Chapter 5 EMT

Of the​ following, which is NOT an example of good communications at the scene of a​ call?

A. Quickly enter the residence and proceed immediately to the patient.

B. Speak​ clearly, slowly, and​ distinctly, using language the patient understands.

C. Use the​ patient's name throughout the contact.

D. Be aware of how your body language may communicate to the patient.

A. Quickly enter the residence and proceed immediately to the patient.

As an​ EMT, you will need to know how to communicate with patients in a manner that establishes a positive relationship. This is often referred to​ as:

A. therapeutic communication.

B. customer service.

C. interpersonal dynamics.

D. decoding feedback loops.

A. therapeutic communication.

In the emergency prehospital care communications​ system, a mobile​ transmitter/receiver:

A. is a​ portable, hand-carried radio useful when working at a distance from your vehicle.

B. is a​ vehicle-based radio, which comes in a variety of power ranges.

C. serves as a dispatch and coordination area.

D. is a device that receives transmissions and rebroadcasts them at a higher power.

B. is a​ vehicle-based radio, which comes in a variety of power ranges.

How should the EMT clean a portable radio that became dirty when dropped in a field during an emergency run on and MVC earlier in the​ day?

A. By dipping the device in soapy water and then drying it with a towel

B. With a damp cloth and mild detergent

C. With several alcohol preps from the back of the ambulance

D. With the portable sanitizer liquid that you use on your hands between calls

B. With a damp cloth and mild detergent

When reporting your​ patient's condition to the medical direction​ physician, you should use terminology​ that:

A. incorporates the appropriate​ 10-10 codes

B. is accepted by both the medical and emergency services communities.

C. the patient is familiar with.

D. is approved by your EMS system.

B. is accepted by both the medical and emergency services communities.

The complexity of medical information is most accurately communicated by​ utilizing:

A. codes.

B. plain English.

C. SBAR.

D. APCO.

B. plain English.

MOST EMS systems communicate over the radio using what type of​ language?

A. Radio codes

B. Ten codes​ (e.g., 10-4)

C. APCO codes

D. Plain English

D. Plain English

When the EMT calls per local protocol to receive an order from medical direction to assist the patient with his bronchodilator​ treatment, it is important​ to:

A. use as many codes as possible because people may be listening.

B. be sure to say​ "please" and​ "thank you" for the order.

C. tell the physician what your diagnosis is.

D. ​"echo," or immediately​ repeat, the order back for verification.

D. ​"echo," or immediately​ repeat, the order back for verification.

Positioning yourself below eye level is a strategy that can be especially helpful when your patient​ is:

A. an elderly adult or a child.

B. backing away.

C. highly agitated.

D. threatening.

A. an elderly adult or a child.

Upon your arrival at the​ patient's side, with what style of question is it BEST to start your​ interview? 1

A. Narrative style

B. ​Variable-ended

C. ​Open-ended

D. ​Closed-ended

C. ​Open-ended 1

​Closed-ended questions typically​ elicit:

A. a​ long, detailed response in the​ patient's own words.

B. the most information for any given question.

C. specific pieces of information.

D. more subjective information.

C. specific pieces of information.

Which one of the listed federal agencies is responsible for assigning radio frequencies and issuing​ licenses?

A. FCC

B. NHTSA

C. FAA

D. DOT

A. FCC

When interviewing a​ patient, each of the following strategies may be helpful during your​ interview, EXCEPT:

A. limit interruptions when communicating with the patient.

B. speak​ clearly, calmly, and slowly.

C. let the patient control the environment.

D. respect the​ patient's privacy.

C. let the patient control the environment.

You may be able to overcome some hostility in a violent patient if you are able​ to:

A. restrain him.

B. abandon him.

C. establish a good rapport.

D. overpower him.

C. establish a good rapport.

When transferring care of a patient to another EMS​ provider, your brief verbal report should always include the​ patient's:

A. pertinent history.

B. last oral intake.

C. weight.

D. Glasgow Coma Score.

A. pertinent history.

What should you do first​ if, after receiving an order from medical​ direction, you feel that the order is not appropriate for your​ patient?

A. Clarify after arrival at the ED.

B. Refuse the order.

C. Repeat the order​ back, and then ask the physician if you understood them correctly.

D. Perform the procedure.

C. Repeat the order​ back, and then ask the physician if you understood them correctly.

Jurisdiction over all EMS radio operations in the United States is held by​ the:

A. Federal Emergency Management Agency.

B. Department of Transportation.

C. Department of Health and Human Services.

D. Federal Communications Commission.

D. Federal Communications Commission.

Convert the military time of 0015 to standard clock​ time:

A. ​12:15 P.M.

B. ​1:15 A.M.

C. unable to make that conversion.

D. ​12:15 A.M.

D. ​12:15 A.M.

If your partner told you that you provided immobilization at​ 6:40 P.M., what time would you document on your​ PCR?

