Pregunta 1
Pregunta
A patient regains consciousness en route from his office to the emergency department. The patient tells you that he feels fine and does not want to go to the hospital. Under these circumstances, you should:
Select one:
Respuesta
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document the patient's request but continue to transport him.
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have the patient sign a refusal form and return him to his office.
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request that the police place the patient under protective custody.
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assess whether or not the patient's mental condition is impaired.
Pregunta 2
Pregunta
Acting in such a way as to make another person fear immediate bodily harm is called:
Select one:
Respuesta
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negligence.
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battery.
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assault.
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libel.
Pregunta 3
Pregunta
An EMT would MOST likely be held liable for abandonment if he or she:
Select one:
Respuesta
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refused to care for a violent patient who is armed with a knife.
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remained at the hospital for 30 minutes to give a patient report.
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did not make provisions for continued care of an injured patient.
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terminated care of a competent adult patient at his or her request.
Pregunta 4
Pregunta
As an EMT, the performance of your duties will be compared to that of:
Select one:
Respuesta
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a paramedic supervisor.
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the medical director.
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the general public.
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another EMT.
Pregunta 5
Pregunta
At the scene of a mass-casualty incident, you identify a patient as an organ donor. When triaging the other patients, you:
Select one:
Respuesta
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should transport the donor patient before critical patients.
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may have to assign the donor patient a lower triage priority.
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should use a separate ambulance to transport the donor patient.
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must assign the donor the highest priority regardless of injuries.
Pregunta 6
Pregunta
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:
Select one:
Respuesta
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acted appropriately but must have each EMT sign a waiver stating that he or she will not discuss the cases with others.
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adequately safeguarded the patient's PHI because the cases were discussed internally.
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are in violation of HIPAA because you did not remove the PHI from the PCR beforehand.
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violated the patient's privacy because you should have only discussed the information with the EMTs who provided it.
Pregunta 7
Pregunta
If an action or procedure that was performed on a patient is not recorded on the written report:
Select one:
Respuesta
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it was performed haphazardly by the EMT.
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it cannot be used in establishing negligence.
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it can be qualified by the EMT in charge.
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it was not performed in the eyes of the law.
Pregunta 8
Pregunta
In many states, a minor may be treated as an adult for the purpose of consenting to or refusing medical treatment if the minor:
Select one:
Respuesta
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is self-supporting and lives by him- or herself.
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has a poor relationship with his or her parents.
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possesses a valid driver's license.
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is mentally competent and able to refuse.
Pregunta 9
Pregunta
In order for a do not resuscitate (DNR) order to be valid, it must:
Select one:
Respuesta
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be signed by the local justice of the peace.
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be updated a minimum of every 6 months.
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clearly state the patient's medical problem.
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be dated within the previous 24 months.
Pregunta 10
Pregunta
In the eyes of the court, an incomplete or untidy patient care form indicates:
Select one:
Respuesta
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that the EMT was too busy providing patient care.
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that inadequate patient care was administered.
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potential falsification of the patient care form.
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that thorough documentation was not required.
Pregunta 11
Pregunta
In which of the following circumstances can the EMT legally release confidential patient information?
Select one:
Respuesta
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the patient is competent and signs a release form
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a media representative inquires about the patient
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the family requests a copy for insurance purposes
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a police officer requests a copy to place on file
Pregunta 12
Pregunta
In which of the following situations does the EMT NOT have a legal duty to act?
Select one:
Respuesta
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Local policy requires you to assist in any emergency.
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a response to an injured patient while on duty
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a response to a motor vehicle crash while off duty
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a response to the residence of a patient who fell
Pregunta 13
Pregunta
Maintaining the chain of evidence at the scene of a crime should include:
Select one:
Respuesta
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not cutting through holes in clothing that were caused by weapons.
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making brief notes at the scene and then completing them later.
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placing the patient in a private area until the police arrive.
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quickly moving any weapons out of the patient's sight.
Pregunta 14
Pregunta
Putrefaction is defined as:
Select one:
Respuesta
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separation of the torso from the rest of the body.
