4b - Communication & Documentation Flashcards
A 4-year-old boy had an apparent seizure. He is conscious and calm and is sitting on his mother’s lap. His father is sitting in a nearby chair. The child’s mother suddenly begins crying uncontrollably, which causes the child to start crying. You should:
Select one:
A. ask the father to hold the child so you can assess him while your partner tries to calm the mother.
B. give the child a favorite toy or blanket to hold onto and perform your assessment to the best of your ability.
C. reassure the child’s mother that seizures in children are very common and that there is nothing to worry about.
D. attempt to calm the child’s mother, but avoid separating her from her child because this will increase her anxiety.
A. ask the father to hold the child so you can assess him while your partner tries to calm the mother.
As you are wheeling your patient through the emergency department doors, you receive another call for a major motor vehicle crash. You should:
Select one:
A. respond only after giving a verbal patient report to a nurse or physician.
B. leave a copy of the run form with a nurse and then respond to the call.
C. place the patient in a high-visibility area and then respond to the call.
D. inform the admissions clerk of the situation and then respond at once.
A. respond only after giving a verbal patient report to a nurse or physician.
Communicating with patients who are deaf or hard-of-hearing can be facilitated by doing all of the following, EXCEPT:
Select one:
A. shining a light on your face when you are in a darkened environment.
B. placing yourself in a position to ensure that the patient can see your lips.
C. elevating the tone of your voice and exaggerating word pronunciation.
D. providing pen and paper if the patient prefers to write his or her response.
C. elevating the tone of your voice and exaggerating word pronunciation.
(it’s just insulting, and make you look silly)
During your assessment of a 20-year-old man with a severe headache and nausea, you ask him when his headache began, but he does not answer your question immediately. You should:
Select one:
A. allow him time to think about the question and respond to it.
B. repeat your question because he probably did not hear you.
C. ask him if he frequently experiences severe headaches and nausea.
D. tell him that you cannot help him unless he answers your questions.
A. allow him time to think about the question and respond to it.
Effective therapeutic communication skills require _________.
Select one:
A. verbal and nonverbal communication techniques
B. correct use of complex medical terminology
C. supervision by advanced life support personnel
D. English-speaking patients or family members
A. verbal and nonverbal communication techniques
Ethnocentrism is defined as:
Select one:
A. understanding that people from different cultural backgrounds respond to pain and stress differently.
B. suspecting that a person has an ulterior motive based on the tone of his or her voice when answering a question.
C. subconsciously forcing your cultural values onto a patient because you feel that your own values are more acceptable.
D. considering your own cultural values to be more important when interacting with people of a different culture.
D. considering your own cultural values to be more important when interacting with people of a different culture.
Medical control gives you an order that seems inappropriate for the patient’s condition. After confirming that you heard the physician correctly, you should:
Select one:
A. state that you will not carry out the order because it is inappropriate.
B. carry out the order and then carefully document it on the run form.
C. advise the physician that the order is unclear and ask for clarification.
D. obtain consent from the patient and then carry out the order as usual.
C. advise the physician that the order is unclear and ask for clarification.
When providing a patient report via radio, you should protect the patient’s privacy by:
Select one:
A. withholding medical history data.
B. not disclosing his or her name.
C. refraining from objective statements.
D. using coded medical language.
B. not disclosing his or her name.
When relaying patient information via radio, communications should be:
Select one:
A. lengthy and complete.
B. brief and easily understood.
C. spoken in a loud voice.
D. coded and scripted.
B. brief and easily understood.
When you are communicating with an older patient, it is important to remember that:
Select one:
A. most older people think clearly and are capable of answering questions.
B. hostility and confusion should be presumed to be due to the patient’s age.
C. your questions should focus exclusively on the patient’s obvious problem.
D. speaking loudly and distinctly will ensure that the patient can hear you.
A. most older people think clearly and are capable of answering questions.
Which of the following incidents does NOT require a report to be filed with local authorities?
Select one:
A. Gunshot wounds
B. Animal bites
C. Spousal abuse
D. Cardiac arrest
D. Cardiac arrest
Which of the following statements is NOT appropriate to document in the narrative section of a PCR?
Select one:
A. “The patient admits to smoking marijuana earlier in the day.”
B. “General impression revealed that the patient was intoxicated.”
C. “After oxygen was administered, the patient’s breathing improved.”
D. “Significant damage was noted to the front end of the vehicle.”
B. “General impression revealed that the patient was intoxicated.”
Which of the following statements regarding a “dedicated line” is correct?
Select one:
A. It is a frequency that is used exclusively by EMTs to communicate with one another in the field.
B. It is a designated frequency on a portable radio that provides direct access to medical control.
C. It is a constantly open line of communication that cannot be accessed by outside users.
D. It is a constantly open line of communication that is under the exclusive control of a single user.
C. It is a constantly open line of communication that cannot be accessed by outside users.
Which of the following statements regarding a patient refusal is correct?
Select one:
A. Advice given to a patient who refuses EMS treatment should not be documented.
B. Documentation of proposed care is unnecessary if the patient refuses treatment.
C. A patient who consumed a few beers will likely be able to refuse EMS treatment.
D. A mentally competent adult has the legal right to refuse EMS care and transport.
D. A mentally competent adult has the legal right to refuse EMS care and transport.
Which of the following types of questions allow for the most detailed response?
Select one:
A. Closed-ended questions
B. Yes or no questions
C. Open-ended questions
D. Multiple questions asked at once
C. Open-ended questions
