Multiple Choice
Identify the
choice that best completes the statement or answers the question.
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1.
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“Guidelines developed on the national, state,
and local levels for emergency treatment issues, training requirements, equipment standards, and
treatment regiments” best describes which of the following components of the Emergency Medical
Services System?
a. | Human Resources and Training | b. | Public Information and Education | c. | Regulations, Policies, and Protocol | d. | Resource and Management |
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2.
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“Providing, acquiring, and replacing training
facilities, specialized instructors, equipment, vehicles, and communication networks for EMS”
best defines which of the following components of the Emergency Medical Services
System?
a. | Human Resources and Training | b. | Public Information and Education | c. | Regulation, Policies, and Protocol | d. | Resource and Management |
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3.
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“Recruitment, training, and retention of EMS
providers” best defines which of the following components of the Emergency Medical Services
System?
a. | Human Resources and Training | b. | Public Information and Education | c. | Regulation, Policies, and Protocol | d. | Resource and Management |
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4.
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“Educating the community about EMS, how to
access EMS, and injury prevention” best defines which of the following components of the
Emergency Medical Services System?
a. | Human Resources and Training | b. | Public Information and Education | c. | Regulation, Policies, and Protocol | d. | Resource and Management |
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5.
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“Moving the patient from the emergency scene
by ground or air to an appropriate medical facility” best defines which of the following
components of the Emergency Medical Services System?
a. | Communication | b. | Medical Facilities | c. | Resource
Management | d. | Transportation |
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6.
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“Developing a system to assess the patient
care capabilities of emergency departments, specialized medical centers such as burn units or
pediatric hospitals” is best defined by which of the following components of the Emergency
Medical Services System?
a. | Communication | b. | Medical Facilities | c. | Resource
Management | d. | Transportation |
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7.
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“Developing a system to provide access to
emergency care, communication between EMS providers and hospitals, and the development of
communication networks to coordinate the activities and movements of rescuers and equipment” is
best defined by which of the following components of the Emergency Medical Services
System?
a. | Communication | b. | Medical Facilities | c. | Resource
Management | d. | Transportation |
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8.
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“Developing systems to ensure that patients
with life-threatening injuries are rapidly transported to the most appropriate hospital or
specialized center for life-saving surgical care”, best defines which of the following
components of the Emergency Medical Services System?
a. | Evaluation | b. | Medical Oversight | c. | Regulation and
Policy | d. | Trauma Systems |
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9.
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Which of the following First Responders is
NOT demonstrating professional behavior?
a. | The First Responder who tries to start an
IV | b. | The First Responder who opens the airway when a patient
is not breathing | c. | The First
Responder who attends a refresher course every two years | d. | The First Responder who attends CE courses for basic and advanced
providers |
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10.
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Which of the following is TRUE of
medical oversight?
a. | Only services that provide advanced care need medical
oversight | b. | The physician providing medical oversight is often
referred to as the medical director | c. | First responders
act independently of physicians in most cases | d. | It requires First
Responders to contact a physician before providing any care. |
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11.
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A First Responder initiates treatment according to
protocols. This is an example of which of the following terms?
a. | Concurrent medical control | b. | Direct medical control | c. | Indirect medical
control | d. | On-line medical
control |
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12.
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First Responders arrive at the scene of a
motor-vehicle crash. None of the patients speak English. One of the First Responders makes a negative
comment about foreigners and how they should just stay in their own countries. This behavior is
inappropriate for which of the following reasons?
a. | The First Responder should be able to speak the language
in order to help the patients. | b. | The First
Responder will not be able to provide any care because he does not think the patients should visit
the United States. | c. | The First
Responder is not exhibiting professional behavior and respect for the
patients. | d. | The First Responder has not been inappropriate and his
behavior is not a problem. |
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13.
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Which of the following statement is
TRUE of an EMT-Basic?
a. | The EMT-Basic (EMT-B) has the same skills as the
EMT-Intermediate. | b. | EMT-Basics learn
more advanced airway skills and the use of the pneumatic anti-shock garment
(PASG). | c. | The EMT-Basic can give more drugs than the other
levels. | d. | In most states, EMT-Basics interpret cardiac rhythms,
defibrillate, and give cardiac medications. |
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14.
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Which of the following is FALSE of
the Medical Facilities component of the EMS System?
a. | It requires that most patients be transported to a Level
1 Trauma Center regardless of the patient’s injuries. | b. | It provides support and a system for patients who have special injuries, such
as burned patients to be transported to Burn Units. | c. | It provides guidelines for specialized pediatric emergency centers and
hospitals to care for children with special needs. | d. | It helps establish Poison Control Centers, which maintain large databases of
information about household and industrial toxins. |
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15.
