Chapter 5 quiz Flashcards
Why is using a standard format for relaying medical information to the emergency department important?
A) A standard format assists the EMT in maintaining his or her assessment skills.
B) The EMS agency can increase its reimbursement from health care insurance companies.
C) The opportunity for forgetting important medical information decreases.
D) Dispatch is better able to monitor and constructively critique the radio traffic to hospitals.
C) The opportunity for forgetting important medical information decreases.
Which one of the following statements is most appropriate when transferring a patient to the emergency department and giving an oral report?
A) “Please refer to the recording of my radio report for specific information about Mr. Benton and his chest pain.”
B) “This is Mr. Benton. He has the state insurance plan.”
C) “Mr. Benton has high blood pressure and appears to be having a heart attack.”
D) “Mr. Benton called us today because he was having chest pain.”
D) “Mr. Benton called us today because he was having chest pain.”
A 31-year-old female with a history of depression took some pills in a suicide attempt. Her husband is visibly upset and her three young children are crying as you place her into the ambulance. She is conscious and stable as you transport her to the hospital. During the transport, she tearfully states she did not mean to take the pills and asks if she is going to die. In regards to therapeutic communication, which one of the following is your best response?
A) “I think that you have a loving family and you need to be more considerate of them.”
B) “You are stable right now and we are transporting you for definitive care.”
C) “You are going to be fine, don’t worry.”
D) “If you do not want to die, why did you take the pills?”
B) “You are stable right now and we are transporting you for definitive care.”
What important piece of information has been omitted from the following report: "University Hospital, we are en route with a 61-year-old male complaining of generalized weakness. He states that he was cutting the grass when he suddenly became hot and weak, forcing him to sit down. He has a history of diabetes and prostate cancer, but takes no medications. Right now he is alert and oriented and has the following vital signs: pulse 96, respirations 18, and blood pressure 156/82 mmHg. We have placed him on two liters of oxygen by nasal cannula and are transporting in a semi-Fowler's position. He states that the weakness is starting to resolve. Do you have questions or orders?" A) ETA to the hospital B) Medications the patient is taking C) Location of the incident D) Patient's family physician
A) ETA to the hospital
You are returning from a call when you come across an apartment building with flames coming from several windows on the top story. You see several occupants trapped and hanging out of the windows screaming for help. Which one of the following radio transmissions is most appropriate when advising dispatch of the situation?
A) “Central communication, be advised there is a structure fire with people trapped.”
B) “Central communications I need the fire department and additional ambulances for a working structure fire on the north side of town.”
C) “Central communications be advised of a working structure fire on Third Street and Raven with occupants trapped.”
D) “Central communications from Unit 118, how do you copy?”
D) “Central communications from Unit 118, how do you copy?”
When using your portable radio, you must push the "press to talk" button and wait one second before speaking. This is essential to effective communication because your EMS system must use: A) digital equipment. B) portable transmitter/receiver. C) cellular telephone links. D) repeaters.
D) repeaters.
While you are returning from lunch, a frantic woman flags you down and states that she just found a young child on the roadside who appears to have been hit by a car. She is not sure if the child is breathing. You should immediately:
A) inform the woman that she will need to calm down.
B) advise dispatch that you have been flagged down for a possible emergency.
C) grab equipment and get to the child’s location.
D) call for paramedic assistance and await their arrival.
B) advise dispatch that you have been flagged down for a possible emergency.
You pull up to the scene of a one-car motor vehicle collision and find a physician treating the patient. Which one of the following is the best way to initially communicate with the doctor?
A) “Thank you, doctor, you can go now; we will take over.”
B) “Hello, we are EMTs. How can we help you, doctor?”
C) “The law requires you to let us handle the situation.”
D) “We will be in the ambulance if you need us.”
B) “Hello, we are EMTs. How can we help you, doctor?”
What role does the Federal Communications Commission (FCC) play in EMS?
A) Determining the essential information that EMTs must relay to a receiving hospital about patient care
B) Inspecting ambulance and base station communication equipment
C) Establishing and enforcing regulations related to the use of radio operations
D) Approving maintenance and repair contracts for communication equipment used by EMS systems
C) Establishing and enforcing regulations related to the use of radio operations
You are treating a 2-year-old girl who fell off her bike. She is crying and will not answer any of your questions. Which one of the following would be appropriate to find out where the girl hurts?
A) Tell the patient she will be okay if she tells you what hurts.
B) Promise the girl a reward like ice cream if she answers the questions.
C) Have the girl’s mother ask your questions for you.
D) Use an adult-like voice and tell the girl she needs to answer the questions.
C) Have the girl’s mother ask your questions for you.
A 42-year-old female is complaining of shortness of breath. Which of the following questions would best assist you in getting additional information about the patient’s chief complaint?
A) “Have you ever had a myocardial infarction before?”
B) “Why did you wait 2 hours to call for an ambulance?”