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blood settling to the lowest point of the body.
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profound cyanosis to the trunk and face.
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decomposition of the body's tissues.
Pregunta 15
Pregunta
Shortly after loading 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. He 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?
Select one:
Respuesta
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Once a patient is in the ambulance, he or she cannot legally refuse EMS treatment.
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Because of your suspicions, the best approach is to transport him to the hospital.
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Any patient who refuses EMS treatment must legally sign a patient refusal form.
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A mentally competent adult can withdraw his or her consent to treat at any time.
Pregunta 16
Pregunta
The EMT's scope of practice within his or her local response area is defined by the:
Respuesta
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local health district.
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EMS supervisor.
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state EMS office.
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medical director.
Pregunta 17
Pregunta
The manner in which the EMT must act or behave when caring for a patient is called the:
Respuesta
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scope of practice.
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standard of care.
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EMT oath.
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code of ethics.
Pregunta 18
Pregunta
To minimize the risk of litigation, the EMT should always:
Select one:
Respuesta
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utilize at least four personnel when moving a patient.
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use universal precautions with every patient encounter.
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transport patients to the hospital of their choice.
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provide competent care that meets current standards.
Pregunta 19
Pregunta
Two EMTs witnessed a call in which a coworker gave adequate medical care but ignored the patient's emotional needs. The coworker was deliberately rude solely because the patient was thought to be infected with the human immunodeficiency virus (HIV). The EMTs ignored the coworker's treatment of this patient and took no steps to prevent this behavior from happening again. This lack of action on the part of the two EMTs is considered:
Select one:
A. legal and ethical.
B. legal but unethical. Correct
C. illegal but ethical.
D. illegal and unethical.
Respuesta
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legal but unethical.
-
legal and ethical.
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illegal but ethical.
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illegal and unethical.
Pregunta 20
Pregunta
What section of the Health Insurance Portability and Accountability Act (HIPAA) MOST affects EMS personnel?
Select one:
Respuesta
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preventing insurance fraud
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ensuring access to insurance
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protecting patient privacy
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controlling insurance cost
Pregunta 21
Pregunta
What 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?
Respuesta
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expressed
-
informed
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implied
-
formal
Pregunta 22
Pregunta
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 and he develops cardiac arrest and dies at the hospital. This scenario is an example of:
Select one:
A. assault.
B. battery.
C. negligence. Correct
D. abandonment.
Respuesta
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negligence.
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abandonment.
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battery.
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assault.
Pregunta 23
Pregunta
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:
Select one:
Respuesta
-
notify the coroner immediately.
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determine the patient's illness.
-
contact medical control first.
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begin resuscitation at once.
Pregunta 24
Pregunta
When performing his or her duties, the EMT is generally expected to:
Select one:
Respuesta
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exercise reasonable care and act prudently.
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function above his or her scope of practice.
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contact medical control on every EMS call.
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consistently exceed the standard of care.
Pregunta 25
Pregunta
When you and your partner arrive at the residence of a man in cardiac arrest, you immediately recognize the patient as the drunk driver who killed your brother several years earlier. A backup ambulance is en route to the scene. You should:
Select one:
Respuesta
-
begin two-rescuer CPR and apply the automated external defibrillator (AED) as soon as possible.
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obtain permission from medical control to not attempt resuscitation.
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wait for the backup ambulance while your partner performs CPR.
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advise your partner that you cannot provide care to this patient.
Pregunta 26
Pregunta
Where would you MOST likely find information regarding a patient's wishes to be an organ donor?
Select one:
Respuesta
-
voter registration card
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Social Security card
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insurance card
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driver's license
Pregunta 27
Pregunta
Which of the following components are needed to prove negligence?
Select one:
Respuesta
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breach of duty, injury/damages, abandonment, and causation
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duty to act, breach of duty, injury/damages, and causation
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duty to act, abandonment, breach of duty, and causation
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abandonment, breach of duty, damages, and causation
Pregunta 28
Pregunta
Which of the following general statements regarding consent is MOST correct?
Select one:
Respuesta
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All patients older than 18 years can legally refuse treatment or transport.