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Which of the following is TRUE about
a First Responder’s professional appearance?
a. | Professional appearance does not affect your credibility
when caring for patients. | b. | Clothes should be
neat and shoes should have good traction for wet surfaces. | c. | First Responders should wear fragrances strong enough to help cover odors such
as vomit. | d. | Your behavior and appearance will not help you with
scene control. |
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16.
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The laws or regulations that protect licensed
health care providers who give emergency assistance in good faith as long as they do not commit
negligent, willful, or wanton acts of misconduct or omissions or charge for their services are
referred to as which of the following?
a. | Good Samaritan laws | b. | Emergency Medical Services regulations | c. | Medical oversight laws | d. | First Responder
protection regulations |
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17.
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Emotions commonly experienced by First Responders,
patients, and family members in a stressful situation include all the following
EXCEPT:
a. | Anxiety and guilt | b. | Pain and anger | c. | Hostility and
depression | d. | Calmness and
patience |
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18.
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You respond to the scene of a patient with
difficulty breathing. The patient has lung cancer. You try to put oxygen on him and he yells at you.
He complains that you didn’t do it right. The patient is presenting with which of the following
stages of grief?
a. | Denial | b. | Anger | c. | Bargaining | d. | Depression |
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19.
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Which of the following include the five stages of
grieving that may be experienced by persons involved with death and dying?
a. | Denial, anger, bargaining, depression,
acceptance | b. | Guilt,
indecisiveness, joy, depression, isolation | c. | Acceptance,
comfort, anxiety, guilt, irritability | d. | Isolation,
respect, comfort, relief, depression |
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20.
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Your patient is an 84-year-old female with multiple
medical problems. She is extremely weak and has not been able to eat for several days. She has
requested to be a DNR. Her son arrives as the ambulance crew is preparing to transport her to the
hospital and begins yelling at his mother that she needs to take better care of herself and at the
crew for not being more aggressive in caring for her. Which of the following would be your best
approach to the son?
a. | Contact the police and have him arrested or restrained
at the scene. | b. | Try to be patient
and calmly explain what you have done for the patient. | c. | Intervene immediately; he should not yell at his mother or the
crew. | d. | Confront him and explain that his mother is dying and he
should respect her. |
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21.
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Choose the correct statement.
a. | Your family members will be able to share your First
Responder experiences with few stressful side effects. | b. | Your family, like most First Responder families, will understand the stress of
your work and will not feel separated or ignored. | c. | The best mechanism to help your family and friends to cope with your new
responsibilities is to withdraw and orient yourself to your work as a First
Responder. | d. | Taking the time to
listen to your family and friends may help reduce stress on yourself and your family and
friends. |
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22.
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First Responders respond to the scene of child
involved in a motor vehicle crash. The child has been severely injured and dies while the First
Responder is caring for her. Which of the following is true of this situation?
a. | The First Responder caring for this child may complain
of sleep disturbances, distressing dreams, anger, or changes in eating
habits. | b. | This is not the type of incident that First Responders
have difficulty managing or dealing with afterward. | c. | This is a disaster and a disaster team should be activated to assist the First
Responder in managing this situation. | d. | This is a
stressful incident but will not require the use of critical incident stress debriefing
team. |
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23.
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Which of the following steps can a First Responder
take to reduce stress?
a. | Eat a balanced diet, maintain family and friend time,
reduce consumption of caffeine and alcohol. | b. | Maintain your
regular consumption of caffeine and alcohol, reduce protein intake, limit family and friend
time. | c. | Sleep as much as needed even if it seems excessive,
focus on work, and limit outside activities. | d. | Control and
suppress your feelings, decrease any additional requirements on your time, have an occasional drink
to relax. |
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24.
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You are assessing a seizure patient who bit her
tongue. The patient is spitting blood and you are unable to obtain a medical history. As a First
Responder, your best protection would be which of the following?
a. | Gloves and a HEPA mask | b. | Gown, gloves, eye protection, and a surgical mask | c. | Utility gloves and a surgical mask | d. | Immunization for HIV, hepatitis B,
tuberculosis |
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25.
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Which of the following immunizations are
recommended for all health care providers?
a. | Tetanus | b. | Hepatitis B | c. | Measles, mumps,
and flu | d. | All of the above |
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26.
