TEST BANK for Family Practice Guidelines, 6th Edition by Jill C. Cash

Test Bank
Family Practice Guidelines 6th Edition Chapter 1-23
JILL CASH




TEST BANK

,
, Chapteri1.iHealthiMaintenanceiGuidelinesi

MultipleiChoice
Identifyitheichoiceithatibesticompletesitheistatementiorianswersitheiquestion.

i
1.iTheinurseiisipreparingitoiteachiaipatientiofitheiAsianicultureitoiperformipostoperativeidres
singichangesiatihomeiafteridischarge.iWhichistatementimadeibyitheinurseiindicatesiculturalicompe
tence?
a. Tellimeihowiyouifeeliaboutiyourisurgery.
b. Asianipeopleiareismart,isoithisishouldibeieasyiforiyouitoiunderstand.
c. Americanisurgeonsiareihighlyiqualified;iImisureiyouiwillihealiquickly.
d. Williyouitellimeiaboutianyitraditionalihealingipracticesithatiyouiwouldilikeitoiuse?


i
2.iAniunconsciousivictimiofiaihouseifireiisibroughtitoitheiemergencyidepartmentibyitheipar
amedics.iTieditoitheirightiwristiisianiemblemithatiappearsibeiaireligiousitalisman.iWhichiactioni
shoulditheinurseitake?
a. Tapeiitiiniplace.
b. Doinothingiwithiit.
c. Removeiitiandilockiitiupiforisafekeeping.
d. Placeiitiiniaiclothingibagiwithitheirestiofitheipatientsibelongings.


3.iAi43-year-
i
oldipatientiofiArabidescentiisiadmitteditoitheihospital.iToicomplyiwithitheistateilawsiofitheiorgan
ization,itheinurseioffersitheipatientiaiPapanicolaouismear,iwhichisheirefuses.iWhichiactionishou
lditheinurseitakeifirst?
a. Notifyitheiphysician.
b. Reportitheirefusalitoitheisupervisor.
c. Explainitheirationaleiforiandibenefitsiofitheitest.
d. Telliheriitiisistateilawiandithatisheidoesinotihaveiaichoice.


i
4.iAipatientiwhoiisiaiJehovahsiWitnessihasisevereigastrointestinalibleedingiandiaidangerously
ilowihemoglobinilevel.iTheipatientiisifullyialertiandicompetentiandirefusesitoiacceptitheiblooditransf

usioniorderedibyitheiphysician.iWhichiactionibyitheinurseiisimostiappropriate?
a. Obtainiaicourtiorderitoigiveitheiblood.
b. Administeritheibloodiwhileitheipatientiisisleeping.
c. Haveitheipatientsispouseisignitheiconsentitoihaveitheibloodiadministered.
d. Ensureitheipatientiunderstandsipossibleiconsequencesiandithenirespectitheipatientsiwishes.

, i
5.iAipatientiofiMexicanidescentiseesiaicuranderoiforiasthma;itheicuranderoihasiprescribediais
pecialiteaitoibeitakenifouritimesiaidayitoiopenitheiairways.iHowishoulditheinurseiresponditoithisisit
uation?
a. Encourageitheipatientitoicontinueidrinkingitheitea.
b. Encourageitheipatientitoidrinkionlyioneicupiofitheiteaieachiday.
c. Askitheipatientitoibringiinitheiteaipackageiandihaveitheipharmacisticheckitheiingredients.
d. Adviseitheipatientitoistopidrinkingitheiteaibecauseiofipotentialiinteractionsiwithiotherim
edications.

i
6.iTheinurseiisicaringiforiaiyoungiadultimaleipatientiwhoirefusesipersonalicareifromiaife
maleinursingiassistant.iWhichiapproachibyitheinurseiisibest?
a. Encourageitheipatientsifamilyitoitalkiwithihimiaboutihisicare.
b. Haveiairegisteredinursei(RN)ihelpiwithihisipersonalicare.
c. Assigniaimaleiassistantitoihelpiwithihisipersonalicareiifioneiisiavailable.
d. Explainitoihimithatimalesiandifemalesitakeicareiofibothigendersiinithisihospital.


i 7.iTheinurseiisiprovidingimedicationiinstructionsitoiai45-year-
oldipatientiwhoidoesinotimaintainieyeicontact.iWhatishouldithisipatientsibehavioriindicateitoith
einurse?
a. Theipatientiisinotiinterested.
b. Theinurseithreatensitheipatientsiego.
c. Theinurseiisiiniaihierarchicaliposition.
d. Theipatientidoesinotiintenditoifollowitheiinstructions.


8.iTheinurseiisicaringiforiaipatientiofiSpanishidescentiwhoiisiexperiencingipain,ibutidoesinotisp
iiiiiiiii

eakiEnglish.iAniinterpreteriisilocateditoihelpiwithitheiassessment.iWhatishoulditheinurseidoitoifaci
litateicommunicationiwithithisipatient?
a. Useihandisignalsitoidetermineitheicauseiofitheipain.
b. Ensureitheiinterpreteriisinotileftialoneiwithitheipatient.
c. Maintainieyeicontactiwithitheipatientianditheiinterpreter.
d. Useionlyiphysicaliexaminationidata;idoinotirelyioniverbalicommunication.


i 9.iAinewimotheriofiGuatemalanidescentibringsiheri10-day-oldiinfantitoiaicliniciforiaiwell-
ibabyicheckup.iToipromoteihealing,isheihasiaicoinitapeditoitheiinfantsiumbilicus.iWhatishouldithein

urseidoiaboutithisisituation?
a. Teachitheimotherihowitoicleanitheicoinidailyiandireapplyiit.