroglycerin and ASA. D. the lack of prior heart attacks.
A
When you encounter a patient who refuses treatment, you should: A. inform the patient of the consequences of that decision. B. simply leave the scene. C. tell the patient that he will die. D. forcibly treat the patient.
A
Which communication device has an output of 20 to 50 watts and a range of 10 to 15 miles? A. Mobile radio B. Repeater C. Portable radio D. Base station
A
Which of the following bits of information should NOT be found in the treatment section of a patient care report? A. Subjective interpretation about the treatment that was rendered B. What treatments were rendered C. Indications of how the patient responded to treatments D. Times when treatments were rendered
A
Which of the following is a routine radio transmission for an EMT? A. Notifying dispatch of your arrival at the hospital B. Contacting law enforcement with medical information about the patient C. Notifying dispatch when you are five minutes from the scene D. Contacting the patient's personal physician while you are en route to the hospital
A
Which of the following is information that is not generally included in the verbal report at the receiving hospital? A. Insurance information B. Additional treatment given en route C. Most recent vital signs D. Patient name
A
Which of the following is the BEST definition of a base station? A. Two-way radios at a fixed site, such as a hospital or dispatch center B. Handheld transmitter/receivers C. Devices used for transmission over a short distance D. Transmitter/receivers that are affixed in a vehicle
A
You are designing a radio communications system for your rural EMS unit. What device may be placed to retransmit lower-power signals at a higher power? A. Repeater B. Base station C. Cell phone D. Portable radio
A
You are en route to the ED with a critical patient when your ambulance's mobile radio fails. Which of the following may be used to contact the hospital? A. Cell phone B. Local law enforcement C. Base station D. Repeater
A
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. incident was reported. C. unit was en route to the call. D. EMT radioed the patient report to the hospital.
B
Another name for an abbreviated transfer-of-care form is: A. incomplete report. B. drop report. C. condensed report. D. short report.
B
In radio communication, phrases such as "please" and "thank you": A. are not allowed by the FCC. B. are assumed and should not be stated on the radio. C. increase cooperation. D. are common courtesy and should be included if time and traffic permit.
B
In the emergency prehospital care communications system, a mobile transmitter/receiver: A. is a portable radio that is useful when you are working at a distance from your vehicle. B. is a vehicle-based radio that comes in a variety of power ranges. C. serves as a dispatch and coordination area. D. is a device that receives transmissions and rebroadcasts them at a higher power.
B
Jurisdiction over all EMS radio operations in the United States is held by the: A. Federal Emergency Management Agency. B. Federal Communications Commission. C. Department of Transportation. D. Department of Health and Human Services.
B
Patient condition, vitals, and pertinent medical history would typically be communicated to what party? A. Dispatch B. The receiving hospital C. The patient's family D. Bystanders
B
The patient narrative contains detailed information about the patient. When writing the narrative portion of your PCR, keep in mind that: A. the narrative should repeat previously reported information, such as vital signs. B. symptoms are subjective findings, while signs are objective findings. C. Pertinent negatives need not be documented, as they are signs and symptoms the patient is not having. D. the narrative should contain information about the patient, not the scene.
B
What organization developed the information that is to be included in the PCR minimum data set? A. U.S. Department of Education B. National Highway Traffic Safety Administration C. Social Security Administration D. U.S Department of Health and Human Services
B
What type of special reporting situation typically employs the use of triage tags? A. Pediatric arrest scenes B. Multiple-casualty incidents scenes C. Sporting event scenes D. Crime scenes
B
When communicating with an elderly patient: A. remember that elderly people are all at some stage of Alzheimer's disease. B. remember that many elderly people are well-oriented and physically able. C. calling elderly people names such as "Dear" and "Honey" makes them feel better. D. Always speak loudly and slowly, as elderly people are all hearing impaired.
B
When receiving orders from medical direction, you should do all of the following EXCEPT: A. repeating the order word for word. B. giving the patient's name over the radio. C. asking for clarification of an order that you did not understand or feel is inappropriate. D. avoiding phrases such as "please," "thank you," and "you're welcome."
B
When the EMT calls to receive an order from medical direction to assist the patient with his bronchodilator treatment, it is important to: A. tell the physician what the EMT's diagnosis is. B. "echo" or immediately repeat the order back for verification. C. be sure to say "please" and "thank you" for the order. D. use as many codes as possible, since people may be listening.
