TEST BANKS For Family Practice Guidelines
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6th Edition by Jill C. Cash; Cheryl A. Glass;
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Jenny Mullen||Chapters 1 - 23
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,
,Chapter 1. Health Maintenance
bbvb bbvb bbvb
GuidelinesMultiple Choice
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Identify the choice that best completes the statement or answers the question.
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bbvb 1. The nurse is preparing to teach a patient of the Asian culture to perform
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postoperative dressing changes at home after discharge. Which statement made by
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the nurse indicates culturalcompetence?
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bv
a. Tell me how you feel about your surgery.
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b. Asian people are smart, so this should be easy for you to understand.
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c. American surgeons are highly qualified; Im sure you will heal quickly.
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d. Will you tell me about any traditional healing practices that you would like to use?
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bbvb 2. An unconscious victim of a house fire is brought to the emergency
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department by theparamedics. Tied to the right wrist is an emblem that appears
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bv bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
be a religious talisman. Which action should the nurse take?
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a. Tape it in place. bbvb bbvb bbvb
b. Do nothing with it.
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c. Remove it and lock it up for safekeeping.
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d. Place it in a clothing bag with the rest of the patients belongings.
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bbvb 3. A 43-year-old patient of Arab descent is admitted to the hospital. To
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comply with thestate laws of the organization, the nurse offers the patient a
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bv bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
Papanicolaou smear, which she refuses. Which action should the nurse take first?
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a. Notify the physician. bbvb bbvb
b. Report the refusal to the supervisor.
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c. Explain the rationale for and benefits of the test.
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d. Tell her it is state law and that she does not have a choice.
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bbvb 4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding
bbvb bbvb bbvb bb vb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
and a dangerously low hemoglobin level. The patient is fully alert and competent
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and refuses to acceptthe blood transfusion ordered by the physician. Which action
bbvb bbvb bbvb bbvb b
bv bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
by the nurse is most appropriate?
bbvb bbvb bbvb bbvb bbvb bbvb
a. Obtain a court order to give the blood.
bbvb bbvb bbvb bb vb bb vb bbvb bbvb
b. Administer the blood while the patient is sleeping.
bbvb bbvb bbvb bbvb bbvb bbvb bbvb
c. Have the patients spouse sign the consent to have the blood administered.
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
, d. Ensure the patient understands possible consequences and then respect the patients
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
wishes.
bbvb
bbvb 5. A patient of Mexican descent sees a curandero for asthma; the curandero
bbvb bbvb bbvb bbvb bb vb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
has prescribeda special tea to be taken four times a day to open the airways.
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bv bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
How should the nurse respond to this situation?
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a. Encourage the patient to continue drinking the tea.bbvb bbvb bbvb bbvb bbvb bbvb bbvb
b. Encourage the patient to drink only one cup of the tea each day.
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
c. Ask the patient to bring in the tea package and have the pharmacist check the
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
ingredients.
bbvb
d. Advise the patient to stop drinking the tea because of potential interactions
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bb vb bbvb bbvb
with othermedications.
bbvb bbvb b
bv
bbvb 6. The nurse is caring for a young adult male patient who refuses
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
personal care from afemale nursing assistant. