Chapter 4 Flashcards

1
Q

You and your partner are dispatched to a residence for an “ill person.” When you arrive, you find that the patient, a 44-year-old man, does not speak English. There are no relatives or bystanders present who can act as an interpreter. You should:

A

use short, simple questions and point to specific parts of your body to try to determine the source of the patient’s complaint.

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2
Q

Communicating with hearing-impaired patients can be facilitated by doing all of the following, EXCETP

A

elevating the tone of your voice and exaggerating word pronunciation.

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3
Q

You could be sued for ___________ if your radio report to the hospital describes the patient in a manner that injures his or her reputation.

A

Slander

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4
Q

When communicating information over the radio, you should:

A

use the words “affirmative” and “negative” instead of “yes” or “no.”

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5
Q

Ethnocentrism is defined as:

A

considering your own cultural values as more important when interacting with people of a different culture.

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6
Q

While at the scene of a motor vehicle crash, you determine that there are two critically injured patients and that another ambulance is needed. You attempt to contact the dispatcher with your portable radio but are unsuccessful. You should:

A

use the mobile radio in the ambulance to contact dispatch.

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7
Q

Which of the following statements regarding standing orders is MOST correct?

A

Standing orders should be followed when physician contact is not possible.

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8
Q

Which of the following statements is NOT appropriate to document in the narrative section of a PCR?

A

“General impression revealed that the patient was intoxicated.”

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9
Q

General guidelines for effective radio communications include all of the following, EXCEPT:

A

using 10 codes to ensure radio traffic confidentiality.

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10
Q

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:

A

consider asking the father to hold the child so you can assess him while your partner tries to calm the mother.

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11
Q

Medical control gives you an order that seems inappropriate for the patient’s condition. After confirming that you heard the physician correctly, you should

A

advise the physician that the order is unclear and ask for clarification.

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12
Q

A 60-year-old man complains of chest pain. He is conscious and alert and denies shortness of breath. Which of the following questions would be the MOST appropriate to ask him?

A

“Do you have any heart problems or take any medications?”

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13
Q

Typical components of an oral patient report include all of the following, EXCEPT:

A

the set of baseline vital signs taken at the scene.

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14
Q

Despite numerous, sincere efforts to convince a 40-year-old man to consent to EMS treatment and transport, he refuses. After explaining the potential consequences of his refusal and determining that he has decision-making capacity, you ask him to sign an EMS refusal form, but he refuses to do that as well. You should:

A

ask a family member, law enforcement officer, or bystander to sign the form verifying that the patient refused to sign.

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15
Q

When obtaining patient care orders from a physician via a two-way radio, it is MOST important to remember that:

A

his or her instructions are based on the information you provide.

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16
Q

You and your partner are attempting to resuscitate a middle-aged female in cardiac arrest. Because of the remote location you are in, you are unable to contact medical control. What should you do?

A

Follow locally established protocols or standing orders.

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17
Q

Information included in a radio report to the receiving hospital should include all of the following, EXCEPT

A

a preliminary diagnosis of the patient’s problem.

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18
Q

The official transfer of patient care does not occur until the EMT:

A

gives an oral report to the emergency room physician or nurse.

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19
Q

What type of communications equipment functions as a radio receiver and searches across several frequencies?

A

scanner

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20
Q

Which of the following is NOT a function of the Federal Communications Commission (FCC)?

A

maintaining communications equipment on the ambulance

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21
Q

When communicating with a visually impaired patient, you should:

A

determine the degree of the patient’s impairment.

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22
Q

Calming and reassuring an anxious patient can be facilitated by:

A

maintaining eye contact with the patient whenever possible.

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23
Q

Immediately after being dispatched to a residence for an elderly patient with diabetic complications, you should:

A

confirm with dispatch that you received the call information.

