Seth Weaver
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Jones and Bartlet

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Seth Weaver
Creado por Seth Weaver hace alrededor de 6 años
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EMT 3

EMT 3

Pregunta 1 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • document the patient's request but continue to transport him.

  • have the patient sign a refusal form and return him to his office.

  • request that the police place the patient under protective custody.

  • assess whether or not the patient's mental condition is impaired.

Explicación

Pregunta 2 de 50

1

Acting in such a way as to make another person fear immediate bodily harm is called:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • negligence.

  • battery.

  • assault.

  • libel.

Explicación

Pregunta 3 de 50

1

An EMT would MOST likely be held liable for abandonment if he or she:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • refused to care for a violent patient who is armed with a knife.

  • remained at the hospital for 30 minutes to give a patient report.

  • did not make provisions for continued care of an injured patient.

  • terminated care of a competent adult patient at his or her request.

Explicación

Pregunta 4 de 50

1

As an EMT, the performance of your duties will be compared to that of:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • a paramedic supervisor.

  • the medical director.

  • the general public.

  • another EMT.

Explicación

Pregunta 5 de 50

1

At the scene of a mass-casualty incident, you identify a patient as an organ donor. When triaging the other patients, you:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • should transport the donor patient before critical patients.

  • may have to assign the donor patient a lower triage priority.

  • should use a separate ambulance to transport the donor patient.

  • must assign the donor the highest priority regardless of injuries.

Explicación

Pregunta 6 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • acted appropriately but must have each EMT sign a waiver stating that he or she will not discuss the cases with others.

  • adequately safeguarded the patient's PHI because the cases were discussed internally.

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

  • violated the patient's privacy because you should have only discussed the information with the EMTs who provided it.

Explicación

Pregunta 7 de 50

1

If an action or procedure that was performed on a patient is not recorded on the written report:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • it was performed haphazardly by the EMT.

  • it cannot be used in establishing negligence.

  • it can be qualified by the EMT in charge.

  • it was not performed in the eyes of the law.

Explicación

Pregunta 8 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • is self-supporting and lives by him- or herself.

  • has a poor relationship with his or her parents.

  • possesses a valid driver's license.

  • is mentally competent and able to refuse.

Explicación

Pregunta 9 de 50

1

In order for a do not resuscitate (DNR) order to be valid, it must:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • be signed by the local justice of the peace.

  • be updated a minimum of every 6 months.

  • clearly state the patient's medical problem.

  • be dated within the previous 24 months.

Explicación

Pregunta 10 de 50

1

In the eyes of the court, an incomplete or untidy patient care form indicates:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • that the EMT was too busy providing patient care.

  • that inadequate patient care was administered.

  • potential falsification of the patient care form.

  • that thorough documentation was not required.

Explicación

Pregunta 11 de 50

1

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

Selecciona una de las siguientes respuestas posibles:

  • the patient is competent and signs a release form

  • a media representative inquires about the patient

  • the family requests a copy for insurance purposes

  • a police officer requests a copy to place on file

Explicación

Pregunta 12 de 50

1

In which of the following situations does the EMT NOT have a legal duty to act?
Select one:

Selecciona una de las siguientes respuestas posibles:

  • Local policy requires you to assist in any emergency.

  • a response to an injured patient while on duty

  • a response to a motor vehicle crash while off duty

  • a response to the residence of a patient who fell

Explicación

Pregunta 13 de 50

1

Maintaining the chain of evidence at the scene of a crime should include:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • not cutting through holes in clothing that were caused by weapons.

  • making brief notes at the scene and then completing them later.

  • placing the patient in a private area until the police arrive.

  • quickly moving any weapons out of the patient's sight.

Explicación

Pregunta 14 de 50

1

Putrefaction is defined as:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • separation of the torso from the rest of the body.

  • blood settling to the lowest point of the body.

  • profound cyanosis to the trunk and face.

  • decomposition of the body's tissues.

Explicación

Pregunta 15 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • Once a patient is in the ambulance, he or she cannot legally refuse EMS treatment.

  • Because of your suspicions, the best approach is to transport him to the hospital.

  • Any patient who refuses EMS treatment must legally sign a patient refusal form.

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

Explicación

Pregunta 16 de 50

1

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

Selecciona una de las siguientes respuestas posibles:

  • local health district.

  • EMS supervisor.

  • state EMS office.

  • medical director.

Explicación

Pregunta 17 de 50

1

The manner in which the EMT must act or behave when caring for a patient is called the:

Selecciona una de las siguientes respuestas posibles:

  • scope of practice.

  • standard of care.

  • EMT oath.

  • code of ethics.

Explicación

Pregunta 18 de 50

1

To minimize the risk of litigation, the EMT should always:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • utilize at least four personnel when moving a patient.

  • use universal precautions with every patient encounter.

  • transport patients to the hospital of their choice.

  • provide competent care that meets current standards.

Explicación

Pregunta 19 de 50

1

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.

Selecciona una de las siguientes respuestas posibles:

  • legal but unethical.

  • legal and ethical.

  • illegal but ethical.

  • illegal and unethical.

Explicación

Pregunta 20 de 50

1

What section of the Health Insurance Portability and Accountability Act (HIPAA) MOST affects EMS personnel?
Select one:

Selecciona una de las siguientes respuestas posibles:

  • preventing insurance fraud

  • ensuring access to insurance

  • protecting patient privacy

  • controlling insurance cost

Explicación

Pregunta 21 de 50

1

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?

