Chapter 4 Communications and Documentation Flashcards
_________ uses various communication techniques and strategies, both verbal and nonverbal, to encourage patients to express how they are feeling and to achieve a positive relationship with the patient.
therapeutic communication
When you consider your own cultural values as more important when you are interacting with people of a different culture, you are displaying _____________.
ethnocentrism
What type of radio is installed in the ambulance?
Two-Way Radio
What is the function of a repeater?
to extend the range of radio signals.
What is the agency that regulates radio operations in the United States?
Federal Communications Commission (FCC)
You are assessing a 75 year old woman with mild shortness of breath. As you are asking her questions about her chief complaint and medical history, you progressively move closer and closer to her. In doing this, it is important to remember that:
A. placing yourself in the patient’s personal space is relaying to her that you can be trusted.
B. as you physically get closer to the patient, a greater and greater sense of trust must be established.
C. it is necessary to enter an older person’s intimate space because the elderly are typically hearing impaired.
D. a patient’s personal space should not be violated, regardless of any barriers that might hamper communication.
B. as you physically get closer to the patient, a greater and greater sense of trust must be established.
When you are communicating with an older patient, it is important to remember that:
A. your questions should focus exclusively on the patient’s obvious problem.
B. most older people think clearly and are capable of answering questions.
C. hostility and confusion should be presume to be due to the patient’s age.
D. speaking loudly and distinctly will ensure that the patient can hear you.
B. most older people think clearly and are capable of answering questions.
The official transfer of patient care does not occur until the EMT:
A. gives a radio report to the receiving medical facility.
B. notifies the admitting clerk of the patient’s arrival at the hospital.
C. informs dispatch of the patient’s arrival at the emergency department.
D. gives an oral report to the emergency roomy physician or nurse.
D. gives an oral report to the emergency roomy physician or nurse.
Which of the following statement is not appropriate to document in the narrative section of a PCR?
A. “General impression revealed that the patient was intoxicated.”
B. “Significant damage was noted to the front end of the vehicle”
C. “The patient admits to smoking marijuana earlier in the day”
D. “After oxygen was administered, the patient’s breathing improved”
A. “General impression revealed that the patient was intoxicated.”
Which of the following has the weakest transmission signal and, as a result, is least likely to be heard by the party being called?
A. multiplex base station
B. Land-base repeater station
C. Mobile repeater station
D. HAndheld portable radio
D. HAndheld portable radio
General guidelines for effective radio communications include all of the following, except:
A. speaking in a clear, calm, monotone voice.
B. acknowledging a transmission as soon as possible.
C. using 10 codes to ensure radio traffic confidentiality.
D. holding the microphone about 2 to 3 inches from your mouth.
C. using 10 codes to ensure radio traffic confidentiality.
When obtaining patient care orders from a physician via a two-way radio, it is important to remember that:
A. the physician’s instructions are based on the information you provide.
B. the use of 10 codes is an effective method of communication.
C. all orders should be carried out immediately and without question.
D. the physician might or might not be located within your service area.
A. the physician’s instructions are based on the information you provide.
Which of the following statements regarding standing orders is correct?
A. Standing orders have less legal authority than orders given via radio.
B. Standing orders require you to contact medical control first before providing an intervention
C. Standing orders only highlight the care that you may provide.
D. Standing orders should be followed when physician contact is not possible.
D. Standing orders should be followed when physician contact is not possible.
You and your partner are attempting to resuscitate a middle-aged female in cardiac arrest. Because of the remote geographic location, you are unable to contact medical control. What should you do?
A. perform CPR only and initiate immediate transport.
B. make continuous attempts to contact medical control.
C. ask the husband if he wants to continue resuscitation.
D. follow locally established protocols or standing orders.
D. follow locally established protocols or standing orders.
Ethnocentrism is defined as:
A. understanding that people from different cultural backgrounds respond to pain and stress differently.
B. suspecting that a person has an ulterior motive based on the tone of his or her voice when answering question.
C. subconsciously forcing your cultural values onto a patient because you believe that your own values are more acceptable.
D. considering your own cultural values as more important when interacting with people of a different culture.
D. considering your own cultural values as more important when interacting with people of a different culture.
Calming and reassuring an anxious patient can be facilitated by:
A. maintaining eye contact with the patient whenever possible.
B. using medical terminology to ensure the patient understands.
C. positioning yourself at a level that is higher than the patient.
D. withholding unpleasant information until arrival at the hospital.
A. maintaining eye contact with the patient whenever possible.
In which of the following manners should you act and speak with a patient?
