Your patient is a 30-year-old man with Down syndrome who appears to be moderately cognitively disabled. The patient has a cut on his hand and is fearful of having you examine it. The best approach is to:
A) delay examining the hand until EMS arrives in case you need help restraining the patient.
B) be firm with the patient and tell him his dad will have to leave the room if he does not cooperate.
C) state, "I need to look at your hand so I can help you. I'll do my best not to hurt you. Will you let me see your hand?"
D) gain the patient's confidence by stating, "Do you have a little boo boo? Be a good buddy and let me see it."
C
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You have been called to aid an alert and oriented male patient whose friends state he spent several hours locked out of his house in cold temperatures. Given that the primary and secondary assessments have ruled out immediately life-threatening conditions, you have decided to rewarm the patient. Which of the following actions would be most appropriate for this patient?
a. Place the patient in a tub of warm water. b. Apply hot packs to the patient's chest, groin, and armpits. c. Massage the patient's arms and legs after applying warm blankets. d. Blow hot air from a hair dryer over the patient's arms and legs.
Which of the following statements regarding a psychiatric patient who is refusing transport is MOST correct?
A) Medical control has the authority to order paramedics to forcibly restrain and transport any psychiatric patient. B) If the patient's life is not in danger, only a police officer can authorize paramedics to restrain and transport the patient. C) It is generally agreed that any psychiatric patient should be transported against his or her will for evaluation by a psychiatrist. D) Family members can authorize involuntary commitment, including forcibly transporting the patient against his or her will.