Chap 5,6,7 Test 3

Which of the following statements contains objective and subjective information? A) "The patient's behavior was consistent with alcohol intoxication." B) "The patient's pulse was rapid and weak and he was diaphoretic." C) "The patient's wife stated that he began feeling ill a few hours ago." D) "The patient appeared confused and stated that he had a headache."

"The patient appeared confused and stated that he had a headache."

When a patient repeatedly apologizes to you because he or she is incontinent, you should say: A) "I understand your embarrassment, but it is okay." B) "Don't worry about it because we see this all the time." C) "You don't have to apologize; that's what we're here for." D) "Given the situation, your incontinence is understandable."

"You don't have to apologize; that's what we're here for."

When a patient thanks you, your MOST appropriate response should be: A) "Any time." B) "That's okay." C) "No problem." D) "You're welcome."

"You're welcome."

Which of the following suffixes is used when describing disintegration or destruction? A) -ectomy B) -lysis C) -trophic D) -plasty

-lysis

Which of the following is a subjective finding? A) Pale, cool, clammy skin B) Obvious respiratory distress C) A complaint of chest pressure D) Blood pressure of 110/60 mm Hg

A complaint of chest pressure

Movement of a body part away from the midline is called:

Abduction

The prefix trans- in "transcutaneous cardiac pacing" indicates that you are pacing ________ the skin. A) beneath B) within C) around D) across

Across

Movement of an extremity toward the midline is called:

Adduction

Which of the following documentation styles would likely be MOST difficult and time-consuming to apply in EMS? A) SOAP method B) CHARTE method C) Body systems approach D) Chronological approach

Body systems approach

Which of the following constitutes minimum data that must be included on every patient care report? 1) Chief complaint, level of consciousness, vital signs, assessment, and patient's age and gender 2) Level of consciousness, field impression, vital signs, assessment, and patient's name and address 3) Scene size-up, detailed assessment, blood glucose reading, vital signs, and patient's age 4) Chief complaint, vital signs, assessment, tentative field diagnosis, and patient's ethnic background

Chief complaint, level of consciousness, vital signs, assessment, and patient's age and gender

Blepharospasm is defined as spasm of the: A) eyelids. B) jaw muscles. C) gallbladder. D) wrist joint.

Eyelids

In which of the following situations would the documentation on a patient care report MOST likely be limited? 1) Cardiac arrest 2) Physical abuse 3) Mass-casualty incident 4) Injury to a paramedic

Mass-casualty incident

Which of the following laws or entities requires that a statement of medical necessity be clearly documented on a patient care report?A) HIPAA B) Medicare C) Medicaid D) State law

Medicare

Which of the following statements regarding 12-lead ECG telemetry is correct? A) Telemetry over UHF frequencies enables transmission and analysis of all 12 leads. B) Telemetry has never proven to increase diagnosis times for patients with a cardiac event. C) Most newer systems use facsimile technology to allow transmission of 12-lead ECGs. D) A decoder is required to ensure that voice communication does not filter out the ECG.

Most newer systems use facsimile technology to allow transmission of 12-lead ECGs.

When functioning at a noisy scene, communication will be MOST effective if you: A) move the patient to the ambulance as soon as you can. B) tell noisy patrons or bystanders to be quiet or leave. C) yell into the patient's ear so he or she can hear you. D) find the source of the noise and remove it if possible.

Move the patient to the ambulance as soon as you can

Which of the following statements regarding revisions or corrections to a patient care report is correct? A) The original patient care report should be destroyed if a revision is necessary. B) Only the person who wrote the original report can revise or correct it. C) A patient care report cannot be revised or corrected after submission. D) If a report needs revision, the revision must be made within 12 hours.