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You are transporting a child with meningitis. Your
partner recommends you fill out an exposure report. Which of the following is NOT a
part of the standard reporting process?
a. | The date and time you were
exposed | b. | What type of body fluid you were exposed
to | c. | How much body fluid you were exposed to and the who the
source was | d. | Previous exposures
and results |
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27.
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You respond to the scene of a collision involving a
fuel truck that is now leaking a significant amount of fluid. Which of the following actions are you
likely to be required to take a First Responder?
a. | Limit access to the scene until personnel trained in
hazardous materials arrive. | b. | Immediately put on
a hazardous material suit and a Self-Contained Breathing Apparatus to protect
yourself. | c. | Apply gloves and a mask and begin treating the patient
until personnel trained in hazardous materials arrive. | d. | Rescue the patient and then limit access to the scene until personnel trained
in hazardous materials arrive. |
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28.
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You respond to the scene of a motor vehicle crash
that requires the patient to be extricated. Which of the following personal protective equipment is
necessary for this situation?
a. | Turnout gear, puncture-proof gloves, helmet, eye
protection, and steel-toe shoes | b. | Hazardous material
suit, a Self-Contained Breathing Apparatus, safety goggles | c. | Gloves and a mask | d. | Gloves and eye
protection |
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29.
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You respond to the scene of an unresponsive farm
worker. You notice the equipment he is lying near is touching an overhead wire. Which of the
following hazards is a concern at this call?
a. | Hazardous material,
electricity | b. | Unstable structure
and disease transmission | c. | Electricity and
disease transmission | d. | Fire and
violence |
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30.
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To clean a piece of equipment, you should do which
of the following?
a. | Wash it with soap and water
mixture. | b. | Wash it with a bleach and water
mixture. | c. | Use a sterile saline
solution. | d. | Clean the area with chemicals that cause a thermal
reaction. |
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31.
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To sterilize a piece of equipment, you should do
which of the following?
a. | Wash it with soap and water. | b. | Wash it with a bleach and water mixture. | c. | Use chemicals to kill all the contaminants. | d. | Clean the area with chemicals that cause a thermal
reaction. |
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32.
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The First Responder Scope of Care is best defined
by which of the following statements?
a. | The care a First Responder may perform according to
state law. | b. | The obligation a
First Responder has to respond to the scene and provide care. | c. | The legal authority to perform any medical care. | d. | The care outlined in the protocol for individual patient
problems. |
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33.
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Which of the following is TRUE of the
standard of care for First Responder?
a. | The standard of care is what a reasonably prudent First
Responder would do in similar circumstances. | b. | The standard of
care is different for every First Responder and is determined by medical
direction. | c. | The Department of
Transportation First Responder Curriculum determines the national standard of
care. | d. | The standard of care is the same for all levels of EMS
personnel. |
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34.
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You respond to the home of an elderly gentleman.
His wife gives you a Do Not Resuscitate (DNR) document and asks to honor it. Assuming your state
recognizes this document in the pre-hospital setting, which of the following statements is
TRUE?
a. | The DNR cannot be revoked in the
field. | b. | If the patient is breathing and has a pulse, you should
not provide medical care. | c. | If the patient is
not breathing and does not have a pulse, you should not provide medical
care. | d. | Contact medical control before initiating any treatment
for this patient regardless of his cardiovascular status. |
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35.
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Which of the following statements is
TRUE of Do Not Resuscitate (DNR) orders?
a. | Patients only have the right to refuse resuscitation if
they are competent. | b. | Most DNR requests
must be signed by a physician. | c. | DNR orders mean
that you should not provide supportive care to a patient. | d. | A patient cannot revoke a DNR order once it is in
place. |
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36.
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You respond the scene of a patient involved in a
bicycle collision. You ask the patient if you may examine and treat her. You explain that you want to
apply a cervical collar because the patient’s neck may be injured. You inform the patient that
the collar may be uncomfortable. The patient agrees. This is an example of which type of
consent?
a. | Assumed consent | b. | Expressed consent | c. | Involuntary
consent | d. | Implied consent |
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37.
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You respond to the scene of an 82-year-old female
who was cleaning her yard and was bitten by a rattlesnake. You ask for permission to treat the
patient. The patient tells you that it is okay to treat her. The First Responder documents that the
patient agreed to treatment. This is an example of which type of consent?
a. | Assumed consent | b. | Verbal consent | c. | Written
consent | d. | Implied consent |
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38.
