1.
You respond to the scene of an unconscious patient with a history of diabetes. As you are assessing the patient, a family friend states that you should not treat or take the patient to the hospital. How should you best handle this situation?
A.
Agree with the friend and have him sign a release form.
B.
Have the police arrest the friend for interfering with your care.
C.
Manage the patient with the assumption that he would want that.
D.
Do not treat the patient until you obtain a court order.
2.
You arrive at the scene of an elderly lady complaining of chest pain. In assessing her, she holds her arm out for you to take her blood pressure. This is an example of:
A.
implied consent.
B.
expressed consent.
C.
emergency consent.
D.
informed consent.
3.
A 9-year-old girl has sustained an isolated, nonlife-threatening injury to her right wrist during a roller-blading accident. Her parents are not available. What should the EMT-B do?
A.
Transport the child based on implied consent.
B.
Have the child sign a refusal form if she refuses care.
C.
Attempt to contact the parents prior to providing transport.
D.
Allow a friend to take the child to the hospital via private vehicle.
4.
In which of the following situations has expressed consent been given?
A.
A 5-year-old child who says, "Make me better."
B.
An unconscious 26-year-old woman who has a bleeding head wound
C.
A 35-year-old man who has a slight concussion but holds his bleeding arm out for bandaging
D.
An 86-year-old man who stares blankly at his bleeding leg and says, "What happened to me?"
5.
Which of the following is an example of abandonment?
A.
An EMT-B transfers care of a patient to an emergency department nurse.
B.
A First Responder is transferred patient care from an EMT-Intermediate.
C.
An EMT-B leaves the scene after a competent adult has refused care.
D.
An EMT-Intermediate transfers care of a patient to an EMT-Paramedic.
6.
Your unit is the first to arrive at the scene of a potential crime scene. It is evident that a patient is inside the house who is bleeding severely. What is the most appropriate action for you to take?
A.
Enter the house and care for the patient without disturbing evidence.
B.
Have a neighbor retrieve the patient from the house so you can provide care.
C.
Refuse to enter the scene, even after the police arrive and secure the scene.
D.
Ensure that the police are on scene prior to entering the house.
7.
You and your EMT-B partner are caring for a 55-year-old man who you believe to be having a heart attack. You decide to start an IV on the patient and do so without harming the patient. Which of the following components of negligence have you violated?
A.
Duty to act
B.
Breach of duty
C.
Damages
D.
Cause
8.
Good Samaritan laws are designed to protect:
A.
an individual who voluntarily gives emergency medical care in good faith and within the boundaries of his or her training.
B.
an individual who stops at the scene of an accident, decides that he or she is unable to help, and then leaves the scene.
C.
an individual who stops at the scene of an accident and commits an act of gross negligence.
D.
victims of accidents from incompetent first aid treatment.
9.
Upon returning to the station after responding to a call involving a patient with a stroke, you receive a call from a man who identifies himself as the patient's husband. He requests information as to the condition of his wife. What should you tell the man?
A.
You should have him call the police to obtain the information.
B.
Provide the man with the information that he is requesting.
C.
Give him the requested information only after he signs a release form.
D.
Inform the man that he should go to the hospital to obtain the information.
10.
An advanced directive is:
A.
a set of specific guidelines determining the different types of consent.
B.
a formal list that defines by state law whether a patient is competent.
C.
oral instructions given to you by a dying patient's family regarding whether treatment should be continued.
D.
a written document that specifies medical treatment should a competent patient become unable to make decisions.
11.
You are called to a scene where you identify a patient with a life-threatening injury as a possible organ donor. After notifying medical control, your priority is to:
A.
try to save the patient's life.
B.
pack the patient's body in ice and transport it rapidly.
C.
immediately transport the patient for organ harvesting.
D.
call in the medical examiner's office to pronounce the patient dead.
12.
A patient who appears to be mentally incompetent has been injured. None of his family members are present. In this case, you should:
A.
ask the patient for his informed consent.
B.
ask the patient to sign a refusal of care form.
C.
withhold treatment because you could be liable for battery.
D.
treat the patient because you assume that consent is implied.
13.
Which of the following patients would you consider to be competent enough to legally refuse EMS care?
A.
A man who is staggering and states that he only drank three beers
B.
A conscious and alert woman who is in severe pain from a broken leg
C.
A semiconscious man who you believe may have suffered from a stroke
D.
A conscious young female who states that she is the President
14.
Which of the following types of written documentation gives medical personnel permission not to attempt resuscitation in the event of cardiac arrest?
A.
DNR orders
B.
Standing orders
C.
Department protocol
D.
Competence instructions
15.
Touching a patient or providing care without consent is called:
A.
battery.
B.
assault.
C.
refusal risk.
D.
technical liability.
16.
Which of the following statements about records and reports is FALSE?
A.
Legally, if it wasn't documented, it was not performed.
B.
A complete, accurate report is an important safeguard against legal problems.
C.
An incomplete or untidy report is evidence of incomplete or inexpert medical care.
D.
You can rely on the dispatcher and the hospital staff to complete and maintain your records and reports.
17.
Which of the following actions is NOT considered appropriate when you are called to the scene of an accident where an injured but competent patient refuses treatment?
A.
Trying to inform the patient about the potential risks of refusing care
B.
Asking the patient to sign an official form acknowledging refusal of care
C.
Mentally swearing at the patient to blow off steam and then smiling and walking away
D.
Making sure the patient is informed about the consequences of refusing treatment
18.
You are treating a patient, who you believe to be suffering from an emotional crisis. The patient is refusing EMS care. You tell him that you will call the police and have him restrained if he does not allow you to transport him. Which of the following terms best describes your actions in this case?
A.
Negligence
B.
Battery
C.
Assault
D.
Abandonment
19.
In which of the following situations would consent of a minor be considered valid?
A.
A 6-year-old boy who says, "Help me!"
B.
A 10-year-old girl who says that her mother would approve
C.
A 16-year-old boy with a driver's license
D.
A 16-year-old girl who is pregnant
20.
In which of the following situations does the EMT-B have a legal duty to act at the scene of an emergency?
A.
If he or she is off duty and stops at the scene
B.
If departmental policy dictates that you assist
C.
If you are currently transporting a critical patient
D.
None of these suggest a legal duty to act.
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