Chapters 1 - 3 Quiz

As an EMT, it is important to remember that the signs and symptoms of cumulative stress:

might not be obvious or present all the time

Which type of stress reaction occurs when an EMT is exposed to many insignificant stressors over a period of several months or years?

Cumulative stress reaction

Which type of consent is involved when a 39-year-old, mentally competent female with a severe headache asks you to take her to the hospital?

Expressed

You are dispatched to an office building for a 49-year-old male with chest pain. When you arrive at the scene, you find the patient to be conscious and alert but in obvious pain. He tells you that he did not call 911; a coworker did. He further states that he does not want to be treated or transported to the hospital. You should:

ensure that he is aware of the risks of refusing medical care.

Gloves, a mask, eye protection, and a face shield should be used:

when performing endotracheal intubation

Which of the following statements would not be appropriate to say to the family of a dying patient?

"Things will get better in time."

In which of the following situations does a legal duty to act clearly exist?

A call is received 15 minutes prior to a shift change.

Which of the following would provide the EMT with the best cover in a situation involving active gunfire?

A concrete barricade

Shortly after you load your patient, a 50-year-old man with abdominal pain, into the ambulance, he tells you that he changed his mind and does not want to go to the hospital. The patient is conscious and alert and has no signs of mental incapacitation. You are suspicious that the man has a significant underlying condition and feel strongly that he should go to the hospital. Which of the following statements regarding this situation is correct?

A mentally competent adult can withdraw his or her consent to treat at any time.

Why are prehospital emergency care guidelines updated on a regular bases?

Additional information and evidence indicate that the effectiveness of certain interventions has changed.

Which of the following statements regarding the EMS medical director and an EMT's scope of practice is correct?

An EMT's scope of practice may be expanded by the medical director after proper training and state approval.

Which of the following skills would a layperson most likely be trained to perform before the arrival of EMS?

Bleeding control using a tourniquet

Where would you most likely find information regarding a patient's wishes to be an organ donor?

Driver's license

Which of the following components are needed to prove negligence?

Duty to act, breach of duty, injury/damages, and causation

When is forcible restraint permitted?

When the patient poses a significant threat to self or others

The best way to reduce your risk of contracting a work-related disease following exposure is to:

activate your department's infection control plan as soon as possible.

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:

begin resuscitation at once.

Which of the following is an effective stress management strategy?

developing a social network outside of EMS

When considering one's personal life, it is important for the EMT to realize that:

family or friends might not understand the stress associated with EMS.

According to the National EMS Scope of Practice Model, an EMT would require special permission from the medical director and the state EMS office to:

insert a peripheral intravenous catheter.

You are summoned to a convalescent center for an 88-year-old female with an altered mental status. A staff nurse advises you that the patient has terminal cancer and her physician stated that she would probably die within the next few hours; a valid do not resuscitate (DNR) order is presented to you. When caring for this patient, you should:

make her comfortable and provide emotional support.

At the scene of an automobile crash, a utility pole has been broken, and power lines are lying across the car. The patients inside the car are conscious. You should:

mark off a danger zone around the downed lines

The person who is responsible for authorizing EMTs to perform emergency medical care in the field is the"

medical director.

When caring for a 65-year-old male with respiratory distress, you place him in a comfortable position but do not apply oxygen. The patient's condition continues to deteriorate: He develops cardiac arrest and dies at the hospital. This scenario is an example of:

negligence

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:

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

A 75-year-old male with a terminal illness has died at home. As you and your partner enter the residence, a family member becomes verbally abusive, pushes you, and states that you took too long to get there. You should:

retreat and notify law enforcement personnel

You arrive at the scene of a domestic violence situation. As you approach the doorway of the apartment, you hear screaming and the statement, "He has a gun!". Your most appropriate action should be to:

seek a safe place and request law enforcement assistance.

EMR's such as firefighters, law enforcement, etc, are an integral part of the EMS system because:

they often arrive at the scene before the ambulance and the EMTs.

Your best protection against legal liability when a competent patient refuses EMS care and transport is to:

thoroughly document the entire event.

If you use a waterless handwashing substitute in the field, it is important to:

wash your hands with soap and water at the hospital.