B
Which of the following is directly enhanced by effective interpersonal communication? A. Standing orders B. Patient care C. EMT salary D. Scope of practice
B
Which of the following is recommended in communicating via radio? A. Identify yourself first, then state the number of the unit you are calling. B. Avoid radio codes. C. Hold the radio at least 6 inches from your mouth. D. End each transmission with "thank you."
B
Which of the following resides at a fixed site, such as a dispatch center? A. Mobile radio B. Base station C. Cell phone D. Portable radio
B
Which of the following sections is used by the EMT to add more detailed information to a PCR? A. Demographic section B. Patient narrative section C. Administrative section D. Treatment section
B
Which of the following statements about receiving orders over the radio is TRUE? A. If an order appears to be inappropriate, write down every word so that you may defend yourself later if necessary. B. If an order appears to be inappropriate, repeat the order to the physician and ask pertinent questions about the order. C. If an order appears to be inappropriate, call another hospital to confirm. D. If an order appears to be inappropriate, contact your dispatcher to report.
B
Which of the following terms BEST describes a device that picks up signals from lower-power radio units and retransmits at a higher power? A. Cell phone B. Repeater C. Mobile radio D. Base station
B
Which of the following terms BEST describes 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. Run data B. Drop report C. Patient care record D. SOAP notes
B
Which of the following terms describes inaccurate information that has been documented on a PCR and may lead to revocation of EMT certification as well as possible criminal charges? A. Inaccurate B. Falsified C. Incomplete D. Confidential
B
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. Mr. Walters C. Rob D. Robert
B
You arrive at a patient's residence and determine that the patient is from a culture that is very different from yours. You should: A. encourage the patient to assimilate to your culture. B. be sensitive to the cultural differences. C. ignore cultural differences and expedite patient care. D. treat all patients the same.
B
Gestures, mannerisms, and postures by which a person communicates with others are known as: A. silence. B. facilitation. C. body language. D. summary.
C
The EMT accurately documents that she gave a medication without appropriate medical direction. This is an example of: A. gross negligence. B. an error of omission. C. an error of commission. D. falsification of the PCR.
C
The medical documentation that you prepare has legal and administrative functions. Which of the following is TRUE about these uses of your documentation? A. Since the documentation is not considered a legal document, you would not be able to refer to it when testifying in court. B. The EMT's documentation is generally not used in preparing bills. C. The medical documentation that you provide typically becomes a part of the patient's permanent hospital record. D. Because the EMT is the only person who will read the documentation, legibility and use of abbreviations are not important.
C
What does "PTT" mean on a portable or mobile radio? A. Press to terminate. B. Patient telemetry transmit. C. Press to talk. D. Pre-transmit toggle.
C
What is the FIRST information you will give to the ED staff when you arrive with a patient? A. Drop report B. Transfer report C. Verbal patient report D. Patient care report (PCR)
C
What is the difference between the patient information section of the PCR and the administrative information that is included on the PCR? A. The patient information is the chief complaint, and the administrative information is the EMS arrival time. B. The patient information includes the patient's address only, and the administrative section include the trip times. C. The patient information includes specific assessment findings, and the administrative information includes the trip times. D. The patient information includes the patient assessment information, and the administrative section is the name and address of the EMS system.
C
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 repeater location B. The base station C. The unit you are calling D. Your unit number
C
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. Three seconds B. Five seconds C. One second D. Seven seconds
C
Which of the following BEST describes the manner in which an EMT should correct a known error on a written patient care report? A. Circle the word, and then write the correct one beside it. B. Scribble out the word, and write the correct one beside it. C. Draw a single horizontal line through it, then write the correct word beside it. D. Erase the incorrect word(s), and rewrite the correct one(s) over top of the incorrect one(s).
C
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 is required for Medicaid and Medicare to provide reimbursement. B. It shortens the overall length of the PCR. C. It allows better research and standardization of EMS care. D. It allows the tracking of information to ensure the elderly population is managed correctly.
C
Which of the following devices may be used to speak to medical control with the LEAST risk of someone hearing the conversation? A. Portable radio B. Mobile radio C. Cell phone D. Base station
C
Which of the following is CORRECT about the prehospital care report? A. It is not part of the patient's permanent medical record. B. It is only for the eyes of other EMS providers. C. It serves administrative functions. D. It serves only one function.
