Pcpp Vol. 1 Chapter 7

Front 1

You are called to a scene for a report of an unconscious man. When you arrive at the scene, the patient is conscious and alert, sitting on the front stairs with neighbors around him. He says he doesn't know what happened but is okay now just a little woozy. You asked if you can assess him, but he refuses. You make several attempts to get him to change his mind, pointing out possible causes of the problem and possible consequences of refusing. He still says no, and you ask the neighbors if they can help the patient change his mind. Finally, you get the patient to sign a release from liability form and have it witnessed by one of the neighbors. As you leave, you document the call and your efforts to convince the patient to accept assessment/care. What else should you have done with this patient before leaving the scene?

Back 1

All of these; Consulted with medical Direction online, advise the patient that he could call EMS again if the problem reoccurs, urged the patient's neighbors to stay with him

Front 2

A paramedic may treat an unconscious diabetic patient by relying on

Back 2

Implied consent

Front 3

Which of the following is not an important action to take when preserving physical evidence at a crime scene?

Back 3

Report suspected child or elder abuse to the proper authorities

Front 4

The granting of permission by a governmental body for a qualified individual to engage in a particular profession or occupation is known as

Back 4

Licensure

Front 5

Your patient is a competent adult who has given permission for treatment and transport. You have loaded the patient into the ambulance, but just before you are ready to leave the scene, she changes her mind and says she does not want to go to the hospital. Which of the following statements about the situation is true?

Back 5

She can withdraw consent

Front 6

Generally, a patient under age 18 can be considered an emancipated minor and all of the following situations except when the patient is a:

Back 6

16 year old living in foster care

Front 7

The four elements needed to sustain a charge of negligence against a paramedic are

Back 7

Duty to act, breach of that Duty, actual damages, and proximate cause

Front 8

Which of the following occurrences is least likely to require mandatory legal reporting by the paramedic?

Back 8

Public intoxication

Front 9

_______ often occurs in patients who have used CNS depressants and results from the patient being and a physical position that interferes with his airway or with ventilation.

Back 9

Restraint asphyxia

Front 10

The category of law that deals with issues involving conflicts between two or more parties, such as personal injury cases, contract dispute, and matrimonial issues is _____ law.

Back 10

Civil

Front 11

Your patient is a 16 year old male with a reported history of ingesting 8 to 10 beers over the preceding 2 hours. He fell while jumping on a trampoline, striking his head on the metal framing of the trampoline. There was no reported loss of consciousness, but the patient has a laceration to the occipital area of the head. The patient is alert and oriented to person, time, and place but fails to show appropriate concern for his injury and has slurred speech. The parents are unavailable. Which of the following is the best course of action?

Back 11

Treat the patient under the doctrine of implied consent of the parents

Front 12

Which of the following statements about civil suits regarding torts is generally true?

Back 12

The plaintiff seeks to recover damages from the defendant

Front 13

A patient is involved in a car crash. When the paramedics arrived, he complains of neck pain but refuses to let the paramedics immobilize his spine. The paramedics explain the risk of refusing treatment and have the patient sign a release from liability form. The patient suffers minor neurological damage and later sues, charging negligence on the part of the paramedics. Which of the following best explains why the patient is not likely to be awarded damages?

Back 13

There was contributory negligence on the part of the patient

Front 14

Which of the following is not a valid reason for releasing confidential patient information?

Back 14

A newspaper reporter promises not to reveal his source

Front 15

When a court orders that a prisoner receives treatment the prisoner does not want, the treatment is based on____ consent.

Back 15

Involuntary

Front 16

Malfeasance, misfeasance, and nonfeasance are three types of:

Back 16

Breach of Duty

Front 17

Which of the following is best described as the unlawful touching of another individual without the individual's consent?

Back 17

Battery

Front 18

Which of the following is true in the event that off-duty paramedics provide Advanced life support interventions at an emergency scene?

