Chapter 3 Quiz Review

30 August 2022
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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:
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are in violation of HIPAA because you did not remove the PHI from the PCR beforehand.
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To minimize the risk of litigation, the EMT should always:
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provide competent care that meets current standards.
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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:
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provide treatment up to your level of training and transport the child at once.
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If an action or procedure that was performed on a patient is not recorded on the written report:
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it was not performed in the eyes of the law.
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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:
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provide immediate patient care.
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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:
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begin two-rescuer CPR and apply the automated external defibrillator (AED) as soon as possible.
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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?
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Transport the child immediately and have the parents meet you at the hospital.
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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:
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begin resuscitation at once.
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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:
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quickly move the coffee table so you can access and treat the patient.
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An EMT would MOST likely be held liable for abandonment if he or she:
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did not make provisions for continued care of an injured patient.
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Where would you MOST likely find information regarding a patient's wishes to be an organ donor?
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driver's license
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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?
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expressed
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The manner in which the EMT must act or behave when caring for a patient is called the:
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standard of care.
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In which of the following circumstances can the EMT legally release confidential patient information?
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the patient is competent and signs a release form
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At the scene of a mass-casualty incident, you identify a patient as an organ donor. When triaging the other patients, you:
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may have to assign the donor patient a lower triage priority.
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Acting in such a way as to make another person fear immediate bodily harm is called:
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assault.
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As an EMT, the performance of your duties will be compared to that of:
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another EMT.
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Which of the following is NOT considered to be protected health information (PHI)?
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location of the call
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Which of the following scenarios MOST accurately depicts informed consent?
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An EMT advises a patient of the risks of receiving treatment.
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In which of the following situations does the EMT NOT have a legal duty to act?
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a response to a motor vehicle crash while off duty
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Which of the following situations requires you to notify the appropriate authorities?
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attempted suicide
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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:
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begin treatment and contact medical control as needed.
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Your BEST protection against legal liability when a competent patient refuses EMS care and transport is to:
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thoroughly document the entire event.
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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:
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try to persuade the mother that treatment is needed.
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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:
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assess whether or not the patient's mental condition is impaired.
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What section of the Health Insurance Portability and Accountability Act (HIPAA) MOST affects EMS personnel?
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protecting patient privacy
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Which of the following statements regarding the Good Samaritan law is correct?
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It will not protect the EMT in cases of gross negligence.
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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?
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A mentally competent adult can withdraw his or her consent to treat at any time.
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In many states, a minor may be treated as an adult for the purpose of consenting to or refusing medical treatment if the minor:
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is self-supporting and lives by him- or herself.