Chapter 3 EMT Questions and answers, Graded A+. 2022 update

Chapter 3 EMT Questions and answers, Graded A+. 2022 update 1. To minimize the risk of litigation, the EMT should always: A. transport patients to the hospital of their choice. B. provide competent care that meets ...

Chapter 3 EMT Questions and answers, Graded A+. 2022 update 1. To minimize the risk of litigation, the EMT should always: A. transport patients to the hospital of their choice. B. provide competent care that meets current standards. C. use universal precautions with every patient encounter. D. utilize at least four personnel when moving a patient. - ✔✔Answer: B Question Type: General Knowledge Page: 79 2. Which of the following general statements regarding consent is MOST correct? A. A patient can consent to transport but can legally refuse to be treated. B. Patients who are intoxicated are generally allowed to refuse treatment. C. Expressed consent is valid only if given in writing by a family member. D. All patients older than 18 years can legally refuse treatment or transport. - ✔✔Answer: A Question Type: General Knowledge Page: 79-80 3. What type of consent is involved when a 39-year-old mentally competent female with a severe headache asks you to take her to the hospital? A. formal B. implied C. informed D. expressed - ✔✔Answer: D Question Type: General Knowledge Page: 80 4. Which of the following scenarios MOST accurately depicts informed consent? A. A patient advises an EMT of why he or she is refusing care. B. An EMT advises a patient of the risks of receiving treatment. C. An EMT initiates immediate care for an unconscious adult. D. A patient is advised by an EMT of the risks of refusing care. - ✔✔Answer: B Question Type: General Knowledge Page: 80 5. Which of the following types of consent allows treatment of a patient who is unconscious or mentally incapacitated? A. actual B. implied C. informed D. expressed - ✔✔Answer: B Question Type: General Knowledge Page: 80 6. You are dispatched to an office building for a 49-year-old male with chest pain. When you arrive at the scene, you find the patient to be conscious and alert, but in obvious pain. He tells you that he did not call 9-1-1; a coworker did. He further states that he does not want to be treated or transported to the hospital. You should: A. ensure that he is aware of the risks of refusing medical care. B. err in the best interest of the patient and transport him at once. C. have him sign a refusal of care form and then return to service. D. tell him that he is having a heart attack and needs medical care. - ✔✔Answer: A Question Type: Critical Thinking Page: 80 7. You suspect that a pregnant 16-year-old girl has a broken leg after she was hit by a car. You explain that you plan to splint her leg, and she agrees to treatment. What type of consent is her agreement considered? A. implied B. informed C. expressed D. minor's - ✔✔Answer: C Question Type: General Knowledge Page: 80 8. In many states, a minor may be treated as an adult for the purpose of consenting to or refusing medical treatment if the minor: A. possesses a valid driver's license. B. is mentally competent and able to refuse. C. has a poor relationship with his or her parents. D. is self-supporting and lives by him- or herself. - ✔✔Answer: D Question Type: General Knowledge Page: 81 9. You arrive at the scene of a motor vehicle versus pedestrian accident. The patient, a 13-year-old male, is unconscious and has multiple injuries. As you are treating the child, a law enforcement officer advises you that the child's parents will be at the scene in approximately 15 minutes. What should you do? A. Transport the child immediately and have the parents meet you at the hospital. B. Treat the child at the scene and wait for the parents to arrive and give consent. C. Begin transport at once and have the parents meet you en route to the hospital. D. Withhold treatment until the parents arrive and give you consent for treatment. - ✔✔Answer: A Question Type: Critical Thinking Page: 81 10. You are dispatched to a middle school for a 16-year-old female experiencing an asthma attack. She is conscious and alert, but in severe respiratory distress. The school nurse informs you that she has tried several times to contact the patient's parents but has not been successful. You should: A. provide treatment up to your level of training and transport the child at once. B. recognize that you cannot begin treatment without expressed parental consent. C. transport the child to the closest hospital and let them provide any treatment. D. administer oxygen only until you receive parental consent for further treatment. - ✔✔Answer: A Question Type: Critical Thinking Page: 81 11. You are treating a man with a closed head injury following an assault by a burglar. The