Chapter 12
Evaluating all the information you have gathered is called ________. A. data interpretation B. working diagnosis C. reflection in action D. reading the scene
A
Gathering information through your senses and diagnostic tools is called ________. A. concept formation B. cookbook medicine C. data interpretation D. tunnel vision
A
Given the number of possible diagnoses in any situation and the limited physical and technical resources of the field, you will MOST likely: A. regularly be treating patients who can only be diagnosed at the hospital. B. have difficulty providing supportive care secondary to medical ambiguity. C. regularly be able to formulate a definitive diagnosis of the patient's current condition. D. not be able to stabilize the patient's condition adequately in the field setting.
A
Knowledge of anatomy, physiology, and pathophysiology is MOST important during the ________________ stage of critical thinking. A. data interpretation B. concept formation C. reflection in action D. application of principle
A
The "react" phase of critical thinking involves which of the following steps as your first priority in patient care? A. Correct life threats. B. Consider the worst-case scenario. C. Complete a full-body exam. D. Establish command of the scene.
A
The emotional state reflected in physical behavior is known as ________. A. affect B. medical ambiguity C. stress D. displacement
A
Which triage tag would you use for a nonresponsive patient who has lost a significant amount of blood? A. Red B. Yellow C. Green D. Black
A
Conducting a primary survey on a patient is part of ________. A. application of principle B. concept formation C. data interpretation D. implementing a treatment plan
B
If a patient's clinical presentation is not addressed in a specific algorithm, the paramedic must: A. focus exclusively on the patient's ABCs. B. determine what is in the patient's best interest. C. perform a comprehensive head-to-toe exam. D. provide supportive care and transport promptly.
B
If you cannot narrow down a differential diagnosis to a working diagnosis of a patient, you should: A. immediately transport the patient to hospital. B. provide care based on the presenting signs and symptoms. C. focus on physical assessment until a diagnosis can be determined. D. contact medical control for guidance.
B
In order to perform effectively, a paramedic must utilize good judgment and decision making. This is demonstrated by: A. variation from medical directives and protocols when it is required. B. adjusting a treatment plan as circumstances dictate. C. standardization of patients and rigid approaches to care. D. providing complete patient care on route to hospital.
B
No matter how sure he or she is of the working diagnosis, the thinking paramedic must: A. confer with online medical control to confirm his or her diagnosis. B. always keep part of the thought process open to other possibilities. C. implement a treatment plan based solely on the working diagnosis. D. remain confident that his or her working diagnosis is an accurate one.
B
Which of the following should you NOT do as part of reading the patient? A. Auscultate breath sounds. B. Develop a differential diagnosis. C. Determine the chief complaint. D. Obtain complete and accurate vital signs.
B
_______________ occurs after a call is over and commonly is associated with the run review or critique. A. Reflection in action B. Reflection on action C. Data interpretation D. Application of principle
B
Examples of unstable patient conditions include all of the following except: A. serious multisystem trauma. B. acute presentations of "first time" medical events. C. fracture to the lower leg. D. multiple disease etiologies.
C
Which of the following scenarios MOST accurately depicts reflection in action? A. Noting a patient's heart rate before you administer any medication B. Obtaining a room air pulse oximetry reading before applying oxygen C. Reassessing a patient's blood pressure after administering nitroglycerin D. Administering aspirin and then immediately applying a cardiac monitor
C
Which of the following would have the LEAST impact on the care you provide to a patient who fell? A. The height of the fall B. How the patient landed C. Object from which the patient fell D. Object the patient landed on
C
A negative attitude about any patient or patient care situation: A. constitutes negligence and carries legal ramifications with it. B. is usually not sensed by the patient because he or she is frightened. C. is often observed in paramedics with many years of experience. D. almost guarantees that the care you provide will be suboptimal.
D
After you finish reading the scene, what's the next step in clinical decision making? A. Reevaluating patient care B. Readying the patient for transport C. Requesting advanced life support D. Reading the patient
D
Synthesizing information about a patient with multiple medical conditions involves: A. determining the validity of each of the patient's medical problems. B. ruling out each condition as the cause of the patient's chief complaint. C. determining the patient's perception of his or her multiple conditions. D. assessing each condition's potential for having a life-threatening impact.
D
When a patient advises you of his or her chief complaint, you should: A. quickly perform a head-to-toe exam to identify immediate life threats. B. carefully evaluate all of the medications the patient is taking. C. obtain a 12-lead ECG to rule out a cardiac-related cause of the problem. D. ascertain whether this is a new problem or worsening of a preexisting condition.
D
Which of the following is NOT one of the steps of critical thinking? A. Reflection on action B. Data interpretation C. Concept formation D. Memorization of knowledge
D
Which of the following is NOT one of the steps of the mental checklist? A. Make decisions and act on behalf of your patient. B. Regularly and continually reevaluate your patient. C. Scan the scene. D. Diagnose the patient.
D
A treatment plan should be instituted and completed before further assessment can be performed. True False
False
It is critical to establish a single diagnosis in order to guide patient care. True False
False
Patients with acute presentations of chronic conditions generally require immediate care and transport. True False
False
The Six R's in order are:
1. Read the Scene 2. Read the patient 3. React 4. Reevaluate 5. Revise the treatment plan 6. Review performance
All of the following represent stages of the critical thinking process except: A. clinical decision. B. data interpretation. C. application of principle. D. reflection in action.
A