Term
| EMT-I training is based upon a standard curriculum developed by the: |
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Definition
| U.S. Department of Transportation |
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Term
| A physician authorizes you, via two-way radio, to help a patient administer prescribed nitroglycerin. What type of medical direction is this? |
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Definition
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Term
| A circular system of ongoing internal and external reviews is known as: |
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Definition
| continuous quality improvement. |
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Term
| An EMT-Is scope of practice and recertification requirements are ultimately governed by the: |
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Definition
| State agency or Office of EMS. |
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Term
| Authorization to initiate an intravenous (IV) line generally requires which minimum level of EMS provider? |
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Definition
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Term
| Which of the following scenarios does NOT involve an ALS skill? |
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Definition
| Using an AED and performing BVM ventilations |
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Term
| Continuing Education in EMS serves to: |
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Definition
| maintain, update, and expand your knowledge and skills. |
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Term
| When managing any patient, the EMT-I should: |
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Definition
| maintain a nonjudgmental and compassionate attitude. |
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Term
| Roles and responsibilities of the EMT-I include: |
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Definition
| identifying patients who are critically ill or injured. |
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Term
| Continuous quality improvement (CQI) involves all of the following components, EXCEPT: |
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Definition
| negative feedback to those who make mistakes while on a call. |
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Term
| Who regulates the standards under which the EMT-I provides emergency care? |
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Definition
| The State EMS office or agency |
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Term
| While attempting resuscitation of a patient in cardiac arrest, you intubate the patient, start an IV, and administer medications prior to contacting medical control. What does this scenario most accurately describe? |
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Definition
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Term
| The recognition by one state of another state's EMS certification is called: |
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Definition
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Term
| Even with an EMS certification, your ability to function as an EMT-I is governed locally by the: |
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Definition
| EMS system's medical director. |
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Term
| Which of the following scenarios involves an ALS skill? |
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Definition
| Administering oxygen and starting an IV. |
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Term
| Which of the following is NOT considered a form of continuing education? |
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Definition
| Starting an IV on a patient in severe shock. |
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Term
| An appropriate demonstration of professionalism when your patient is frightened, demanding, or unpleasant is to: |
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Definition
| continue to be nonjudgmental, compassionate, and respectful. |
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Term
| All of the following are roles and responsibilities of the EMT-I, EXCEPT: |
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Definition
| providing definitive care for the patient's condition |
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Term
| As an EMT-I, you may have to function as an advocate for your patient. This involves: |
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Definition
| protecting the best interests of the patient. |
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Term
| You arrive at the scene of a domestic dispute. You can hear yelling and the sound of breaking glass from inside the residence. You should: |
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Definition
| retreat to a safe place until the scene has been secured. |
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Term
| You are assessing an older man who evidently died due to end-stage cancer. Which of the following is a definitive sign of death? |
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Definition
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Term
| After being told of the death of her husband, a middle-aged woman asks, “Why are you lying to me?” What stage of the grieving process is this typical of? |
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Definition
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Term
| Which of the following is the MOST effective way of preventing the spread of disease? |
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Definition
| Thoroughly wash your hands after every patient contact. |
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Term
| Critical incident stress management is a program designed to: |
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Definition
| confront the responses to critical incidents and defuse them. |
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Term
| Warning signs of stress include which of the following? |
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Definition
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Term
| A critical incident stress debriefing (CISD) should ideally be held within how many hours after the incident? |
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Definition
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Term
| You arrive at the scene of an overturned semi-trailer truck. There is an odd odor in the air and you can see material leaking from the truck. After ensuring that fire department and law enforcement personnel are notified, you should: |
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Definition
| use binoculars to try to read the placard. |
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Term
| You arrive at the scene of a domestic violence situation. As you approach the doorway of the apartment, you hear screaming and the statement "He has a gun!" At this point, you should: |
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Definition
| retreat immediately and call for law enforcement assistance. |
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Term
| Universal precautions differ from body substance isolation (BSI) precautions in that: |
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Definition
| universal precautions are protective measures designed to prevent workers from coming in direct contact with germs carried by patients. |
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Term
| When assisting with the delivery of a baby, the minimum body substance isolation (BSI) precautions you should take include: |
