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Exam 4: Medicallegal and Ethical Issues

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Question 1

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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.

E) B) and D)
F) B) and C)

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A

Question 2

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Which of the following situations BEST illustrates the act of abandonment by the EMT?

A) The EMT resuscitates a patient who has a DNR order signed by his physician.
B) An EMT transports a patient to the emergency department, leaves the patient in the waiting room, but does not advise the ED staff.
C) An EMT begins care of a patient, then turns the patient over to a paramedic.
D) An EMT who is off-duty sees a motor vehicle collision with probable injuries but does not stop to help.

E) None of the above
F) C) and D)

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Question 3

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Which of the following incidents is the EMT legally required to report to law enforcement?

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?

Your patient is a 45-year-old man who is suffering from chest pain.Upon arrival,the patient is pale,sweaty,and seems short of breath.The patient is angry with his daughter for calling 911.He says that he had some spicy sausage for breakfast and has indigestion.Which of the following is an appropriate means of getting the patient the care he needs?

While documenting a call,you add a false statement that was made about a local doctor.This could constitute which of the following?

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?

You respond to the report of an unconscious female patient.You can acquire important medical information about the patient through which of the following?

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?

Which of the following statements is true concerning protection by Good Samaritan laws?

In which of the following situations should an EMT withhold resuscitative measures from a patient in cardiac arrest?

Which of the following refers to the care that would be expected to be provided by an EMT with similar training when caring for a patient in a similar situation?

The EMT's obligation to provide care to a patient either as a formal or ethical responsibility is known as which of the following?

Two EMTs respond to the scene of a syncopal episode.They evaluate a 50-year-old male patient who passed out and cut his upper lip.The EMTs examine the patient and his vital signs are normal.The EMTs talk the patient out of an expensive ambulance ride and suggest he will save money by driving himself to the urgent care clinic for stitches for his lip rather than waiting all night in the emergency department as a nonemergency patient.The patient signs the EMS refusal form.The patient decides to see his own doctor the next morning but dies at his house from sudden cardiac arrest an hour later.Which of the following statements is true?

Which of the following requires training,policies,and procedures related to storing,accessing,and sharing patient information?

Which of the following refers to the set of regulations that defines the legal actions expected and limitations placed on the EMT?

The administration of oxygen and the application of spinal immobilization is part of which of the following for the EMT?

Which type of consent must be used by the EMT when seeking to treat a mentally competent adult?

You arrive on the scene of a 55-year-old male patient.The patient's wife called 911 because he is having chest pains.The patient is very angry with his wife for calling 911 because he states he only has heartburn and adamantly refuses any treatment or transport.After signing the patient refusal form,the patient collapses and goes into sudden cardiac arrest.The wife is crying uncontrollably and begging you to do something.What should you do?

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?