Aaos Ch. 1-5 Quiz

Front 1

Many veteran EMS providers have embraced a leadership role in primary injury prevention after?

Back 1

witnessing too many episodes of needless suffering

Front 2

What is the target heart rate for a 35 yo man with a resting heart rate of 75 bpm?

Back 2

152 beats/min

Front 3

You have been attempting resuscitation of a middle-aged woman for approximately 15 minutes; however, she has not responded to any of your treatment. There is no evidence of hypothermia or drug ingestion, and the cardiac monitor shows asystole. You should?

Back 3

consider terminating your resuscitative efforts

Front 4

With regard to injury prevention, effective educational techniques include all of the following EXCEPT?

Back 4

penalties

Front 5

Which of the following statements regarding ethics in the workplace is MOST correct?

Back 5

off-duty misconduct on the part of the paramedic may lessen the public's confidence of EMS in general

Front 6

You arrive at the scene of an injured person. As you and your partner approach the patient, you see that he is bleeding profusely from a large laceration to his neck. As you are about to begin care, a man walks up and states, "I cut him!" You should?

Back 6

retreat from the scene to a safe area and immediately notify law enforcement

Front 7

A person wishes to be an organ donor. He or she must?

Back 7

have witnessed informed consent, usually in writing

Front 8

A do not resuscitate (DNR) order is MOST accurately defined as a?

Back 8

written order designed to tell health care providers when resuscitation is or is not appropriate

Front 9

When returning your unit to service following a call, the responsibility of ensuring that the unit is restocked and ready for another call rests with?

Back 9

everyone on the EMS team

Front 10

What instructions or guidance would an emergency medical dispatcher (EMD) MOST likely provide to a caller?

Back 10

controlling bleeding and performing CPR

Front 11

Although the technicalities of EMS DNR orders vary from state to state, the all?

Back 11

are designed to tell EMS providers when resuscitation is or is not appropriate

Front 12

The BEST example the paramedic can set with regard to injury prevention is?

Back 12

taking care of himself or herself and serving as a role model for others

Front 13

During the attempted resuscitation of a 79 yo man in cardiac arrest, a young man arrives at the scene and asks you to cease resuscitative efforts. He further tells you that the pt has entrusted him to make all of his medical decisions. You should?

Back 13

continue full resuscitative efforts and ask the man if the pt has a living will and if he has documentation naming him as the person authorized to make decisions

Front 14

People who call 911 at the moment of a loved one's death MOST often needed?

Back 14

information and support

Front 15

A critical incident is MOST accurately defined as?

Back 15

an incident that overwhelms the ability of an EMS worker or system to cope with the experience, either at the scene or later

Front 16

EMS providers can be MOST effective in helping reduce the incidence of suicide, domestic violence, and child abuse by?

Back 16

noting risk factors at the scene and reporting data

Front 17

If an EMS agency's call volume is too heavy to allow response within an appropriate time frame?

Back 17

mutual aid resources are not legally required to assist

Front 18

Regardless of a paramedic's circadian rhythms, he or she should?

Back 18

not overlook the need for rest

Front 19

Burnout is a consequence of?

Back 19

chronic, unrelieved stress

Front 20

Which of the following is an example of a protocol?

Back 20

standing orders

Front 21

According to the Haddon matrix, which of the following is an example of a pre-event strategy used to prevent injury in a child who is riding in a motor vehicle?

Back 21

reducing driving during high-risk times

Front 22

The EMS network begins?

Back 22

with citizen involvement

Front 23

The MOST effective injury prevention program is one that is?

Back 23

broad and ongoing

Front 24

A pt has requested to be transported to a specific hospital; however, the hospital does not have the proper resources to meet the patient's needs. You should?

Back 24

determine if there is a more appropriate medical facility within a reasonable distance

Front 25

Which of the following is NOT a critical point addressed by the "White Paper" written in 1966, that was entitled "Accidental Death and Disability: The Neglected Disease of Modern Society"?

Back 25

ensuring that paramedics responded to every call

Front 26

Patient autonomy is MOST accurately defined as the?

Back 26

patient's right to direct his or her own care and to decide how end-of-life care should be provided

Front 27

If a paramedic is self-motivated, he or she should NOT?

Back 27

require maximum supervision at work

Front 28

To be credible, an injury prevention intervention?

Back 28

should have quantitatively measured results

Front 29

The effort to rehabilitate a person who has survived an injury is called?

Back 29

tertiary injury prevention

Front 30

Which of the following statements regarding protocols is MOST correct?

Back 30

protocols are usually developed in conjunction with national standards

Front 31

Which of the following situations would be LEAST likely to require a critical incident stress debriefing (CISD)?

Back 31

death of a 91 yo pt with lung CA

Front 32

The MOST effective way to deal with stress is to?

Back 32

identify the stress triggers and take action to minimize their effects

Front 33

When caring for any pt, it is important to remember that?

Back 33

your moral standards may conflict with the pts best interests

Front 34

For the EMS provider, the process of collecting and analyzing data regarding injury prevention begins with?

Back 34

completing a legible PCR

Front 35

When wearing gloves while taking care of a pt, you should?

