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LANHAM EMT CHAPTER 3 WITH COMPLETE
SOLUTIONS 100% VERIFIED
Your EMS station has been designated a Baby Safe-Haven. As such, you know that: - ANSWER A mother or father can drop a baby off and leave with no questions asked
You have moved to another state and wish to work as an EMT. In your previous state of employment, EMTs were allowed to administer a specific set of drugs. To determine whether EMTs can administer drugs in your new state of residence, you should review the: - ANSWER State Emergency Medical Technicians' Scope of Practice
You have extricated a male patient who was entrapped in a rollover car wreck. During your immediate on-scene management, you removed the patient's clothing and started CPR. During this time, a police officer retrieved the driver's license from the patient's pants and advises you that he is an organ donor. Given this information, which statement is true? - ANSWER The patient should be treated in the same way en route to the hospital as a nondonor
In any situation in which a question arises regarding the scope or direction of care the EMT should provide to a patient, the EMT should - ANSWER Contact medical direction at the receiving facility to which the patient is being transported
Your best protection when an alert and oriented patient with the capacity to make rational decisions refuses EMS care or transport is to: - ANSWER Completely and thoroughly document the incident
An intoxicated 72-year-old male with an alcoholic history has fallen at home and has a laceration on the back of his head. He states that he does not want treatment and becomes combative when you try to talk to or assess him. What is your next best course of action? - ANSWER Contact medical direction
Involuntary consent would most likely apply to: - ANSWER A 23-year-old prisoner with
a laceration to the right cheek and refusing care
Regarding an EMT's duty to act, the relationship between an EMT and a patient starts: - ANSWER Once the EMT makes physical contact with the patient
You are approached by a college student who states that his college is working with a physician on a project that examines the types of violent trauma occurring within your jurisdiction. He then asks you if he may see copies of all patient care reports that involved patients who were either stabbed or shot. Who would be the best person to contact regarding this request? - ANSWER Your service's privacy officer
An adult patient with the capacity to make his own decisions has cardiac-type chest pain and is refusing all treatment. What would be the EMT's most appropriate response?
- ANSWER "Before you refuse, I need to tell you that this could be a heart attack and you could die."
In discussing an EMS response that involved potential negligence, your medical director asks you to determine whether the statute of limitations is active. As a knowledgeable EMT, you understand that you will need to determine which of these? - ANSWER If the allowed time for the patient to file a lawsuit has passed
You are an off-duty EMT and have come across a motor vehicle collision. A car has crashed head-on into a utility pole. There is moderate damage to the vehicle and the driver is walking about the scene. You stop and assess the patient. He has a large bruise on his arm and is complaining of abdominal pain where the seat belt contacted his body. Emergency Medical Responders (EMRs) are on scene, and a responding ambulance has a 2-minute ETA. At this point, you realize that: - ANSWER You cannot leave until another EMT or paramedic arrives to assume care
A patient with diabetes has an elevated blood sugar (545 mg/dl) and, based on your assessment of his condition, will require an injection of insulin. Your EMT partner also has diabetes and administers insulin injections to himself throughout the day as needed. Although the Scope of Practice lists nothing about EMTs giving insulin, your partner administers the insulin injection to the patient. The patient's blood sugar comes down and her condition improves. Given this information, which statement is true? - ANSWER Your partner violated the Scope of Practice and may have his certification revoked
could charge the EMT with battery, regardless of his blood pressure reading
A 20-year-old male has been stabbed in the abdomen. Assessment reveals him to be unresponsive with shallow breathing and a low blood pressure. Which instructions will you provide to your new EMT partner given that the patient has been involved in a crime? - ANSWER "When cutting his shirt off, make sure not to cut through the area where the knife penetrated."
