CHAPTER 2 MULTIPLE CHOICE

Write the letter of the best answer in the space provided. ______ 1. As a paramedic, one of your ethical responsibilities is: A. transporting patients to whatever facility they request. B. attempting resuscitation on every patient in cardiac/respiratory arrest. C. treating all patients and their families with courtesy and respect. D. performing a skill or procedure that you have been trained to do, even if not within your scope of practice. ______ 2. Your best protection from liability is to: A. provide as little advanced-level treatment as possible. B. always transport to the closest hospital. C. always be kind to patients, as "nice people" don't get sued. D. perform systematic assessments. ______ 3. The area of law in which the federal, state, or local government will prosecute an individual on behalf of society for violating laws meant to protect society is: A. civil law. B. criminal law. C. law of torts. D. common law. ______ 4. The filing of complaint, answering complaint, and settlement are three components of a: A. civil lawsuit. B. criminal lawsuit. C. legislative lawsuit. D. constitutional lawsuit. ______ 5. If a paramedic intubates the esophagus of a patient instead of the trachea, does not confirm tube placement, and leaves the tube in place, he has breached his duty by: A. malfeasance. B. misfeasance. C. nonfeasance. D. cofeasance. ______ 6. Elements of negligence include proof that the paramedic: A. committed the act on purpose. B. committed the act during the commission of a crime. C. was the proximate cause of actual damages to the patient. D. exceeded his scope of practice. ______ 7. To show the existence of proximate cause, the plaintiff needs to prove that the damage to the patient was: A. reasonably foreseeable. B. willfully caused by the paramedic. C. caused by the paramedic's violating a criminal law. D. the result of the paramedic's misdiagnosing the patient's condition.

______ A. B. C. D. ______ A. B. C. D. ______ A. B. C. D. ______ A. B. C. D. ______ A. B. C. D. ______ A. B. C. D. ______ A. B. C. D.

8. A patient may sue you for violating his civil rights if you: exceed your scope of practice. fail to render care for a breach patient confidentiality. commit libel. discriminatory reason. 9. The act of injuring a person's character, name, or reputation by false or malicious statements spoken with malicious intent or reckless disregard for the falsity of those statements is called: libel. battery. assault. slander. 10. If you respond to a seven-year-old child with a life-threatening injury and no parent or guardian is available, you may still treat the child because of: expressed consent. implied consent. involuntary consent. special consent. 11. If a competent adult refuses care, you should: have the patient placed in police custody. restrain the patient and transport. document the situation thoroughly. not argue with him and notify dispatch that you are back in service. 12. The termination of the paramedic-patient relationship without assurance that an equal or greater level of care will continue is: assault. abandonment. battery. false imprisonment. 13. A paramedic who starts an IV on a patient who does not consent to such treatment may be sued for: res ipsa loquitur. false imprisonment. nonfeasance. assault. 14. During transport of a patient to a health-care facility, the level of care the patient receives must (may): be greater than the level of care received at the scene. be at least the same level of care received at the scene. be a lesser level of care than received at the scene if the patient agrees to it. be at least at the EMT-Basic level.

______ A. C. B. D. ______ A. B. C. D. ______ A. C. B. D. ______ A. B. C. D. ______ A. B. C. D. ______ A. B. C. D.

15. A document created to ensure that certain treatment choices are honored when a patient is unconscious or otherwise unable to express his choice of treatment is called a(n): DNR order. advance directive. living will. durable power of attorney. 16. If you have any doubt about whether a DNR order is valid, you should: withhold CPR. contact the patient's personal physician before beginning CPR. contact medical direction before beginning CPR. initiate resuscitation efforts. 17. Which type of instruction on a DNR order is legal? "Chemical code only" "Withhold CPR" "Slow code" all of the above 18. When you are treating a patient at a crime scene, your responsibilities include: picking up weapons and other evidence and handing them to law enforcement so no one gets injured. cleaning up blood and body fluids on carpets, furniture, and so forth before leaving the scene to avoid further contamination. trying not to touch the body at all if the patient has an obvious mortal wound such as decapitation. entering the scene to treat the patient before law enforcement personnel arrive if necessary, as the patient is your primary concern. 19. Which of the following statements regarding documentation is true? Patient refusals do not need to be documented except for the release-fromliability form signed by the patient. Subjective statements such as "the patient was drunk" are appropriate. Altering a patient care report is permissible if both you and your partner agree on the changes. The patient report should be completed promptly after patient contact. 20. A legal document that allows a person to specify the kinds of medical treatment he wishes to receive should the need arise is called: a living will. a DNR order. medical proxy. durable power of attorney.