Only the person who wrote the original report can revise or correct it

Which of the following data would a state EMS office be the LEAST likely to require an EMS agency to report? A) Call volume B) Types of calls C) Patient gender D) Patient outcome

Patient gender

A vertical plane that is parallel to the median plan is called:

Sagittal

Which of the following actions demonstrates that the paramedic has his or her emotions under control? A) Taking notes while repeating some of the patient's statements back to him or her B) Obtaining the patient's medical history while administering emergency treatment C) Speaking close to the patient's ear in a calm voice in an extremely noisy situation D) Frequently reassuring a seriously injured patient that everything will be okay

Speaking close to the patient's ear in a calm voice in an extremely noisy situation

Which of the following is a significant benefit of electronic documentation? A) The ability of the data to be shared between health care facilities B) The elimination of the need for a narrative section C) The use of drop-down boxes, which minimizes the possibility for errors D) The ease with which it can be applied during mass-casualty incidents

The ability of the data to be shared between health care facilities

Which of the following incident times is NOT commonly documented on the patient care report? A) Time of primary assessment B) Time of departure from the scene C) Time of arrival at the hospital D) Time of medication administration

Time of primary assessment

Notification of EMS usually occurs when: A) EMTs contact an emergency medical dispatcher. B) a bystander notifies the dispatcher via telephone. C) a sick or injured patient presents to your EMS station. D) law enforcement requests assistance via two-way radio.

a bystander notifies the dispatcher via telephone

Repeating the key parts of a patient's responses to your questions demonstrates: 1) sympathy. 2) active listening. 3) passive communication. 4) an exchange of information.

active listening

Which of the following prefixes means "pertaining to a gland"? A) chole- B) aden(o)- C) blast(o)- D) arthro-

aden(o)-

If a patient asks for your advice regarding a treatment decision that his or her physician made, you should: A) only give advice if you disagree with the physician. B) give your opinion, but state that you are not a physician. C) obtain specific information about the physician's decision. D) advise the patient to consult with his or her physician.

advise the patient to consult with his or her physician.

The MOST significant problem associated with making up your own medical abbreviations and documenting them on the patient care report is: A) insurance denial. B) a potential lawsuit. C) an error in patient care. D) confusion at the hospital.

an error in patient care

Data collected from the state EMS office for the purpose of research would likely NOT include: A) patient outcomes. B) the nature of all calls C) average cost per call. D) call volume per month.

average cost per call

The FIRST principle of communicating by radio is: 1) clarity. 2) accuracy. 3) calmness. 4) thoroughness.

clarity

The National Emergency Medical Services Information System (NEMSIS): A) defines the scope of practice for all levels of EMS provider. B) collects relevant data from each state and uses it for research. C) is a nationwide billing system that any EMS provider can use. D) defines the minimum data that must be collected on each call.

collects relevant data from each state and uses it for research

If a patient with decision-making capacity adamantly refuses treatment for an injury or condition that clearly requires immediate medical attention, the paramedic should: A) request law enforcement assistance at once. B) contact online medical control for guidance. C) make other arrangements for patient transport. D) ask the patient to sign a refusal of treatment form.

contact online medical control for guidance

Most EMS agencies require a double signature system any time a: A) medication that alters a patient's physiology is given. B) patient's condition warrants diversion to a closer hospital. C) patient is given more than one dose of any medication. D) controlled substance is checked, used, discarded, or replaced.

controlled substance is checked, used, discarded, or replaced.

The purpose of a closed-ended question is to: A) elicit a specific response from the patient. B) enable the paramedic to gauge the patient's mentation. C) obtain reliable information about a patient's complaint. D) allow the patient to describe what he or she is feeling.

elicit a specific response from the patient.

When the paramedic encounters a patient who has difficulty communicating, he or she should: A) enlist the help of a family member or primary caregiver. B) try to use sign language when asking a specific question. C) suspect that the patient may have a psychiatric condition. D) transport the patient and advise the hospital of the situation.

enlist the help of a family member or primary caregiver

When a competent adult patient refuses medical care, it is MOST important for the paramedic to: 1) ensure that the patient is well informed about the situation at hand. 2) contact medical control and request permission to obtain the refusal. 3) perform a detailed physical exam before allowing the patient to refuse. 4) obtain a signed refusal from the patient as well as a witness signature.

