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:
A. reassure the child's mother that seizures in children are very common and that there is nothing to worry about.
B. attempt to calm the child's mother, but avoid separating her from her child because this will increase her anxiety.
C. ask the father to hold the child so you can assess him while your partner tries to calm the mother.
D. give the child a favorite toy or blanket to hold onto and perform your assessment to the best of your ability.
ask the father to hold the child so you can assess him while your partner tries to calm the mother.
As you are wheeling your patient through the emergency department doors, you receive another call for a major motor vehicle crash. You should:
A. place the patient in a high-visibility area and then respond to the call.
B. respond only after giving a verbal patient report to a nurse or physician.
C. inform the admissions clerk of the situation and then respond at once.
D. leave a copy of the run form with a nurse and then respond to the call.
respond only after giving a verbal patient report to a nurse or physician.
Communicating with patients who are deaf or hard-of-hearing can be facilitated by doing all of the following, EXCEPT:
A. placing yourself in a position to ensure that the patient can see your lips.
B. elevating the tone of your voice and exaggerating word pronunciation.
C. shining a light on your face when you are in a darkened environment.
D. providing pen and paper if the patient prefers to write his or her response.
elevating the tone of your voice and exaggerating word pronunciation.
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:
A. tell him that you cannot help him unless he answers your questions.
B. ask him if he frequently experiences severe headaches and nausea.
C. allow him time to think about the question and respond to it.
D. repeat your question because he probably did not hear you.
allow him time to think about the question and respond to it.
Effective therapeutic communication skills require _________.
A. English-speaking patients or family members
B. correct use of complex medical terminology
C. supervision by advanced life support personnel
D. verbal and nonverbal communication techniques
verbal and nonverbal communication techniques
Ethnocentrism is defined as:
A. subconsciously forcing your cultural values onto a patient because you feel that your own values are more acceptable.
B. considering your own cultural values to be more important when interacting with people of a different culture.
C. suspecting that a person has an ulterior motive based on the tone of his or her voice when answering a question.
D. understanding that people from different cultural backgrounds respond to pain and stress differently.
considering your own cultural values to be more important when interacting with people of a different culture.
Medical control gives you an order that seems inappropriate for the patient's condition. After confirming that you heard the physician correctly, you should:
A. obtain consent from the patient and then carry out the order as usual.
B. carry out the order and then carefully document it on the run form.
C. state that you will not carry out the order because it is inappropriate.
D. advise the physician that the order is unclear and ask for clarification.
advise the physician that the order is unclear and ask for clarification.
When providing a patient report via radio, you should protect the patient's privacy by:
A. not disclosing his or her name.
B. withholding medical history data.
C. using coded medical language.
D. refraining from objective statements.
not disclosing his or her name.
When relaying patient information via radio, communications should be:
A. spoken in a loud voice.
B. brief and easily understood.
C. coded and scripted.
D. lengthy and complete.
brief and easily understood.
When you are communicating with an older patient, it is important to remember that:
A. most older people think clearly and are capable of answering questions.
B. hostility and confusion should be presumed to be due to the patient's age.
C. your questions should focus exclusively on the patient's obvious problem.
D. speaking loudly and distinctly will ensure that the patient can hear you.
most older people think clearly and are capable of answering questions.
Which of the following incidents does NOT require a report to be filed with local authorities?
A. Spousal abuse
B. Animal bites
C. Gunshot wounds
D. Cardiac arrest
Which of the following statements is NOT appropriate to document in the narrative section of a PCR?
A. "The patient admits to smoking marijuana earlier in the day."
B. "General impression revealed that the patient was intoxicated."
C. "After oxygen was administered, the patient's breathing improved."
D. "Significant damage was noted to the front end of the vehicle."
"General impression revealed that the patient was intoxicated."
Which of the following statements regarding a "dedicated line" is correct?
A. It is a constantly open line of communication that cannot be accessed by outside users.
B. It is a designated frequency on a portable radio that provides direct access to medical control.
C. It is a frequency that is used exclusively by EMTs to communicate with one another in the field.
D. It is a constantly open line of communication that is under exclusive control of a single user.
It is a constantly open line of communication that cannot be accessed by outside users.
Which of the following statements regarding a patient refusal is correct?
A. A patient who consumed a few beers will likely be able to refuse EMS treatment.
B. A mentally competent adult has the legal right to refuse EMS care and transport.
C. Advice given to a patient who refuses EMS treatment should not be documented.
D. Documentation of proposed care is unnecessary if the patient refuses treatment.
A mentally competent adult has the legal right to refuse EMS care and transport.
Which of the following types of questions allow for the most detailed response?
A. Multiple questions asked at once
B. Yes or no questions
C. Closed-ended questions
D. Open-ended questions
Which of the following will help improve radio communications?
A. Answer questions with "yes" or "no."
B. Use codes to speed communication.
C. Hold the radio at least 6 inches from your mouth.
D. Wait 1 second after pressing the transmit button before speaking.
Wait 1 second after pressing the transmit button before speaking.
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:
A. the ePCR is relatively unsecured and should not contain patient-specific information.
B. a written patient care record will need to be completed on arrival at the hospital.
C. the ePCR allows patient information to be transmitted directly to the receiving hospital's computers.
D. the ePCR does not contain the same level of information as the written version and your verbal report should be expanded.
the ePCR allows patient information to be transmitted directly to the receiving hospital's computers.
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:
A. wait until you reach the hospital to transmit the information.
B. send the electrocardiogram from the back of the ambulance.
C. use the multiplex system to transmit the information .
D. be aware that only audio or data transmissions can be sent at any one time.
use the multiplex system to transmit the information
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?
A. Call the receiving hospital with your cell phone while providing patient care.
B. Have the driver contact dispatch and relay the patient information to the hospital.
C. Wait until you arrive at the hospital and then quickly apprise the staff of the situation.
D. Request that a police officer respond to the hospital to apprise the staff of your arrival.
Have the driver contact dispatch and relay the patient information to the hospital.
You could be sued for ___________ if your radio report to the hospital describes the patient in a manner that injures his or her reputation.
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