Chapter 1 Questions Flashcards

1
Q
Which most accurately describes the term professionalism?
A) Adherence to standards of conduct
B) Uniform standards of appearance
C) Charge for services rendered
D) Public trust in the individual
A

A) Adherence to standards of conduct

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2
Q
Which behavior by a paramedic is the best example of self-motivation?
A) Listening actively and accurately
B) Accepting constructive criticism
C) Ensuring that uniforms are clean
D) Trusting personal judgements
A

B) Accepting constructive criticism

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3
Q

A paramedic is assisting the medical director with the development of a new treatment protocol. The medical director asks the paramedic to conduct an observational study of the treatment protocol. Which course of action would be closest to the expectations of the medical director?
A) Change the protocol in incremental steps, assessing the impact of each incremental change
B) Pilot the new protocol, and assess outcome before and after the change
C) Divide crews into two groups, one using the new protocol and one using the old protocol, and compare the outcomes of the groups.
D) Survey other EMS systems, and describe the protocols used by each

A

D) Survey other EMS systems, and describe the protocols used by each

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4
Q
The practice of physician participation in education, equipment selection, and development of protocols for EMS systems is best described by which term?
A) Medical direction
B) Administrative interface
C) Physician extension
D) Medical conscience
A

A) Medical direction

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5
Q
Which term refers to a process by which an authority grants permission to engage in an activity that would otherwise be unlawful?
A) Registration
B) Licensure
C) Professionalism
D) Certification
A

B) Licensure

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6
Q

Which characteristic differentiates EMT-paramedics from other recognized levels of EMS training?
A) Advanced training in drug therapy
B) Advanced training in emergency vehicle operations
C) Advanced training in injury prevention
D) Advanced training in medical incident command

A

A) Advanced training in drug therapy

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7
Q

National standard curricula for EMS providers are established by which agency?
A) Occupational Safety and Health and Human Administration
B) Department of Health and Human Services
C) Federal Emergency Management Agency
D) National Highway Traffic Safety Administration

A

D) National Highway Traffic Safety Administration

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8
Q

Quality assurance (QA) differs from continuous quality improvement (CQI) in that CQI
A) Focuses on the individual and not on the system
B) Focuses on punitive action
C) Is less rigid and considers many factors
D) Identifies deviations from a standard and makes corrections

A

C) Is less rigid and considers many factors

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9
Q

Which behavior by a paramedic demonstrates self-confidence?
A) Not needing to confirm drug dosages before administration of any medication
B) Completing assessment and treatment plans without consulting a partner
C) Insisting on online medical control for clearly indicated standing orders
D) Trusting personal judgement on the need for endotracheal intubation

A

D) Trusting personal judgement on the need for endotracheal intubation

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10
Q
A network of services coordinated to provide aid and medical assistance from a primary response to definitive care is referred to as which area?
A) Advanced life support 
B) Medical transportation system
C) EMS system
D) Health maintenance organization
A

C) EMS system

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11
Q

What aspect contributes to the existence of a profession?
A) Membership in an organization promoting the profession
B) High salary expectations for members of the profession
C) Specialized body of knowledge
D) Four-year degree from a college or university

A

C) Specialized body of knowledge

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12
Q
The act of placing one's name in a book of record is referred to as which term?
A) Professionalism
B) Certification
C) Registration
D) Licensure
A

C) Registration

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13
Q
A paramedic is in a study in which he or she gives a patient a coded vial of medication but doesn't know what medication is being given. The patient is also unaware of which medication is being administered. Which type of study is this referred?
A) Patient-concealing
B) Covered medication
C) Double-blinded
D) Secrecy of administration
A

C) Double-blinded

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14
Q

A paramedic is called to a physician’s office to provide care and transport to a patient suffering extreme respiratory distress. The patient’s personal physician is present. Which would be the most appropriate choice of action by the paramedic?
A) Refuse to provide care outside of established treatments protocols
B) Combine the patient’s physician’s orders with established protocols
C) Immediately transport and provide care en route
D) Follow orders from the patient’s physician

A

A) Refuse to provide care outside of established treatments protocols

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15
Q

Which best describes the role of the National Registry of EMTs?
A) Development of national standard curricula
B) Collective bargaining
C) A unified voice for EMS providers
D) Verification of the competency of EMS providers

A

D) Verification of the competency of EMS providers

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16
Q

Off-line medical direction provides which benefit?
A) Individual attention to the strengths of a particular paramedic
B) Allowance for unique circumstances
C) Standardized care
D) Patient-specific care

A

C) Standardized care

17
Q
A paramedic who places the needs of the patient before his or her self-interest is displaying
A) Patient advocacy
B) Empathy
C) Self-confidence
D) Integrity
A