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Expressed consent is valid only if given in writing by a family member.
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Patients who are intoxicated are generally allowed to refuse treatment.
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A patient can consent to transport but can legally refuse to be treated.
Pregunta 29
Pregunta
Which of the following is NOT considered to be protected health information (PHI)?
Respuesta
-
assessment findings
-
location of the call
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treatment rendered
-
patient history
Pregunta 30
Pregunta
Which of the following MOST accurately defines negligence?
Select one:
Respuesta
-
transport of a mentally incompetent patient against his or her will
-
deviation from the standard of care that may result in further injury
-
transferring patient care to a provider with a lower level of training
-
providing care that is consistent with care provided by other EMTs
Pregunta 31
Pregunta
Which of the following scenarios MOST accurately depicts abandonment?
Select one:
Respuesta
-
An EMT gives a verbal report to an emergency room nurse.
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A physician assumes patient care from an EMT.
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An AEMT transfers patient care to a paramedic.
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A paramedic transfers patient care to an EMT.
Pregunta 32
Pregunta
Which of the following scenarios MOST accurately depicts informed consent?
Select one:
Respuesta
-
A patient is advised by an EMT of the risks of refusing care.
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An EMT initiates immediate care for an unconscious adult.
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An EMT advises a patient of the risks of receiving treatment.
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A patient advises an EMT of why he or she is refusing care.
Pregunta 33
Pregunta
Which of the following situations requires you to notify the appropriate authorities?
Select one:
Respuesta
-
cardiac arrest
-
drug overdose
-
attempted suicide
-
accidental knife wound
Pregunta 34
Pregunta
Which of the following statements regarding the Good Samaritan law is correct?
Select one:
Respuesta
-
It provides the EMT immunity from a lawsuit.
-
It guarantees that the EMT will not be held liable if he or she is sued.
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The law does not protect EMTs who are off duty.
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It will not protect the EMT in cases of gross negligence.
Pregunta 35
Pregunta
Which of the following types of consent allows treatment of a patient who is unconscious or mentally incapacitated?
Respuesta
-
expressed
-
informed
-
actual
-
implied
Pregunta 36
Pregunta
While transporting a stable patient with chest pain to the hospital, you come across a major motor vehicle crash involving several critically injured patients. Your MOST appropriate action should be to:
Select one:
Respuesta
-
continue transporting your patient and notify the dispatcher of the crash.
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ask a bystander to remain with your patient as you treat the crash victims.
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remain at the scene until law enforcement and another ambulance arrive.
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stop and triage the patients while your partner remains in the ambulance.
Pregunta 37
Pregunta
While transporting a woman with diabetes, you inadvertently give her oral glucose even though her blood glucose level was high. You reassess the patient and note that her condition did not change; she remained stable. You should:
Select one:
Respuesta
-
document the error and report it to your supervisor.
-
notify law enforcement so they can file an incident report.
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contact medical control and notify him or her of the error.
-
exclude this from the PCR since it did not harm the patient.
Pregunta 38
Pregunta
You and your partner are the first to arrive at a potential crime scene with a critically injured patient involved. The scene is safe. Your first priority is to:
Select one:
Respuesta
-
determine why the patient was injured.
-
wait for law enforcement to arrive.
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provide immediate patient care
-
notify medical control for advice.
Pregunta 39
Pregunta
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:
Respuesta
-
have your partner check for a pulse to confirm that the patient is deceased.
-
request the fire department to extricate the patient so you can begin cardiopulmonary resuscitation (CPR).
-
ventilate the patient for 5 minutes and then stop if there is no response.
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stop any active bleeding and advise dispatch to send a paramedic crew.
Pregunta 40
Pregunta
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:
Select one:
Respuesta
-
administer oxygen only until you receive parental consent for further treatment.
-
transport the child to the closest hospital and let them provide any treatment.
-
recognize that you cannot begin treatment without expressed parental consent.
-
provide treatment up to your level of training and transport the child at once.