ensure that the patient is well informed about the situation at hand

Maintaining eye contact with a patient enables the paramedic to: A) rapidly gain any patient's trust. B) defuse a potentially violent situation. C) relay the seriousness of the situation. D) evaluate the patient's neurologic status.

evaluate the patient's neurologic status

Statements such as, "Please say more," or, "Please feel welcome to tell me about that," are examples of: A) reflection. B) clarification. C) sympathy. D) facilitation.

facilitation

Movement of the distal point of an extremity toward the trunk is called: 1) flexion. 2) pronation. 3) supination. 4) extension.

flexion

If a patient provides an inappropriate response to a paramedic's question, it should be assumed that the patient: A) is frightened by the situation. B) does not wish to communicate. C) has impaired cerebral function. D) is not willing to cooperate

has impaired cerebral function

When a panicked person calls 9-1-1 for help: A) he or she needs immediate confirmation of having reached the right number. B) the emergency medical dispatcher must answer the phone within four or five rings. C) the dispatcher should not speak to the caller until the caller has calmed down. D) an ambulance should be dispatched before the nature of the problem is known.

he or she needs immediate confirmation of having reached the right number.

The term "frequency," as it applies to radio communications, is MOST accurately defined as: A) how frequently a radio wave recurs in a given time. B) a predefined station designed for emergency use only. C) a relatively long wavelength that produces audible sound. D) the number of megahertz per cycle that the radio transmits.

how frequently a radio wave recurs in a given time

Touching a conscious elderly patient in a nursing home without his or her permission: A) is nonverbally communicating, "You are not important enough or mentally competent enough to be asked for permission." B) is typically acceptable to the patient, because he or she is often frightened and desperately wants someone to help. C) may be necessary if the patient appears to have an altered mental status during your visual assessment of his or her behavior. D) is unprofessional and ethically unacceptable unless you have obtained consent from the patient's family or primary caregiver.

is nonverbally communicating, "You are not important enough or mentally competent enough to be asked for permission."

The use of ten-codes over the radio: A) should be carried out whenever possible to ensure effective communication. B) is not recommended by the National Incident Management System (NIMS). C) increases the likelihood of miscommunication during the radio transmission. D) is prohibited by the Federal Communications Commission and should be avoided.

is not recommended by the National Incident Management System (NIMS).

If the paramedic is unable to complete his or her patient care report before departing the emergency department, he or she should: A) leave, at a minimum, the patient's name and age, but recognize that the physician will perform his or her own exam. B) leave an abbreviated form with pertinent data with the receiving provider and complete the patient care report as soon as possible. C) obtain the emergency department fax number and transmit the completed patient care report within 12 hours after delivering the patient. D) advise the receiving provider that he or she will return to the emergency department with the completed patient care report within 24 hours.

leave an abbreviated form with pertinent data with the receiving provider and complete the patient care report as soon as possible.

For purposes of refusing medical care, a patient's mental status may be considered impaired if he or she: A) is notably frightened. B) makes a derogatory comment. C) is not sure of the exact time. D) makes nonsensical statements.

makes nonsensical statements

If you want reliable answers to personal questions, you should: A) tell the patient that his or her responses to your questions are confidential. B) manage the scene so you can ask such questions quietly and privately. C) request law enforcement presence when asking a personal question. D) tell the patient that personal questions are a routine part of your exam.

manage the scene so you can ask such questions quietly and privately

It is MOST important for the paramedic to exercise extreme care when using medical abbreviations because: A) medical abbreviations change frequently. B) many abbreviations have more than one meaning. C) even correctly used abbreviations often cause confusion. D) insurance companies do not pay if unapproved abbreviations are used.

many abbreviations have more than one meaning

A backup communication system is especially critical when dealing with: A) mass-casualty incidents. B) motor-vehicle collisions. C) simultaneous EMS calls. D) any critically injured patient.

mass-casualty incidents

A poorly written patient care report: A) often indicates that the paramedic was too busy providing patient care. B) generally results in a lawsuit, even if the patient outcome was favorable. C) may raise questions by others as to the paramedic's quality of patient care. D) is unavoidable during a mass-casualty incident and is generally acceptable

may raise questions by others as to the paramedic's quality of patient care.