Back 35

take them off before you drive the ambulance to the hospital

Front 36

You arrive at the scene of a major motor vehicle crash. The pt, a 29 yo man, is in cardiac arrest from a severe head injury and has been receiving bystander CPR for approximately 10 min. A law enforcement official advises you that the pt's driver's license identifies him as an organ donor. You should?

Back 36

begin full resuscitative efforts and transport the patient to a trauma center because certain tissues may be viable for harvesting

Front 37

If you have a bad cold, it is MOST appropriate to?

Back 37

refrain from pt care

Front 38

A paramedic is considered a health care professional, and as such should?

Back 38

meet societal expectations whether he or she is on or off duty

Front 39

The husband of a terminally ill woman called 911 because he thinks that his wife is about to die. The pt has a valid living will and an out-of-hospital DNR order. You should?

Back 39

treat the husband and his wife with respect and provide emotional support

Front 40

When a pt minimizes his or her symptoms by stating, "I'm fine," the paramedic should?

Back 40

find a reliable informant among the pt's family or friends

Front 41

While caring for an 80 yo man with a possible fractured arm, you discover other injury patterns that are suggestive of abuse. The patient is conscious and alert. You should?

Back 41

splint the pt's arm, transport him to the hospital, and report your suspicions to the emergency dept physician

Front 42

You are caring for a 66 yo man with terminal CA. He is conscious and alert without evidence of mental incapacitation. You offer him O2, but he refuses to accept it, stating "Just let me die with dignity!" You should?

Back 42

respect the pt's wishes and ask him if he wants to be transported to the hospital

Front 43

Your unit is the first to arrive at the scene of a traffic accident. Numerous bystanders are surrounding the wrecked vehicle. The driver appears to be unconscious. You should?

Back 43

assess the scene carefully and notify other responding units of any hazards that may be present

Front 44

Which of the following is NOT a reason why EMS providers are in the ideal position to serve as advocates for injury prevention?

Back 44

most EMS systems require their personnel to participate actively in injury prevention programs

Front 45

Implied consent is based on the premise that a pt?

Back 45

would consent to care because of the seriousness of his or her injury

Front 46

The leading cause of death in the US is?

Back 46

heart disease

Front 47

Part of your therapeutic role as a paramedic includes?

Back 47

maintaining a calm and confident attitude

Front 48

Children are at higher risk for serious injury than adults because of?

Back 48

a proportionately larger head

Front 49

An effective injury prevention program should focus on all of the following data, EXCEPT?

Back 49

current EMS call volumes

Front 50

The attribution of one's own behavior or feelings to others is called?

Back 50

projection

Front 51

Proximate cause is MOST accurately defined as?

Back 51

a link between the paramedic's improper action and the pt's injury

Front 52

Which of the following statements regarding documentation is MOST correct?

Back 52

a thorough and accurate medical record is the paramedic's best protection in court

Front 53

Which of the following was NOT a required component identified by the Emergency Medical Services System Act of 1973?

Back 53

national EMS certification

Front 54

If a pt makes a decision regarding his or her own health care and the paramedic does not agree with that decision, the paramedic should?

Back 54

respect the pt's wishes, assuming he or she has decision-making capacity

Front 55

If a physician insists that you perform an intervention that you are not properly trained to perform, it would be MOST appropriate to?

Back 55

ask the physician if he or she can suggest another alternative

Front 56

When caring for a confused elderly patient, it is MOST important for the paramedic to?

Back 56

explain what he or she is doing at all times

Front 57

The paramedic's #1 priority is to?

Back 57

be prepared to respond to and treat injuries that inevitable will occur

Front 58

If a mortally injured patient's wishes regarding organ donation are not know?

Back 58

consent must be obtained from a family member

Front 59

The surrogate decision maker?

Back 59

is legally obligated to make decisions as the patient would want

Front 60

Which of the following scenarios reflects a violation of the Emergency Medical Treatment and Active Labor Act (EMTALA)?

Back 60

a hospital transfers an unstable patient to another facility

Front 61

A paramedic's actions are considered to be grossly negligent if he or she?

Back 61

willfully or wantonly deviates from the standard of care

Front 62

Which of the following statements regarding the initiation of resuscitative efforts on an infant with sudden infant death syndrome (SIDS) is MOST correct?

Back 62

initiating resuscitative efforts on the infant may not be ethically appropriate and may cause the family additional suffering

Front 63

When a dying person enters the acceptance stage?

Back 63

it is often the family that is in need of the most help

Front 64

Which of the following is NOT a typical question to answer when evaluating and interpreting research?

Back 64

will the research study be published in a notable journal?

Front 65

Patterns of living that you develop in your youth?

Back 65

are hard to modify in later life

Front 66

If the receiving facility does not have adequate resources to take care of your patient, you should next determine whether?

Back 66

there is an appropriate facility within a reasonable distance

Front 67

While attempting to resuscitate a middle-aged woman in cardiac arrest, you perform effective CPR, but do not evaluate the pt's cardiac rhythm until 10 min into the resuscitation attempt. When the cardiac monitor is finally applied, the pt is in asystole. The pt is transported, but is pronounced dead upon arrival at the hospital. Which of the following statements regarding this scenario is MOST correct?