Back 18

They may be charged with practicing medicine without a license

Front 19

DNR orders, durable Powers of Attorney, and living wills are all forms of:

Back 19

Advanced directives

Front 20

The degree of care, skill, and judgment that would be expected of any similarly trained, reasonable paramedic acting under similar circumstances is called the

Back 20

Standard of care

Front 21

When a patient care report is found to be in complete or accurate the paramedic should

Back 21

Add a dated and signed written Amendment to the original report

Front 22

A paramedic performs an intervention on a patient that is contrary to current practices. The patient suffers an injury as a result of that intervention. This is an example of

Back 22

Malfeasance

Front 23

Emt-p Smith came to work feeling very tired and decided to nap before doing his equipment and vehicle checklist. After about 45 minutes the tones went off, and emt-p Smith and his emt-b partner, Jones, we're just bashed for a seizure. The patient was still actively seizing when they arrived at the scene. Smith discovered that the previous shift at a used all the volume and failed to replace it. As a result, Smith could administer no medication to stop the seizure. Ultimately, the patient stopped seizing and suffered no apparent adverse consequences. Which of the following elements to establish negligence as missing in this?

Back 23

Actual damages

Front 24

Protecting those at risk is an example of a paramedics______ duty.

Back 24

Ethical

Front 25

Paramedic Davis and his partner, emt-i Smothers, are eating lunch in the hospital cafeteria and discussing the details of a call they ran last week on a well-known news anchor Adam best. Unbeknownst to Davis and Smothers, mr. Best co-anchor is sitting directly behind them listening to the details. Which of the following best describes the actions of Davis and Smothers?

Back 25

Breach of confidentiality

Front 26

The type of consent that must be obtained from a conscious, competent adult patient before a paramedic can begin treatment is called_____ consent.

Back 26

Informed

Front 27

Injuring a person's name or character through false written statements is known as:

Back 27

Libel

Front 28

A written statement of a patient's preference for future Medical Care is a(n):

Back 28

Advance directive

Front 29

OSHA's development of requirements to be followed at hazardous materials emergencies is an example of_____ law.

Back 29

Administrative

Front 30

All of the following are matters of civil law, except:

Back 30

Homicide

Front 31

The unilateral termination of the paramedic patient relationship by the paramedic without assurance that an equal or greater level of care will continue is known as:

Back 31

Abandonment

Front 32

Which of the following statements about civil suits regarding torts is generally true?

Back 32

The plaintiff seeks to recover damages from the defendant

Front 33

Which of the following laws is designed to allow the paramedic who has been potentially exposed to an infectious disease access to the medical records of the patient to whom the paramedic was exposed?

Back 33

The Ryan White Care Act

Front 34

A paramedic who transports patients without their consent or other legal Authority would most likely be subject to charges of:

Back 34

False imprisonment

Front 35

A civil wrong committed by one individual against another is a:

Back 35

Tort

Front 36

In a lawsuit in which a paramedic has been charged with negligence, the paramedic is called the

Back 36

Defendant

Front 37

A document that is signed by a physician and that outlines the life-sustaining measures that may or may not be taken when a patient's heart and respiratory functions have seized is a

Back 37

DNR order

Front 38

Which of the following occurrences is least likely to require mandatory legal reporting by the paramedic?

Back 38

Public intoxication

Front 39

A patient has been treated by paramedics for sprained wrist. In route to the hospital, she suffers a stroke. What is the likely outcome of a negligence lawsuit brought by the patient?

Back 39

The suit would fail because the plaintiff could not demonstrate that the paramedics actions were the proximate cause of the stroke

Front 40

Legal responsibility for a situation is known as

Back 40

Liability

Front 41

Your patient is a competent adult who has given permission for treatment and transport. You have loaded the patient into the ambulance, but just before you're ready to leave the scene, she changes her mind and says she does not want to go to the hospital. Which of the following statements about the situation is true?

Back 41

She can withdraw consent

Front 42

Which of the following is not a component of a civil suit?

Back 42

Imprisonment

Front 43

When a paramedic treats and unconscious patient, the provision of treatment is based on_____ consent.

Back 43

Implied

Front 44

You have responded to a physician's office for a terminal cancer patient in cardiac arrest. The Physician States this is a chemical code only. Just give the meds, but don't innovate or do CPR. Which of the following should you do?

Back 44

Tell the physician you are bound to treat the patient according to protocol. If the physician would like you to do something different, she must take complete responsibility for patient care.

Front 45

When faced with unruly or violent patients who posed threats to themselves, paramedics, or others, the paramedic make control the patients by using:

Back 45

Reasonable physical Force

Front 46

There are ethical and societal limits to the interactions between paramedics or other health-care personnel and the patients they serve. These are called:

Back 46

Professional boundaries