CH 12

Question 1

Which of the following occurs after a call is over and is commonly associated with the run review or critique?
Application of principle
Reflection in action
Reflection on action
Data interpretation

Answer 1

Reflection on action

Question 2

Which of the following would have the least impact on the care you provide to a patient who fell?
How the patient landed
Object from which the patient fell
Object the patient landed on
The height of the fall

Answer 2

Object from which the patient fell

Question 3

Which of the following scenarios depicts reflection in action?
Noting a patient’s heart rate before you administer any medication
Reassessing a patient’s blood pressure after administering nitroglycerin
Administering aspirin and then immediately applying a cardiac monitor
Obtaining a room air pulse oximetry reading before applying oxygen

Answer 3

Reassessing a patient’s blood pressure after administering nitroglycerin

Question 4

If a patient’s clinical presentation is not addressed in a specific algorithm, the paramedic must:
provide supportive care and transport promptly.
perform a comprehensive head-to-toe exam.
determine what is in the patient’s best interest.
focus exclusively on the patient’s ABCs.

Answer 4

determine what is in the patient’s best interest.

Question 5

A negative attitude about any patient or patient care situation:
is often observed in paramedics with many years of experience.
almost guarantees that the care you provide will be suboptimal.
is usually not sensed by the patient because they are frightened.
constitutes negligence and carries legal ramifications.

Answer 5

almost guarantees that the care you provide will be suboptimal.

Question 6

No matter how sure they are of the working diagnosis, the thinking paramedic must:
always keep part of the thought process open to other possibilities.
confer with online medical control to confirm their diagnosis.
implement a treatment plan based solely on the working diagnosis.
remain confident that their working diagnosis is an accurate one

Answer 6

always keep part of the thought process open to other possibilities.

Question 7

When a patient advises you of their complaint, you should:
obtain a 12-lead ECG to rule out a cardiac-related cause of the problem.
ascertain whether this is a new problem or worsening of a preexisting condition.
carefully evaluate all of the medications the patient is taking.
quickly perform a head-to-toe exam to identify immediate life threats.

Answer 7

ascertain whether this is a new problem or worsening of a preexisting condition.

Question 8

Synthesizing information about a patient with multiple medical conditions involves:
determining the validity of each of the patient’s medical problems.
determining the patient’s perception of his or her multiple conditions.
assessing each condition’s potential for having a life-threatening impact.
ruling out each condition as the cause of the patient’s chief complaint.

Answer 8

assessing each condition’s potential for having a life-threatening impact.

Question 9

Given the number of possible diagnoses in any situation and the limited physical and technical resources of the field, you will likely:
not be able to stabilize the patient’s condition adequately in the field setting.
have difficulty providing supportive care secondary to medical ambiguity.
regularly be able to formulate a definitive diagnosis of the patient’s current condition.
regularly be treating patients who can only be diagnosed at the hospital.

Answer 9

regularly be treating patients who can only be diagnosed at the hospital.

Question 10

Knowledge of anatomy, physiology, and pathophysiology is most important during which stage of critical thinking?
Reflection in action
Data interpretation
Concept formation
Application of principle

Answer 10

Data interpretation