HIPAA is MOSTLY about:

Federal protection of healthcare workers.

Accountability of health care providers.

A DNR order states that ...

No artificial creating machines should be used

person wants to be an organ donor

An advisor should be used for medical decisions

An EMT is charged with battery. What did the EMT do?

Treated a victim, even though the victim refused treatment.

Informed the news media of a victim’s condition.

Failed to splint a broken leg and then moved the victim.

Used inappropriate words to describe a victim’s nationality.

A diabetic patient has an elevated blood sugar (545 mg/dL) and requires an injection of insulin. Your EMT partner is also a diabetic and administers insulin injections to himself throughout the day as needed. Although the Scope of Practice lists nothing about EMTs giving insulin, your partner administers the insulin injection to the patient. The patient’s blood sugar comes down and her condition improves. Which of the following is true?

Your partner violated the Scope of Practice and may have his certification revoked

Because your partner used the patient’s insulin rather than his own, he cannot be reprimanded

Since the patient benefited from the insulin, your partner acted appropriately.

It was permissible for your partner to give the insulin since he is diabetic and knows how.

You have moved to another state and wish to work as an EMT. In your previous state of employment, EMTs were allowed to administer a select number of drugs. To determine if EMTs can administer drugs in your new state of residence, you should check the:

State Emergency Medical Technicians Scope of Practice.

Emergency Medical Technician-Basic: National Standard Curriculum.

National Highway and Transpiration Safety Agency: National Curriculum Standards.

Emergency Medical Services Act of 1973.

Which one of the following best illustrates the EMT’s failure to meet the standard of care when treating a patient with chest pain?

Failing to give the patient oxygen

Assisting the patient in taking his heart medication

Failing to notify the patient’s primary care physician

The EMT shows understanding of the standard of care when he states:

“The standard of care is a measure of whether or not the right assessment and care have been provided to the patient.”

“The standard of care is a state law that describes what actions the EMT can and cannot legally perform.”

“The standard of care is a document that outlines the curriculum to which all EMT programs in the United States must subscribe.”

“The standard of care is state law that requires the EMS to respond and render care in emergency and nonemergency situations.”

A 77-year-old female is unresponsive, but breathing and with a pulse. On scene, a family member hands you an official document stating that the patient does not want feeding tubes, ventilators, or other long-term life support equipment to keep her alive. There is no mention of whether to administer life-saving drugs or withhold cardiopulmonary resuscitation. The EMT would recognize this document as a(n):

Do Not Resuscitate (DNR) order.

You have been called to a home for an alert and oriented female with terminal lung cancer. At the home, the daughter, who is her mother’s durable power of attorney, states that she wants her mother transported to the hospital. The patient, who is alert and oriented, does not want to go. Which of the following statements indicates that the EMT is acting both appropriately and legally in this conflict?

“I know that you are the durable power of attorney, but your mother is alert and oriented so we cannot legally take her against her will.”

“Since your daughter is the durable power of attorney, she has the legal right to make all decisions; therefore, we have to take you to the hospital.”

“As your durable power of attorney, your daughter has the legally vested right to make your decisions; however, let us ask your husband what he thinks.”

“Since it appears there is a conflict of opinion here, I will need to call the police so that they can determine what to do.”

A patient with a terminal disease is unresponsive, not breathing, and without a pulse. The family states that the patient has a Do Not Resuscitate (DNR) order signed by her medical doctor, but they cannot find it. The EMT should:

start cardiopulmonary resuscitation.

wait for family to locate the DNR.

pronounce the patient deceased.

have the family sign a refusal of care form.

You have been dispatched to a residence for an 88-year-old female who is in and out of consciousness. The family provides you with a valid Do Not Resuscitate (DNR) order. Assessment of the patient shows her to be very confused with a low blood pressure and low oxygen level. Which one of the following would be appropriate given the situation?

Administer supplemental oxygen.

Provide transport but no additional care.

Provide care only if the patient’s heart stops beating.

Have the patient or family member sign a refusal and clear the scene.

The EMT shows he understands Do Not Resuscitate (DNR) orders and a living will when he states:

“A DNR applies to resuscitation issues only, like when a patient stops breathing or the heart ceases to beat.”

“A living will is a form of DNR; only a living will states exactly how the patient wants to be resuscitated.”

“If a patient has a valid DNR, the EMT should withhold all care and transport the patient to the hospital.”

“If the patient has a living will, it can legally be used as a substitute for a Do Not Resuscitate order.”

Which one of the following best indicates that informed consent has been obtained?

