Ch 20

Question 1

According to the crew resource management philosophy, who is responsible for patient care?

A) The most senior person
B) The team leader
C) The paramedic
D) Everyone on the EMS call

Answer 1

D) Everyone on the EMS call

Question 2

During which stage of crew resource management must team leaders acknowledge the emotions that come with a challenge to their orders?

A) Conflict resolution
B) Advocacy
C) Decision
D) Inquiry

Answer 2

C) Decision

Question 3

How does a treatment start?

A) By calming and reassuring the patient
B) By obtaining patient consent
C) By agreeing on a treatment plan
D) By assembling needed equipment according to the treatment plan

Answer 3

A) By calming and reassuring the patient

Question 4

How might a biased or judgmental attitude impact a paramedic’s assessment?

A) It can cause the paramedic to make data entry errors.
B) The EMS assessment process is designed to eliminate personal biases.
C) It can cause the paramedic to overlook important information.
D) It can help the paramedic arrive at an impression sooner.

Answer 4

C) It can cause the paramedic to overlook important information.

Question 5

In the study conducted to observe paramedics’ ability to manage difficult situations, what did researchers find about more experienced paramedics relative to less experienced paramedics?

A) They tended to work more independently of their partner.
B) They made fewer assessments.
C) They considered fewer differential diagnoses.
D) They identified pulmonary embolism earlier.

Answer 5

D) They identified pulmonary embolism earlier.

Question 6

In what year did the airline industry introduce crew resource management?

A) 1968
B) 2004
C) 1984
D) 1979

Answer 6

D) 1979

Question 7

The ability to quickly focus thinking to get the desired results depending on the situation is known as:

A) thinking on one’s feet.
B) critical thinking.
C) creative thinking.
D) analytical thinking.

Answer 7

B) critical thinking.

Question 8

The quality of data interpretation relies on:

A) group consensus.
B) the patient’s willingness to cooperate.
C) the paramedic’s intuition.
D) patient history.

Answer 8

C) the paramedic’s intuition.

Question 9

Which of the following actions is included in the evaluation component of critical thinking?

A) Revision of field impression
B) Patient handoff
C) Establishing a leader
D) Tunnel vision

Answer 9

A) Revision of field impression

Question 10

Which of the following best describes clinical judgment?

A) A determination based on a combination of experience and risk taking
B) A paramedic’s job performance score determined by a panel of EMS administrators
C) An outcome or conclusion based on critical thinking and clinical decision making
D) The process of determining, preventing, or managing patient problems

Answer 10

C) An outcome or conclusion based on critical thinking and clinical decision making

Question 11

Which of the following conditions would require the contemplative approach?

A) Shock
B) Sepsis
C) Fractured tibia
D) Hypotension

Answer 11

C) Fractured tibia

Question 12

Which of the following describes multitasking as it relates to the paramedic?

A) It leads to errors and is therefore discouraged at all levels.
B) It is a talent rather than a skill.
C) It is an ability that develops with experience.
D) It conveys a lack of professionalism.

Answer 12

C) It is an ability that develops with experience.

Question 13

Which of the following describes pattern recognition in EMS assessment?

A) A component of critical thinking in which the examiner assesses the patient’s response to care
B) A narrow outlook that involves focusing on a problem without regard for consequences
C) A part of the prehospital physical examination
D) A situation in which the history and physical examination match a recognized pattern of illness

Answer 13

D) A situation in which the history and physical examination match a recognized pattern of illness

Question 14

Which of the following is a law enforcement responsibility?

A) Secure the scene
B) Perform the physical examination
C) Complete all documentation
D) Interpret the electrocardiogram

Answer 14

A) Secure the scene

Question 15

Which of the following is a limitation of protocols, standing orders, and patient care algorithms?

A) They are generally not up to date with the most current knowledge.
B) There is rarely agreement within the profession on what the standards should be.
C) They cause many patients to feel they are not receiving high-quality care.
D) They do not address multiple disease etiologies or multiple treatment modalities.

Answer 15

D) They do not address multiple disease etiologies or multiple treatment modalities.

Question 16

Which of the following is an element that should be included in the challenge portion of the PACE procedure?

A) A statement of the occurrence that is believed to be a threat
B) An inquiry to each team member regarding his or her interpretation of the threat
C) An appeal to the group
D) A reenactment of the perceived threat

Answer 16

A) A statement of the occurrence that is believed to be a threat

Question 17

Which of the following is an example of a distracting injury?

A) Dislocated shoulder
B) Head trauma
C) Respiratory distress
D) Internal bleeding

Answer 17

A) Dislocated shoulder

Question 18

Which of the following is considered specialty equipment for managing patient care based on the nature of the call?

A) Thoracic decompression needle
B) Suction equipment
C) Rigid collar
D) A mass-casualty kit

Answer 18

D) A mass-casualty kit

Question 19

Which of the following may increase patient compliance?

A) Informing the patient that the paramedic is not obligated to provide care
B) Having him or her sign a consent form
C) Using subtle bribery or coercion
D) Acting and appearing professional and competent

Answer 19

D) Acting and appearing professional and competent

Question 20

Which of the following statements about effective assessment is accurate?

A) The paramedic should perform a comprehensive examination on all patients.
B) Some field situations may limit the thoroughness of the examination.
C) The paramedic should not rely on his or her limited knowledge of disease in developing a suspicion about possible illness.
D) The patient’s history is irrelevant to effective assessment.

Answer 20

B) Some field situations may limit the thoroughness of the examination.