Pregunta 41
Pregunta
You are dispatched to an apartment complex for a shooting. Law enforcement personnel are present and have the suspect in custody. You find the patient lying in a narrow space between the couch and coffee table of his small apartment. He is semiconscious and has a large gunshot wound to his chest. You should:
Select one:
Respuesta
-
obtain permission from law enforcement before moving anything.
-
quickly move the coffee table so you can access and treat the patient.
-
treat the patient where he is so that you do not destroy any evidence.
-
drag the patient into a larger area so that you can begin treatment.
Pregunta 42
Pregunta
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 9-1-1; a coworker did. He further states that he does not want to be treated or transported to the hospital. You should:
Select one:
Respuesta
-
ensure that he is aware of the risks of refusing medical care.
-
err in the best interest of the patient and transport him at once.
-
have him sign a refusal of care form and then return to service.
-
tell him that he is having a heart attack and needs medical care.
Pregunta 43
Pregunta
You are treating a man with a closed head injury following an assault by a burglar. The patient, who has slurred speech, becomes verbally abusive and tells you to leave him alone. You should:
Select one:
A. ask a police officer to transport the patient to the hospital.
B. allow him to refuse treatment since the injury was not his fault.
C. proceed with treatment and utilize law enforcement if necessary. Correct
D. have the police arrest him so that you can legally begin treatment.
Respuesta
-
have the police arrest him so that you can legally begin treatment.
-
ask a police officer to transport the patient to the hospital.
-
allow him to refuse treatment since the injury was not his fault.
-
proceed with treatment and utilize law enforcement if necessary.
Pregunta 44
Pregunta
You arrive at the scene of a motor vehicle versus pedestrian accident. The patient, a 13-year-old male, is unconscious and has multiple injuries. As you are treating the child, a law enforcement officer advises you that the child's parents will be at the scene in approximately 15 minutes. What should you do?
Select one:
Respuesta
-
Withhold treatment until the parents arrive and give you consent for treatment.
-
Begin transport at once and have the parents meet you en route to the hospital.
-
Treat the child at the scene and wait for the parents to arrive and give consent.
-
Transport the child immediately and have the parents meet you at the hospital.
Pregunta 45
Pregunta
You arrive at the scene of an apparent death. When evaluating the patient, which of the following is a definitive sign of death?
Select one:
Respuesta
-
absent breath sounds
-
dependent lividity
-
profound cyanosis
-
absence of a pulse
Pregunta 46
Pregunta
You have been tasked by your medical director to assist in the development of your EMS agency's institutional standards. When developing these standards, it is important to:
Select one:
Respuesta
-
require personnel to transport all patients to the closest hospital.
-
be reasonable and realistic to avoid overburdening your personnel.
-
demand that all personnel consistently exceed the standard of care.
-
expect personnel to function beyond their scope of practice if needed.
Pregunta 47
Pregunta
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; however, they are unable to locate it. You should:
Select one:
Respuesta
-
decide on further action once the DNR order is produced.
-
transport the patient without providing any treatment.
-
honor the patient's wishes and withhold all treatment.
-
begin treatment and contact medical control as needed.
Pregunta 48
Pregunta
You suspect that a 6-year-old girl has broken her leg after falling from a swing at a playground. Shortly after you arrive, the child's mother appears and refuses to allow you to continue treatment. You should:
Select one:
Respuesta
-
use your authority under the implied consent law.
-
try to persuade the mother that treatment is needed.
-
ask the mother to sign a refusal form and then leave.
-
tell the mother that her refusal is a form of child abuse.
Pregunta 49
Pregunta
You suspect that a pregnant 16-year-old girl has a broken leg after she was hit by a car. You explain that you plan to splint her leg, and she agrees to treatment. What type of consent is her agreement considered?
Select one:
Respuesta
-
minor's
-
expressed
-
informed
-
implied
Pregunta 50
Pregunta
Your BEST protection against legal liability when a competent patient refuses EMS care and transport is to:
Select one:
Respuesta
-
thoroughly document the entire event.
-
ensure that the family is aware of the risks.
-
err on the side of caution and transport.
-
advise medical control of the situation.