Chapter 5 & 6 - Emergency Care In the Streets - Quiz

Which of the following is an example of a closed-ended question? Select one: A. "How did you feel when you awoke today?" B. "Can you describe the pain you are feeling?" C. "Does the pain radiate to your arm or jaw?" D. "Can you tell me how this all started?"

"Does the pain radiate to your arm or jaw?" pg152

Which of the following statements includes a pertinent negative? Select one: A. "The patient rates his pain as an 8 on a scale of 0 to 10." B. "The possible smell of ETOH was noted on the patient." C. "The rapid head-to-toe exam revealed abrasions to the chest." D. "The patient complains of nausea but denies vomiting."

"The patient complains of nausea but denies vomiting." pg181

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

A complaint of chest pressure pg170

When relaying critical information using the situation, background, assessment, and recommendation (SBAR) technique, which component would address the question, "What got us to this point?" Select one: A. Situation B. Assessment C. Background D. Recommendation

Background pg150

Which of the following statements conveys empathy? Select one: A. "Based on my assessment, I think you may be having a heart attack." B. "I understand how difficult this must be. I'm here to help you." C. "So if I understand you correctly, you say that you want to kill yourself." D. "I understand exactly how you feel. In time, this will work out."

I understand how difficult this must be. I'm here to help you." pg153

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

Patient gender pg171-172

When asking a man a question about his chest pain, he responds in a disorganized manner. What should you do? Select one: A. Rephrase your question using medical terminology to elicit a reliable response. B. Put his response into simpler terms and asks if he agrees with your synopsis. C. Defer that particular question until the patient is delivered to the hospital. D. Proceed under the assumption that he is impaired by drugs or alcohol.

Put his response into simpler terms and asks if he agrees with your synopsis. pg154

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

The ability of the data to be shared between health care facilities pg172-173

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

The patient appeared confused and stated that he had a headache." PG170

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

Time of primary assessment pg185-1189

Repeating the key parts of a patient's responses to your questions demonstrates: Select one: A. passive communication. B. an exchange of information. C. sympathy. D. active listening.

active listening. pg151

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

an error in patient care. pg170-171

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

average cost per call. pg171-172

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

collects relevant data from each state and uses it for research. pg172

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

controlled substance is checked, used, discarded, or replaced. pg179

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

elicit a specific response from the patient. pg152

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

ensure that the patient is well informed about the situation at hand. pg174-175

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

evaluate the patient's neurologic status pg151

The use of telemetry to confirm cardiac rhythms before treatment: Select one: A. is no longer the standard of care because treatment algorithms exist that assist the paramedic in identifying the cardiac rhythm. B. is less common as most EMS systems rely on paramedics to assess the cardiac rhythm and make independent treatment decisions. C. is not used for 12-lead ECG transmission because interference and artifact makes identification of a STEMI difficult. D. is required in most modern EMS systems because a cardiologist must confirm the cardiac rhythm before treatment begins.

is less common as most EMS systems rely on paramedics to assess the cardiac rhythm and make independent treatment decisions. pg143

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

is not recommended by the National Incident Management System (NIMS). pg146

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

makes nonsensical statements. pg175

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

manage the scene so you can ask such questions quietly and privately. pg151

Additions or notations added to a completed patient care report by someone other than the original author: Select one: A. are generally acceptable, provided the additions are made by a paramedic. B. must be initialed by the original author or the patient care report will be deemed null and void. C. are not legal and may result in criminal action against the original author. D. may raise questions about the confidentiality practices of the EMS agency.

may raise questions about the confidentiality practices of the EMS agency. pg184

A poorly written patient care report: Select one: A. often indicates that the paramedic was too busy providing patient care. B. may raise questions by others as to the paramedic's quality of patient care. C. generally results in a lawsuit, even if the patient outcome was favorable. 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. pg183-184

Under the instructions of a good EMD, a layperson should be able to: Select one: A. assess a patient's pupils. B. immobilize a person's spine. C. obtain a blood pressure. D. perform chest compressions.

perform chest compressions. pg138

In order to ensure that all recorded times associated with an incident are accurate, the paramedic should: Select one: 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. pg185-186

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

repeater pg140-141

An accurate and legible patient care report: Select one: A. is a relatively reliable predictor of the quality of care that the paramedic provided to the patient during 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. should be complete to the point where anyone who reads it understands exactly what transpired on 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. pg185

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

simple, brief, and direct. pg144

In urban settings, radio dead spots MOST often occur in areas with: Select one: A. high cell phone use. B. bodies of water. C. tall buildings. D. a lot of trees.

tall buildings. pg141

When a caller requests EMS in an area that uses an enhanced 9-1-1 system: Select one: A. the caller's GPS coordinates will display on the computer. B. the fastest route to the scene will be displayed on the computer. C. known hazards at or near the scene will be displayed on the computer. D. the caller's name and address are automatically displayed.

the caller's name and address are automatically displayed. pg137

The term "frequency," as it applies to radio communications, is MOST accurately defined as: Select one: A. a predefined station designed for emergency use only. B. a relatively long wavelength that produces audible sound. C. the number of megahertz per cycle that the radio transmits. D. the number of oscillations per second of the carrier wave.

the number of oscillations per second of the carrier wave pg139

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

the paramedic who authored the report to review it carefully. pg182

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

the severity of the patient's condition pg181-182

When communicating with a patient whose cultural background differs from the paramedic's, the paramedic should: Select one: A. agree with the patient's cultural differences. B. treat the patient with the utmost respect at all times. C. know the specifics about the patient's culture. D. use his or her own culture as the sole reference.

treat the patient with the utmost respect at all times. pg157-158

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

trunking. pg141

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

use a normal conversational tone of voice. pg145

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

visible blood in the ear canal. pg170

Components of a thorough patient refusal document include: Select one: 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. pg174-175

When providing patient care, it is MOST important that you maintain effective communication with: Select one: A. medical control. B. bystanders. C. the dispatcher. D. your partner.

your partner. pg134-135