The EMT recognizes that the Health Insurance Portability and Accountability Act (HIPAA) limits the EMT's ability to: - ANSWER Share patient-specific medical information with others
A state's Good Samaritan law would NOT protect the health care provider(s) in which of these situations? - ANSWER When an EMT is working for a volunteer EMS system and performs an act of gross negligence
A 77-year-old female is unresponsive, but breathing and with a pulse. On scene, a family member hands you an official document stating that the patient does not want feeding tubes, ventilators, or other long-term life support equipment to keep her alive. There is no mention of whether to administer lifesaving drugs or withhold cardiopulmonary resuscitation. The EMT would recognize this document as a(n): - ANSWER Living will document
During orientation, an EMT is told that owing to the nature of her employment, she is covered by sovereign immunity. Based on this statement, the EMT must: - ANSWER Work for a public EMS agency
A patient's spouse, who is a doctor, states that an EMT is negligent because he put his wife on low-concentration oxygen when she should have gotten high-concentration oxygen. The patient was having chest pain that was later determined to be caused by anxiety. She was released from the emergency department later in the day. Which statement is true? - ANSWER The EMT cannot be proven negligent because that patient suffered no harm or damage
What best illustrates the EMT's failure to meet the standard of care when treating a
patient with chest pain - ANSWER Failing to give the patient oxygen
What is the primary difference between the EMT's scope of practice and the EMT's standard of care? - ANSWER The scope includes which actions the EMT can legally take, while the standard of care is what a EMT should do in an EMS system with similar training and protocols
A male EMT was discussing a patient's medical condition with a female EMT from a different service. The woman then repeated this information to others, which eventually made its way back to the patient. Regarding issues of confidentiality, which of the statements would be is true? - ANSWER The male EMT violated the HIPAA law
The EMT gains the greatest protection from consent-related legal issues by: - ANSWER Documenting the patient's consent for treatment on the prehospital care report
You have been called to a home for an alert and oriented female with terminal lung cancer. At the home, the daughter, who has her mother's durable power of attorney, states that she wants her mother transported to the hospital. The patient, who is alert and oriented, does not want to go. Which statement indicates that the EMT is acting both appropriately and legally in this conflict? - ANSWER "I know that you have the durable power of attorney, but your mother is alert and oriented so
What is the primary difference between ethics and morals? - ANSWER Ethics is a branch of philosophy that studies morality, whereas morals are concepts of "right and wrong"
The highest priority for the EMT working on a patient when approaching the scene of a crime is: - ANSWER Ensuring personal safety
A 62-year-old male is short of breath. The EMT asks the patient if it would be okay to assess him, including taking his vital signs. The patient agrees by nodding the head "yes." As such, which is true? - ANSWER The EMT has obtained expressed consent
A pregnant woman is choking inside a local restaurant. Who has the most compelling
are needed for a critically injured child that was hit by a car. Your best action would be to: - ANSWER Go to the nurse's station and provide the registered nurse with a quick oral report
A plaintiff is suing an EMT in civil court for alleged improper care and resultant injury. In this situation, which is true - ANSWER If the suit is successful, the plaintiff will most likely be awarded money
You are pulling into the ambulance bay at a local hospital. On board, you have a patient with behavioral problems who continually seeks treatment at this particular hospital. Before the patient can be unloaded, the physician comes out and states that the patient must be taken to another hospital. As an EMT, you should: - ANSWER Recognize a violation of the EMTALA statute
The EMT shows she understands "Do Not Resuscitate" (DNR) orders and living wills when she states: - ANSWER "A DNR applies to resuscitation issues only, such as when a patient stops breathing or the heart ceases to beat, whereas a living will pertains to long-term life support care and equipment."
There has been a very serious motor vehicle collision involving a high-profile judge seeking reelection. The judge's car was traveling at a high rate of speed and crossed the center line, striking and killing a motorcyclist. Newspaper reporters are on location, asking you to describe what happened. Which statement is most appropriate? - ANSWER "There has been a serious accident in which a person was killed."