A. 0640 hours

B. ​18:40 hours

C. ​06:40 hours

D. 1840 hours

D. 1840 hours

What is another term for providing false assurances to your​ patient?

A. Providing a diagnosis

B. Providing inappropriate advice

C. Lying

D. Haptics

C. Lying

When communicating with an elderly​ patient:

A. remember that many elderly patients are well oriented and physically able.

B. remember that they all have stages of​ Alzheimer's disease.

C. always speak louder and​ slower, as they are all hearing impaired.

D. calling them names like​ "Dear" and​ "Honey" makes them feel better.

A. remember that many elderly patients are well oriented and physically able.

Which of the following is the BEST definition of a base​ station?

A. Devices used when transmission must be carried over a long distance

B. ​Transmitter/receivers that are affixed in a vehicle

C. Dispatch and coordination area

D. Handheld​ transmitter/receivers

C. Dispatch and coordination area

Once you arrive at the hospital with your​ patient, it is important to give the ED staff an oral report. This report should​ include:

A. treatment given to the patient en route and the​ patient's response to that treatment.

B. personal information about the patient not pertinent to medical care.

C. only new information. It is not necessary to repeat your broadcasted report.

D. the​ patient's billing and insurance information.

A. treatment given to the patient en route and the​ patient's response to that treatment.

How often should the batteries in portable radios be​ changed?

A. Daily

B. Twice each shift

C. Weekly

D. After they fail

A. Daily

SBAR stands​ for:

A. ​Situation, Background,​ Action, Response.

B. ​Symptoms, Backgrounds,​ Assessment, Response.

C. ​Situation, Background,​ Assessment, Recommendation.

D. ​Signs, Background,​ Action, Responsibilities.

C. ​Situation, Background,​ Assessment, Recommendation.

You have just cleared the hospital from your last patient and dispatch immediately assigns you another emergency and the address of the emergency. How should you​ respond?

A. Echo the call information back to dispatch.

B. Advise dispatch you are en route to the emergency.

C. State​ "copy" and activate the emergency lights and sirens.

D. Depress the PTT button and respond​ "10-4."

A. Echo the call information back to dispatch.

Which of the following is an example of an​ open-ended question?

A. ​"What seems to be the problem​ today?"

B. ​"Are you having chest​ pain?"

C. ​"What medications do you​ take?"

D. ​"What time did the pain​ begin?"

A. ​"What seems to be the problem​ today?"

The EMT should communicate with the receiving​ to:

A. request additional orders only.

B. give a​ detailed, comprehensive patient briefing.

C. give a​ brief, somewhat broad description of the​ patient's condition and the care that has been rendered.

D. find out which bed the patient will be placed in.

C. give a​ brief, somewhat broad description of the​ patient's condition and the care that has been rendered.

When interviewing a patient from another​ culture, the EMT should keep in mind each of the following​ tips, EXCEPT:

A. nonverbal communications are not significant.

B. some patients may use established folk medicine practices before calling EMS.

C. many people accept the role of the sick person differently.

D. various cultures view personal space differently.

A. nonverbal communications are not significant.

While completing a radio​ transmission, you should​ periodically:

A. sign off.

B. give ETA.

C. give call letters.

D. obtain confirmation that your message was received and understood.

D. obtain confirmation that your message was received and understood.

When you press the button on the radio to​ talk, you should wait at LEAST how long before speaking to avoid cutting off the first words of your​ transmission?

A. Five seconds

B. Seven seconds

C. Three seconds

D. One second

D. One second

Which of the following should be completed prior to advising dispatch you are available for another​ assignment?

