Chapter 1 Flashcards

1
Q

___________ uses various communication techniques and strategies, both verbal and nonverbal, to encourage patients to express how they are feeling and to achieve a positive, empathetic relationship with the patient.

A

Therapeutic Communication

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2
Q

EMS providers carry out for principal communication tasks called the 4 E’s:

A

Engagement Enlistment Empathy Patient Education

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3
Q

_______ is the connection between you and your Patients.

A

Engagement

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4
Q

______ refers to your sincere identification with the patient’s feelings of anxiety, pain, fear, panic or loss.

A

Empathy

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5
Q

________ fortifies your bond by letting patients know what is happening and what you are doing.

A

Patient Education

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6
Q

_______ involves encouraging patients to participate in their own care and treatment decisions.

A

Enlistment

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7
Q

________ communication, which includes facial expression, body language, and eye contact, is a powerful form of communication.

A

Nonverbal

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8
Q

_______ is essential when such a complete assessment must be made.

A

Patience

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9
Q

Your ________ language should reassure patients that you are there to help.

A

nonverbal

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10
Q

As a general rule, communicate with patients using _______ matched to their knowledge and understanding.

A

terminology

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11
Q

________ involves good judgment combined with a knowledge of anatomy, physiology, and pathology seasoned by clinical experience to direct questioning about the patient’s complaint.

A

Clinical reasoning

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12
Q

A _________ is a working hypothesis of the nature of the problem.

A

differential diagnosis

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13
Q

A __________ is the presumed cause of the patient’s condition.

A

Working diagnosis

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14
Q

____________ is a process where decisions are made about a patient’s healthcare problems and appropriate therapeutic interventions are considered and implemented to improve the patient’s outcome

A

clinical decision making

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15
Q

_________ is a process of recognizing and classifying data (pattern) based on knowledge and experience.

A

Pattern recognition

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16
Q

The _______ is what the patient, family member, or friend reports to you as his or her primary concern.

A

chief complaint

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17
Q

_________ are conditions and complaints recognized by medical providers as key concerns.

A

Cardinal presentations

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18
Q

assessment of the patient’s mental status, or level of consciousness involves evaluation of _____ .

A

brain function.

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19
Q

LOC is associated with the function of the _____ and the cerebral hemispheres.

A

Reticular Activating System

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20
Q

The _____ is located in the upper brainstem and is responsible for maintenance of consciousness, especially a person’s level of arousal.

A

RAS

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21
Q

_______ is a high-level neurologic function and demonstrates a response to person, place, and time.

A

Awareness

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22
Q

The ______, used to assess victims of trauma or critical medical illness, is an effective toolbar assessing neurologic function and is particularly important in establishing a patient’s baseline LOC.

A

Glasgow Coma Scale

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23
Q

A GCS of ______ or less often indicates the need for aggressive airway management.

A

8

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24
Q

A _____ airway allows good airflow and is free from fluids, secretions, teeth and other types of foreign bodies the may obstruct airflow.

A

patent

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25
Q

The patient’s respiratory rhythm should be ____, _____ and ______.

A

easy regular pain free

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26
Q

_____ is a condition in which too little oxygen is available to the body’s tissues

A

Hypoxia

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27
Q

Hyperventilation will lead to respiratory ______.

A

alkalosis

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28
Q

An elevated level of carbon dioxide in the blood caused by hypoventilation is called ________.

A

hypercarbia

29
Q

Gurgling and stridor are _______ airway sounds.

A

upper

30
Q

Pulse quality is described as _____, ____, ____, _____ or ______.

A

Absent Weak Thready Bounding Strong

31
Q

______ is calculated by substring diastolic pressure from systolic pressure.

A

Pulse Pressure

32
Q

A narrowing pulse pressure may indicate _______ or ______.

A

shock cardiac tamponade

33
Q

You should think of your initial impression of the patient as a _________ assessment.

A

visual

34
Q

Chest pain patient holding a fist on the chest, known as ________ sign.

A

Levine

35
Q

Decorticate posturing indicates dysfunction of the ___________.

A

Cerebral cortex

36
Q

______ pain is from internal organs and often vague and difficult to localize.

A

Visceral

37
Q

_____ pain can be precisely located and more likely to be sharp or stabbing in nature.

A

Somatic

38
Q

The _____ pin scale is a useful alternative for children or patients who may not be able to communicate verbally.

A

Wong-Baker Faces

39
Q

______ are the subjective perceptions of what the patient feels, such as nausea, or has experienced, such a sensation of flashing lights.

A

Symptoms

40
Q

______ are objective data that you or another healthcare professional have observed, touched, smelled, etc.

A

Signs

41
Q

______ is the tension exerted by blood on the arterial walls.

A

Blood Pressure

42
Q

_______ is an irregularity that occurs when systolic BP falls more than 10mmHg on inspiration.

A

Pulsus Paradoxus

43
Q

________ lung sounds are auscultated over the anterior and posterior part of the chest.

A

Vesicular

44
Q

______ sounds are auscultated over the main bronchi

A

Bronchovesicular

45
Q

If deep breathing causes pain or discomfort, the patient may have underlying ______ or a ___________.

A

pleurisy pulmonary embolism

46
Q

_____ are abnormal sounds sometimes heard when the carotid arteries are auscultated.

A

Bruits

47
Q

A fine tremor or vibration that can identify a blockage can be felt; these are commonly called _______.

A

thrills

48
Q

S3 an S4 heart sounds are called _______.

A

gallops

49
Q

Upper right quadrant tenderness that worsens with inspiration, known as __________ sign, is an indication of the presence of gallstones and cholecystitis.

A

Murphy’s

50
Q

An increase in pain on removal of gentle pressure is called _________.

A

rebound tenderness

51
Q

________ is the name of the area over the right side of the abdomen that is a third of the distance from the anterior superior iliac spine to the umbilicus.

A

McBurney point

52
Q

Look behind the patient’s ears to assess for bruising (___________)

A

Battle sign

53
Q

Overly thick nails or nails that have lines running parallel to the finger often suggest a ___________.

A

fungal infection

54
Q

Some patients may present with _________, characterized by pupils that are noticeably unequal in size.

A

Anisocoria

55
Q

Auscultate the carotid arteries with the _____ of the stethoscope to assess for any bruits.

A

bell

56
Q

Uniateral paralysis

A

Hemiparesis

57
Q

Unilateral weakness

A

hemiplegia

58
Q

_______ (unsteady gait) may indicate damage from toxicity or chronic neurologic dysfunction.

A

Ataxia

59
Q

_______ are involuntary motor responses to specific sensory stimuli.

A

Reflexes

60
Q

_____ measure peak expiratory flow rate, or the rate at which a patient can breathe out.

A

Peak flow meters

61
Q

______ is used to monitor carbon dioxide levels in exhaled gases, or end total CO2.

A

Capnography

62
Q

Hypoventilation causes retention of CO2, leading to respiratory _________.

A

acidosis

63
Q

______ - the absorption, distribution, metabolism, and excretion of medications.

A

Pharmacokinetics

64
Q

________ is an excessive amount of weight relative to height.

A

Obesity

65
Q

A BMI or 39 or greater, or being 100 lb or more overweight, constitutes ______.

A

morbid obesity

66
Q

Morbidly obese persons may develop pulmonary hypertension and right sided heart failure, known as ________.

A

cor pulmonale

67
Q

In the early stages or pregnancy, usually the 5th to 10th weeks, abdominal pain, vaginal bleeding, and signs of shock can indicate _______.

A

ectopic pregnancy

68
Q

Fever and severe abdominal pain are symptoms of _______.

A

endomitritis