EMR Chapter 5: Communications and
Documentation Questions and Answers |
Latest Version | 2025/2026 | Correct &
Verified
What is the primary purpose of documentation in EMS?
A) To provide a legal record of care
✔✔B) To communicate patient information to other healthcare providers
C) To create a billing invoice
D) To summarize the patient’s medical history
When communicating with a patient, what is the most important factor?
A) Using medical jargon
B) Speaking loudly
✔✔C) Listening carefully
D) Interrupting to ask questions
Which of the following is an example of objective information?
A) Patient says they feel dizzy
1
,✔✔B) Patient appears pale and sweaty
C) Patient says they have chest pain
D) Patient reports feeling anxious
Why is it important to document the time of events during a call?
A) To satisfy hospital requirements
✔✔B) To provide an accurate timeline of care
C) To impress supervisors
D) To delay transport
Which term describes a brief verbal report given when transferring care to another provider?
A) Debriefing
✔✔B) Handoff report
C) Documentation
D) Assessment
What should you avoid when documenting patient care?
A) Using clear and concise language
2
,B) Including only facts
✔✔C) Using abbreviations that are unclear
D) Recording times accurately
When communicating with a dispatcher, which information is most important to provide first?
A) Patient’s insurance details
✔✔B) Nature of the emergency and location
C) Patient’s past medical history
D) Weather conditions
What does HIPAA protect?
A) The rights of emergency responders
✔✔B) The privacy of patient health information
C) The safety of the EMS system
D) The accuracy of documentation
Which of the following is a barrier to effective communication?
A) Speaking clearly
3
, B) Using active listening
✔✔C) Background noise
D) Asking open-ended questions
How should you correct an error in a written EMS report?
A) Erase the error completely
B) Use white-out to cover it
✔✔C) Draw a single line through the error and initial it
D) Ignore the error
What is the best way to ensure effective communication with a patient who has hearing
difficulties?
A) Speak very loudly
✔✔B) Use gestures and speak clearly
C) Avoid talking to the patient
D) Write everything down only
Why is it important to document the patient’s response to treatment?
4
Documentation Questions and Answers |
Latest Version | 2025/2026 | Correct &
Verified
What is the primary purpose of documentation in EMS?
A) To provide a legal record of care
✔✔B) To communicate patient information to other healthcare providers
C) To create a billing invoice
D) To summarize the patient’s medical history
When communicating with a patient, what is the most important factor?
A) Using medical jargon
B) Speaking loudly
✔✔C) Listening carefully
D) Interrupting to ask questions
Which of the following is an example of objective information?
A) Patient says they feel dizzy
1
,✔✔B) Patient appears pale and sweaty
C) Patient says they have chest pain
D) Patient reports feeling anxious
Why is it important to document the time of events during a call?
A) To satisfy hospital requirements
✔✔B) To provide an accurate timeline of care
C) To impress supervisors
D) To delay transport
Which term describes a brief verbal report given when transferring care to another provider?
A) Debriefing
✔✔B) Handoff report
C) Documentation
D) Assessment
What should you avoid when documenting patient care?
A) Using clear and concise language
2
,B) Including only facts
✔✔C) Using abbreviations that are unclear
D) Recording times accurately
When communicating with a dispatcher, which information is most important to provide first?
A) Patient’s insurance details
✔✔B) Nature of the emergency and location
C) Patient’s past medical history
D) Weather conditions
What does HIPAA protect?
A) The rights of emergency responders
✔✔B) The privacy of patient health information
C) The safety of the EMS system
D) The accuracy of documentation
Which of the following is a barrier to effective communication?
A) Speaking clearly
3
, B) Using active listening
✔✔C) Background noise
D) Asking open-ended questions
How should you correct an error in a written EMS report?
A) Erase the error completely
B) Use white-out to cover it
✔✔C) Draw a single line through the error and initial it
D) Ignore the error
What is the best way to ensure effective communication with a patient who has hearing
difficulties?
A) Speak very loudly
✔✔B) Use gestures and speak clearly
C) Avoid talking to the patient
D) Write everything down only
Why is it important to document the patient’s response to treatment?
4
