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LANHAM EMT CHAPTER 5 WITH 100% CORRECT SOLUTIONS
A 31-year-old female with a history of depression took some pills in a suicide attempt. Her husband is visibly upset and her three young children are crying as you place her into the ambulance. The patient is conscious and stable as you transport her to the hospital. During the transport, she tearfully states she did not mean to take the pills and asks if she is going to die. In regard to therapeutic communication, what would be your best response? - ANSWER "You are stable right now and we are transporting you for continued care so you can get better
You have been called for a 23-year-old male who is completely deaf. To best communicate with this patient, you should: - ANSWER Write questions on a note pad
What role does the Federal Communications Commission (FCC) play in EMS? - ANSWER The FCC establishes and enforces regulations related to the use of radio operations
Which statement is most appropriate to relay after establishing radio contact with the destination emergency department to which you are transporting a patient - ANSWER En route to your facility with a 73-year-old male complaining of dizziness.
A patient who was complaining of a headache is being transported to the hospital. After you provide a report to the emergency department. the patient begins to unexpectedly seize. The seizure lasts for 1-2 minutes and then stops, but now you notice the patient's eyes have become unequal in size. You are still 5 minutes from the hospital. After providing care for the seizure, your next action should be to: - ANSWER Call the hospital and inform its staff of the seizure
Which of these is an open-ended question? - ANSWER "Can you describe the pain to me?"
Which statement is most appropriate to start with when transferring a patient to the emergency department and giving the oral report? - ANSWER "Mr. Hedger called us
today because he was having chest pain."
Currently, there is a debate within your organization regarding the use of codes in your medical communications and radio traffic. As you are in favor of using plain English and doing away with codes, a strong argument to justify this position would be: - ANSWER Some medical information can be too complex for a simple code system
While going through your probationary period as a new EMT with the community-based EMS system, you are learning all the numeric codes the department uses during radio traffic. What is NOT a benefit of using and relying on radio codes? - ANSWER The complexity involved in remembering all the radio codes helps assure that everyone using the radio is a knowledgeable EMT
Over the next three days, your ambulance service will be getting new and improved mobile radios. As an EMT with knowledge of communication equipment, you realize that:
- ANSWER New radios will be installed in all of the ambulances
You have arrived at the scene of a medical emergency. As you enter the room where the patient is located, you note that he is sitting up and talking without difficulty. Emergency Medical Responders (EMRs) are on scene and providing basic care for the patient. What should you do first? - ANSWER Get a report from the EM Rs
As your ninth emergency call during a 12-hour shift, you are summoned to a dance club at 0215 hours for a "drunk person.' While on scene, your partner stands with arms crossed, looking down at the floor, and shaking her head negatively as you try to gather the SAMPLE history. Her nonverbal behavior may be interpreted by the patient or bystanders as: - ANSWER Anger
Haptics is the study of - ANSWER Touching
- A 42-year-old female complains of shortness of breath. Which question would best assist you in getting additional information about the patient's chief complaint? - ANSWER "You appear to be short of breath. Are you also having other problems?"
Over the radio, medical direction has given the following order for an unstable patient you suspect is having a heart attack: "Have the patient chew four baby aspirin, each one at 81 mg, and transport as soon as possible." You would show reception of this order by stating: - ANSWER "Copy. We will have the patient chew four baby aspirin, each one at 81 mg, and transport ASAP
A patient does not speak English and no family members are available to translate. Which other options are available to you to facilitate communication with the patient - ANSWER Check with dispatch or use a toll-free interpreter line
As you drive the ambulance with lights and sirens activated to the hospital, the paramedic asks you to notify the receiving hospital since he is busy caring or the patient, who is critical. The paramedic tells you to specifically let the emergency department know that the patient's blood sugar is 15 mg/dl (very low). There is no history of diabetes. How should you state this information to the hospital? - ANSWER "Be advised that the blood sugar is 15-that is, one-five mg/dl."
While reviewing patient care reports as part of a quality assurance program, which trip time documented by an EMT would indicate that the EMT needs refresher education regarding proper military time utilization? - ANSWER "Intercepted with ALS at 0032 hours"
During which situation is it typically NOT necessary for the EMT to contact dispatch first with a request or question? - ANSWER When the EMT needs to get medical approval to administer a medication
Your portable radio was accidentally dropped at the scene of a car wreck and has become soiled with dirt and mud. How should you clean the portable prior to putting it back into service? - ANSWER Wipe it down with a damp cloth
Why should the EMT provide the physician or nurse with an oral report when transferring care to the hospital emergency department (ED)? - ANSWER To summarize patient assessment and treatment information
You pull up to the scene of a one-car motor vehicle collision and find an off-duty
emergency department physician from a local hospital treating the patient. What is the best way to initially communicate with the doctor? - ANSWER "Hello, doctor. We are EMTs. How can we help?"
Which of following is a disadvantage in using a cell (or mobile) phones as an emergency backup communication system? - ANSWER Cell (mobile) phones may not be effective in disaster situations
When providing a lengthy radio report, the most important reason to pause every 30 seconds is so that: - ANSWER Other people can use the radio for emergency transmissions that may arise
You are treating a 2-year-old girl who fell off her bike. She is scared, continues to cry, and will not answer any of your questions. What would be a good strategy to help find out where the girl hurts? - ANSWER Have the girl's mother ask your questions for you
When relying on a cell (mobile) phone for medical communications, the EMT realizes that: - ANSWER He should use the same format of communication as used for radio transmissions
An effective and reliable communication system is essential to the EMT and the EMS system because - ANSWER It allows hospitals to better prepare for the arrival of a patient
What is the primary reason why emergency services communications (phone or radio) are recorded - ANSWER Communications can become part of a legal record if need be
In which situation should the EMT honor the wishes of the patient's family rather than the patient's wishes regarding treatment and transport decisions? - ANSWER If the patient is an adopted family member from another culture who has not yet become accustomed to normal practices in the United States
Which statement reflects the most appropriate way to alert a receiving hospital that you are en route with a patient? - ANSWER "St. Elizabeth Hospital, this is BLS ambulance
became hot and weak, forcing him to sit down. He has a history of diabetes and prostate cancer, but takes no medications. Right now he is alert and oriented and has the following vital signs: pulse 96, respirations 18, and blood pressure 156/82 mmHg, and room-air pulse ox was 92%. We have placed him on 2 liters of oxygen by nasal cannula and are transporting in semi-Fowler position. He states that the weakness is starting to resolve. Do you have questions or orders?" - ANSWER ETA to the hospital
Medical direction has advised you to place a patient who is obese and extremely short of breath in a supine position. Knowing that doing so may cause the patient to become even more short of breath, your best action would be to: - ANSWER Explain your concern to the physician and ask for clarification
You are conducting a verbal interview with a patient who is not very forthcoming with information. If you fail to continue to try to motivate the patient to talk, what would be the most undesirable outcome? - ANSWER You may not gain valuable information that could impact your patient care decisions
When using your portable radio, you must push the "press to talk" button and wait one second before speaking. This is essential to effective communication because your EMS system uses - ANSWER Repeaters
Throughout a radio transmission to the dispatch center, the EMT periodically uses the term "break." You should recognize this to mean she is: - ANSWER Purposely pausing her transmission