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24
Q

When relaying patient information via radio, communications should be

A

brief and easily understood

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25
Any radio hardware containing a transmitter and receiver that is located in a fixed location is called a:
base station
26
A ___________ receives messages and signals on one frequency and then automatically retransmits them on a second frequency.
repeater
27
During the alert and dispatch phase of EMS communications, the dispatcher's responsibilities include all of the following, EXCEPT:
discouraging the caller from providing care until the EMS unit arrives.
28
After receiving online orders from medical control to perform a patient care intervention, you should:
repeat the order to med control word for word
29
All information recorded on the PCR must be:
considered confidential
30
When you begin an oral report, you should state the patient's age, sex, and:
chief complaint
31
As you are wheeling your patient through the emergency department doors, you receive another call for a major motor vehicle crash. You should
respond only after giving a verbal patient report to a nurse or physician
32
You respond to a call and find a 30-year old man with a gunshot wound to the shoulder. He is conscious and responsive, but a little hostile and agitated. As you begin to treat him, you need to: ask open-ended questions. ask closed-ended questions. speak to him slowly and loudly. establish and maintain physical contact.
ask open-ended questions
33
You should inform online medical control when patients refuse care. TrueFalse
True
34
Falsifying information on the PCR may result in suspension and/or revocation of your certification or license. TrueFalse
True
35
When completing a PCR, you should include your opinions about the mechanism of injury and which injuries are most severe. TrueFalse
False
36
Evaluation and continuous quality improvement are factors in writing a PCR. TrueFalse
True
37
UHF radios operate at frequencies between
300 MHz and 3,000 MHz
38
What should you do if a patient refuses treatment or transport? Contact medical control. Ask law enforcement to take the patient into custody. Immediately stop patient care and leave. Find another person to continue medical care.
Contact medical control
39
As you radio the hospital to give a report on your patient, which of the following should you do? Provide as much detail as possible. Use code words to protect the patient’s identity. Speak as quickly as possible. Remain objective and impartial.
Remain objective and impartial
40
After you submit the electronic PCR for a call, you realize that you accidentally documented the wrong vital signs. What should you do? Leave the record as it is and seek legal advice. Notify your agency’s information technology department. Follow your agency’s directions for making an amendment. Say nothing and hope that the error goes unnoticed.
Follow your agency's directions for making an amendment.
41
Radio hardware containing a transmitter and a receiver that are located in a fixed place is known as a(n): cell phone. interoperable communications system. mobile data terminal (MDT). base station.
base station
42
What are the attributes of emotional intelligence? Self-awareness, self-regulation, motivation, empathy, social skills Eye contact, honesty, communication, confidence Facilitation, reflections, clarification, confrontation Employ active listening, display empathy, build rapport, exert influence
Self-awareness, self-regulation, motivation, empathy, social skills
43
What is therapeutic communication? A means by which a patient can efficiently relate levels of pain Verbal and nonverbal communication techniques that encourage patients to express their feelings and to achieve a positive relationship Anything that dampens or obscures the true meaning of a message The recorded portion of an EMT–patient interaction, either written or electronic, that becomes part of the patient’s permanent medical record
Verbal and nonverbal communication techniques that encourage patients to express their feelings and to achieve a positive relationship
44
Encouraging a patient to provide more information about his injury is an example of which therapeutic communication technique? Facilitation Reflection Clarification Interpretation
Facilitation
45
Which of the following is included in the narrative section in a PCR? Patient name and address Time the EMS unit was notified Refusal of care Supportable personal opinions
Refusal of care
46
If you discover an error as you are writing your PCR, what should you do? Draw a single horizontal line through the error, initial it, and write the correct information next to it. Erase the erroneous information and insert the correct information. Cover the error with correction fluid and initial it. Tell your supervisor about the error.
Draw a single horizontal line through the error, initial it, and write the correct information next to it.
47
What type of mode does an interoperable communications system use? A) Trunking B) Simplex C) Voice-over-Internet-protocol D) Duplex
Voice-over-Internet-protocol
48
When health care providers force their cultural values onto their patients because they believe their values are better, they are displaying: ethnocentrism. proxemics. nonverbal communication. cultural imposition.
cultural imposition
49
When communicating with an older patient, you should: approach the patient slowly and calmly. step back to avoid making the patient uncomfortable. raise your voice to ensure that the patient can hear you. obtain the majority of your information from family members.
approach the patient slowly and calmly
50
While caring for a 5-year-old boy with respiratory distress, you should: avoid direct eye contact with the child, as this may frighten him. avoid letting the child hold any toys, as this may hinder your care. avoid alerting the child prior to a patient procedure. allow a parent or caregiver to hold the child if the situation allows.
allow the parent or caregiver to hold the child if the situation allows.
51
Which of the following pieces of patient information is of LEAST pertinence when giving a verbal report to a nurse or physician at the hospital? The patient’s name and age The patient’s family medical history Vital signs that may have changed Medications that the patient is taking
the patients family medical history
52
Which of the following statements about the patient care report (PCR) is true? It is not a legal document in the eyes of the law. It cannot be used for patient billing information. It helps ensure efficient continuity of patient care. It is intended for use only by the prehospital care provider.
it helps ensure efficient continuity of patient care
53
A device that receives a low-frequency signal and then transmits it at a relatively higher frequency is called a: duplex. scanner. repeater. receiver.
repeater
54
