Chapter 4 Quiz Flashcards
(30 cards)
Your patient is a 40-year-old known diabetic who was found unconscious at work by a coworker. What type of consent allows you to treat this patient?
Select one:
A.
Expressed consent
B.
Consent for treatment of minor emergencies
C.
Consent for mentally incompetent adults
D.
Implied consent
d
Which of the following refers to the care that would be expected to be provided by an EMT with similar training when caring for a patient in a similar situation?
A.
Scope of practice
B.
Standard of care
C.
Protocols and standing orders
D.
Professional standards
b
In which of the following situations is it legal to share information about treatment you provided to a patient?
Select one:
A.
The patient’s lawyer requests the information over the phone.
B.
The triage nurse at the emergency department asks about the care you provided to the patient.
C.
You are asked by a coworker who knows the patient.
D.
The patient gives verbal consent to release information to a friend.
b
While documenting a call, you add a false statement that was made about a local doctor. This could constitute which of the following?
Select one:
A.
Degradation of character
B.
HIPAA violation
C.
Slander
D.
Libel
d
Which of the following is the EMT’s primary responsibility at a secured crime scene?
Select one:
A.
Identifying any potential suspects encountered at the scene
B.
Providing patient care
C.
Preserving evidence
D.
Taking notes that may be needed during court testimony
b
The EMT’s obligation to provide care to a patient either as a formal or ethical responsibility is known as which of the following?
Select one:
A.
Duty to act
B.
Standard of care
C.
Legal responsibility
D.
Scope of practice
a
You are providing care to a 54-year-old male patient complaining of chest pain. The patient asks to speak to you privately. He tells you he is taking Cialis® for erectile dysfunction and his wife does not know he is taking it. He does not want his wife to find out. As you are putting the EMS bags back in the ambulance, the wife corners you and insists that you tell her what her husband said. What should you do?
Select one:
A.
You should tell her. He may be having an affair without her knowledge, and she needs to be tested for sexually transmitted diseases.
B.
You should not tell her. By law, your conversation with your patient is confidential.
C.
You should tell her. As his spouse, she is legally entitled to know his medical information.
D.
You should not tell her. There is no reason to humiliate your patient by disclosing his embarrassing condition.
b
You arrive on the scene of a 55-year-old male patient. The patient’s wife called 911 because he is having chest pains. The patient is very angry with his wife for calling 911 because he states he only has heartburn and adamantly refuses any treatment or transport. After signing the patient refusal form, the patient collapses and goes into sudden cardiac arrest. The wife is crying uncontrollably and begging you to do something. What should you do?
Select one:
A.
Provide emergency care for the patient only if his wife signs a document stating they will not sue the EMS service.
B.
Respect his legal right to not have any treatment, regardless of how much the wife begs you to help.
C.
Explain to the wife that her husband signed a legal document refusing care, and if you intervened to help him now, you would be breaking the law.
D.
Provide emergency care under implied consent.
C
Which of the following incidents might the EMT be legally required to report to law enforcement?
Select one:
A.
Your patient is a 12-year-old male who fell from his bicycle, breaking his left arm, and tells you his parents are at work.
B.
Your patient has facial and head injuries and states that her husband beat her with a telephone receiver.
C.
You suspect the wife of the patient you are treating for chest pain has been smoking marijuana.
D.
Your patient is an 18-year-old college student who has been consuming large amounts of alcohol at a fraternity party.
b
You are on the scene with a 72-year-old male patient with chest pain. The patient is complaining of shortness of breath but also refuses to go to the hospital, even after multiple attempts urging him to go. Which of the following should you do next?
Select one:
A.
Inform the patient that he is having a “heart attack” and must be taken to the hospital for evaluation.
B.
Stay with the patient until he loses consciousness.
C.
Contact medical direction for orders to restrain the patient.
D.
Fully inform the patient about his situation and the implications of refusing care.
d
If the EMT is in doubt as to whether a patient in cardiac arrest should be resuscitated, which of the following is the best decision?
Select one:
A.
Withhold resuscitative measures.
B.
Begin resuscitative measures.
C.
Have the patient’s family put their wishes in writing.
D.
Consult with the patient’s physician.
b
Sharing information about a patient’s medical history with your neighbor after you hear a call on a radio scanner would constitute which of the following?
Select one:
A.
Slander
B.
Breach of confidentiality
C.
Libel
D.
Violation of patient privacy
b
Which of the following statements is true concerning protection by Good Samaritan laws?
