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WEST COAST EMT BLOCK #1 EXAM
1. Mentally competent patients have the right to refuse
treatment. T/F?
Correct Answer: True
Rationale: A mentally competent adult generally has the legal
right to accept or refuse medical assessment and treatment,
even when refusal may place the patient at risk. The EMT
should explain the potential consequences, follow applicable
refusal procedures, and document the refusal appropriately.
,2. When a patient is unconscious, you may provide
treatment under the concept of:
Correct Answer: Implied consent
Rationale: Implied consent applies when a patient is unable
to communicate an informed decision, such as when the
patient is unconscious. It allows emergency treatment to be
provided because a reasonable person would generally want
lifesaving care in an emergency.
3. List conditions where minors may, by state law, give
consent for medical care despite their young age.
Correct Answer: Married, armed services, pregnant
Rationale: Depending on state law, certain minors may be
legally permitted to consent to their own medical treatment.
Examples listed in the provided material include minors who
are married, serving in the armed services, or pregnant.
Specific rules vary by jurisdiction.
, 4. __________ is sometimes necessary when you are
confronted with a patient who is in need of medical
treatment and transportation but is combative and
presents a significant risk of danger to himself, herself, or
others.
Correct Answer: Forcible restraint
Rationale: Physical restraint may be necessary when a patient
poses an immediate danger to themselves, EMS personnel, or
others and less restrictive measures are unsuccessful or
inappropriate. Restraint should be performed according to
local protocols, with continuous monitoring and appropriate
documentation.
5. What is the difference between advance directives and
DNR orders?
Correct Answer: An advance directive is a written document
that specifies the types of care a patient would want if they
were unable to express their wishes. A DNR order prevents
resuscitative efforts from being started if a patient goes into
cardiac arrest.