Question

1. at the scene of an automobile crash, the patients inside the car are conscious. you should: a. proceed with normal extrication procedures. b. remove the lines with a non - conductive object. c. advise the patients to carefully get out of the car. d. mark off a danger zone around the downed lines. 30. 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. your most appropriate action should be to: a. continue into the apartment using extreme caution. b. continue into the apartment and apprehend the gunman. c. seek a safe place and request law enforcement assistance. d. get in your ambulance and leave the scene immediately. aaos ch. 3 - medical, legal, & ethical issues 31. to minimize the risk of litigation, the emt should: a. always transport patients to the hospital of their choice. b. use universal precautions with every patient encounter. c. utilize at least four personnel when moving a patient. d. provide competent care that meets current standards. 32. which of the following scenarios is an example of informed consent? a. a patient advises an emt of why he or she is refusing care. b. an emt advises a patient of the risks of receiving treatment. c. an emt initiates immediate care for an unconscious adult. d. a patient is advised by an emt of the risks of refusing care. 33. you are dispatched to an office building for a 49 - year - old male with chest pain. when you arrive at the scene, you find the patient to be conscious and alert but in obvious pain. he tells you that he did not call 911; a coworker did. he further states that he does not want to be treated or transported to the hospital. you should: a. err in the best interest of the patient and transport him at once. b. ensure that he is aware of the risks of refusing medical care. c. have him sign a refusal of care form and then return to service. d. tell him that he is having a heart attack and needs medical care. 34. you are dispatched to a middle school for a 16 - year - old female experiencing an asthma attack. she is conscious and alert but in severe respiratory distress. the school nurse informs you that she has tried several times to contact the patients parents but has not been successful. you should: a. provide treatment up to your level of training and transport the child at once. b. recognize that you cannot begin treatment without expressed parental consent. c. transport the child to the closest hospital and let the staff there provide any treatment. d. administer oxygen only until you receive parental consent for further treatment. 35. in which of the following circumstances can the emt legally release confidential patient information? a. a police officer requests a copy to place on file. b. the family requests a copy for insurance purposes. c. a media representative inquires about the patient. d. the patient is competent and signs a release form. 36. all of the following are considered to be protected health information (phi), except: a. patient history. b. treatment rendered. c. location of the call. d. assessment findings.

Explanation:

1. In case of downed lines at a car - crash scene, marking a danger zone is crucial for safety.
2. In a domestic violence situation with a possible armed person, seeking a safe place and requesting law - enforcement is the safest option.
3. Providing competent care that meets current standards helps minimize litigation risks for an EMT.
4. Informed consent includes advising a patient of the risks of refusing care.
5. When a patient refuses treatment, an EMT should ensure the patient is aware of the risks of refusal.
6. In an emergency situation for a minor where parental consent can't be obtained, an EMT should provide treatment up to their level of training and transport the child.
7. An EMT can legally release confidential patient information when the patient is competent and signs a release form.
8. The location of the call is not considered protected health information.

Answer:

1. d. mark off a danger zone around the downed lines
2. c. seek a safe place and request law enforcement assistance
3. d. provide competent care that meets current standards
4. d. A patient is advised by an EMT of the risks of refusing care
5. b. ensure that he is aware of the risks of refusing medical care
6. a. provide treatment up to your level of training and transport the child at once
7. d. The patient is competent and signs a release form
8. c. location of the call