In order for the paramedic to talk and transmit an ECG simultaneously on one frequency, a __________ system is required. A) duplex B) simplex C) low-band D) multiplex

multiplex

The combination of two or more signals, which allows the paramedic to talk and transmit an ECG simultaneously on one frequency, is called a: A) simplex system. B) trunking system. C) multiplex system. D) half-duplex system.

multiplex system

Radio transmission distances from a mobile transceiver are reduced: A) by fog or light rain. B) over mountainous areas. C) over water or flat terrain. D) with greater than 7.5 W of power.

over mountainous areas

HIPAA mandates that: A) a patient's personal information must be shared with the patient's immediate family members. B) patient information shall not be shared with entities or persons not involved in the care of the patient. C) a penalty will be imposed for any release of any portion of a patient's personal information to any entity. D) patient information can only be shared with the receiving physician in the emergency department.

patient information shall not be shared with entities or persons not involved in the care of the patient.

When documenting a statement made by the patient or others at the scene, you should: A) document the exact time that the statement was made. B) include the statement in an addendum to your run report. C) translate the statement into appropriate medical terminology. D) place the exact statement in quotation marks in the narrative.

place the exact statement in quotation marks in the narrative.

Compared to the frontal region of the skull, the occiput is: 1) anterior. 2) exterior. 3) inferior. 4) posterior.

posterior

The patient care report: 1) provides for a continuum of patient care upon arrival at the hospital. 2) is a legal document and should provide a brief description of the patient. 3) should include the paramedic's subjective findings or personal thoughts. 4) is only held for a period of 24 months, after which it legally can be destroyed.

provides for a continuum of patient care upon arrival at the hospital

In order to ensure that all recorded times associated with an incident are accurate, the paramedic should: A) frequently glance at his or her watch. B) radio the dispatcher after an event occurs. C) document the time that each event occurs. D) get a copy of the dispatch log after the call.

radio the dispatcher after an event occurs.

If a patient avoids answering a specific question, you should: A) conclude that the patient is trying to hide something. B) redirect him or her to the question to elicit a response. C) document that the patient did not answer the question. D) avoid repeating the question as this may upset the patient.

redirect him or her to the question to elicit a response.

A _____________ receives a weak signal and retransmits it at a higher power on another frequency. A) repeater B) base station C) multiplex system D) duplex system

repeater

A(n) __________ receives a weak signal and re transmits it at a higher power on another frequency. A) duplex B) simplex C) repeater D) encoder

repeater

The MOST effective way to maintain your own knowledge of standard medical terminology is to: A) read the patient care reports that your peers write. B) memorize the standard terms used by your EMS system. C) participate in a QA process that reviews patient care reports. D) review the anatomy and physiology chapter of a textbook.

review the anatomy and physiology chapter of a textbook

All of the following factors may cause distortion of an ECG signal, EXCEPT: A) muscle tremors. B) loose electrodes. C) severe tachycardia. D) distant transmission range.

severe tachycardia

According to HIPAA, it is acceptable and permissible for hospitals to: A) disclose information to a patient's family member, provided the family member has proper identification. B) release patient information to the public health department, regardless of the patient's medical condition. C) share information with the EMS providers about patient outcome for purposes of quality assurance and education D) release patient information to the media only if the hospital feels that the patient's condition may cause an epidemic.

share information with the EMS providers about patient outcome for purposes of quality assurance and education.

An accurate and legible patient care report: A) should be complete to the point where anyone who reads it understands exactly what transpired on the call. B) is not possible on every call, especially if there is more than one patient or the patient is critically ill or injured. C) is a relatively reliable predictor of the quality of care that the paramedic provided to the patient during the call. D) provides immunity to the paramedic if the patient decides to pursue legal action against the paramedic.

should be complete to the point where anyone who reads it understands exactly what transpired on the call.

