Chapter 7 Pre/Post

Question 1

A 23 year old woman with chest pain and shortness of breath tells you that she doesn’t want to be taken by ambulance to the hospital since her insurance doesn’t cover the ambulance ride.
This is an example of which type of ethical dilemma?

Answer 1

Allocation of resources.

Question 2

According to the study conducted by Adam’s and colleagues, most ethical dilemmas in paramedicine were related to:

Answer 2

Informed consent.

Question 3

After treating an abusive patient who has tuberculosis, a paramedic should ask which question at the end of the day?

Answer 3

Did I treat people with dignity and respond today?

Question 4

At the scene of a multi-vehicle crash, a patient asks you how many years you have been practicing paramedicine. Instead of lying to the patient, you tell the truth and let them know that you have been practicing for 6 months. Which bioethical value are you exemplifying in this situation:

Answer 4

Veracity.

Question 5

If the medical director tells an emergency medical responder (EMR) to reduce the use of sterile gauze as a cost-cutting measure, that EMR has an ethical obligation to:

Answer 5

Advocates for sufficient resources for good patient care.

Question 6

The concept of ethics dates back to the:

Answer 6

Greeks.

Question 7

The legal right for patients to decide on the medical care they will receive is described most comprehensively in the:

Answer 7

American Medical Association’s Principles of Medical Ethics.

Question 8

When providing care to a patient, they share with you that they had a kidney transplant a few weeks ago. You do not have experience caring for post-transplant patients, so it is best for you to:

Answer 8

Consult with medical direction or your supervisor.

Question 9

When responding to an emergency call for a person who fainted at a grocery store, the individual refuses to go to the hospital and tells you that they will follow up with their primary physician. You decide to respect the patient’s wishes out of their right to:

Answer 9

Autonomy.

Question 10

When would ethical allocation be easiest to determine?

Answer 10

Average January for flu incidence.

Question 11

A 40-year-old man has severe facial bruising and is given analgesia by EMS personnel. When his wife arrives at the scene, he refuses EMS transport and wishes to leave. The wife’s behavior and the overheard threat of violence against the PT make you suspect domestic violence. This dilemma arises from:

Answer 11

Confidentiality.

Question 12

A car slid 30 feet down a 400- foot cliff and came to a rest on a narrow ledge. A passenger is bleeding heavily, but you cannot be sure that the car’s position is stable. This dilemma arises from:

Answer 12

Obligation to provide care.

Question 13

A colleague mistakenly gives aspirin to a PT who is allergic to it, resulting in the PT death. You hesitate to inform the family. This dilemma arises from:

Answer 13

Error disclosure.

Question 14

A paramedic who had to triage a group of PT’s from a broad economic demographic at a mass casualty event should ask which question at the end of the day?

Answer 14

Was I fair and just today?

Question 15

A PT passed out and fell from the bleachers, breaking her leg. When she wakes up, she declines further medical care until the end of her son’s championship game. This dilemma arises from?

Answer 15

Consent.

Question 16

A PT who is positive for HIV refuses care for heavy bleeding, but you are concerned about the infection of others nearby. This dilemma arises from:

Answer 16

Consent.

Question 17

Failure of the paramedic to notify the family within an hour of a PT’s death, as required by the local standards, would be:

Answer 17

Unethical.

Question 18

Given their role as physician extenders, paramedics can face ethical dilemmas over:

Answer 18

The timing of medication when the physician is not on site.

Question 19

If the medical director tells a paramedic to stop CPR, but the paramedic believes the PT has a weak pulse, the paramedic should act as a:

Answer 19

PT advocate.

Question 20

In what manner should emergency physicians work on PT care?

Answer 20

Cooperatively.

Question 21

Select the principles that you should use when dealing with ethical questions in paramedicine. Select all that apply:

Answer 21

Global protocols are meant to guide, not dictate.
Once an ethical question has been answered, the answer becomes a “rule” to guide behavior.

Question 22

The detailed application of ethical principles to medical issues is called:

Answer 22

Bioethics.

Question 23

The ethical perspective of Socrates can be summarized as:

Answer 23

“The unexamined life is not worth living”.

Question 24

The interpersonal justifiability test requires more than:

Answer 24

Asking lay bystanders.

Question 25

What must be used to decide what is ethical when a 25YO PT refuses treatment for a severe laceration?

Answer 25

A balance of inputs.

Question 26

What should guide ethical decisions in EMS?

Question 27

Which act violates nonmaleficence?

Answer 27

Providing a fatal drug to a PT.

Question 28

What is a dilemma arising from allocations?

Answer 28

A PT refuses care because they cannot afford medication.

Question 29

Which standard falls outside the EMS code of ethics?

Answer 29

Maintain a professional appearance.

Question 30

Working in the ED, you face parents whose child has just survived anaphylactic shock. The child was given peanut butter by an EMT from your hospital while treating the child’s younger brother for a broken arm. This dilemma arises from:

Answer 30

Error disclosure.