Chapter 3 Quiz

20 August 2022
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question
As an EMT, the standards of emergency care are often partially based on: Select one: A. the wishes of the general public. B. a consensus among paramedic supervisors. C. locally accepted protocols. D. the priorities of the medical director.
answer
C. locally accepted protocols.
question
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: A. acted appropriately but must have each EMT sign a waiver stating that he or she will not discuss the cases with others. B. adequately safeguarded the patient's PHI because the cases were discussed internally. C. violated the patient's privacy because you should have discussed the information only with the EMTs involved. D. are in violation of HIPAA because you did not remove the PHI from the PCR beforehand.
answer
D. are in violation of HIPAA because you did not remove the PHI from the PCR beforehand.
question
In which of the following circumstances can the EMT legally release confidential patient information? Select one: A. A police officer requests a copy to place on file B. The patient is competent and signs a release form C. A media representative inquires about the patient D. The family requests a copy for insurance purposes Feedback
answer
B. The patient is competent and signs a release form
question
In which of the following situations does a legal duty to act clearly exist? Select one: A. A call is received 15 minutes prior to shift change. B. The EMT hears of a cardiac arrest after his or her shift ends. C. A bystander encounters a victim who is not breathing. D. The EMT witnesses a vehicle crash while off duty. Feedback
answer
A. A call is received 15 minutes prior to shift change.
question
Maintaining the chain of evidence at the scene of a crime should include: Select one: A. making brief notes at the scene and then completing them later. B. placing the patient in a private area until the police arrive. C. not cutting through holes in clothing that were caused by weapons. D. quickly moving any weapons out of the patient's sight. Feedback
answer
C. not cutting through holes in clothing that were caused by weapons.
question
Putrefaction is defined as: Select one: A. separation of the torso from the rest of the body. B. decomposition of the body's tissues. C. profound cyanosis to the trunk and face. D. blood settling to the lowest point of the body.
answer
B. decomposition of the body's tissues.
question
The EMT's scope of practice within his or her local response area is defined by the: Select one: A. medical director. B. EMS supervisor. C. local health district. D. state EMS office.
answer
A. medical director.
question
To help protect patients, EMS agencies are required to have __________. Select one: A. public forums with their medical director B. online access to patient records C. an anonymous reporting system D. a privacy officer to answer questions
answer
D. a privacy officer to answer questions
question
When is forcible restraint permitted? Select one: A. Only if consent to restrain is given by a family member B. When the patient poses a significant threat to self or others C. Only if law enforcement personnel have witnessed threatening behavior D. Anytime that the EMT feels threatened
answer
B. When the patient poses a significant threat to self or others
question
When performing his or her duties, the EMT is generally expected to: Select one: A. contact medical control on every EMS call. B. exercise reasonable care and act prudently. C. function above his or her scope of practice. D. consistently exceed the standard of care.
answer
B. exercise reasonable care and act prudently.
question
Where would you MOST likely find information regarding a patient's wishes to be an organ donor? Select one: A. Voter registration card B. Driver's license C. Insurance card D. Social Security card
answer
B. Driver's license
question
Which aspect of the Health Insurance Portability and Accountability Act (HIPAA) MOST affects EMS personnel? Select one: A. Protecting patient privacy B. Ensuring access to insurance C. Controlling insurance costs D. Preventing insurance fraud
answer
A. Protecting patient privacy
question
Which of the following components are needed to prove negligence? Select one: A. Breach of duty, injury/damages, abandonment, and causation B. Abandonment, breach of duty, damages, and causation C. Duty to act, abandonment, breach of duty, and causation D. Duty to act, breach of duty, injury/damages, and causation
answer
D. Duty to act, breach of duty, injury/damages, and causation
question
Which of the following general statements regarding consent is correct? Select one: A. Patients who are intoxicated are generally allowed to refuse treatment. B. All patients older than 18 years can legally refuse treatment or transport. C. Expressed consent is valid only if given in writing by a family member. D. A patient can consent to transport but can legally refuse to be treated.
answer
D. A patient can consent to transport but can legally refuse to be treated.
question
Which of the following statements about the patient care report is correct? Select one: a. EMTs are not liable for any actions that are accurately documented. b. Incomplete reports are common and accepted in EMS. c. Patient care cannot be discredited based on poor documentation. d. It is difficult to prove actions were performed if they are not included on the report.
answer
d. It is difficult to prove actions were performed if they are not included on the report.
question
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? Select one: A. Informed B. Formal C. Implied D. Expressed
answer
D. Expressed
question
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: Select one: A. have your partner check for a pulse to confirm that the patient is deceased. B. ventilate the patient for 5 minutes and then stop if there is no response. C. request the fire department to extricate the patient so you can begin CPR. D. stop any active bleeding and advise dispatch to send a paramedic crew.
answer
A. have your partner check for a pulse to confirm that the patient is deceased.
question
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: Select one: A. confirm the patient's identity and honor the DNR order. B. initiate resuscitation in the absence of paperwork. C. transport with minimal care. D. confirm the patient identity and then confirm the DNR by calling the MedicAlert Foundation number on the bracelet.
answer
D. confirm the patient identity and then confirm the DNR by calling the MedicAlert Foundation number on the bracelet.
question
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: A. Transport the child immediately and have the parents meet you at the hospital. B. Treat the child at the scene and wait for the parents to arrive and give consent. C. Withhold treatment until the parents arrive and give you consent for treatment. D. Begin transport at once and have the parents meet you en route to the hospital.
answer
A. Transport the child immediately and have the parents meet you at the hospital.
question
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: Select one: A. honor the patient's wishes and withhold all treatment. B. begin treatment and contact medical control as needed. C. transport the patient without providing any treatment. D. decide on further action once the DNR order is produced.
answer
B. begin treatment and contact medical control as needed.