Chapter 3 Exam

Which of the following scenarios is an example of informed consent? A) An EMT advises a patient of the risks of receiving treatment. B) A patient is advised by an EMT of the risks of refusing care. C) A patient advises an EMT of why he or she is refusing care. D) An EMT initiates immediate care for an unconscious adult.

A) An EMT advises a patient of the risks of receiving treatment.

You arrive at the scene of an apparent death. When evaluating the patient, which of the following is a definitive sign of death? A) Dependent lividity B) Absence of a pulse C) Absent breath sounds D) Profound cyanosis

A) Dependent lividity

Which of the following types of consent allows treatment of a patient who is unconscious or mentally incapacitated? A) Implied B) Expressed C) Actual D) Informed

A) Implied

Acting in such a way as to make another person fear immediate bodily harm is called: A) assault B) libel. C) battery. D) negligence.

A) assault

You respond to the home of a 59-year-old man who is unconscious with slow, shallow breathing and a weak pulse. The family states that the patient has terminal brain cancer and does not wish to be resuscitated. They further state that there is a DNR order for this patient, but they are unable to locate it. You should: A) begin treatment and contact medical control as needed. B) transport the patient without providing any treatment. C) decide on further action once the DNR order is produced. D) honor the patient's wishes and withhold all treatment.

A) begin treatment and contact medical control as needed.

You receive a subpoena to testify in court regarding a case that occurred two years ago in which you and your partner did not attempt resuscitation of a cardiac arrest patient. Upon receiving the subpoena, you should: A) notify the director of your EMS system and obtain legal counsel. B) contact the patient's family in an attempt to resolve the matter with them. C) call the district attorney's office and explain the details of the case. D) attach an official addendum to the original patient care report.

A) notify the director of your EMS system and obtain legal counsel.

You are dispatched to a middle school for a 16-year-old female experiencing an asthma attack. She is conscious and alert but in severe respiratory distress. The school nurse informs you that she has tried several times to contact the patient's parents but has not been successful. You should: A) provide treatment up to your level of training and transport the child at once. B) transport the child to the closest hospital and let the staff there provide any treatment. C) administer oxygen only until you receive parental consent for further treatment. D) recognize that you cannot begin treatment without expressed parental consent.

A) provide treatment up to your level of training and transport the child at once.

You are dispatched to the residence of a person who frequently calls 911 for nonemergency care. You should: A) respond under the assumption that an acute emergency exists. B) ask the dispatcher to send law enforcement before you respond. C) refuse the call, but thoroughly document the patient's circumstances. D) defer the call to a local private ambulance company.

B) ask the dispatcher to send law enforcement before you respond.

While transporting a stable patient with chest pain to the hospital, you come across a major motor vehicle crash involving several critically injured patients. You should: A) stop and triage the patients while your partner remains in the ambulance. B) continue transporting your patient and notify the dispatcher of the crash. C) ask a bystander to remain with your patient as you treat the crash victims. D) remain at the scene until law enforcement and another ambulance arrive.

B) continue transporting your patient and notify the dispatcher of the crash.

In which of the following situations does a legal duty to act clearly exist? A) The EMT witnesses a vehicle crash while off duty. B) A bystander encounters a victim who is not breathing. C) A call is received 15 minutes prior to shift change. D) The EMT hears of a cardiac arrest after his or her shift ends.

C) A call is received 15 minutes prior to shift change.

Which of the following scenarios most accurately depicts abandonment? A) An AEMT transfers patient care to a paramedic. B) An EMT gives a verbal report to an emergency room nurse. C) A paramedic transfers patient care to an EMT. D) A physician assumes patient care from an EMT.

C) A paramedic transfers patient care to an EMT.

Where would you most likely find information regarding a patient's wishes to be an organ donor? A) Social Security card B) Insurance card C) Driver's license D) Voter registration card

C) Driver's license

When faced with a situation in which a patient is in cardiac arrest and a valid living will or DNR order cannot be located, you should: A) contact medical control first. B) determine the patient's illness. C) begin resuscitation at once. D) notify the coroner immediately.

C) begin resuscitation at once.

For a do not resuscitate (DNR) order to be valid, it must: A) be dated within the previous 24 months. B) be updated a minimum of every 6 months. C) clearly state the patient's medical problem. D) be signed by the local justice of the peace.

C) clearly state the patient's medical problem.

The EMT's scope of practice within his or her local response area is defined by the: A) local health district. B) state EMS office. C) medical director. D) EMS supervisor.

C) medical director.

Which of the following general statements regarding consent is correct? A) All patients older than 18 years can legally refuse treatment or transport. B) Patients who are intoxicated are generally allowed to refuse treatment. C) Expressed consent is valid only if given in writing by a family member. D) A patient can consent to transport but can legally refuse treatment.

D) A patient can consent to transport but can legally refuse treatment.

When performing his or her duties, the EMT is generally expected to: A) function above his or her scope of practice. B) exercise reasonable care and act prudently. C) contact medical control on every EMS call. D) consistently exceed the standard of care.

D) consistently exceed the standard of care.

While transporting a woman with diabetes, you inadvertently give her oral glucose even though her blood glucose level was high. You reassess the patient and note that her condition did not change; she remained stable. You should: A) notify law enforcement so they can file an incident report. B) exclude this intervention from the PCR because it did not harm the patient. C) document the error and report it to your supervisor. D) contact medical control and notify them of the error.

D) contact medical control and notify them of the error.

In many states, a minor may be treated as an adult for the purpose of consenting to or refusing medical treatment if the minor: A) possesses a valid driver's license. B) has a poor relationship with his or her parents. C) is mentally competent and able to refuse. D) is self-supporting and lives by him- or herself.

D) is self-supporting and lives by him- or herself.

You are treating a man who was assaulted and has a closed-head injury. The patient, who has slurred speech, becomes verbally abusive and tells you to leave him alone. You should: A) allow the patient to refuse treatment because the injury was not his fault. B) ask a police officer to transport the patient to the hospital. C) have the police arrest the patient so that you can legally begin treatment. D) proceed with treatment and utilize law enforcement for assistance if necessary.

D) proceed with treatment and utilize law enforcement for assistance if necessary.