The patient agrees to oxygen therapy after being told it may help decrease his chest pain but may dry his nose, causing discomfort.

The EMT administers oxygen because the patient is having chest pain and appears short of breath.

The EMT tells the patient that he will need oxygen because he is having chest pain, which could be a sign of a heart attack.

The patient is given oxygen because he is having chest pain and was the one who placed the 911 call for help.

A 62-year-old male is short of breath. The EMT asks the patient if it would be okay to assess him, including taking his vital signs. The patient agrees. Which one of the following is true?

The EMT has obtained expressed consent.

Informed consent has been obtained by the EMT.

The patient can be transported without further permission.

A witness is needed for the patient’s consent.

12) The EMT gains the greatest protection from consent-related legal issues by:

documenting the patient’s consent for treatment on the prehospital care report.

notifying the emergency physician or medical direction of the patient’s consent.

having his or her partner serve as a witness to the consent.

asking the patient twice if it is okay to assess and treat him or her.

Which one of the following patients may be treated under the guideline of implied consent?

An unresponsive 33-year-old female who is treated by EMS after overdosing on a street drug

A 2-year-old boy who fell down a flight of stairs and whose parents want him taken to the hospital

An adult patient with chest pain and shortness of breath who is refusing treatment and transport by EMS

A 47-year-old female with severe abdominal pain who is refusing transport after placing the call to 911 for help

An alert and oriented patient complaining of a severe headache is refusing all treatment as well as transport by the EMTs. After having signed the refusal, the patient suddenly seizes and becomes unresponsive. The EMT should:

provide care under the guideline of implied consent.

contact medical direction for permission to treat.

honor the patient’s wishes and leave the scene.

place the patient into the family’s car for transport to the hospital.

You have been dispatched for a 15-year-old female with a headache. On scene, the patient is found holding her daughter in her arms. She states that she has had a migraine headache for two days and would like to be transported to the hospital for further evaluation. As an EMT you would:

assess and transport the patient as she desires.

obtain a parent’s consent to treat her, given her age.

refuse transport since the patient does not have a true emergency.

treat her under the doctrine of implied consent.

In a community park, a 10-year-old boy has fallen from the top of a slide. His right wrist is deformed and he is in pain. He states that he lives with his mother and she is working. He does not know her work number. The EMT’s best action would be to:

treat the patient under the guidelines of implied consent.

do not treat the patient until his mother can be contacted.

obtain permission from the park director.

have the police take custody of the boy and give permission to treat.

A competent adult patient with chest pain is refusing all treatment. Which one of the following indicates the EMT’s most appropriate response?

“Before you refuse, I need to tell you that this could be a heart attack and you could die.”

“I will need to have you sign this refusal form and a family member sign as a witness.”

“Since you are competent and rational, it is your right to refuse. Please sign this refusal form.”

“I am sorry, but since 911 was called, we must transport you to the hospital. You can refuse treatment there.”

An intoxicated 72-year-old male with an alcoholic history has fallen and has a laceration on the back of his head. He states that he does not want treatment and becomes combative when you try to talk to or assess him. Your best course of action would be to:

transport him against his will.

transport him by permission of family.

A 46-year-old man who is conscious, competent, and rational is refusing treatment despite crushing chest pain and shortness of breath. He states that the hospital will not do anything for him and he does not want you to treat or transport him. The EMT should recognize that the:

patient has a right to refuse treatment and transport.

police will need to be called so the patient can be transported in custody.

patient will need to be transported against his will.

patient’s family can give consent to transport the patient.

Your best protection when a patient refuses care or transport is to:

completely and thoroughly document the incident.

inform the patient’s family physician of what happened.

have your partner sign the refusal form as a witness.

contact the patient at a later time to see how he is doing.

A patient who is extremely dizzy and vomiting declines your care and will not sign the refusal form. Your best action would be to:

have a family member sign as a witness to the refusal.

document that the patient refuses to sign and leave.

have your partner sign on behalf of the patient.

inform the patient that by law he must sign the form.

For negligence to be proven, which of the following must be present?

Duty to act, injury, proximate cause

Duty to act, breach of duty, battery

Assault, breach of duty, damage

Harm to the patient, false imprisonment, duty to act

Which one of the following constitutes a breach of the EMT’s duty, placing him at risk for the charge of negligence?

