EMERGENCY CARE 14TH EDITION BY DANIEL LIMMER, MICHAEL F. O'KEEFE AND EDWARD T. DICKINSON TEST BANK {LATEST UPDATED 2023 WITH CORRECT QUESTIONS AND ANSWERS (RATED A+ PASS)}
EMERGENCY CARE 14TH EDITION BY DANIEL LIMMER, MICHAEL F. O'KEEFE AND EDWARD T. DICKINSON TEST BANK {LATEST UPDATED 2023 WITH CORRECT QUESTIONS AND ANSWERS (RATED A+ PASS)} 1) In 1966 the National Highway Safety Act charged which of the followingagencies with the development of emergency medical service standards? A) U.S. Department of Transportation B) U.S. Department of the Interior C) U.S. Department of Health Services D) U.S. Department of Homeland Security - Explanation: A) CORRECT. In 1966the National Highway Safety Act charged the United States Department of Transportation (DOT) with developing EMS standards and assisting the states to upgrade the quality of their prehospital emergency care. B) INCORRECT. The U.S. Department of the Interior is charged with the management and conservation of federal land and the country's natural resources.The Department of Transportation was charged with developing EMS standards. C) INCORRECT. Although the U.S. Department of Health and Human Services ischarged with protecting the health of all Americans, the United States Departmentof Transportation was assigned the task of developing emergency medical service standards. D) INCORRECT. Although the U.S. Department of Homeland Security is tasked with protecting the nation from threats, it was established in 2002 and did not existin 1966. It was the U.S. Department of Transportation that was charged with developing EMS standards. 2) Which of the following refers to a program or process for evaluating and improving the effectiveness of an EMS system? A) Quality improvement B) System effectiveness management C) Process Improvement Plan (PIP) D) Total quality system - A) CORRECT. Quality improvement (QI) consists of continuous self-review with the purpose of identifying aspects of the EMS systemthat require improvement, with subsequent action plans to make subsequent changes. B) INCORRECT. System effectiveness management does not refer to a program of evaluating and improving an EMS system. C) INCORRECT. A program or process for evaluating and improving the effectiveness of an EMS system is not referred to as a Process Improvement Program. D) INCORRECT. The term "total quality system" does not refer to a program for improving the effectiveness of EMS systems. 3) Which of the following groups is credited with developing the earliest documented emergency medical service? A) The Spanish B) The Egyptians C) The Mayans D) The French - Explanation: A) INCORRECT. The Spanish did not develop thefirst documented emergency medical service; the French did in the 1700s. B) INCORRECT. Although known for progress in technical areas, the Egyptians were not responsible for the first documented emergency medical service. In 1790, the French first began transporting wounded soldiers away from battlefields and to waiting medical care. C) INCORRECT. The earliest documented emergency medical service was in France in 1790, nearly a thousand years after the Mayan civilization disappeared. D) CORRECT. The earliest documented emergency medical service was in 1790 when the French began transporting wounded soldiers from the scenes of battle to waiting physicians. 4) Which of the following agencies is responsible for establishing EMS system assessment programs? A) Department of Health and Human Services (HHS) B) National Transportation Safety Board (NTSB) C) National Highway Traffic Safety Administration (NHTSA) D) United States Health Services Agency (HSA) - Explanation: A) INCORRECT. The Department of Health and Human Services (HHS) is not responsible for EMS system assessment programs. B) INCORRECT. The National Transportation Safety Board (NTSB) does notestablish EMS system assessment programs. C) CORRECT. The National Highway Traffic Safety Administration (NHTSA)Technical Assistance Program has established assessment programs with set standards for EMS systems. D) INCORRECT. The United States Department of Health and Human Serviceshas no oversight of EMS systems. 5) Centralized coordination of emergency medical access, transportation, and caremost refers to which of the following? A) Emergency preparedness plan B) Trauma system C) Resource management D) Central deployment - Explanation: A) INCORRECT. Emergency preparedness plans are usually developed to guide the actions of a specific group of people at theoutset of an emergency, with the goal of protecting people and/or property. They generally will not address the specifics of medical care or transport. B) INCORRECT. A trauma system is an organized, coordinated effort between facilities and responders within a defined geographic area to deliver a full range of care to injured patients. It does not address the coordination of basic (non-trauma) emergency care or transportation. C) CORRECT. Resource management refers to the centralized coordination of an emergency response so that all victims have equal access to basic emergency care and are transported by certified personnel, in a licensed and equipped ambulance, to an appropriate facility. D) INCORRECT. The centralized coordination of emergency medical access, transportation, and care within an EMS system is not referred to as central deployment. 