CH4: Communication & Documentation - Practice Questions

when health care providers force their cultural values onto their patients because they believe their values are better, they are displaying:

a. ethnocentrism

b. proxemics

c. nonverbal communications

d. cultural imposition

cultural imposition

when communicating with an older patient, you should:

a. approach the patient slowly and calmly

b. step back to avoid making the patient uncomfortable

c. raise your voice to ensure that the patient can hear you

d. obtain the majority of your information from family members

approach the patient slowly and calmly

while caring for a 5 year old boy with respiratory distress, you should

a. avoid direct eye contact with the child, as this may frighten him

b. avoid letting the child hold any toys, as this may hinder your care

c. avoid alerting the child prior to a patient procedure

d. allow a parent or caregiver to hold the child if the situation allows

allow a parent or caregiver to hold the child if the situation allows

which of the following pieces of patient information is of LEAST pertinence when giving a verbal report to a nurse or physician at the hospital?

a. the patient’s name and age

b. the patient’s family medical history

c. vital signs that may have changed

d. medications that the patient is taking

patient’s family medical history

which of the following statements about the patient care report (PCR) is true?

a. it is not a legal document in the eyes of the law

b. it cannot be used for patient billing information

c. it helps ensure efficient continuity of patient care

d. it is intended for use only by the prehospital care provider

it helps ensure efficient continuity of patient care

a device that receives a low-frequency signal and then transmits it at a relatively higher frequency is called a:

a. duplex

b. scanner

c. repeater

d. receiver

repeater

when treating a potentially hostile patient, you should try to diffuse the situation by

a. assuming an aggressive posture

b. staring at the patient

c. speaking calmly, confidently, and slowly

d. verbally threatening the patient

speaking calmly, confidently, and slowly

all of the following are functions of the emergency medical dispatcher EXCEPT

a. alerting the appropriate EMS response unit

b. screening a call and assigning it a priority

c. providing emergency medical instructions to the caller

d. providing medical direction to the EMT in the field

providing medical direction to the EMT in the field

after receiving an order from medical control over the radio, the EMT should:

a. carry out the order immediately

b. disregard the order if it is not understood

c. obtain the necessary consent from the patien

d. repeat the order to the physician word for word

repeat the order to the physician word for word

when requesting medical direction for a patient who was involved in a major car accident, the EMT should avoid:

a. using radio codes to describe the situation

b. questioning an order that seems inappropriate

c. relaying vital signs unless they are abnormal

d. the use of medical terminology when speaking

using radio codes to describe the situation

a ___ receives messages and signals on one frequency and then automatically retransmits them on a second frequency

a. repeater

b. duplex

c. scanner

d. decoder

repeater

a patient’s refusal of EMS treatment and/or transport must be:

a. an informed refusal

b. authorized by a judge

c. reported to the police

d. witness by a notary

an informed refusal

all information recorded on the PCR must be:

a. typewritten or printed

b. reflective of your opinion

c. considered confidential

d. a matter of public record

considered confidential

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

a. multiplex

b. base station

c. repeater

d. mobile radio

base station

as you are wheeling your patient through the emergency department doors, you receive antoher call for a major motor vehicle crash. you should

a. inform the admissions clerk of the situation and then respond at once

b. leave a copy of the run form with a nurse and then respond to the call

c. place the patient in a high-visibility area and then respond to the call

d. respond only after giving a verbal patient report to a nurse pr physician

respond only after giving a verbal patient report to a nurse or physician

calming and reassuring an anxious patient can be facilitated by

a. positioning yourself at a level that is higher than the patient

b. withholding unpleasant information until arrival at the hospital

c. using medical terminology to ensure the patient understands

d. maintaining eye contact with the patient whenever possible

maintaining eye contact with the patient whenever possible

communicating with hearing-impaired patients can be facilitated by doing all of the following except:

a. providing pen and paper if the patient prefers to write his or her response

b. shining a light on your face when you are in a darkened environment

c. placing yourself in a position to ensure that the patient can see your lips

b. elevating the tone of your voice and exaggerating word pronunciation

elevating the tone of your voice and exaggerating word pronunciation

during the alert and dispatch phase of EMS communications, the dispatcher’s responsibilities include all of the following, except

a. screening and assigning a priority to each call based on local protocol

b. selecting and notifying the correct EMS response units and personnel

c. coordinating responding EMS units with other public safety personnel

d. discouraging the caller from providing care until the EMS unit arrives

discouraging the caller from providing care until the EMS unit arrives

ethnocentrism is defined as

a. subconsciously forcing your cultural values onto a patient because you believe that your own values are more acceptable

b. suspecting that a person has an ulterior motive based on the tone of his or her voice when answering a question

c. considering your own cultural values as more important when interacting with people of a different culture

d. understanding that people from different cultural backgrounds respond to pain and stress differently

considering your own cultural values as more important when interacting with people of a different culture

in which of the following manners should you act and speak with a patient

a. loud and official

b. passive

c. calm and confident

d. authoritative

calm and confident

the patient care report (PCR) ensures

a. continuity of care

b. availability of research data

c. legal protection

d. quality assurance

continuity of care

two way communication that requires the EMT to “push to talk” and “release to listen” describes which mode of communication?

a. multiplex

b. complex

c. duplex

d. simplex

simplex

when communicating with a visually impaired patient, you should

a. possess an in-depth knowledge of sign language

b. expect the patient to have difficulty understanding

c. recall that most visually impaired patients are blind

d. determine the degree of the patient’s impairment

determine the degree of the patient’s impairment

when providing a patient report via radio, you should protect the patient’s privacy by

a. refraining from objective statements

b. using coded medical language

c. withholding medical history data

d. not disclosing his or her name

not disclosing his or her name

when relaying patient information via radio, communications should be

a. lengthy and complete

b. brief and easily understood

c. coded and scripted

d. spoken in a loud voice

brief and easily understood

which of the following incidents do not require a report to be filed with local authorities

a. spousal abuse

b. gunshot wounds

c. animal bites

d. cardiac arrest

cardiac arrest

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

a. unlike adults, children cannot see through lies or deceptions

b. most children are intrigued by strangers wearing uniforms

c. standing over a child often increases his or her level of anxiety

d. the EMT should give the child minimal information to avoid scaring him or her

standing over a child often increases his or her level of anxiety

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

a. scanner

b. simplex station

c. mobile repeater

d. duplex station

scanner

you are caring for 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?

a. “i notice that you are a retired paramedic, so I’m sure you will understand all of the things that we will be doing to you”

b. “ we need to take you to the ED stat. we will give you ASA and NTG en route and then reassess our vitals. do you have any questions?”

c. “this is nothing to worry about. please try to stay calm. the physician at the hospital will probably not find any signs of a heart problem”

d. “it is possible that you are experiencing a heart attack. i am going to give you four baby aspirin to chew and swallow”

“it is possible that you are experiencing a heart attack. i am going to give you four baby aspirin to chew and swallow”

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

a. assault

b. negligence

c. libel

d. slander

slander