patient, who has slurred speech, becomes verbally abusive and tells you to leave him alone. You should: A. ask a police officer to transport the patient to the hospital. B. allow him to refuse treatment since the injury was not his fault. C. proceed with treatment and utilize law enforcement if necessary. D. have the police arrest him so that you can legally begin treatment. - ✔✔Answer: C Question Type: Critical Thinking Page: 81 12. A patient regains consciousness en route from his office to the emergency department. The patient tells you that he feels fine and does not want to go to the hospital. Under these circumstances, you should: A. document the patient's request but continue to transport him. B. have the patient sign a refusal form and return him to his office. C. request that the police place the patient under protective custody. D. assess whether or not the patient's mental condition is impaired. - ✔✔Answer: D Question Type: Critical Thinking Page: 83 13. Shortly after loading your patient, a 50-year-old man with abdominal pain, into the ambulance, he tells you that he changed his mind and does not want to go to the hospital. He is conscious and alert and has no signs of mental incapacitation. You are suspicious that the man has a significant underlying condition and feel strongly that he should go to the hospital. Which of the following statements regarding this situation is correct? A. A mentally competent adult can withdraw his or her consent to treat at any time. B. Any patient who refuses EMS treatment must legally sign a patient refusal form. C. Because of your suspicions, the best approach is to transport him to the hospital. D. Once a patient is in the ambulance, he or she cannot legally refuse EMS treatment. - ✔✔Answer: A Question Type: Critical Thinking Page: 83 14. You suspect that a 6-year-old girl has broken her leg after falling from a swing at a playground. Shortly after you arrive, the child's mother appears and refuses to allow you to continue treatment. You should: A. use your authority under the implied consent law. B. try to persuade the mother that treatment is needed. C. ask the mother to sign a refusal form and then leave. D. tell the mother that her refusal is a form of child abuse - ✔✔Answer: B Question Type: Critical Thinking Page: 83 15. In which of the following circumstances can the EMT legally release confidential patient information? A. a police officer requests a copy to place on file B. the family requests a copy for insurance purposes C. a media representative inquires about the patient D. the patient is competent and signs a release form - ✔✔Answer: D Question Type: General Knowledge Page: 83 16. Your BEST protection against legal liability when a competent patient refuses EMS care and transport is to: A. advise medical control of the situation. B. err on the side of caution and transport. C. ensure that the family is aware of the risks. D. thoroughly document the entire event. - ✔✔Answer: D Question Type: General Knowledge Page: 83 17. What section of the Health Insurance Portability and Accountability Act (HIPAA) MOST affects EMS personnel? A. controlling insurance cost B. protecting patient privacy C. preventing insurance fraud D. ensuring access to insurance - ✔✔Answer: B Question Type: General Knowledge Page: 83 18. Which of the following is NOT considered to be protected health information (PHI)? A. patient history B. treatment rendered C. location of the call D. assessment findings - ✔✔Answer: C Question Type: General Knowledge Page: 83-84 19. During your monthly internal quality improvement (QI) meeting, you review several patient care reports (PCRs) with the staff of your EMS system. You identify the patient's name, age, and sex, and then discuss the treatment that was provided by the EMTs in the field. By taking this approach to the QI process, you: A. acted appropriately but must have each EMT sign a waiver stating that he or she will not discuss the cases with others. B. adequately safeguarded the patient's PHI because the cases were discussed internally. C. are in violation of HIPAA because you did not remove the PHI from the PCR beforehand. D. violated the patient's privacy because you should have only discussed the information with the EMTs who provided it. - ✔✔Answer: C Question Type: Critical Thinking Page: 83-84 20. In order for a do not resuscitate (DNR) order to be valid, it must: A. be dated within the previous 24 months. B. clearly state the patient's medical problem. C. be updated a minimum of every 6 months. D. be signed by the local justice of the peace. - ✔✔Answer: B Question Type: General Knowledge Page: 84 21. When faced with a situation in which a patient is in cardiac arrest, and a valid living will or DNR order cannot be located, you should: A. begin resuscitation at once.