6) Which of the following BEST describes the purpose of the modern emergencymedical services (EMS) system? A) To have trained personnel respond quickly and provide emergency care on thescene, during transport, and at the hospital B) To have trained personnel capable of assessing and caring for injured and ill patients on the scene C) To have trained personnel understand the limitations of their training and "do noharm," while providing prompt transport to the hospital D) To have trained personnel knowledgeable in all aspects of prehospital care - Explanation: A) CORRECT. The modern Emergency Medical Services (EMS) system has been developed to get trained personnel to patients as quickly as possible and to provide emergency care on the scene, en route to the hospital, andat the hospital until care is assumed by the hospital staff. B) INCORRECT. In addition to having trained personnel able to help patients on scene, the modern Emergency Medical Services (EMS) system also aims to provide that same assistance while en route to the hospital and at the hospital untilhospital staff can take over care. C) INCORRECT. Although understanding limitations and doing "no harm" are important aspects of an emergency care provider's job, the modern Emergency Medical Services (EMS) system was developed to get trained personnel to patientsas quickly as possible and to provide emergency care on the scene, en route to the hospital, and at the hospital until care is assumed by the hospital staff. D) INCORRECT. Although knowledge is an important aspect of an emergency care provider's job, the modern Emergency Medical Services (EMS) system wasspecifically developed to get trained personnel to patients as quickly as possibleand to provide emergency care on the scene, en route to the hospital, and at the hospital until care is assumed by the hospital staff. 7) What has the modern emergency medical services (EMS) system been developed to provide? A) Prehospital care B) Prompt emergency response C) Safe emergency transportation D) Trained medical personnel - Explanation: A) CORRECT. In 1966 the NationalHighway Safety Act charged the United States Department of Transportation (DOT) with assisting the states in upgrading the quality of their prehospital emergency care. B) INCORRECT. Prompt responses are an important part of any EMS system, butnot what they were specifically developed to provide. C) INCORRECT. Safe emergency transportation is only part of what modern EMSsystems were developed for. D) INCORRECT. Modern EMS systems were designed to provide more than justtrained medical personnel. 8) Which of the following is the most common gateway for hospital services forpatients who need emergency medical assistance? A) Emergency department B) Emergency medical services system C) Surgical services department D) Emergency medical dispatch center - Explanation: A) CORRECT. The emergency department serves as the gateway for the rest of the services offered bya hospital. B) INCORRECT. The EMS system is not generally involved with hospital servicesother than the emergency department. C) INCORRECT. Although an important component of a hospital's services, notall emergency medical patients will require surgery. D) INCORRECT. An emergency medical dispatch center coordinates transports tothe hospitals, but is not involved in determining or promoting specific hospital services. 9) Which of the following BEST describes a communication system capable of identifying the number and location of the phone from which a caller is calling? A) Data display 911 B) Priority dispatch 911 C) Enhanced 911 D) Advanced 911 - Explanation: A) INCORRECT. Data display 911 does not referto a system capable of identifying a caller's location. B) INCORRECT. Priority dispatch 911 would refer more to an internal communication center protocol than a system for displaying locations and phonenumbers. C) CORRECT. An enhanced 911 system has the capability of automatically identifying the caller's phone number and location. D) INCORRECT. Advanced 911 is an emergency texting system rather than asystem for locating callers. 10) What is the minimum level of certification required of ambulance personnel responsible for direct patient care? A) Emergency Medical Technician B) Emergency Medical Responder C) Advanced EMT D) Emergency Ambulance Driver - Explanation: A) CORRECT. In most areas, the Emergency Medical Technician (EMT) is considered the minimum level of certification for ambulance personnel. B) INCORRECT. An Emergency Medical Responder (EMR) is below the EMT certification level, and below the minimum usually expected for ambulance personnel. C) INCORRECT. Advanced EMTs have a higher level of certification than what iscommonly required as the minimum for ambulance personnel. D) INCORRECT. Most ambulance personnel are expected to be at the EMT levelor higher. 11) What BEST describes the level of EMS training that emphasizes activation ofthe EMS system and provides immediate care for life-threatening problems? A) Emergency Medical Dispatcher B) Cardiac care responder C) EMT D) Emergency Medical Responder - Explanation: A) INCORRECT. The Emergency Medical Dispatcher is responsible for coordinating the appropriateEMS response and
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