EMT 1021 chapter 1-4

Which of the following statements is NOT appropriate to document in the narrative section of a PCR?

"General impression revealed that the patient was intoxicated."

Which of the following statements regarding a patient refusal is correct?

A mentally competent adult has the legal right to refuse EMS care and transport.

Which of the following general statements regarding consent is correct?

A patient can consent to transport but can legally refuse to be treated.

Which of the following interventions is used by all levels of EMS providers?

Automated external defibrillator

The determination that prompt surgical care in the hospital is more important than performing time-consuming procedures in the field on a major trauma patient is based MOSTLY on:

EMS research

Which of the following courses requires about 150 hours of training?

EMT

Which of the following types of questions allow for the most detailed response?

Open-ended questions

Which aspect of the Health Insurance Portability and Accountability Act (HIPAA) MOST affects EMS personnel?

Protecting Patient Privacy

As you are wheeling your patient through the emergency department doors, you receive another call for a major motor vehicle crash. You should:

Respond only after giving a verbal patient report to a nurse or physician.

Which of the following will help improve radio communications?

Wait 1 second after pressing the transmit button before speaking.

Vector-borne transmission of an infectious organism occurs via:

animals or insects

During your monthly internal quality improvement (QI) meeting, you review several patient care reports (PCRs) with the staff of your EMS system. You identify the patient's name, age, and sex, and then discuss the treatment that was provided by the EMTs in the field. By taking this approach to the QI process, you:

are in violation of HIPAA because you did not remove the PHI from the PCR beforehand.

You respond to the home of a 59-year-old man who is unconscious; has slow, shallow breathing; and has 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:

begin treatment and contact medical control as needed.

The ability to understand others and have them understand you is known as

communication

You are called to attend to an elderly patient with an extensive medical history who is now in cardiac arrest. The patient's family tells you that the patient has a DNR order. There is no paperwork available but the patient does have a MedicAlert bracelet indicating Do Not Resuscitate. You should:

confirm the patient identity and then confirm the DNR by calling the MedicAlert Foundation number on the bracelet.

Ethnocentrism is defined as:

considering your own cultural values as more important when interacting with people of a different culture.

Communicating with patients who are deaf or hard-of-hearing can be facilitated by doing all of the following, EXCEPT:

elevating the tone of your voice and exaggerating word pronunciation.

You and your partner arrive at the scene of a major motor vehicle crash. The driver, a young male, is severely entrapped in his car. He has an open head injury and massive facial trauma. He is unresponsive, is not breathing, and does not have a palpable carotid pulse. You should:

have your partner check for a pulse to confirm that the patient is deceased.

As an EMT, you may be authorized to administer aspirin to a patient with chest pain based on:

medical director approval.

The EMT's scope of practice within his or her local response area is defined by the:

medical director.

National guidelines for EMS care are intended to

provide more consistent delivery of EMS care across the United States

After assessing a patient's blood glucose level, you accidentally stick yourself with the contaminated lancet. You should:

report the incident to your supervisor after the call.

The MOST serious consequence of drug or alcohol abuse among EMS personnel is:

substandard or inappropriate patient care.

Effective therapeutic communication skills require

verbal and nonverbal communication techniques

The simplest, yet most effective method of preventing the spread of an infectious disease is to:

wash your hands in between patient contacts.

Which of the following is an effective stress management strategy?

Developing a social network outside of EMS

The EMT is legally obligated to protect a patient's privacy according to:

HIPPA

As an EMT, the standards of emergency care are often partially based on:

It is difficult to prove actions were performed if they are not included on the report.

You are encouraging a patient to go to the hospital by ambulance. You know that a transport will keep you on duty several hours after your regular quitting time. This is an example of:

Patient advocacy

The EMT's first priority is

Personal safety

Which of the following statements regarding the Americans With Disabilities Act (ADA) of 1990 is correct?

The ADA prohibits employers from failing to provide full and equal employment to those who are disabled.

Which of the following is a specific example of the Mobile Integrated Healthcare (MIH) model?

The paramedic administers a patient's flu vaccination

In which of the following circumstances can the EMT legally release confidential patient information?

The patient is competent and signs a release form

Which of the following statements regarding the different stages of the grieving process is correct?

The stages of the grieving process may occur simultaneously

Which of the following statements regarding HIV is correct?

Which of the following statements regarding HIV is correct?

During your assessment of a 20-year-old man with a severe headache and nausea, you ask him when his headache began, but he does not answer your question immediately. You should:

allow him time to think about the question and respond to it.

Common factors that influence how a patient reacts to the stress of an illness or injury include all of the following, EXCEPT:

assessment by the EMT.

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

While providing care to a patient, blood got onto the ambulance stretcher. Because the stretcher was not properly cleaned afterward, a virus was transmitted to another emergency medical technician (EMT) several days later. Which route of transmission does this scenario describe?

Indirect contact