EMT Chapter 4 Communication

Medical control gives you an order that seems inappropriate for the patient's condition. After confirming that you heard the physician correctly, you should: Select one: A. advise the physician that the order is unclear and ask for clarification. B. obtain consent from the patient and then carry out the order as usual. C. carry out the order and then carefully document it on the run form. D. state that you will not carry out the order because it is inappropriate.

A. advise the physician that the order is unclear and ask for clarification. Chapter 4, page 145, Radio Communications

A 4-year-old boy had an apparent seizure. He is conscious and calm and is sitting on his mother's lap. His father is sitting in a nearby chair. The child's mother suddenly begins crying uncontrollably, which causes the child to start crying. You should: Select one: A. ask the father to hold the child so you can assess him while your partner tries to calm the mother. B. give the child a favorite toy or blanket to hold onto and perform your assessment to the best of your ability. C. reassure the child's mother that seizures in children are very common and that there is nothing to worry about. D. attempt to calm the child's mother, but avoid separating her from her child because this will increase her anxiety.

A. ask the father to hold the child so you can assess him while your partner tries to calm the mother. Chapter 4, page 122, Therapeutic Communication

You could be sued for ___________ if your radio report to the hospital describes the patient in a manner that injures his or her reputation. Select one: A. slander B. negligence C. assault D. libel

A. slander Chapter 4, page 143, Radio Communications

You are providing care to a 61-year-old female complaining of chest pain that is cardiac in origin. Your service utilizes a multiplex communication system. You wish to transmit the patient's electrocardiogram to the hospital. In order to accomplish this, you must: Select one: A. use the multiplex system to transmit the information. B. send the electrocardiogram from the back of the ambulance. C. wait until you reach the hospital to transmit the information. D. be aware that only audio or data transmissions can be sent at any one time.

A. use the multiplex system to transmit the information. Chapter 4, page 138, Communications Systems and Equipment

Which of the following statements regarding a "dedicated line" is correct? Select one: A. It is a constantly open line of communication that is under exclusive control of a single user. B. It is a constantly open line of communication that cannot be accessed by outside users. C. It is a designated frequency on a portable radio that provides direct access to medical control. D. It is a frequency that is used exclusively by EMTs to communicate with one another in the field.

B. It is a constantly open line of communication that cannot be accessed by outside users. Chapter 4, page 136, Communications Systems and Equipment

When you are communicating with an older patient, it is important to remember that: Select one: A. your questions should focus exclusively on the patient's obvious problem. B. most older people think clearly and are capable of answering questions. C. hostility and confusion should be presumed to be due to the patient's age. D. speaking loudly and distinctly will ensure that the patient can hear you.

B. most older people think clearly and are capable of answering questions. Chapter 4, pages 120-121, Therapeutic Communication

Which of the following statements is NOT appropriate to document in the narrative section of a PCR? Select one: A. "After oxygen was administered, the patient's breathing improved." B. "Significant damage was noted to the front end of the vehicle." C. "General impression revealed that the patient was intoxicated." D. "The patient admits to smoking marijuana earlier in the day."

C. "General impression revealed that the patient was intoxicated." Chapter 4, page 128, Written Communication and Documentation

You are transporting a 54-year-old male in respiratory arrest. An EMR is driving the ambulance as you and your partner are caring for the patient. Which of the following is the MOST logical way of notifying the hospital? Select one: A. Call the receiving hospital with your cell phone while providing patient care. B. Wait until you arrive at the hospital and then quickly apprise the staff of the situation. C. Have the driver contact dispatch and relay the patient information to the hospital. D. Request that a police officer respond to the hospital to apprise the staff of your arrival.

C. Have the driver contact dispatch and relay the patient information to the hospital. Chapter 4, page 142, Radio Communications

When relaying patient information via radio, communications should be: Select one: A. coded and scripted. B. spoken in a loud voice. C. brief and easily understood. D. lengthy and complete.

