Critical Thinking Flashcards
(15 cards)
You and your partner respond to the residence of a 66-year-old male with shortness of breath. As you are assessing the patient, his wife tells you he was recently diagnosed with lung cancer. The patient is verbally abusive and tells you that failure of the healthcare system caused his disease. What stage of the grieving process is this patient’s behavior consistent with?
A. Denial
B. Anger
C. Bargaining
D. Depression
B. Anger
You are summoned to a convalescent center for an 88-year-old female with ALOC. A staff nurse advises you that the patient has terminal cancer and that her Dr. stated that she would probably die within the next few hours; a valid DNR order is presented to you. When caring for this patient, you should:
A. Depart the scene and allow her to die with dignity
B. start CPR if she experiences cardiopulmonary arrest
C. provide no interventions and transport to the hospital
D. make her comfortable and provide emotional support.
D. make her comfortable and provide emotional support.
A 75 yr old male is a terminal illness has died at home. As you and your partner enter the residence, a family member becomes verbally abusive, pushes you, and states that you took too long to get there. You should:
A. Retreat and notify law enforcement personnel
B. tell the family member that it is not your fault
C. subdue the family member until police arrive
D. Ignore the family member and assess the patient
A. Retreat and notify law enforcement personnel
You are caring for a 35 yr old female with pregnancy-related complications. She is clearly experiencing significant stress and is crying uncontrollably. Your MOST appropriate action would be to:
A. demonstrate courtesy and speak with a professional tone of voice
B. discourage her from expressing fears until a counselor is available.
C. explain to her that “everything will be all right” to calm her down
D. restrain her if she is extremely emotional like your ex-girlfriend.
A. demonstrate courtesy and speak with a professional tone of voice
You are caring for a 40-year-old female who was involved in a MVA. Her husband, who was driving the vehicle, was killed. When the patient asks you if her husband is all right, you should:
A. Tell her that he is being resuscitated by other EMT-Bs
B. Immediately tell her of his death so that she may grieve
C. let clergy or hospital staff relay the bad news if possible
D. avoid answering her questions and focus on her injuries
C. let clergy or hospital staff relay the bad news if possible
You have been working at the scene of a major building collapse for 8 hours. Many injured people are still being removed, and everyone is becoming frustrated and losing focus. The situation is MOST effectively managed by:
A. Red Balls, it give you wings.
B. requesting a CISM team to provide on-scene peer support
C. conducting a critical incident stress debriefing the next day
D. allowing each worker to sleep in 15-30 minute increments
B. requesting a CISM team to provide on-scene peer support
While on duty, your partner asks you out on a date and touches you in an inappropriate location without consent you should.
A. watch me whip, watch me nae nae
B. warn you partner that you will report him/her if it happens again.
C. notify law enforcement and have your partner arrested
D. tell your partner to stop, notify your supervisor
D. tell your partner to stop, notify your supervisor
Your partner, a veteran EMT-B who you have worked with regularly for the past four years, seems unusually agitated during a call involving an elderly patient. Upon arrival back at our station, you note the obvious smell of alcohol on his breath. What should you do?
A. Remain quiet and request another partner
B. report the incident to your EMS medical director
C. discreetly report your suspicions to your supervisor
D. Ask if he wants to take a shot with you
C. discreetly report your suspicions to your supervisor
You are transporting a 40 yr old male with respiratory distress. The patient tells you that he recently had a positive TB skin test and is currently being evaluated for possible TB. You should:
A. apply a nonrebreathing mask on the patient and a HEPA respirator on yourself.
B. Tell the patient, “we don’t serve your kind” and abandon him on the I-10
C. Apply a sterile surgical mask on yourself and a HEPA respirator on the patient.
D. Apply a nasal cannula on his mom, who sucks at life.
A. apply a nonrebreathing mask on the patient and a HEPA respirator on yourself.
While assisting an ALS rescue crew, you are accidentally stuck with an IV needle. You should:
A. immerse your wound in an alcohol-based solution
B. immediately report the incident to your supervisor
C. Suck the blood out like you would venom from a snake bite because you’re “savage”
D. discontinue patient care and seek medical attention
B. immediately report the incident to your supervisor
A patient with a persistent cough informs an EMT-B that he has tested positive for HIV. On the basis of this information, the EMT-B refuses to treat the patient. Which of the following statements BEST describes the situation?
A. Medically prudent
B. Legally acceptable
C. Ethically unacceptable
D. Reasonable and Justifiable
C. Ethically unacceptable
You are dispatched to the scene of a MVA with a large tanker truck. While you are en route, dispatch advises you that there are multiple patients and that the fire department (Us, or course) is en route as well. As you approach the scene, you should:
A. Maintain a safe distance and try to read the placard with binoculars.
B. cordon off the area and quickly remove all of the patients
C. Don PPE and quickly triage
D. Ask the firefighters for interview advice
A. Maintain a safe distance and try to read the placard with binoculars.
At the scene of an automobile crash, a utility pole has been broken, and power lines are laying across the car. The patients inside the car are conscious. You should:
A. proceed with normal extrication procedures
B. Remove the lines with a non conductive object
C. advise the patients to carefully get out of the car
D. mark off a danger zone around the downed lines
D. mark off a danger zone around the downed lines
You arrive at the scene of a domestic violence situation. As you approach the doorway of the apartment, you hear screaming and the statement “He has a gun!”. Your MOST appropriate action should be to:
A. continue into the apartment using extreme caution
B. proceed into the apartment and apprehend the gunman
C. get in your ambulance and leave immediately
D. seek a safe place and request law enforcement assistance
D. seek a safe place and request law enforcement assistance
You have been dispatched to a nearby bar, where a man has been stabbed. As you pull up in front of the bar, a man in an apron yells that he is the bartender and that “the crazy guy inside has a knife.” You should:
Remain outside until the scene is secured by PD