Obtaining a refusal from a patient without obtaining vital signs

Transporting a competent patient who does not want transport to the hospital

Applying oxygen to a patient who is not complaining of shortness of breath

Obtaining an informed and signed refusal from a competent patient with abdominal pain

A patient’s spouse, who is a doctor, states that an EMT is negligent because he put his wife on low-concentration oxygen when she should have gotten high-concentration. The patient was having chest pain that was later determined to be caused by anxiety. She was released from the emergency department later in the day. Which one of the following statements is true?

The EMT cannot be proven negligent because that patient suffered no harm or damage.

Negligence can be proven because the protocol states high-concentration oxygen should be given.

Negligence cannot be proven since the EMT responded to the call and did render care.

Negligence is a distinct possibility since the patient was transported and treated in the emergency department.

You have arrived at the emergency department with a patient complaining of nausea. The department is extremely busy and you are waiting to give a verbal report to the nurse or doctor. While waiting, dispatch contacts you over the radio and states that you are needed for a critically injured child. Your best action would be to:

go to the nurse’s station and provide the registered nurse with a quick report.

take the call and come back to give the report at a later time.

provide the certified nurse’s aide with a report of the patient’s condition.

leave the patient in the emergency department and take the call.

You are by the side of a female patient who has overdosed on a drug. She is conscious but very combative and noncompliant with your requests. Which one of the following statements made by the EMT best suggests assault?

“If you do not let me get your blood pressure, I will take off the oxygen and you will suffocate.”

“You win. I cannot get your blood pressure and the doctor is going to yell at me. I am going to blame you.”

“If that is the way you are going to behave, then I am not going to try to get your blood pressure anymore.”

“If you throw up in the back of my ambulance, I will use your shirt to clean it up. Just think about that for a minute.”

MEDICAL, LEGAL AND ETHICAL

10th Grade

•

85 Qs

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MEDICAL, LEGAL AND ETHICAL

Quiz

•

10th Grade

•

Practice Problem

•

Medium

Jennifer Immediato

Used 32+ times

FREE Resource

85 questions

Show all answers

MULTIPLE CHOICE QUESTION

45 sec • 1 pt

You arrive at the scene of an incident involving a motor vehicle and a pedestrian. The paramedic unit is not there. There is a 16 year old patient who is unconscious and bleeding from the head....

begin immediate treatment and ask a law enforcement officer to attempt to contact the child's parents

contact the child's parents first before rendering any care

keep curious by standards away from the scene

MULTIPLE CHOICE QUESTION

45 sec • 1 pt

You placed your name on the schedule to respond for a 12-hour shift. With 10 minutes left, you are dispatched for a patient with a possible leg fracture. What should you do?

wait till your relief arrives and let them respond

respond only if it is convenient because your just a volunteer

proceed to the scene

wait for paramedics

MULTIPLE CHOICE QUESTION

1 min • 1 pt

If a healthcare worker sends information to an insurance company without a patient's written consent, this can be...

invasion of privacy

defamation

slander

libel

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

Which is an example of defamation?

A nurse sees her neighbor’s name on the surgical list and shares the fact at a neighborhood social.

Hospital personnel refuse to allow a hepatitis patient to be discharged.

An EMT incorrectly assumes an accident victim is drunk and reports it to the media.

A physician performed a surgical procedure on the wrong patient.

MULTIPLE CHOICE QUESTION

2 mins • 1 pt

Document that allows individuals to state what measures should or should not be taken to prolong life when their conditions are terminal.

Advanced Directive

DNR

Healthcare Proxy

Living Will

MULTIPLE CHOICE QUESTION

1 min • 1 pt

Failure to give care that is normally expected of a person in a particular position , resulting in injury to another person is...

malpractice

negligence

abuse

defamation

MULTIPLE CHOICE QUESTION

1 min • 1 pt

Restraining an individual or restricting their freedom is...

invasion of privacy

defamation

libel

false imprisonment

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MEDICAL, LEGAL AND ETHICAL

85 questions

You arrive at the scene of an incident involving a motor vehicle and a pedestrian. The paramedic unit is not there. There is a 16 year old patient who is unconscious and bleeding from the head....

You placed your name on the schedule to respond for a 12-hour shift. With 10 minutes left, you are dispatched for a patient with a possible leg fracture. What should you do?

If a healthcare worker sends information to an insurance company without a patient's written consent, this can be...

Which is an example of defamation?

Document that allows individuals to state what measures should or should not be taken to prolong life when their conditions are terminal.

Failure to give care that is normally expected of a person in a particular position , resulting in injury to another person is...

Restraining an individual or restricting their freedom is...

HIPAA is MOSTLY about:

A DNR order states that ...

Includes a threat or attempt to injure

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