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You arrive at the scene of an 86-year-old patient
with difficulty breathing. The patient refuses care. You are trying to explain to the patient that he
needs care, another adult male comes from the back of the house. This person presents you with a form
authorizing him as the patient’s legal guardian and asks you to care for the patient. He tells
you that his father has Alzheimer’s. This is an example of which of the
following?
a. | Informed consent | b. | Expressed consent | c. | Involuntary
consent | d. | Implied consent |
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39.
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You respond to the scene of an 8-year-old who was
struck by a car. The parents are unavailable. The child is found in the street. You begin to treat
the child. This is an example of which of the following types of consent?
a. | Informed consent | b. | Expressed consent | c. | Involuntary
consent | d. | Implied consent |
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40.
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Which of the following statements
BEST describes the difference between expressed and implied consent?
a. | Implied consent only applies to patients who are
refusing care, and expressed consent involves patients who verbally consent to
treatment. | b. | With expressed
consent a patient consents to treatment in writing, while with implied consent a patient consents to
treatment verbally. | c. | Expressed consent
can only be obtained from incompetent patients or minors, and implied consent is obtained from
competent patients. | d. | Implied consent is
granted when a patient is unconscious or is a minor without an available parent or guardian, and
expressed consent is verbally agreeing to treatment. |
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41.
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Which of the following meets all of the criteria to
prove negligence?
a. | A First Responder responds to a patient with difficulty
breathing. Care is provided according to protocol. The patient’s breathing gets worse and the
patient stops breathing. | b. | A First Responder
cares for a child with the flu and treats the child according to protocol. The child dies later at
the hospital with meningitis. | c. | A First Responder
applies a splint according to protocol to a patient with a broken arm. After the splint is applied
the patient tells the First Responder, “My arm hurts and my fingers are tingling.” The
First Responder reassures the patient but does not evaluate the splint. The patient sustains nerve
damage to the involved arm. | d. | A First Responder
responds to a motor vehicle crash. The patient is cared for, but spinal immobilization is not
applied, and protocol is not followed. The patient recovers without
complications. |
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42.
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Failing to provide the expected standard of care to
a patient that leads to further injury is best defined by which of the following terms?
a. | Abandonment | b. | Assault | c. | Battery | d. | Negligence |
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43.
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Touching or striking a person without that
person’s consent is best defined by which of the following terms?
a. | Abandonment | b. | Assault | c. | Battery | d. | Negligence |
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44.
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Which of the following First Responders has a legal
duty to act?
a. | A First Responder is on vacation and is driving on
interstate. She sees a motor vehicle crash where a fire crew is already on scene providing
care. | b. | A First responder is dispatched to a second call while
he is caring for a patient on a scene. | c. | First Responders
are paged out to respond to a patient in cardiac arrest in their district. | d. | A First Responder hears a page to a call for a child with difficulty breathing
to an address outside her district. |
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45.
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In order to have a duty to act, which of the
following conditions must be met?
a. | Federal, state, or local statutes require you to
act. | b. | Your service has a contract to
respond. | c. | You have volunteered to respond in given
circumstances. | d. | All of the
above |
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46.
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Which of the following First Responders is
maintaining proper patient confidentiality?
a. | A First Responder who discusses the last call he ran
with the paramedics at the current scene | b. | A First Responder
who releases a patient’s record to a police officer who was not at the
scene | c. | A First Responder who informs the emergency physician
caring for the patient that the patient admitted to using cocaine | d. | A First Responder who discusses a call with a crew member at a local
restaurant |
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47.
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Which of the following is TRUE of
confidentiality?
a. | You may not relay information a patient gives you to
anyone except a physician. | b. | Any patient
information you obtain for the purpose of treatment is considered
confidential. | c. | Information that
other health care providers give you about a patient is not confidential. | d. | Since First Responders do not provide advanced care, confidentiality does not
apply to them. |
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48.
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Applying a splint to a patient’s arm when the
patient is refusing care is an example of which of the following?
a. | Assault | b. | Battery | c. | Slander | d. | Libel |
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49.
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Which of the following statements regarding a crime
scene is FALSE?
a. | Limit the number of personnel you send into the scene to
care for a patient when possible. | b. | Do not worry about
the crime scene; you cannot do anything to affect it. | c. | Enter and leave the scene by the same route when
possible. | d. | Tell law enforcement about any objects you might have
moved during your treatment. |
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50.
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Which of the following is TRUE of
documentation?
a. | Accurately document your observations and the care you
provide to the patient. | b. | Accurate
documentation is required for Medicare, Medicaid, and insurance company
reimbursement. | c. | Accurate
documentation may be essential for your defense in a legal proceeding. | d. | All of the above |
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