EMT Chapter 4 Quiz: Assessing Seizures & Breathing Issues

Questions and Answers

What should you do regarding the child's parents' explanation of the marks representing coining?

Advise the child's parents that this is a harmful practice and is considered a form of child abuse in the United States.

Acknowledge and respect this practice as a cultural belief, but advise the child's parents that it has no healing power.

Document this on your patient care report and advise the emergency department staff of what the child's parents told you. (correct)

Advise the emergency department physician that you feel as though the child was intentionally abused by his parents.

What is the most logical way of notifying the hospital while transporting a 54-year-old male in cardiac arrest?

Wait until you arrive at the hospital and then quickly apprise them of the situation.

Request that a police officer respond to the hospital to apprise them of your arrival.

Call the receiving hospital with your cellular phone as you attempt resuscitation.

Have the driver contact dispatch and relay the patient information to the hospital. (correct)

Communicating with hearing-impaired patients can be facilitated by doing all of the following, EXCEPT:

Placing yourself in a position to ensure that the patient can see your lips

Providing pen and paper if the patient prefers to write his or her response

Elevating the tone of your voice and exaggerating word pronunciation (correct)

Shining a light on your face when you are in a darkened environment

What type of communications equipment functions as a radio receiver and searches across several frequencies?

Scanner Signup and view all the answers

General guidelines for effective radio communications include all of the following EXCEPT:

Using 10 codes to ensure traffic confidentiality Signup and view all the answers

Which of the following statements regarding a patient refusal is MOST correct?

A mentally competent adult has the legal right to refuse EMS care and transport Signup and view all the answers

When relaying patient information via radio, communications should be:

Brief and easily understood Signup and view all the answers

You could be sued for ______ if your radio report to the hospital describes the patient in a manner that injures his or her reputation.

slander Signup and view all the answers

You and your partner are dispatched to a residence for an 'ill person.' When you arrive, you find that the patient, a 4-year-old man, does not speak English. There are no relatives or bystanders present who can act as an interpreter. You should:

Use short, simple questions and point to specific parts of your body to try to determine the source of the patient's complaint Signup and view all the answers

Which of the following has the weakest transmission signal and, as a result, is LEAST likely to be heard by the party being called?

Hand-held portable radio Signup and view all the answers

Despite numerous, sincere efforts to convince a 40-year-old man to consent to EMS treatment and transport, he refuses. After explaining the potential consequences of his refusal and determining that he has decision-making capacity, you ask him to sign an EMS refusal form, but he refuses to do that as well. You should:

Ask a family member, law enforcement officer, or bystander to sign the form verifying that the patient refused to sign Signup and view all the answers

Immediately after being dispatched to a residence for an elderly patient with diabetic complications, you should:

Confirm with dispatch that you received the call information Signup and view all the answers

You are dispatched to the residence of an Asian family for a child with a high fever. When you assess the child, you note that he has numerous red marks on his back. The child's parents explain that these marks represent coining - a traditional Asian healing practice in which hot coins are rubbed on the back. You should:

Document this on your patient care report and advise the emergency department staff of what the child's parents told you Signup and view all the answers

During your assessment of a 20-year-old man with a severe headache and nausea, you ask him when his headache began, but he does not answer your question immediately. You should:

Allow him time to think about the question and respond to it Signup and view all the answers

When you begin an oral report, you should state the patient's age, sex, and:

Chief complaint Signup and view all the answers

A ______ receives messages and signals on one frequency and then automatically retransmits them on a second frequency.

repeater Signup and view all the answers

After delivering your patient to the hospital, you sit down to complete the PCR. When documenting the patient's last blood pressure reading, you inadvertently write 120/60 instead of 130/70. To correct this mistake, you should:

Draw a single horizontal line through the error, initial it, and write the correct data next to it Signup and view all the answers

Two-way communication that requires the EMT to 'push to talk' and 'release to listen' describes what mode of communication?

Simplex Signup and view all the answers

A patient's refusal for EMS treatment and/or transport must be:

An informed refusal Signup and view all the answers

You are interviewing a 52-year-old man who complains of chest discomfort. The patient is a retired paramedic and is very anxious because he thinks he is having a heart attack. Which of the following statements would be appropriate to say?

'It is possible that you are experiencing a heart attack. I am going to give you four baby aspirins to chew and swallow.' Signup and view all the answers

Any radio hardware containing a transmitter and receiver that is located in a fixed location is called a:

Base station Signup and view all the answers

When providing a patient report via radio, you should protect the patient's privacy by:

Not disclosing his or her name Signup and view all the answers

You and your partner are attempting to resuscitate a middle-aged female in cardiac arrest. Because of the remote location you are in, you are unable to contact medical control. What should you do?

Follow locally established protocols or standing orders Signup and view all the answers

Your EMS system uses a computerized PCR in which you fill in the information electronically and then send it to the emergency department via a secure Internet server. The PCR has a comprehensive series of drop-down boxes, which are used to identify your assessment findings and specify the treatment that you provided; it also has a section for your narrative. When completing your PCR after a call, you should:

Complete a thorough and accurate narrative because drop-down boxes cannot provide all of the information that needs to be documented Signup and view all the answers

In what manner should you act and speak with a patient?

