Ch 17 Flashcards
A 70-year-old woman with a history of angina needs emergency help. Which of the following will provide the most information to paramedics about her heart condition?
A) Advance directive
B) Patient history
C) Computed tomography scan
D) Blood work
B) Patient history
A differential diagnosis finds its base in a(n):
A) chief complaint.
B) working hypothesis.
C) element of history.
D) main symptom.
B) working hypothesis.
Asking a 10-year-old patient to “point to where it hurts” is inquiring about:
A) palliation.
B) severity.
C) onset.
D) region.
D) region.
Giving positive feedback to encourage the patient during history taking is called:
A) empathy.
B) clarification.
C) facilitation.
D) reflection.
C) facilitation.
If you ask a patient with a fractured femur “Describe your level of pain on a scale of 1-10,” what are you inquiring about?
A) Palliation
B) Onset
C) Severity
D) Region
C) Severity
If you have to “read between the lines” while working on a patient history, what technique are you using?
A) Reflection
B) Interpretation
C) Clarification
D) Confrontation
B) Interpretation
In triage, which patient would receive care first?
A) Emergent
B) Nonemergent
C) Stable
D) Urgent
A) Emergent
Orthopnea indicates that the chief concern is related to the:
A) nervous system.
B) endocrine system.
C) immune system.
D) cardiovascular system.
D) cardiovascular system.
Repeating details back to a patient when obtaining his or her medical history is called:
A) facilitation.
B) reflection.
C) clarification.
D) empathy.
B) reflection.
Surgery may be delayed if a patient reports an intake of food less than how many hours before emergency department admission?
A) 6 to 8
B) 9 to 11
C) 14 to 15
D) 12 to 13
A) 6 to 8
The paramedic should carefully assess the chest when a patient complains of:
A) a rash or hives.
B) hemoptysis.
C) irregular menstruation.
D) a headache.
B) hemoptysis.
The patient history is:
A) a summary of the patient’s medical problems.
B) the same as the patient care report.
C) found in previous medical records.
D) documented on arrival at the hospital.
A) a summary of the patient’s medical problems.
To obtain more information about possible sexual abuse, the paramedic should be:
A) nonjudgmental.
B) deceptive.
C) confrontational.
D) fast-moving.
A) nonjudgmental.
When assessing a 40-year-old woman complaining of abdominal pain, you should inquire about:
A) her level of sexual activity.
B) her last menstrual period.
C) recent exposure to heat.
D) her dietary habits.
B) her last menstrual period.
When taking the history of an emergency patient, an important aspect of the process is:
A) working as quickly as possible.
B) finding witnesses.
C) taking patient feelings into account.
D) being authoritative.
C) taking patient feelings into account.
When treating a patient after confirming a differential diagnosis, the paramedic should:
A) be authoritative.
B) maintain eye contact with the patient for reassurance.
C) work as quickly as possible.
D) still pay attention to symptoms that are outliers.
D) still pay attention to symptoms that are outliers.
Which of the following is a personal habit rather than an environmental condition?
A) Exposure to cold
B) Toxins in the workplace
C) Region of military service
D) Alcohol intake
D) Alcohol intake
Which of the following is an example of a patient’s family history?
A) Exposure to toxins in the home
B) Number of relatives with heart disease
C) Current employment
D) Names of coworkers
B) Number of relatives with heart disease
Which of the following is the most important to document on a patient care report?
A) Family history
B) Ethnicity
C) Health insurance status
D) Age
D) Age
Why is it important to ask patients about medications they took on a specific day?
A) To offer clues to the chief complaint
B) To determine how healthy they are most of the time
C) To determine if the patient abuses medications
D) To see if they are self-responsible
A) To offer clues to the chief complaint