C) “You appear to be short of breath. Are you also having chest pain?”
D) “Did you get diaphoretic when the shortness of breath started?”
C) “You appear to be short of breath. Are you also having chest pain?”
Which one of the following is a disadvantage in using cell phones as an emergency backup communication system?
A) There is less privacy when using cell phones, as compared to radios.
B) Cell phone use is not monitored by the FCC.
C) They do not offer high-quality sound.
D) Cell phones may not be effective in disaster situations.
D) Cell phones may not be effective in disaster situations.
You have been called for a 23-year-old male who is completely deaf. To best communicate with this patient, you should:
A) use gestures when asking questions.
B) stand in front of the patient and speak loudly.
C) write questions on a note pad.
D) have the emergency department get the needed information.
C) write questions on a note pad.
Which one of the following is an effective way to improve communication with most patients? A) Have the patient look up at you. B) Use medical terminology. C) Speak clearly and loudly. D) Maintain eye contact.
D) Maintain eye contact.
Which one of the following statements is most appropriate when communicating with the medical facility that will receive the patient?
A) “Inbound with a 52-year-old suffering from a myocardial infarction.”
B) “Five minutes out with Mr. John Panzer who called us today for high blood pressure.”
C) “En route with a drug addict who has overdosed on an unspecified amount of heroin.”
D) “En route to your facility with a 73-year-old male complaining of dizziness.”
D) “En route to your facility with a 73-year-old male complaining of dizziness.”
Which of the following is a function of providing the physician or nurse with an oral report when transferring care to the hospital emergency department (ED)?
A) To provide input on additional medical care to be given in the ED
B) To summarize patient assessment and treatment information
C) To inform them of whether or not they need to see the patient immediately
D) To provide an opportunity for the ED staff to critique the care provided
B) To summarize patient assessment and treatment information
When providing a lengthy radio report, the most important reason to pause every 30 seconds is so that:
A) the person receiving the message has time to think about what you are saying.
B) other people can use the radio for an emergency transmission.
C) the repeater can process and pick up all that you are saying.
D) the person receiving the message can write down what you are saying.
B) other people can use the radio for an emergency transmission.
Which phrase best illustrates the EMT using the summary technique of therapeutic communication?
A) “I know how you feel; my brother suffers from depression.”
B) “It appears that you have been depressed for several weeks now.”
C) “Since you are not in a calm state of mind, we have to transport you to the ED.”
D) “Since you are depressed, we need to transport you to the hospital.”
B) “It appears that you have been depressed for several weeks now.”
A patient who was complaining of a headache is being transported to the hospital. After providing a report to the emergency department, the patient begins to seize. The seizure lasts for 1 minute and then stops. At this time, you are 5 minutes from the hospital. After providing care for the seizure, your next action should be to:
A) continue care and transport to the hospital.
B) call the hospital and inform them of the seizure.
C) contact family via cell phone and determine is the patient has a history of seizures.
D) document the seizure on the prehospital care report.
B) call the hospital and inform them of the seizure.
Which one of the following best explains the reason why emergency services communications are recorded?
A) The Federal Communications Commission reviews all recordings for communication appropriateness.
B) The state EMS agency will use the recording to determine if care was appropriate.
C) Communications can become part of a legal record if need be.
D) The federal government requires that all communications be recorded.
C) Communications can become part of a legal record if need be.
An effective and reliable communication system is essential to the EMT and the EMS system because:
A) hospitals can better prepare for the arrival of a patient.
B) a decrease in the number of lawsuits has been demonstrated.
C) EMTs are better able to assess patients.
D) the safety of an EMT is guaranteed on a dangerous scene.
A) hospitals can better prepare for the arrival of a patient.
You are treating an 82-year-old female who is having trouble hearing some of your questions. What technique would be best in helping you get her past medical history?
A) Defer further questions until en route to the hospital.
B) Enlist the help of a neighbor.
C) Speak with a loud and higher-pitched voice.
D) Speak clearly and slowly.
D) Speak clearly and slowly.
Which one of the following is the most appropriate way to contact a receiving hospital to alert them that you are en route with a patient?
A) “Inbound with a 76-year-old male complaining of dizziness.”
B) “St. Margaret’s Hospital, this is BLS ambulance 17-64. How do you copy?”
C) “Dr. Jackson, this is EMT Mike Bennet, can you hear me?”
D) “St. Margaret’s, can you take a report on a person with chest pain?”
B) “St. Margaret’s Hospital, this is BLS ambulance 17-64. How do you copy?”
Medical direction has advised you to place a patient who is obese and extremely short of breath in a supine position. Knowing that doing so will cause the patient to become more short of breath, your best action would be to:
A) ask your partner what he would do.
B) contact a different hospital and transport the patient there.
C) place the patient in the supine position and expedite transport.
D) explain your concern to the physician and ask for clarification.
D) explain your concern to the physician and ask for clarification.
