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Nội dung text HP4212 INTRODUCTION TO PARAMEDIC AND EMERGENCY MEDICAL AMBULANCE SERVICE (EMAS) HP4212.pdf

HP4212 INTRODUCTION TO PARAMEDIC AND EMERGENCY MEDICAL AMBULANCE SERVICE (EMAS) TIME ALLOWED: 1 1⁄2 HOURS END-OF-SEMESTER EXAMINATION (FORMAL) SEMESTER 2, 2022-23 SCHOOL OF HEALTH SCIENCES INSTRUCTIONS TO CANDIDATES: ● DO NOT TURN OVER THE PAGE UNTIL YOU ARE TOLD TO DO SO. ● Write down the details required on the front cover of the answer booklet provided. Make sure you complete the details on any additional answer booklets that you use. ● Answer ALL questions in section A and any TWO (2) questions in section B. ● The total mark for this paper is 40. The number of marks for each question or part question is shown in brackets. ● Your answer booklets and any other paper used in the examination must be handed in to the invigilators before leaving the room or hall. You may take your own examination paper with you unless otherwise instructed. ● Write in dark blue or black ink pen. MATERIALS SUPPLIED: Answer booklet (1) THIS PAPER CONSISTS OF 7 PRINTED PAGES (INCLUDING THE COVER PAGE).
HP4212 (FORMAL) SEMESTER 1, 2022-23 [ Turn over © POLITEKNIK BRUNEI 2 Section A: MULTIPLE CHOICE QUESTION [TOTAL MARKS: 10] Answer ALL questions in the answer sheet provided QUESTION 1 [Total marks: 1] Paramedic Farid is caring for an elderly patient who experienced a syncopal episode. He now refuses care. What actions must paramedic Farid take to ensure legal compliance during this refusal process? a. Force the patient to sign the refusal form before release. b. Tell the patient that if he changes his mind, he can call you again for transport. c. Do not give the patient any additional advice or he may be liable. d. Transport the patient against his will because his condition involved a loss of consciousness. QUESTION 2 [Total marks: 1] How can a paramedic minimise his risk of injury while lifting or moving patients? a. Bends at the knees and hips. b. Hold the load 18 inches from your body. c. Lift with your back, not your legs. d. Move backward rather than forward. QUESTION 3 [Total marks: 1] When dealing with the family of a patient who is dying, it is best to interact with them by doing which of the following? a. Reassuring them that no one you ever care for dies. b. Changing the subject every time someone brings up death. c. Allowing the family to remain with the patient if possible. d. Avoiding direct communication with the immediate family. QUESTION 4 [Total marks: 1] Which of the following is an appropriate action to take after a needle-stick injury of the finger?
HP4212 (FORMAL) SEMESTER 1, 2022-23 [ Turn over © POLITEKNIK BRUNEI 3 a. Complete the exposure report and turn it in at the end of your shift. b. Determine whether the patient is at high risk to decide whether you need to report the incident. c. Report the exposure to the supervisor and the receiving facility immediately. d. Squeeze out as much blood as possible and suck on your finger. QUESTION 5 [Total marks: 1] Paramedic Isaac was called to a private residence where he found an elderly man suffering from heat-related illness. The family evidently left this chronically confused individual at home with no air conditioning and all the windows closed. What legal issue must he remember on this call? a. You should not remove the patient’s clothes so that you can preserve the chain of evidence. b. This patient cannot give consent; therefore, you must contact the next of kin before transport. c. Writing the neighbour’s statements in the patient care report may constitute libel. d. You are required to report this situation to the appropriate legal or social agency. QUESTION 6 [Total marks: 1] Patient confidentiality would be breached if a paramedic discussed the patient’s comments and care with which of the following? a. Lawyers in court. b. Emergency department personnel. c. Personal friends. d. A quality assurance committee. QUESTION 7 [Total marks: 1] Paramedic Natasha responds to a call in which she finds a 29-year-old woman who is hyperventilating. What is the last condition for which she should assess while performing her history and physical exam?
HP4212 (FORMAL) SEMESTER 1, 2022-23 [ Turn over © POLITEKNIK BRUNEI 4 a. Anxiety attack. b. Asthma. c. Diabetic ketoacidosis. d. Pulmonary embolism. QUESTION 8 [Total marks: 1] During an emergency call, paramedic Robin finds himself in a situation that involves an ethical dilemma. What strategy can he use to resolve the problem? a. Let the patient’s family tell him what to do. b. Ask himself which action he would prefer if he was in the patient’s place. c. Abide by his partner’s opinion in the situation. d. Rely on his policies and procedures for guidance. QUESTION 9 [Total marks: 1] Which of the following is TRUE regarding the chief complaint in the patient history? a. It is always stated by the patient. b. It is usually the reason that emergency medical service was called. c. It includes significant medical history. d. It will remain the same throughout the call QUESTION 10 [Total marks: 1] What is a good approach when a paramedic is managing an angry or aggressive patient who does not pose an immediate danger to himself or the emergency medical services crew? a. Physical restraint. b. Set limits. c. Threaten. d. Yell.

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