When communicating medical information via radio, you should be: A) thorough yet rapid. B) comprehensive but brief. C) as expeditious as possible. D) simple, brief, and direct.

simple, brief, and direct

Biotelemetry is MOST accurately defined as: 1) linking two frequencies together so that the paramedic and physician can converse directly. 2) a common radio frequency assigned to EMS by the Federal Communications Commission. 3) the ability of more than one public safety agency to share the same radio frequency during a crisis. 4) the capability to measure vital signs and ECG tracings and transmit them to a distant terminal.

the capability to measure vital signs and ECG tracings and transmit them to a distant terminal.

Prior to submitting a patient care report to the receiving hospital, it is MOST important for: A) your partner to review the report to ensure accuracy. B) the EMS medical director to review the report briefly. C) the paramedic who authored the report to review it carefully. D) the quality assurance team to review the report for accuracy.

the paramedic who authored the report to review it carefully

The accuracy of your patient care report depends on all of the following factors, EXCEPT: A) including all pertinent event times. B) the severity of the patient's condition. C) the thoroughness of the narrative section. D) documenting any extenuating circumstances.

the severity of the patient's condition

When communicating with older patients, it is MOST important to remember that: A) many older patients lose the ability to understand simple terminology, thus requiring the paramedic to gear his or her questions accordingly. B) their illnesses may be more complex because they may have more than one disease process and may be taking several medications concurrently. C) the ability to hear and see is naturally impaired due to the process of aging, and the paramedic must accommodate these disabilities appropriately. D) older patients are generally poor historians regarding their medical history, and the paramedic should interview a family member or friend instead.

their illnesses may be more complex because they may have more than one disease process and may be taking several medications concurrently.

The ability of multiple agencies or systems to share the same radio frequency is called: A) a duplex. B) trunking. C) patching D) telemetry.

trunking

Eye-to-eye contact with a patient reinforces: A) trust and honesty. B) passive listening. C) sympathy. D) professional courtesy.

trust and honesty.

When transmitting information via radio, you should: A) break long messages into 60-second segments. B) use a normal conversational tone of voice. C) speak with your voice slightly elevated. D) keep your mouth 1" from the microphone.

use a normal conversational tone of voice

If you make an error when completing a written patient care report, you should: A) circle the error, initial it, and write the correct information next to it. B) not alter the original patient care report and write the correct information on an addendum. C) use different colored ink when drawing a single line through the error. D) leave the error, but write the correct information in parentheses next to it.

use different colored ink when drawing a single line through the error.

All of the following are subjective findings, EXCEPT: A) visible blood in the ear canal. B) a feeling of impending doom. C) a persistent dull headache. D) acute and severe nausea.

visible blood in the ear canal

Components of a thorough patient refusal document include: A) assurance by the paramedic that the patient's ability to pay is of no concern. B) notification of the patient's physician to apprise him or her of the situation. C) documentation of a complete assessment, even if the patient refused assessment. D) willingness of EMS to return to the scene if the patient changes his or her mind.

willingness of EMS to return to the scene if the patient changes his or her mind.

Stereotyping an elderly, very young, or hostile patient during your attempt to communicate with him or her: A) yields relatively accurate information. B) is proper under certain circumstances. C) works against effective communication. D) is an effective means of communicating.

works against effective communication.

Which of the following words would be the MOST difficult to hear over the radio? A) Yes B) Negative C) Affirmative D) Received

yes

It would be MOST appropriate to ask a patient a closed-ended question when: A) the question requires the patient to think. B) you are using complex medical terminology. C) you are trying to obtain medical history information. D) you are attempting to establish the quality of a patient's pain.

you are trying to obtain medical history information

If a patient is unable to tell you who he or she is, where he or she is, and what day of the week it is: A) you should suspect decreased blood flow to the brain. B) he or she is most likely scared and unable to remember. C) he or she likely has an intracerebral hemorrhage or lesion. D) you should ask him or her questions that require more thought.

you should suspect decreased blood flow to the brain

When providing patient care, it is MOST important that you maintain effective communication with: 1) the dispatcher. 2) bystanders. 3) medical control. 4) your partner.

your partner