A. The squad has returned back to the station.

B. Your previous patient has been transferred​ (including hand-off​ report) to hospital staff.

C. The unit is restocked but still needs disinfected.

D. You have cleared the scene of an MVC with one patient on board.

B. Your previous patient has been transferred​ (including hand-off​ report) to hospital staff.

When an EMT assumes that all people from other cultures should be​ interviewed, assessed, and managed the​ same, this could be a form​ of:

A. empathy.

B. stereotyping.

C. ethnocentrism.

D. cultural expression.

C. ethnocentrism.

You must establish a​ positive, trusting relationship with your patient if​ you:

A. want to ensure that the patient will not attempt to bring a lawsuit against you for some reason.

B. are to focus your attention on him.

C. want to be aware of your​ patient's comfort.

D. expect your patient to trust you with very private information.

D. expect your patient to trust you with very private information.

An EMT listens to a​ patient's statement about his pain from falling and injuring his wrist and​ says, "I understand how you feel. I fell when I was snowboarding last season and had a similar​ injury." This is a therapeutic communications technique known​ as:

A. reflection.

B. empathy

C. facilitated communication.

D. confrontation.

B. empathy

What power output do most portable radios​ have?

A. 0.5 to 3 watts

B. 1 to 5 watts

C. 5 to 10 watts

D. 25 to 35 watts

B. 1 to 5 watts

When questioning your​ patient, it is BEST to​ ask:

A. ​open-ended questions leading to​ closed-ended questions.

B. ​closed-ended questions leading to​ open-ended questions.

C. similar questions worded differently each time.

D. more than one question at a time.

A. ​open-ended questions leading to​ closed-ended questions.

​"Your pain is a​ 10/10, isn't​ it?" is an example of what type of​ question?

A. Indirect question

B. ​Open-ended question

C. Invalid question

D. Leading question

D. Leading question

To ensure timing accuracy and synchronicity among EMS​ personnel, MOST EMS and health care facilities​ use:

A. atomic clocks.

B. standardized radio codes.

C. pagers.

D. military time.

D. military time.

Guidelines for communicating with your patient include which one of the​ choices?

A. Never touching a patient in a comforting​ manner, as the patient will perceive it as encroachment

B. Refraining from explaining what you are​ doing, as it takes too much time

C. Being informal with older patients and calling them by their first name

D. Keeping your eye level above that of the patient if the patient seems hostile or aggressive

D. Keeping your eye level above that of the patient if the patient seems hostile or aggressive

Which of the following is NOT recommended when using radio terms and​ codes?

A. Using the term​ "encode" when calling the hospital to give a patient report

B. Using codes that are known only by yourself and the dispatcher

C. Using the term​ "out of​ service" when you have to return to the station to decontaminate the patient compartment

D. Using codes to shorten your transmission time or communicate a message that could be distressful or misleading to the lay public

B. Using codes that are known only by yourself and the dispatcher

After providing a verbal report when transferring care of a patient to another EMS​ provider, you​ should:

A. remain in charge of the scene.

B. leave the scene.

C. submit a PCR to the ED.

D. make sure the other provider​ doesn't need any additional information.

D. make sure the other provider​ doesn't need any additional information.

Patient​ condition, vitals, and pertinent medical history would typically be communicated to whom upon arrival at the hospital with a​ patient?

A. Hospital security

B. Facility staff

C. The patient

D. The department ward clerk

B. Facility staff

As you complete your​ assessment, you place your hand on your elderly​ patient's shoulder. This is an example​ of:

A. posture.

B. haptics.

C. gestures.

D. cultural relativism.

B. haptics.

Patients who are unable to​ speak:

A. are considered communicative.

B. are embarrassed.

C. are intentionally deceiving you.

D. may not be able to elaborate on details about the facts.

D. may not be able to elaborate on details about the facts.

During transport to the​ hospital, your patient has a brief seizure and goes into cardiac arrest. What should the lead EMT tell the other one driving to​ do?

A. Contact your dispatch to get permission to transport to a funeral home.

B. Start driving faster regardless of the road or traffic conditions.

C. Contact an ALS supervisor to determine if you must continue transport.

D. Contact the receiving ED with a patient update while you start CPR.

D. Contact the receiving ED with a patient update while you start CPR.

Your unit has been dispatched to a motor vehicle collision with injuries. Which one of the following should be communicated to​ dispatch?

A. Passenger count

B. Description of the scene

C. Advising your unit is en route

D. Condition of the patient

C. Advising your unit is en route

Which of the following most accurately defines the nonverbal communication technique of​ haptics?