Selecciona una de las siguientes respuestas posibles:

  • expressed

  • informed

  • implied

  • formal

Explicación

Pregunta 22 de 50

1

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.

Selecciona una de las siguientes respuestas posibles:

  • negligence.

  • abandonment.

  • battery.

  • assault.

Explicación

Pregunta 23 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • notify the coroner immediately.

  • determine the patient's illness.

  • contact medical control first.

  • begin resuscitation at once.

Explicación

Pregunta 24 de 50

1

When performing his or her duties, the EMT is generally expected to:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • exercise reasonable care and act prudently.

  • function above his or her scope of practice.

  • contact medical control on every EMS call.

  • consistently exceed the standard of care.

Explicación

Pregunta 25 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • begin two-rescuer CPR and apply the automated external defibrillator (AED) as soon as possible.

  • obtain permission from medical control to not attempt resuscitation.

  • wait for the backup ambulance while your partner performs CPR.

  • advise your partner that you cannot provide care to this patient.

Explicación

Pregunta 26 de 50

1

Where would you MOST likely find information regarding a patient's wishes to be an organ donor?
Select one:

Selecciona una de las siguientes respuestas posibles:

  • voter registration card

  • Social Security card

  • insurance card

  • driver's license

Explicación

Pregunta 27 de 50

1

Which of the following components are needed to prove negligence?
Select one:

Selecciona una de las siguientes respuestas posibles:

  • breach of duty, injury/damages, abandonment, and causation

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

  • duty to act, abandonment, breach of duty, and causation

  • abandonment, breach of duty, damages, and causation

Explicación

Pregunta 28 de 50

1

Which of the following general statements regarding consent is MOST correct?
Select one:

Selecciona una de las siguientes respuestas posibles:

  • All patients older than 18 years can legally refuse treatment or transport.

  • Expressed consent is valid only if given in writing by a family member.

  • Patients who are intoxicated are generally allowed to refuse treatment.

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

Explicación

Pregunta 29 de 50

1

Which of the following is NOT considered to be protected health information (PHI)?

Selecciona una de las siguientes respuestas posibles:

  • assessment findings

  • location of the call

  • treatment rendered

  • patient history

Explicación

Pregunta 30 de 50

1

Which of the following MOST accurately defines negligence?
Select one:

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 31 de 50

1

Which of the following scenarios MOST accurately depicts abandonment?
Select one:

Selecciona una de las siguientes respuestas posibles:

  • An EMT gives a verbal report to an emergency room nurse.

  • A physician assumes patient care from an EMT.

  • An AEMT transfers patient care to a paramedic.

  • A paramedic transfers patient care to an EMT.

Explicación

Pregunta 32 de 50

1

Which of the following scenarios MOST accurately depicts informed consent?
Select one:

Selecciona una de las siguientes respuestas posibles:

  • A patient is advised by an EMT of the risks of refusing care.

  • An EMT initiates immediate care for an unconscious adult.

  • An EMT advises a patient of the risks of receiving treatment.

  • A patient advises an EMT of why he or she is refusing care.

Explicación

Pregunta 33 de 50

1

Which of the following situations requires you to notify the appropriate authorities?
Select one:

Selecciona una de las siguientes respuestas posibles:

  • cardiac arrest

  • drug overdose

  • attempted suicide

  • accidental knife wound

Explicación

Pregunta 34 de 50

1

Which of the following statements regarding the Good Samaritan law is correct?
Select one:

Selecciona una de las siguientes respuestas posibles:

  • It provides the EMT immunity from a lawsuit.

  • It guarantees that the EMT will not be held liable if he or she is sued.

  • The law does not protect EMTs who are off duty.

  • It will not protect the EMT in cases of gross negligence.

Explicación

Pregunta 35 de 50

1

Which of the following types of consent allows treatment of a patient who is unconscious or mentally incapacitated?

Selecciona una de las siguientes respuestas posibles:

  • expressed

  • informed

  • actual

  • implied

Explicación

Pregunta 36 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • continue transporting your patient and notify the dispatcher of the crash.

  • ask a bystander to remain with your patient as you treat the crash victims.

  • remain at the scene until law enforcement and another ambulance arrive.

  • stop and triage the patients while your partner remains in the ambulance.

Explicación

Pregunta 37 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • document the error and report it to your supervisor.

  • notify law enforcement so they can file an incident report.

  • contact medical control and notify him or her of the error.

  • exclude this from the PCR since it did not harm the patient.

Explicación

Pregunta 38 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • determine why the patient was injured.

  • wait for law enforcement to arrive.

  • provide immediate patient care

  • notify medical control for advice.

Explicación

Pregunta 39 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • 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.

  • stop any active bleeding and advise dispatch to send a paramedic crew.

Explicación

Pregunta 40 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 41 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 42 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 43 de 50

1

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.

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 44 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 45 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • absent breath sounds

  • dependent lividity

  • profound cyanosis

  • absence of a pulse

Explicación

Pregunta 46 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 47 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 48 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 49 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • minor's

  • expressed

  • informed

  • implied

Explicación

Pregunta 50 de 50

1

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

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

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