EMT MODULE 1 EXAM 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? a. "I am sorry, but since 911 was called, we must trans port you to the hospital. You can refuse treatment there." b. "Since you are oriented and rational, it is your right to refuse. Please sign this refusal of care form." c. "I will need to have you sign this refusal of care form and a family member sign as a witness." d. "Before you refuse, I need to tell you that this could be a heart attack and you could die." [Correct Ans: - d. Your best protection when an alert and oriented patient with the capacity to make rational decisions refuses EMS care or transpor t is to: a. completely and thoroughly document the incident b. have your partner sign the refusal form as a witness c. inform the patient's family of what happened d. contact the patient as a later time to see how she is doing [Correct Ans: - a. For negl igence to be proven, what must be present? a. Harm to the patient, false imprisonment, duty to act b. Assault, breach of duty, damage, and then abandonment c. Duty to act, breach of duty, battery, forseeability d. Duty to act, breach of duty, injury, prox imate cause [Correct Ans: - d. Despite a patient's protest that he does not want his blood pressure taken, the EMT places a BP cuff on his arm and takes his blood pressure. The EMT states: "See? It is just as I suspected -your blood EMT MODULE 1 EXAM
Page 1 of 28 pressure is sky high. Y ou really need to be seen in the emergency department." The patient states he did not realize that his blood pressure was that high. In terms of battery, which statement is true? a. Since the BP was elevated and treatment must be provided, battery cannot be charged b. The patient could charge the EMT with battery, regardless of his blood pressure reading. c. because the patient knows the result of the BP, the EMT is safe from battery d. The patient could charge the EMT with assault, not battery [Correct Ans: - b. A homeless patient is sick and is refusing transport. The patient is alert and clearly has the capacity to understand her situation and make a rational decision, but the temperature tonight will be near zero. The EMT picks up the patient and puts her on the cot. The patient continues to refuse to allow treatment and transport, despite the EMT's explanation that it will be warm in the hospital and she will be fed. The patient is transported. What could the EMT be charged with? a. abandonment b. assault c. negligence d. false imprisonment [Correct Ans: - d. In which situation would the Good Samaritan law protects the EMT? a. An off -duty EMT stops at the scene of an auto collision and provides proper care, but the patient dies a nyway b. The EMT forgets to provide oxygen to a patient with chest pain and the patient suffers a heart attack as a result c. A paramedic orders an EMT to administer a medication that the EMT legally may not give, and the patient dies as a result d. A pati ent is paralyzed from the waist down because an off -duty EMT did not take the appropriate measures in caring for him [Correct Ans: - a. Which action best illustrates an EMT upholding a high ethical standard? EMT MODULE 1 EXAM
Page 2 of 28 a. Treating alcoholics and drug addicts with r espect b. providing care that goes beyond the scope of practice c. Informing other health care providers of patients in the community with AIDS d. administering oxygen to patients who are short of breath [Correct Ans: - a. A local politician has been invo lved 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? a. slander b. litigation c. battery d. assault [Correct Ans: - a. The EMT recognizes that the Health I nsurance Portability and Accountability Act (HIPAA) limits the EMT's ability to: a. Obtain refusals of care from patients who do not have medical insurance b. transport patients to the hospitals of their choice c. share patient -specific medical information with others d. bill for services provided by the EMS system [Correct Ans: - c. 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? EMT MODULE 1 EXAM
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