A. Maintaining eye contact

B. Reflecting feelings to the patient

C. The study of touching

D. Maintaining a comfortable distance

C. The study of touching

Good communication skills are essential for all the following​ EXCEPT:

A. assuring you are quoted correctly by the local newspaper.

B. verbal communications with hospital personnel.

C. radio communications.

D. interpersonal communications.

A. assuring you are quoted correctly by the local newspaper.

The ground rules for radio communication​ include:

A. telling the receiving hospital what you feel the​ patient's diagnosis is.

B. depressing the​ "press to​ talk" button and waiting 1 second before speaking.

C. pressing your lips against the microphone for clarity while speaking.

D. using EMS frequencies for all radio​ traffic, including personal messages.

B. depressing the​ "press to​ talk" button and waiting 1 second before speaking.

Emergency medical technicians​ (EMTs) need functional communication equipment to talk with

A. local fire departments.

B. dispatch.

C. law enforcement agencies.

D. family members.

B. dispatch.

Which one of the following should be commonly communicated to​ dispatch?

A. Acknowledgement of call information

B. Travel speed

C. Description of the scene

D. Condition of the patient

A. Acknowledgement of call information

En route to the​ hospital, an elderly patient seems very distressed over the fact that he does not have the money to pay for the hospital bill. Telling the patient that you understand him and you know what it is like to worry about having money to pay the bills is an example​ of:

A. sympathy.

B. clarification.

C. empathy.

D. summary.

C. empathy.

If the patient seems reluctant to​ speak, what would your NEXT step​ be?

A. Assume that pathology is not the cause.

B. Treat the patient as uncooperative.

C. Decide if the patient is hiding something.

D. Rule out language barriers and hearing difficulties.

D. Rule out language barriers and hearing difficulties.

Radio​ communications, which may include patient assessment​ findings, responses to​ interventions, and information from the​ scene, are monitored by​ the:

A. DOT.

B. FCC.

C. OSHA.

D. EPA.

B. FCC.

If you were on scene from 1345 hours to 1415​ hours, how long were you​ there?

A. 15 minutes

B. 30 minutes

C. 10 minutes

D. 100 minutes

B. 30 minutes

​_____ are devices that receive transmissions from lower powered sources and rebroadcast them at a higher power and a different frequency.

A. Encoders

B. Decoders

C. Mobile Data Terminals

D. Repeaters

D. Repeaters

Backup batteries should always be on hand and should be charged to at least

A. 50 percent.

B. 75 percent.

C. 25 percent.

D. 100 percent.

D. 100 percent.

Which question type is likely to provide you with the most subjective​ information?

A. ​Closed-ended

B. Narrative

C. Objective

D. ​Open-ended

D. ​Open-ended

A patient may think that you are NOT concerned with her issues if​ you:

A. reflect.

B. seem empathetic.

C. interrupt the patient.

D. ask​ closed-ended questions.

C. interrupt the patient.

When receiving orders from medical​ direction, you should do all of the following​ EXCEPT:

A. repeat the order​ word-for-word.

B. ask for clarification of an order you did not understand or feel is inappropriate.

C. give the​ patient's name over the radio.

D. avoid phrases such as​ "please," "thank​ you," and​ "you're welcome"

C. give the​ patient's name over the radio.

In​ order, the steps of communication​ are:

A. ​receiving, encoding,​ decoding, and response.

B. ​response, decoding,​ receiving, and encoding.

C. ​encoding, receiving,​ decoding, and response.

D. ​decoding, receiving,​ response, and encoding.

C. ​encoding, receiving,​ decoding, and response.

Which of the following is an advantage of radio​ codes?

A. Improves interagency communication

B. Benefits from complex medical terms

C. Shortens air time

D. Meets HIPAA compliance

C. Shortens air time

Entering your​ patient's intimate zone may be interpreted​ as:

A. stern.

B. friendly.

C. compassionate.

D. threatening.

D. threatening.

Your EMS agency wants to increase the power output of the base station in order to cover a larger area without needing a repeater. Which federal agency is responsible for establishing limitations for power​ output?

A. Warning and Reference Guidance Association

B. Federal Communications Commission​ (FCC)

C. International Municipal Signal Association​ (IMSA)

D. Office of Emergency Communications​ (OEC)

B. Federal Communications Commission​ (FCC)

You may receive an order from medical direction over the radio to help a patient with his medication. After receiving the​ order, you​ should:

A. confirm the order with your partner.

B. repeat the order back to medical direction.

C. administer the medication.

D. repeat vital signs.

B. repeat the order back to medical direction.

What communication format should the EMT utilize when communicating with the emergency department​ (ED) via​ cellular/mobile phone?

A. Similar to radio

B. Question and answer

C. Any format is​ permissible, as HIPAA​ doesn't apply to phone calls.

D. Conversational

A. Similar to radio

Which of the below communication technologies is often used as a​ "backup" system to normal communications used by​ EMS?

A. Mobile radio

B. Mobile phones

C. A base station

D. Digital equipment

B. Mobile phones