Back 67

the delay in evaluating the pt's cardiac rhythm constitutes a breach of duty and could be proven to be the proximate cause of her death

Front 68

The leading cause of death from injury is?

Back 68

unintentional MVC's

Front 69

A discipline within ethics that discusses and debates the health care of human beings is called?

Back 69

bioethics

Front 70

From an injury prevention standpoint, the term "intervention" is defined as?

Back 70

specific prevention measures or activites designed to increase positive health and safety outcomes

Front 71

If a pt experiences prolonged hypotension or requires prolonged CPR, his or her ___ would be inappropriate for organ or tissue donation.

Back 71

liver

Front 72

Patients with decision-making capacity?

Back 72

have the right to refuse all or part of the emergency medical care offered to them

Front 73

EMS protocol development, training methodologies, and equipment use decisions are based mainly on?

Back 73

research

Front 74

The first EMT textbook, Emergency Care and Transportation of the Sick and Injured, was published in 1971 by the?

Back 74

American Academy of Orthopaedic Surgeons (AAOS)

Front 75

When an ambulance collides with a citizen's vehicle at an intersection?

Back 75

the driver of the ambulance may be charged criminally

Front 76

Which of the following is the BEST example of a teachable moment?

Back 76

advising the unrestrained passenger with minor injuries following a MVC that she easily could have been killed

Front 77

When educating citizens who live in an area where EMS response times will be lengthy, the MOST important skill to teach them is?

Back 77

rescue breathing and chest compressions

Front 78

Which of the following general statements regarding injuries and injury prevention is MOST correct?

Back 78

EMS has the greatest impact in preventing unintentional injuries

Front 79

Stimulation of the nervous system during the fight-or-flight response causes?

Back 79

increased perspiration

Front 80

A hospital that is in violation of EMTALA?

Back 80

could forfeit all of its Medicare funding

Front 81

The MAIN benefit to online medical control is that it?

Back 81

provides an immediate and specific patient care resource

Front 82

Research that is based on a group of individuals over an outlined time frame is called ___ research.

Back 82

cross-sectional

Front 83

The first rule of medical practice is to?

Back 83

do no harm

Front 84

A pt's wife called 911 because the pt was complaining of a severe headache and nausea. The pt is conscious and alert, but obviously upset that his wife called 911 without consulting him first. As you pull out the BP cuff, the pt folds his arms and turns away from you. From this pt's actions, you should conclude that?

Back 84

you do not have consent to treat him

Front 85

Which of the following scenarios MOST accurately depicts abandonment?

Back 85

a pt with a possible fracture of the radius wishes to go to the hospital, but does not have transportation, so you arrange for a friend to take him to the emergency department the next day

Front 86

Being empathetic towards a pt means that you?

Back 86

acknowledge the pt's feelings

Front 87

The kind of stress that motivates an individual to achieve is called?

Back 87

eustress

Front 88

If, when responding to a call for a pt in cardiac arrest, you run every stop sign and drive with unnecessary speed?

Back 88

you are not a credible advocate for injury prevention

Front 89

Body substance isolation (BSI) differs from universal precautions in that BSI?

Back 89

is designed to approach all body fluids as being potentially infectious

Front 90

The wrongful act that gives rise to a civil suid is called?

Back 90

negligence

Front 91

Prior to transporting a 66 yo woman with CP to the hospital, she expresses the need to retrieve her bible and say a prayer. You should?

Back 91

leave the room if your religious beliefs are not consistent with hers

Front 92

You arrive at the scene of a shooting. The pt, a 19 yo man, has a GSW to the side of his head with a large amount of exposed brain mater. Further assessment reveals that the pt is apneic and pulseless. Law enforcement personnel advise you that the person who shot the patient is in their custody. You should?

Back 92

avoid unnecessary contact with the pt and document the finding of your visual assessment of the pt and scene

Front 93

When a person experiences an injury and seeks redress for that injury?

Back 93

the judicial process must determine who is responsible

Front 94

Which of the following would MOST likely encourage manufacturers to remove dangerous products from the market or make them safer?

Back 94

product liability litigation

Front 95

Which of the following patients is NOT an emancipated minor?

Back 95

17 yo woman who goes to college and lives with her parents

Front 96

If a paramedic is on duty receives a 911 call in his or her jurisdiction?

Back 96

he or she is not covered by the Good Samaritan law

Front 97

While en route to a call for an emotionally distrubed patient, law enforcement notifies you by radio that the pt has become extremely violent. You should?

Back 97

wait for law enforcement to advise you that they have the pt under control

Front 98

Common actions performed by the dispatcher after receiving an emergency call include all of the following, EXCEPT?

Back 98

determining if an ambulance should be dispatched

Front 99

You should prioritize the needs of your patient based on the?

Back 99

injury or illness that requires the most urgent treatment

Front 100

While caring for a woman with acute SOB, your partner, a dedicated paramedic for many years, tells the pt that she should have driven herself to the hospital instead of calling EMS. Your partner's behavior is MOST consistent with?

Back 100

impending burnout