A paramedic was late in reregistering and now, according to the state EMS agency, must function as an EMT until all of the reregistration requirements are satisfied. As an EMT, she is on the scene of a motor vehicle accident and taking care of a critically injured teenager. While wailing for a paramedic to arrive, she starts an IV, but does not hang the IV fluid that will be used to help stabilize the patient. This is immediately done by a paramedic once he arrives. As such, which of these is true? - ANSWER The paramedic/EMT violated the scope of practice and can be held accountable even though he patient survived
If an individual is bringing a lawsuit against your EMS system for perceived improper care, which type of liability action will it probably be - ANSWER Civil
You have been called for a 96-year-old female with altered mental status. At the scene, you find that the patient is unresponsive, not breathing, and pulseless. The family provides you with a valid DNR order. What could you document as a presumptive sign of her death? - ANSWER Absent blood pressure
In a community park near his home, a 10-year-old boy has fallen from the top of a slide. His right wrist is deformed and he is in pain. He states that he lives with his mother and she is working. He does not know her work number. The EM T's best action would be to:
- ANSWER Treat the patient under the guidelines of implied consent
- What action best indicates that informed consent has been obtained? - ANSWER The patient agrees to oxygen therapy after being told it may help decrease his chest pain but may dry his nose, causing discomfort
A young male patient has suffered a gunshot wound to the head. Realizing that there is little chance for survival, the EMT notes that the patient is a potential organ donor. The patient is unresponsive and breathing 4 times per minute on scene. The EMT initiates positive-pressure ventilation. En route to the hospital, the patient stops breathing and loses a pulse. Since the patient is a potential organ donor, the EMT should: - ANSWER Provide the same resuscitation as for a person who is not an organ donor
You have been called to a local emergency department to transfer a 67-year-old male to another facility. At the hospital, the emergency physician informs you that the patient and his family have requested the transfer because his doctor is affiliated with the other hospital. At the patient's bedside, you see that the patient is receiving an antibiotic through an IV. Although your state does allow EMTs to perform nonemergent transports of patients receiving normal saline through an IV, it does not allow transport of patients receiving IV medications. When informed of this restriction, the physician states that the antibiotic will be done in 10 minutes and that he will give written permission to start the transport while the medication is infusing. Which EMT action would be most appropriate at this time? - ANSWER Transfer the patient once all the medication is infused
Which action best illustrates an EMT upholding a high ethical standard? - ANSWER Treating alcoholics and drug addicts with respect
department to the emergency department of a large urban medical center. Which action will best decrease your chance of becoming involved in an EMTALA violation? - ANSWER Assessing the patient for stability prior to transfer
EMS providers must report which of these suspected events to law enforcement? - ANSWER Physical and mental abuse
For negligence to be proven, what must be present? - ANSWER Duty to act, breach of duty, injury, proximate cause
A 22-year-old female has been sexually assaulted and taken to the emergency department. With regard to the release of confidential medical information, which individual would most likely be allowed to receive information related to the patient's injuries without her consent? - ANSWER State police
A local politician has been involved in a motor vehicle collision. Witnesses state that they saw this man leave a bar, and repeatedly stumbled until he got to his vehicle. Then, just two miles down the road, he struck a utility pole head on. On scene and throughout transport, the patient is confused and combative. When you are leaving the hospital, a reporter asks you what happened. You state that it looks as though the politician may be drunk, but you are not sure. Your statement is printed in the newspaper. Later, it is determined that the man was not drunk, but rather has diabetes and had low blood sugar at the time of the accident. Which charge could the politician levy against you? - ANSWER Slander
While off duty, an EMT happens upon the scene of a motor vehicle collision in which a car rolled over the side of an embankment. A young man has been seriously injured; he appears unresponsive, and is bleeding from the head and face. The EMT is alone with his infant baby daughter in the car and cannot leave her to provide help. Therefore, the EMT alerts 911 of the emergency and remains in his car with his daughter until EMS arrives. Later in the week, he finds out that the patient died. Which statement is true regarding this incident? - ANSWER The EMT had no duty to act and cannot be held liable for the man's death
A patient with a terminal disease is unresponsive, not breathing, and without a pulse. The family states that the patient has a "Do Not Resuscitate" (DNR) order signed by her medical doctor, but they cannot find the current one. All they can find is a previous DNR
that expired 8 months ago. The EMT should: - ANSWER Start cardiopulmonary resuscitation