When treating a potentially hostile patient, you should try to diffuse the situation by: assuming an aggressive posture. staring at the patient. speaking calmly, confidently, and slowly. verbally threatening the patient.
speaking calmly, confidently, and slowly
55
All of the following are functions of the emergency medical dispatcher, EXCEPT: alerting the appropriate EMS response unit. screening a call and assigning it a priority. providing emergency medical instructions to the caller. providing medical direction to the EMT in the field.
providing medical direction to the EMT in the field
56
After receiving an order from medical control over the radio, the EMT should: carry out the order immediately. disregard the order if it is not understood. obtain the necessary consent from the patient. repeat the order to the physician word for word.
repeat the order to the physician word for word
57
When requesting medical direction for a patient who was involved in a major car accident, the EMT should avoid: using radio codes to describe the situation. questioning an order that seems inappropriate. relaying vital signs unless they are abnormal. the use of medical terminology when speaking.
using radio codes to describe the situation
58
When communicating in a crisis it is vital to: A. establish your authority as an emergency responder. B. consider the perspective of the other person. C. call for additional resources. D. immediately exert your influence to move the situation forward.
B. consider the perspective of the other person.
59
To establish a mental model, it is vital to answer which of the following questions? A. What got us to this point in care? B. What are the future possible options? C. What category does this patient fit into? D. How often does this situation occur?
What got us to this point in care?
60
As you write your narrative for this call, it is important to include: A. your opinions. B. many abbreviations. C. physical assessment findings. D. the address of your location.
physical assessment findings
61
Any radio hardware containing a transmitter and receiver that is located in a fixed place.
base station
62
Anything that dampens or obscures the true meaning of a message.
noise
63
The recorded portion of the EMT’s patient interaction, either written or electronic. This becomes part of the patient’s permanent medical record.
documentation
64
Verbal and nonverbal communication techniques that encourage patients to express their feelings and to achieve a positive relationship.
therapeutic communication
65
Radio frequencies between 30 and 300 MHz; this spectrum is further divided into high and low bands.
VHF
66
A process in which electronic signals are converted into coded, audible signals; these signals can then be transmitted by radio or telephone to a receiver with a decoder at the hospital.
telemetry
67
A communication system that uses voice-over-Internet Protocol (VoIP) technology to allow multiple agencies to communicate and transmit data.
interoperable communications system
68
The ability to transmit and receive simultaneously.
duplex
69
The transmission of information to another person—verbally or through body language.
communication
70
VHF and UHF channels that the Federal Communications Commission has designated exclusively for EMS use.
MED channels
71
The legal document used to record all patient care activities. This report has direct patient care functions but also administrative and quality control functions. PCRs are also known as prehospital care reports.
patient care report
72
A trusting relationship that you build with your patient.
rapport
73
Radio frequencies between 300 and 3,000 MHz.
UHF
74
When a person considers his or her own cultural values as more important when interacting with people of a different culture.
ethnocentrism
75
A system that allows EMS providers to access relevant health data (eg, past medical problems, medications, allergies, end-of-life decisions), avoid unnecessary duplication of effort in data entry, and view patient outcomes related to hospital care.
health information exchange
76
A low-power portable radio that communicates through an interconnected series of repeater stations called cells.
cellular telephone
77
Telecommunication systems that allow a computer to maximize utilization of a group of frequencies.
trunking
78
Questions that can be answered in short or single-word responses.
closed-ended questions
79
Any communications where disruption will result in the failure of the mission at hand.
mission-critical communications
80
A special telephone line that is used for specific point-to-point communications; also known as a hotline.
dedicated line
81
The federal agency that has jurisdiction over interstate and international telephone and telegraph services and satellite communications, all of which may involve EMS activity.
FCC Federal Communications Commission
82
The ability to transmit audio and data signals through the use of more than one communications channel.
multiplex
83
The use of a radio signal and a voice or digital message that is transmitted to pagers (“beepers”) or desktop monitor radios.
paging
84
The picture an individual has in his or her head of “what’s going on” in a given situation.
mental model
85
Questions for which the patient must provide detail to give an answer.
open-ended questions
86
Single-frequency radio; transmissions can occur in either direction but not simultaneously; when one party transmits, the other can only receive, and the party that is transmitting is unable to receive.
simplex
87
A special base station radio that receives messages and signals on one frequency and then automatically retransmits them on a second frequency.
repeater
88
Written documents, signed by the EMS system’s medical director, that outline specific directions, permissions, and sometimes prohibitions regarding patient care; also called protocols.
standing orders
89
When one person imposes his or her beliefs, values, and practices on another because he or she believe his or her ideals are superior.
cultural imposition
90
The condition requiring the most urgent intervention as determined by the provider’s assessment of the patient; it is not always the same as the chief complaint.
chief concern
91
A radio receiver that searches or scans across several frequencies until the message is completed; the process is then repeated.
scanner
92
A small computer terminal inside the ambulance that directly receives data from the dispatch center.
mobile data terminal
93
The ability to understand and manage one’s own emotions and properly respond to the emotions of others.
emotional intelligence
94
The transfer of pertinent patient information and the responsibility for the patient’s care; often involves the physical movement of the patient and associated equipment; also known as handoff.
handover
95
The reason a patient called for help; also, the patient’s response to questions such as “What’s wrong?” or “What happened?”
chief complaint