Ch. 5 Paramedic Review

Touching a conscious elderly patient in a nursing home without his or her permission:
is nonverbally communicating, “You are not important enough or mentally competent enough to be asked for permission.”

If a parent insists on monitoring your conversation with his or her adolescent son or daughter, you should:
communicate the situation to the emergency department physician and document it accurately.

If a patient is unable to tell you who he or she is, where he or she is, and what day of the week it is:
You should suspect decreased blood flow to the brain

When functioning at a noisy scene, communication will be MOST effective if you
Move the patient to the ambulance as soon as you can

When touching a patient as a form of reassurance, the paramedic should:
Touch the patient in a neutral part of his or her body

When transmitting data over the radio, you should NOT disclose the patient’s:
HIV status

A base station decoder within the emergency department:
translates a telemetry signal into an oscilloscope tracing.

If a patient provides an inappropriate response to a paramedic’s question, it should be assumed that the patient:
Has impaired cerebral function

Statements such as, “Please say more,” or, “Please feel welcome to tell me about that,” are examples of:
Facilitation

When a patient thanks you, your MOST appropriate response should be:
“You’re welcome.”

The term “frequency,” as it applies to radio communications, is MOST accurately defined as:
how frequently a radio wave recurs in a given time

Using the NATO phonetic alphabet, how should you spell Dr. “Wilson”?
WHISKEY-INDIA-LIMA-SIERRA-OSCAR-NOVEMBER

Which of the following details is of LEAST importance for the EMD to obtain from the caller?
The patient’s last known oral intake

Which of the following statements regarding 12-lead ECG telemetry is correct?
Most newer systems use facsimile technology to allow transmission of 12-lead ECGs.

When relaying medical information to a physician in person, you should:
include information that you did not provide during your radio report.

Which of the following words would be the MOST difficult to hear over the radio?
Yes

When communicating medical information via radio, you should be:
Simple, brief, and direct

When communicating medical information via radio, you should be:
their illnesses may be more complex because they may have more than one disease process and may be taking several medications concurrently.

Before you begin to transmit over the radio, you should check the volume and then:
listen to make sure that the channel is clear of traffic.

When communicating with a patient whose cultural background differs from the paramedic’s, it is MOST important for the paramedic to:
treat the patient with the utmost respect at all times

The use of ten-codes over the radio:
is not recommended by the National Incident Management System (NIMS).

When the paramedic encounters a patient who has difficulty communicating, he or she should:
enlist the help of a family member or primary caregiver.

If the paramedic is unable to defuse a hostile patient’s anger, the paramedic should:
request law enforcement assistance if needed.

At minimum, sending the 12-lead ECG of a patient with chest pain to the emergency department physician via telemetry would:
decrease the time from diagnosis to treatment

Under the instructions of a good EMD, a layperson should be able to:
perform chest compressions.

If a patient asks for your advice regarding a treatment decision that his or her physician made, you should:
advise the patient to consult with his or her physician.

A patient states, “I can’t catch my breath,” and the paramedic responds, “You say you can’t catch your breath, ma’am’?” This is an example of:
Reflection

A backup communication system is especially critical when dealing with:
Mass-casualty incidents

Which of the following statements regarding ten-codes is correct?
They should be avoided during a mass-casualty situation.

Notification of EMS usually occurs when:
a bystander notifies the dispatcher via telephone

If a patient avoids answering a specific question, you should:
redirect him or her to the question to elicit a response.

When transmitting your radio report to the hospital, you should:
Not be sitting right next to the patient.

A _____________ receives a weak signal and retransmits it at a higher power on another frequency.
Repeater

When a panicked person calls 9-1-1 for help:
he or she needs immediate confirmation of having reached the right number.

Maintaining eye contact with a patient enables the paramedic to:
evaluate the patient’s neurologic status.

Which of the following statements regarding the use of cellular telephones and landline telephones is MOST correct?
Cellular and landline telephones overcome problems caused by overcrowded EMS radio frequencies.

During the course of your interview, your patient begins making sexual innuendos to you. You should:
ensure that another paramedic or EMT is present at all times

If a patient provides a confusing or disorganized response to your question, you should:
rephrase the patient’s comments with simpler terms and ask if he or she agrees with your synopsis.

It is important to remember that if a patient is not personally sensitive to modesty because of an impaired mental state:
The patients family likely will be

Radio transmission distances from a mobile transceiver are reduced:
Over mountainous areas

If you want reliable answers to personal questions, you should:
manage the scene so you can ask such questions quietly and privately.

Many _________ believe that touching the head may put their soul in jeopardy.
Asians

When a patient repeatedly apologizes to you because he or she is incontinent, you should say:
“You don’t have to apologize; that’s what we’re here for.”

Biotelemetry is MOST accurately defined as:
the capability of measuring vital signs and ECG tracings and transmitting them to a distant terminal.

The combination of two or more signals, which allows the paramedic to talk and transmit an ECG simultaneously on one frequency, is called a:
Multiplex system

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