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Definition
| gloves, mask, gown, and eye protection. |
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Term
| You have just established an IV on a critically injured patient. As you prepare to dispose of the needle in the appropriate container, you get stuck with the needle. You should: |
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Definition
| report the incident to your supervisor as soon as possible. |
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Term
| Which of the following statements regarding HIV is correct? |
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Definition
| HIV cannot enter the bloodstream through intact skin. |
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Term
| What is the difference between cover and concealment? |
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Definition
| Cover involves the use of an impenetrable barrier. |
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Term
| Which of the following is NOT a presumptive sign of death? |
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Definition
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Term
| A man is experiencing significant anxiety and depression regarding the impending death of his wife. However, the wife is trying to comfort her husband by telling him that she loves him and is prepared to die. What stage of the grieving process is the patient experiencing? |
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Definition
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Term
| Which of the following is generally considered a medical examiner's case? |
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Definition
| Known or suspected poisoning-related deaths. |
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Term
| Which of the following physiologic responses is common during an acute stress reaction? |
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Definition
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Term
| Which of the following is NOT a typical warning sign of stress? |
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Definition
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Term
| Which of the following personnel are typically NOT involved in a critical incident stress debriefing (CISD) |
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Definition
| Supervisors who were not involved in the incident. |
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Term
| At the scene of an automobile crash, a utility pole has been broken, and power lines are lying across the car. The driver of the car is conscious, but complaining of neck pain. You should: |
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Definition
| mark off a danger zone around the car and downed lines. |
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Term
| Which of the following statements is correct regarding the family's reaction to the death of a loved one who had an extended or terminal illness? |
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Definition
| They often feel relieved that the illness is over. |
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Term
| Body substance isolation precautions differ from universal precautions in that: |
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Definition
| body substance isolation precautions are designed to approach all bodily fluids as being potentially infectious. |
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Term
| When you suction a patient's airway, the minimum body substance isolation (BSI) precautions you should take are: |
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Definition
| gloves and eye protection. |
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Term
| You have administered a medication to a patient via intramuscular injection. As you prepare to dispose of the needle in the appropriate container, you get stuck with the needle. You should: |
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Definition
| report the incident to your supervisor as soon as possible. |
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Term
| Common hazards associated with a structural fire include all of the following, EXCEPT: |
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Definition
| carbon dioxide deficiency. |
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Term
| After several years in EMS, you begin to experience chronic stress. An effective way to deal with this is to: |
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Definition
| sustain friends or activities outside of EMS. |
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Term
| Under which of the following situations would the EMT-I NOT have a legal duty to act? |
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Definition
| You are off duty and encounter a man in cardiac arrest. |
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Term
| Which of the following defines your scope of practice within your local response area? |
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Definition
| Local protocols and standing orders |
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Term
| You respond to a call for an older woman who has fallen. Upon arrival at the scene, you assess the patient, who is conscious and alert to person, place, and time. She states that she does not want to go to the hospital; however, her son requests that you take her. What should you do? |
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Definition
| Ensure the patient is fully aware of the consequences of refusing treatment. |
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Term
| While treating a conscious and alert patient with a serious illness, your partner starts an IV, but does not explain the procedure to the patient. Your partner's inaction MOST accurately constitutes: |
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Definition
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Term
| You respond to the home of a 75-year-old man who is in full cardiac arrest. The family states that the patient is terminally ill and has a living will; however, they are unable to locate it. How should you manage this situation? |
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Definition
| Begin CPR and contact medical control. |
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Term
| You respond to a call for a 56-year-old man with a severe headache and nausea. He asks you to take him to a local community hospital. What type of consent has this patient given to you? |
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Definition
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Term
| Which of the following scenarios is MOST consistent with abandonment? |
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Definition
| A report is given to a hospital technician because you must respond to a cardiac arrest. |
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Term
| In most states, the EMT-I has a legal obligation to report: |
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Definition
| a man who was shot during an attempt to rob a bank. |
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Term
| When you arrive at an accident scene where a child has been seriously injured, you are unable to locate the child's parents. What type of consent is involved in treating and transporting this child? |
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Definition
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Term
| You respond to the scene of a 16-year-old pregnant woman with abdominal pain. Her friend called EMS because she was concerned. As you begin your assessment, the patient tells you that she feels better and does not want to go to the hospital. You should: |
