Abuse & Neglect Flashcards
When determining the optimal method to communicate with, assess, treat, and transport a patient with a special health care challenge, the paramedic should:
Select one:
a. routinely call medical control before talking to a caregiver.
b. demonstrate confidence and enlist the expertise of the patient.
c. recall that caregivers are often upset and therefore unreliable.
d. remain professional and obtain initial information from a caregiver.
b. demonstrate confidence and enlist the expertise of the patient.
Which of the following types of maltreatment is perhaps the MOST common?
Select one:
a. Neglect
b. Physical abuse
c. Sexual abuse
d. Abandonment
a. Neglect
Which of the following types of maltreatment involves isolating the victim from others, resulting in a substantial change in the victim’s behavior or cognitive function?
Select one:
a. Neglect
b. Abandonment
c. Emotional abuse
d. Sexual exploitation
c. Emotional abuse
A man leaves his 4-year-old child home alone while he plays golf with his friends. This is an example of:
Select one:
a. assault.
b. neglect.
c. abandonment.
d. emotional abuse.
c. abandonment.
Which of the following behaviors or actions should make you the MOST suspicious that a caregiver has abused his or her child?
Select one:
a. Asking other siblings to leave the room while the child is examined
b. Demanding that you take the child to the hospital as soon as possible
c. Difficulty recalling the last time the child was seen by a physician
d. Offering unsolicited explanations for abnormal physical exam findings
d. Offering unsolicited explanations for abnormal physical exam findings.
Which of the following injury patterns is MOST suggestive of child abuse?
Select one:
a. Burns with splash marks
b. Bruises on the abdomen
c. Bruises on the lower leg
d. Laceration to the chin
b. Bruises on the abdomen
You are assessing a 6-year-old Asian child who presents with a fever. During your assessment, you note red, flat, rounded lesions on the child’s torso. This finding is MOST indicative of:
Select one:
a. cupping.
b. coining.
c. physical abuse.
d. phytophotodermatitis.
a. cupping.
During your assessment of a 4-year-old female, you find injury patterns that are highly suggestive of abuse. The child’s mother is present; she is apprehensive and is hesitant to allow you to transport her daughter. You should:
Select one:
a. ask the mother to leave the room so that you can ask the girl if the injuries that she has were intentionally inflicted by someone else.
b. advise the mother that the child’s injuries are inconsistent with accidental trauma and let her know that the child needs to be transported.
c. ask your partner to retrieve an extra set of latex-free gloves from the ambulance, as this will enable him or her to discreetly call the police.
d. act as though you are not suspicious, but call the child’s father and inquire about the relationship between the child and her mother.
c. ask your partner to retrieve an extra set of latex-free gloves from the ambulance, as this will enable him or her to discreetly call the police.
When caring for a patient with suspected abuse or neglect, your FIRST priority should be to:
Select one:
a. summon law enforcement personnel to the scene.
b. provide an immediate assessment of the patient.
c. remove the patient from the abusive environment.
d. take deliberate action to ensure your own safety.
d. take the deliberate action to ensure your own safety.
Your assessment of an elderly man gives you reason to suspect that he has been abused. The patient does not appear to have any life-threatening injuries. His son, who is the only family member present at the scene, asks you if he can accompany his father in the back of the ambulance during transport. You should:
Select one:
a. ask the son why he wants to accompany his father in the ambulance.
b. allow the son to accompany his father in the back of the ambulance.
c. advise the son to follow the ambulance in his own personal vehicle.
d. remain at the scene until law enforcement arrives and questions the son.
b. allow the son to accompany his father in the back of the ambulance.
Which of the following statements would be appropriate when documenting a case of suspected abuse?
Select one:
a. “The patient’s injury is not consistent with an accident.” Incorrect
b. “The injury was reported to have occurred at 1420 hours.”
c. “The abdominal exam of the patient was within normal limits.”
d. “There was a gross discrepancy between the caregivers’ stories.”
b. “The injury was reported to have occurred at 1420 hours.”
A terminal illness is MOST accurately defined as aNo:
Select one:
a. disease process that is expected to cause death within 6 months, verified by a physician.
b. disease that will ultimately cause death due to a lack of effective medical treatment.
c. disease that is fatal in greater than 50% of a given population, even with timely treatment.
d. disease process that will ultimately require ongoing treatment in order to prevent death.
a. disease process that is expected to cause death withing 6 months, verified by a physician.
Some patients with a terminal illness will continue aggressive medical treatment, hoping for a statistically improbable recovery or attempting to prolong life as much as possible. This is called:
Select one:
a. hospice care.
b. curative care.
c. palliative care.
d. palliative care.
b. curative care.
When a patient is receiving palliative care, medical care:
Select one:
a. ceases, and the disease process is allowed to continue until the point of death.
b. ceases, and efforts focus on relieving pain until the point at which the patient dies.
c. continues, although aggressive, invasive, and uncomfortable interventions cease.
d. continues, and only minimally invasive procedures are performed to prolong life.
c. continues, although aggressive, invasive, and uncomfortable interventions cease.
Which of the following are often the primary tasks for paramedics who are caring for a patient with a terminal illness?
Select one:
a. Airway care and thermal management
b. ECG monitoring and antidysrhythmic therapy
c. Antibiotic and antipyretic therapy
d. Pain assessment and management
d. Pain assessment and management.