C
Which of the following is NOT a component of the emergency radio report? A. Patient age and sex B. Estimated time of arrival C. Patient name D. Chief complaint
C
Which of the following is appropriate in communicating with medical direction over the phone or radio? A. "Patient with symptoms of heart attack." B. "Patient likely experiencing non-cardiac chest pain." C. "Patient is complaining of chest pain." D. "Patient presents with myocardial infarction."
C
Which of the following is the MOST important reason for maintaining good documentation standards? A. Good documentation facilitates CQI. B. Good documentation improves the billing process. C. Good documentation contributes to continuity of care. D. Good documentation reduces disciplinary problems.
C
Which of the following is the most important objective associated with proper communication skills? A. Ensuring that you are quoted correctly by the local newspaper B. High-quality interpersonal relationships C. Patient safety D. Clear radio communications
C
Which of the following should be documented to enhance and make clear the vital signs? A. Level of consciousness of the patient B. Age of the patient C. Position the patient was in when the vital signs were taken D. Stability of the patient
C
Which of the following types of radios is typically used in a vehicle? A. Repeater B. Portable C. Mobile D. Base
C
Complete documentation on a PCR includes: A. discharge instructions. B. summary of law enforcement activities. C. all possible differential diagnosis. D. administrative information.
D
Information that is measurable or verifiable in some way is called: A. pertinent negatives. B. subjective information. C. pertinent information. D. objective information.
D
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. personal information about the patient that is not pertinent to medical care. B. only new information. It is not necessary to repeat your broadcasted report. C. the patient's billing and insurance information. D. treatment that was given to the patient en route and the patient's response to that treatment.
D
Radio communications include trends in the patient's condition, responses to interventions, and information from the scene and are monitored by the: A. EPA. B. DOT. C. OSHA. D. FCC.
D
Signs and symptoms that are expected on the basis of the chief complaint but that the patient denies having are known as: A. patient denials. B. subjective information. C. objective information. D. pertinent negatives.
D
The Department of Transportation'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 one year old. C. capillary refill for patients younger than three years old. D. the patient's respiratory rate and effort.
D
The Federal Communications Commission (FCC) controls and regulates all: A. communications in the United States. B. television, aircraft, marine, and mobile land-frequency ranges only. C. nonemergency communications in the United States. D. interstate and international communications by radio, television, wire, satellite and cable in the United States.
D
When communicating with medical direction, you should provide the following information early in your dialogue: A. The patient's name B. The patient's ethnic origin C. The patient's marital status D. The patient's chief complaint
D
When you are transferring care of a patient to another EMS provider, your brief verbal report should ALWAYS include: A. the patient's Glasgow Coma Scale score. B. the patient's last oral intake. C. the patient's weight. D. the chief complaint.
D
Which of the following BEST describes the type of information that is gathered in documenting vital signs? A. Summative B. Narrative C. Subjective D. Objective
D
Which of the following can lead to medical error on a patient care report? A. Using quotations to document the language of the patient B. Stating only facts as you found them C. Using anatomical language D. Using accepted medical abbreviations
D
Which of the following is TRUE about communicating with patients from a different culture? A. Cultural differences have no impact on communication. B. The patient's culture is irrelevant to the EMT. C. You should take no action until you understand the key cultural differences. D. Cultural differences can make effective communication more challenging.
D
Which of the following is TRUE about use of the 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 or John Doe. D. It may violate confidentiality rules.
D
Which of the following is typically NOT included in the patient data section of a prehospital care report? A. The mechanism of injury B. The patient's age and sex C. Billing information D. The ambulance service name
D
Which of the following methods of communicating with medical direction BEST protects the patient's privacy? A. Using the portable radio B. Using the mobile radio C. Using your dispatcher to relay the information D. Using the phone at the patient's residence
D
Which of the following should be avoided in completing the vital signs division of the PCR? A. Taking and recording at least two complete sets of vital signs B. Documenting the time the patient's vital signs were taken C. Documenting the position the patient was in when vitals were taken D. If you take only one set of vital signs, estimating a second set
D
Which of the following technologies permits transmission of some standard messages, such as arriving on the scene, by pushing a key that allows the message to be transmitted in a condensed form? A. Mobile fax B. Cell phones C. Backup radios D. Digital radios
D
Why is poor communication a contributor to patient safety risks? A. You might take the patient to the wrong hospital. B. You could get an over-response to the call. C. The patient may be charged for a skill you did not provide. D. It can lead to medical errors.
D