Questions and Answers
A patient appears to be in the midst of a psychotic episode and is unable to make a rational decision about consenting to emergency care. The EMT may care for the patient on the basis of:
The person who is legally designated to make health care decisions for the patient if the patient is unable to do so is called:
Leaving a patient after initiating care and before the patient has been transferred to someone with equal or greater medical training is known as:
You are at the scene of a patient with obvious signs of traumatic death. You are required by law in your state to report violent deaths. Your duty as an EMT is to notify:
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You suspect that a pediatric patient is being abused. You decide not to report this to the appropriate authorities because the parent is very upset and remorseful. This is:
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A suicidal 14-year-old who has critically injured herself is trying to get you to withhold care. She is screaming that she wants to die and that you should not touch her or come near her. You should:
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At a crime scene, which of the following is the first priority of the EMT?
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A patient who called 911 is now refusing transport. You should:
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EMS is on the scene of the cardiac arrest of a terminally ill cancer patient. The family states that the patient has a valid DNR but they are unable to locate it. The family is upset and adamant that the patient does not want resuscitation. The EMS crew should:
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As you enter a hectic possible crime scene, you find that a coffee table is blocking your access to the patient. Which of the following is the BEST way to manage this situation?
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Which of the following would MOST likely be considered evidence at a crime scene?
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Study Notes
Consent and Patient Care
- Implied consent is applicable when a patient cannot make rational decisions due to a psychotic episode.
- A health care proxy is designated to make health care decisions for patients who are unable to do so.
Legal and Ethical Considerations
- Abandonment occurs when an EMT leaves a patient after initiating care and before transfer to qualified personnel.
- In cases of obvious traumatic death, EMTs must notify law enforcement as part of their legal responsibilities.
- Failing to report suspected child abuse is a violation of professional ethics and could be criminal behavior.
Emergency Response Protocols
- Provide care to suicidal patients even if they request to withhold treatment, prioritizing their immediate needs.
- Patient care and transport take precedence over evidence preservation in emergency situations.
Patient Refusal and Documentation
- If a patient refuses transport after calling 911, assess their condition, inform them of risks, and document the refusal appropriately.
DNR and Family Decisions
- In the case of a terminally ill patient with a DNR that cannot be located, resuscitation may be initiated while confirming patient wishes with family.
Crime Scene Management
- When confronting obstructions at a crime scene, EMTs should minimize movement of potential evidence, notify police, and document their actions accurately.
- Footprints are considered significant evidence at a crime scene, reflecting activity related to the incident.
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Description
Test your knowledge on emergency medical services with this Chapter 4 Post Test for EMS 105. The quiz includes key concepts like consent types and patient decision-making. Prepare for real-life applications in your EMS career.