A. passive
B. authoritative
C. loud and official
D. calm and confident
D. calm and confident
Communicating with hearing-impaired patients can be facilitated by doing all of the following, except:
A. shining a light on your face when you are in a darkened environment.
B. elevating the tone of your voice and exaggerating word pronunciation.
C. placing yourself in a position to ensure that the patient can see your lips.
D. providing pen and paper if the patient prefers to write his or her response.
B. elevating the tone of your voice and exaggerating word pronunciation.
When communicating with a visually impaired patient, you should:
A. determine the degree of the patient’s impairment.
B. expect the patient to have difficulty understanding.
C. recall that most visually impaired patients are blind.
D. possess an in-depth knowledge of sign language.
A. determine the degree of the patient’s impairment.
The patient care report (PCR) ensures:
A. availability of research data.
B. legal protection.
C. quality assurance.
D. continuity of care.
D. continuity of care.
All information recorded on the PCR must be:
A. typewritten or printed.
B. considered confidential.
C. a matter of public record.
D. reflective of your opinion.
B. considered confidential.
A patient’s refusal of EMS treatment and/or transport must be:
A. an informed refusal.
B. authorized by a judge.
C. reported to the police.
D. witnessed by a notary.
A. an informed refusal.
Which of the following incidents does not require a report to be filed with local authorities?
A. spousal abuse
B. animal bites
C. cardiac arrest
D. gunshot wounds
C. cardiac arrest
Any radio hardware containing a transmitter and a receiver that is located in a fixed location is called a:
A. repeater
B. multiplex
C. mobile radio
D. base station
D. base station
A ___________ receives messages and signals on one frequency and then automatically retransmits them on a second frequency.
A. duplex
B. scanner
C. repeater
D. decoder
C. repeater
Which type of communications equipment functions as a radio receiver and searches across several frequencies?
A. scanner
B. duplex station
C. simple station
D. mobile repeater
A. scanner
Two-way communication that requires the EMT to “push to talk” and “release to listen” describes which mode of communication?
A. duplex
B. simplex
C. multiplex
D. complex
B. simplex
When relaying patient information via radio, communications should be:
A. brief and easily understood.
B. coded and scripted.
C. spoken in a loud voice.
D. lengthy and complete.
A. brief and easily understood.
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. libel
B. assault
C. slander
D. negligence
C. slander
During the alert and dispatch phase of EMS communications, the dispatcher’s responsibilities include all of the following, except:
A. discouraging the caller from providing care until the EMS unit arrives.
B. selecting and notifying the correct EMS response units and personnel.
C. screening and assigning a priority to each call based on local protocols.
D. coordinating responding EMS units with other public safety personnel.
A. discouraging the caller from providing care until the EMS unit arrives.
When providing a patient report via radio, you should protect the patient’s privacy by:
A. using coded medical language.
B. not disclosing his or her name.
C. withholding medical history data.
D. refraining from objective statements.
B. not disclosing his or her name.
You are caring for a 52 year old man who complains of chest discomfort. The patient is a retired paramedic and is very anxious because he thinks he is having a heart attack. Which of the following statements would be appropriate?
A. “It is possible that you are experiencing a heart attack. I am going to give you four baby aspirin to chew and swallow”
B. “I notice that you are a retired paramedic, so I’m sure you will understand all of the things that we will be doing to you”
C. “This is nothing to worry about. Please try to stay calm. The physician at the hospital will probably not find any signs of a heart problem”
D. “We need to take you to the ED stat. We will give you ASA and NTG en route and then reassess your vitals. Do you have any questions?”
A. “It is possible that you are experiencing a heart attack. I am going to give you four baby aspirin to chew and swallow”
Which of the following statements regarding communication with a child is correct?
A. most children are intrigued by strangers wearing uniforms.
B. the EMT should give the child minimal information to avoid scaring him or her.
C. standing over a child often increase his or her level of anxiety.
D. unlike adults, children cannot see through lies or deceptions.
C. standing over a child often increase his or her level of anxiety.
As you are wheeling your patient through the emergency department doors, you receive another call for a major motor vehicle crash. You should:
A. place the patient in a high-visibility area and then respond to the call.
B. inform the admissions clerk of the situation and then respond at once.
C. leave a copy of the run form with a nurse and then respond to the call.
D. respond only after giving a verbal patient report to a nurse or physician.
D. respond only after giving a verbal patient report to a nurse or physician.
The condition requiring the most urgent intervention as determined by the provider’s assessment of the patient?
chief concern
The ability to transmit and receive simultaneously?
duplex.
The ability to transmit audio and data signals through the use of more than one communications channel?
multiplex.
