978-0134024554 Chapter 4 Part 2

subject Type Homework Help
subject Pages 7
subject Words 2395
subject Authors Bob Murray, Daniel J. Limmer EMT-P, Edward T. Dickinson Medical Editor, Harvey Grant, J. David Bergeron, Michael F. O'Keefe

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17) An off-duty EMT is driving down the road when she sees a major vehicle accident. There are
no Emergency Medical Responders on the scene yet. There are only Good Samaritans. The EMT
is late for a doctor's appointment so she decides that she will not stop and help. The driver of the
vehicle dies before help arrives. One of the Good Samaritans notices her EMT license plates and
writes them down as she passes by. The Good Samaritan is angry that the EMT did not stop and
help and tries to get the EMT fired for not helping. Which of the following statements is true?
A) The EMT is negligent for not stopping and helping.
B) The EMT is negligent because the patient died.
C) The EMT is not negligent because she had a doctor's appointment.
D) The EMT is not negligent because she did not have a duty to act.
Objective: 4.9
18) Which of the following statements is true concerning protection by Good Samaritan laws?
A) A Good Samaritan law allows an EMT to exceed the scope of practice, if necessary, when
providing emergency care off-duty.
B) An EMT is expected to act as a lay person when providing emergency care off-duty.
C) The purpose of Good Samaritan laws is to protect people who are trying to help in an
emergency.
D) An EMT cannot be sued for negligence if the state in which he works has a Good Samaritan
law.
Objective: 4.9
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19) Sharing information about a patient's medical history with your neighbor after you hear a call
on a radio scanner would constitute which of the following?
A) Slander
B) Violation of patient privacy
C) Breach of confidentiality
D) Libel
Objective: 4.10
20) In which of the following situations is it legal to share information about treatment you
provided to a patient?
A) The triage nurse at the emergency department asks about the care you provided to the patient.
B) The patient gives verbal consent to release information to a friend.
C) The patient's lawyer requests the information over the phone.
D) You are asked by a coworker who knows the patient.
Objective: 4.10
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21) Which of the following requires training, policies, and procedures related to storing,
accessing, and sharing patient information?
A) HIPAA
B) HIAPA
C) EMTALA
D) COBRA
Objective: 4.10
22) You are providing care to a 54-year-old male patient complaining of chest pain. The patient
asks to speak to you privately. He tells you he is taking Cialis® for erectile dysfunction and his
wife does not know he is taking it. He does not want his wife to find out. As you are putting the
EMS bags back in the ambulance, the wife corners you and insists that you tell her what her
husband said. What should you do?
A) You should tell her. As his spouse, she is legally entitled to know his medical information.
B) You should not tell her. There is no reason to humiliate your patient by disclosing his
embarrassing condition.
C) You should tell her. He may be having an affair without her knowledge and she needs to be
tested for sexually transmitted diseases.
D) You should not tell her. By law, your conversation with your patient is confidential.
Objective: 4.10
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23) While documenting a call, you add a false statement that was made about a local doctor. This
could constitute which of the following?
A) Libel
B) Slander
C) Degradation of character
D) HIPAA violation
Objective: 4.11
24) You respond to the report of an unconscious female patient. You can acquire important
medical information about the patient through which of the following?
A) Medical identification device
B) Driver's license
C) Medical history identifier
D) On-call Medical Director
Objective: 4.12
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25) Which of the following information may be important to law enforcement officers
investigating a crime scene?
A) What route you took when responding to the scene
B) How you gained access to the scene
C) Your opinion of what happened before you arrived on-scene
D) Your experience as an EMT
Objective: 4.13
26) Which of the following is the EMT's primary responsibility at a secured crime scene?
A) Identifying any potential suspects encountered at the scene
B) Providing patient care
C) Taking notes that may be needed during court testimony
D) Preserving evidence
Objective: 4.13
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27) While treating a patient involved in a shooting at the patient's vacation home, which of the
following actions may interfere with the investigation of a crime scene?
A) Moving the patient
B) Using the bathroom
C) Using the patient's phone
D) All of the above
Objective: 4.14
28) Which of the following incidents is the EMT legally required to report to law enforcement?
A) You suspect the wife of the patient you are treating for chest pain has been smoking
marijuana.
B) Your patient is an 18-year-old college student who has been consuming large amounts of
alcohol at a fraternity party.
C) Your patient is a 12-year-old male who fell from his bicycle, breaking his left arm, and tells
you his parents are at work.
D) Your patient has facial and head injuries and states that her husband beat her with a telephone
receiver.
Objective: 4.15
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29) You respond to a bus accident with multiple patients. As you arrive at the scene, you are
approached by a local politician who states that his wife has been involved. He tells you that if
you will take care of her first, he will ensure that you get the promotion you are up for. This
becomes what type of decision for you as an EMT?
A) Legal
B) Financial
C) Medical
D) Ethical
Objective: 4.16
30) You are treating an elderly male patient in the back of your ambulance. En route, the patient
becomes unresponsive. Upon arrival, the ED nurse asks you several questions about his
condition. What should you do?
A) You should answer her questions because you may legally share the patient's medical
condition with other pertinent health care providers.
B) You should not disclose the information to the nurse because it is protected confidential
information and the patient did not sign a release authorizing you to discuss his condition.
C) You should not disclose the information because HIPAA laws only allow you to provide the
information to the emergency department physician.
D) You should disclose the information, as it is not protected by law.
Objective: 4.16
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