Calm and confident Signup and view all the answers

Which of the following statements regarding standing orders is MOST correct?

Standing orders should be followed when physician contact is not possible Signup and view all the answers

You are assessing a 75-year-old woman with mild shortness of breath. As you are asking her questions regarding her chief complaint and medical history, you progressively move closer and closer to her. In doing this, it is important to remember that:

A patient's personal space should not be violated, regardless of any barriers that may hamper communication Signup and view all the answers

A 4-year-old boy had an apparent seizure. He is conscious and calm and is sitting on his mother's lap. His father is sitting in a nearby chair. The child's mother suddenly begins crying uncontrollably, which causes the child to start crying. You should:

Consider asking the father to hold the child so you can assess him while your partner tries to calm the mother. Signup and view all the answers

A 60-year-old man complains of chest pain. He is conscious and alert and denies shortness of breath. Which of the following questions would be the MOST appropriate to ask him?

'Do you have any heart problems or take any medications?' Signup and view all the answers

After receiving online orders from medical control to perform a patient care intervention, you should:

Repeat the order to medical control word for word. Signup and view all the answers

Calming and reassuring an anxious patient can be facilitated by:

Maintaining eye contact with the patient whenever possible. Signup and view all the answers

Medical control gives you an order that seems inappropriate for the patient's condition. After confirming that you heard the physician correctly, you should:

Advise the physician that the order is unclear and ask for clarification. Signup and view all the answers

The official transfer of patient care does not occur until the EMT:

Gives an oral report to the emergency room physician or nurse. Signup and view all the answers

Typical components of an oral patient report include all of the following, EXCEPT:

The set of baseline vital signs taken at the scene. Signup and view all the answers

When communicating with an older patient, it is important to remember that:

Most older people think clearly and are capable of answering questions. Signup and view all the answers

Which of the following statements regarding communication with a child is MOST correct?

Standing over a child often increases his or her level of anxiety. Signup and view all the answers

While at the scene of a motor vehicle crash, you determine that there are two critically injured patients and that another ambulance is needed. You attempt to contact the dispatcher with your portable radio but are unsuccessful. You should:

Use the mobile radio in the ambulance to contact dispatch. Signup and view all the answers

Study Notes

Communication with Patients

For hearing-impaired patients, effective communication includes ensuring visibility of mouth movements and using pen and paper instead of altering voice tone.
Speak calmly and clearly when conveying patient information via radio; avoid using 10 codes for better understanding.
A mentally competent adult has the legal right to refuse EMS treatment and transport; documentation of the refusal is crucial.

Radio Communication

Scanners function as radio receivers, searching multiple frequencies.
For patient reports, clarity and brevity are essential; avoid lengthy transmissions.
A repeater enhances signal transmission by automatically retransmitting messages on different frequencies.

Patient Assessment and Interaction

Use simple, non-verbal communication techniques with patients who do not speak English, such as pointing to body parts for assessment.
During assessments, allow patients time to respond to questions rather than rushing them.
In communications with older adults, maintain a respectful approach; many are capable of understanding and answering questions clearly.

Handling Patient Refusals and Cultural Sensitivity

Document any cultural practices observed that might affect treatment, such as traditional healing methods; do not deem them abusive without professional context.
In case of a patient refusal, have a witness sign the refusal form if the patient declines to do so.

Legal and Documentation Matters

Errors in patient care reports (PCR) should be corrected by drawing a line through the mistake and initialing the correction.
Informed refusals must be documented appropriately to avoid legal complications.
Ensure patient privacy during radio communications by not disclosing names and sensitive information.

Emergency Response Protocols

Follow established protocols in the absence of medical control contact during emergency situations.
Always provide a comprehensive oral report upon transferring patient care; include relevant patient history and complaints.

Communication Techniques with Different Age Groups

When comforting children, respect their personal space and eliminate anxiety by offering familiar items or toys.
The seated position is more appropriate when interacting with children to reduce fear and anxiety levels.

Addressing Difficult Situations

In emergencies where radio communication fails, utilize the ambulance’s mobile radio or ask for assistance from law enforcement for critical updates to dispatch.
When faced with an inappropriate medical order from medical control, seek clarification before proceeding with the instructions provided.

Best Practices for Patient Care

Upon introducing patient care interventions, confirm understanding by repeating medical orders back for accuracy.
Document all assessments thoroughly, as electronic systems may not capture every detail needed for patient care.

Patient Interaction Approach

Maintain calmness and confidence when dealing with anxious patients; eye contact can build trust and reassurance.
Utilize clear, non-technical language with patients to facilitate understanding and comfort during assessments.

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Description

Test your knowledge on effective communication techniques with hearing-impaired patients as covered in EMT Chapter 4. This quiz will challenge your understanding of best practices in patient interactions and help reinforce critical skills for emergency medical technicians.

EMT Chapter 4 Quiz