C. brief and easily understood. Chapter 4, page 141, Radio Communications

Ethnocentrism is defined as: Select one: A. suspecting that a person has an ulterior motive based on the tone of his or her voice when answering a question. B. subconsciously forcing your cultural values onto a patient because you feel that your own values are more acceptable. C. considering your own cultural values to be more important when interacting with people of a different culture. D. understanding that people from different cultural backgrounds respond to pain and stress differently.

C. considering your own cultural values to be more important when interacting with people of a different culture. Chapter 4, page 114, Therapeutic Communication

Communicating with patients who are deaf or hard-of-hearing can be facilitated by doing all of the following, EXCEPT: Select one: A. shining a light on your face when you are in a darkened environment. B. providing pen and paper if the patient prefers to write his or her response. C. elevating the tone of your voice and exaggerating word pronunciation. D. placing yourself in a position to ensure that the patient can see your lips.

C. elevating the tone of your voice and exaggerating word pronunciation. Chapter 4, page 123, Therapeutic Communication

As you are wheeling your patient through the emergency department doors, you receive another call for a major motor vehicle crash. You should: Select one: A. place the patient in a high-visibility area and then respond to the call. B. leave a copy of the run form with a nurse and then respond to the call. C. respond only after giving a verbal patient report to a nurse or physician. D. inform the admissions clerk of the situation and then respond at once.

C. respond only after giving a verbal patient report to a nurse or physician. Chapter 4, page 124, Therapeutic Communication

Effective therapeutic communication skills require _________. Select one: A. supervision by advanced life support personnel B. English-speaking patients or family members C. verbal and nonverbal communication techniques D. correct use of complex medical terminology

C. verbal and nonverbal communication techniques Chapter 4, page 113, Therapeutic Communication

Which of the following statements regarding a patient refusal is correct? Select one: A. Advice given to a patient who refuses EMS treatment should not be documented. B. Documentation of proposed care is unnecessary if the patient refuses treatment. C. A patient who consumed a few beers will likely be able to refuse EMS treatment. D. A mentally competent adult has the legal right to refuse EMS care and transport.

D. A mentally competent adult has the legal right to refuse EMS care and transport. Chapter 4, page 132, Written Communication and Documentation

Which of the following incidents does NOT require a report to be filed with local authorities? Select one: A. Spousal abuse B. Animal bites C. Gunshot wounds D. Cardiac arrest

D. Cardiac arrest Chapter 4, page 135, Written Communication and Documentation

Which of the following types of questions allow for the most detailed response? Select one: A. Closed-ended questions B. Yes or no questions C. Multiple questions asked at once D. Open-ended questions

D. Open-ended questions Chapter 4, page 116, Therapeutic Communication

Which of the following will help improve radio communications? Select one: A. Use codes to speed communication. B. Hold the radio at least 6 inches from your mouth. C. Answer questions with "yes" or "no." D. Wait 1 second after pressing the transmit button before speaking.

D. Wait 1 second after pressing the transmit button before speaking. Chapter 4, page 143, Radio Communications

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: Select one: A. ask him if he frequently experiences severe headaches and nausea. B. repeat your question because he probably did not hear you. C. tell him that you cannot help him unless he answers your questions. D. allow him time to think about the question and respond to it.

D. allow him time to think about the question and respond to it. Chapter 4, page 120, Therapeutic Communication

When providing a patient report via radio, you should protect the patient's privacy by: Select one: A. withholding medical history data. B. refraining from objective statements. C. using coded medical language. D. not disclosing his or her name.

D. not disclosing his or her name. Chapter 4, page 143, Radio Communications

You are caring for a 56-year-old male patient complaining of abdominal pain. Your service has recently switched to an electronic PCR system (ePCR). When completing the ePCR, it is important to be aware that: Select one: A. the ePCR does not contain the same level of information as the written version and your verbal report should be expanded. B. a written patient care record will need to be completed on arrival at the hospital. C. the ePCR is relatively unsecured and should not contain patient-specific information. D. the ePCR allows patient information to be transmitted directly to the receiving hospital's computers.

D. the ePCR allows patient information to be transmitted directly to the receiving hospital's computers. Chapter 4, page 128, Written Communications and Documentation