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Definition
| explain the consequences of refusal of care. |
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Term
| An EMT-I administers 1,000 mL of IV fluid to a patient with severe pulmonary edema. The patient then develops severe respiratory distress and becomes apneic. What is this situation an example of? |
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Definition
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Term
| A direct relationship between a patient's injury and the EMT-Is actions or inactions is called: |
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Definition
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Term
| Which of the following components is NOT required to establish negligence? |
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Definition
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Term
| Which of the following scenarios MOST accurately depicts assault? |
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Definition
| Telling a patient to calm down or you will start an IV. |
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Term
| Which of the following information is NOT considered confidential? |
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Definition
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Term
| When writing your patient care form involving an acutely intoxicated patient, you document that the patient was “drunk.” What does this statement constitute? |
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Definition
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Term
| You and your partner are the first to arrive at a potential crime scene involving a critically injured patient. The scene is safe. Your FIRST priority is to: |
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Definition
| provide emergency care to the patient. |
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Term
| For consent to be informed, the EMT-I must: |
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Definition
| explain the risks and benefits of treatment. |
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Term
| You are NOT covered under the Good Samaritan law if you: |
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Definition
| perform an act beyond your scope of care. |
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Term
| The manner in which you are required to act or behave while providing emergency care is called: |
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Definition
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Term
| You respond to a call for an 11-year-old boy who injured his arm. As you are assessing the child, he tells you that he does not want you to touch him. His mother tells you to begin treatment and transport the child to the hospital if necessary. What should you do? |
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Definition
| Continue your assessment and transport if necessary. |
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Term
| An EMT-I witnessed a call in which his partner gave adequate physical care; however, he was deliberately rude because the patient was thought to be infected with HIV. The EMT-I ignored his partner's treatment of this patient and took no steps to prevent this behavior from happening again. This lack of action on the part of the EMT-I is considered: |
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Definition
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Term
| While treating a man with severe chest pain and difficulty breathing, you are presented with a valid do not resuscitate (DNR) order by the patient's wife. She tells you that her husband does not want any “heroics.” How should you manage this situation? |
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Definition
| Provide supportive care and transport the patient |
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Term
| You arrive at the scene of a 34-year-old woman with abdominal pain. As you begin talking to the patient, she extends her arm to allow your partner to take her blood pressure. What type of consent is this patient's action consistent with? |
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Definition
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Term
| During transport of a patient with a possible fractured arm, you come upon a major car accident involving multiple patients. Your patient is conscious, alert, and has stable vital signs. What should you do? |
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Definition
| Radio the dispatcher to send ambulances to the scene and continue transport. |
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Term
| You respond to a nursing home's call regarding an older patient who fell. During your assessment, you note injuries that are not consistent with the mechanism described. You should: |
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Definition
| transport the patient and report your suspicions. |
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Term
| You arrive at the scene where an older man inadvertently overdosed on his blood pressure medication. He is unconscious with shallow respirations. The patient's wife is unavailable. You should: |
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Definition
| begin treatment and transport the patient to the hospital. |
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Term
| Which of the following patients has the legal right to refuse treatment? |
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Definition
| Conscious and alert 45-year-old man with chest pressure |
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Term
| While treating a patient with severe hypoxia and inadequate breathing, an EMT-I applies low-flow oxygen with a nasal cannula. Upon arrival at the hospital, the patient develops respiratory arrest. What is this situation an example of? |
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Definition
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Term
| When establishing negligence, which of the following factors is NOT a consideration? |
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Definition
| The patient's injury was life threatening. |
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Term
| When treating an anxious and uncooperative patient with chest pain, you state, “If you don't settle down, I am going to put a large IV in your arm.” What is this an example of? |
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Definition
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Term
| Which of the following circumstances would require a written release of confidential information from the patient? |
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Definition
| Family members wanting information about an adult patient. |
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Term
| Which of the following is your BEST protection against being accused of defamation of character? |
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Definition
| Documenting objective findings only. |
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Term
| A male patient is complaining of crushing chest pain. Prior to informing an invasive procedure on him, you must: |
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Definition
| explain the risks and benefits of the procedure to the patient. |
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Term
| A patient is experiencing hypoglycemia. What does this mean? |
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Definition
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