A) Patient advocacy

18
Q
Which organization is the federal agency with jurisdiction over EMS systems?
A) NAEMT
B) NAEMSP
C) NREMT
D) NHTSA
A

D) NHTSA

19
Q
Which responsibility would be considered a primary responsibility of the paramedic?
A) Advocating citizen involvement
B) Professional development
C) Documentation
D) Support of primary care
A

C) Documentation

20
Q
A paramedic participates in a study in which all patients over the age of 55 are asked whether they take an aspirin daily. Which type of research is this referred?
A) Retrospective
B) Descriptive
C) Experimental
D) Manipulative
A

B) Descriptive

21
Q

Which action by a paramedic best demonstrates the characteristic of personal hygiene?
A) Maintaining hair length above the collar
B) Ensuring that uniforms are clean
C) Wearing gloves while performing patient care
D) Avoiding dangling earrings while on duty

A

B) Ensuring that uniforms are clean

22
Q

Encouraging citizens’ involvement in the EMS system achieves which goal?
A) Creating informed and independent advocates
B) Increasing positive media coverage
C) Encouraging the use of emergency resources for routine care
D) Allowing for a more effective disaster response

A

A) Creating informed and independent advocates

23
Q
Which term refers to guidelines that define the scope of prehospital intervention practiced by emergency care providers?
A) Standard operating procedure
B) Treatment protocols
C) Off-line medical control
D) Standing orders
A

B) Treatment protocols

24
Q
A paramedic participating in a research experiment contacts medical direction to allow the physician to administer informed consent to the subject. Which type of consent is being used?
A) Cohort consent
B) Implied consent
C) Consent at a distance
D) Stepped consent
A

C) Consent at a distance

25
Q

Which is an attribute of an EMS system identified by the Emergency Medical Services Agenda for the future?
A) Provision of advanced life support
B) Nationally standardized treatment protocols
C) Capitated finance structures
D) Prevention activities

A

D) Prevention activities

26
Q
Which is a national organization that verifies competency for emergency medical technicians (EMTs) and paramedics by preparing and conducting examinations?
A) NAEMSP
B) NHTSA
C) NREMT
D) NAEMT
A

C) NREMT

27
Q

Which treatment protocol for an EMS system requires consultation with a physician at the base hospital before the administration of certain medications?
A) Online medical direction
B) Standing orders
C) Retrospective off-line medical direction
D) On-scene medical direction

A

A) Online medical direction

28
Q
A medical director reviewing written EMS care paperwork is completing what kind of review?
A) Concurrent review
B) Mortality review
C) Peer review
D) Retrospective review
A

D) Retrospective review

29
Q
Which is considered to be a component of the EMS system, according to NHTSA's Ten System Elements?
A) Private physicians' offices
B) Long-term care facilities
C) Community colleges
D) Trauma centers
A

D) Trauma centers

30
Q
Attending continuing education sessions demonstrates which characteristic of the paramedic as a health care professional?
A) Empathy
B) Time management
C) Self-motivation
D) Patient advocacy
A

C) Self-motivation

31
Q
Which term refers to the process by which a competent authority provides a document verifying that the individual has met predetermined qualifications to participate in an activity?
A) Licensure
B) Certification
C) Professionalism
D) Registration
A

B) Certification

32
Q

Which behavior would demonstrate the professional attribute of integrity?
A) Omitting references in the medical records to cocaine use on a chest pain call for a popular local leader
B) Assisting a colleague in hiding a mistake that did not affect patient care
C) Intentionally misplacing a run report for a patient who cannot afford the bill
D) Accurately documenting a medication error performed by a partner

A

D) Accurately documenting a medication error performed by a partner

33
Q

Which document called for the preparation of nationally acceptable texts and courses of instruction for rescue squad, police, and ambulance personnel in 1966?
A) Emergency Medical Services Agenda for the Future
B) Accidental Death and Disability: The Neglected Disease of Modern Society
C) Public Safety Officers’ Act
D) Emergency Medical Services Systems Act

A

B) Accidental Death and Disability: The Neglected Disease of Modern Society

34
Q

Which is the least likely benefit of paramedics’ teaching in the community?
A) Improved community awareness of EMS
B) Improved integration with other public safety agencies
C) Improved reimbursement
D) Improved community health

A

C) Improved reimbursement

35
Q
A continuous quality improvement (CQI) project aims to standardize the care of patients with chest pain while integrating the care in the prehospital environment with emergency department care. Which focus area of CQI nest describes this project?
A) Information and analysis
B) Process management
C) Satisfaction of patients
D) EMS system results
A

B) Process management