Select one:
A.
The purpose of Good Samaritan laws is to protect people who are trying to help in an emergency.
B.
An EMT cannot be sued for negligence if the state in which he works has a Good Samaritan law.
C.
An EMT is expected to act as a lay person when providing emergency care off duty.
D.
A Good Samaritan law allows an EMT to exceed the scope of practice, if necessary, when providing emergency care off duty.
a
While treating a patient involved in a shooting at the patient’s vacation home, which of the following actions will NOT interfere with the investigation of a crime scene?
Select one:
A.
Using the patient’s phone
B.
Moving the patient
C.
Wearing gloves at the scene
D.
Using the bathroom
c
The administration of oxygen and the application of spinal immobilization are part of which of the following for the EMT?
Select one:
A.
Duty to act
B.
Expressed consent
C.
Standard of care
D.
Scope of practice
d
Which of the following situations best illustrates the act of abandonment by the EMT?
Select one:
A.
An EMT who is off duty sees a motor vehicle collision with probable injuries but does not stop to help.
B.
An EMT transports a patient to the emergency department, leaves the patient in the waiting room, but does not advise the ED staff.
C.
The EMT resuscitates a patient who has a DNR order signed by his physician.
D.
An EMT begins care of a patient, then turns the patient over to a paramedic.
b
Which of the following refers to the set of regulations that defines the legal actions expected of and limitations placed on the EMT?
Select one:
A.
Professional standards
B.
Protocols and standing orders
C.
Scope of practice
D.
Legal standards of practice
c
Which of the following has specific requirements for storing, accessing, and sharing patient information?
Select one:
A.
HIAPA
B.
DNR
C.
POLST
D.
HIPAA
d
Two EMTs respond to the scene of a syncopal episode. They evaluate a 50-year-old male patient who passed out and cut his upper lip. The EMTs examine the patient and his vital signs are normal. The EMTs talk the patient out of an expensive ambulance ride and suggest he will save money by driving himself to the urgent care clinic for stitches for his lip rather than waiting all night in the emergency department as a nonemergency patient. The patient signs the EMS refusal form. The patient decides to see his own doctor the next morning but dies at his house from sudden cardiac arrest an hour later. Which of the following statements is true?
Select one:
A.
The EMTs are negligent because there was proximate causation.
B.
The EMTs are negligent because the patient died.
C.
The EMTs are not negligent because the patient signed the refusal form.
D.
The EMTs are not negligent because the EMTs have no control over the patient’s medical condition.
a
Your patient is a 10-year-old boy who suffered a possible fractured arm while rollerblading at a friend’s house. Which of the following is the best way to obtain consent for treatment?
Select one:
A.
Allow the patient to consent as an emancipated minor.
B.
Act on implied consent.
C.
Get consent from the patient’s 15-year-old sister, who is at the scene.
D.
Call the patient’s mother at work.
d
In which of the following situations should an EMT withhold resuscitative measures from a patient in cardiac arrest?
Select one:
A.
The patient’s caregiver presents a DNR order signed by the patient and his physician.
B.
Family members request that nothing be done.
C.
The patient’s caregiver believes the patient would not want resuscitative measures.
D.
The EMT’s religious beliefs permit withholding resuscitation.
a
Which of the following is not required to prove a claim of negligence against an EMT?
Select one:
A.
The EMT had a duty to act.
B.
The EMT failed to act according to the standard of care.
C.
The patient was in fear of bodily harm at the time of the incident.
D.
Proximate causation existed.
c
Which of the following information may be important to law enforcement officers investigating a crime scene?
Select one:
A.
What route you took when responding to the scene
B.
How you gained access to the scene
C.
Your opinion of what happened before you arrived on scene
D.
Your experience as an EMT
b
Your patient is a 45-year-old man who is suffering from chest pain. Upon arrival, the patient is pale, sweaty, and seems short of breath. The patient is angry with his daughter for calling 911 and refuses transport. He says that he had some spicy sausage for breakfast and has indigestion. Which of the following is an appropriate means of getting the patient the care he needs?
Select one:
A.
Tell the patient that his chest pain is most likely caused by his diet, have him take an antacid and go to bed.
B.
Ask the patient’s daughter for the number of another family member you can call to convince him to consent to care.
C.
Inform the patient that if he does not agree to treatment, you will have to take him against his will because he has a potentially life-threatening problem.
D.
Try to find out why the patient does not want to go to the hospital.
d
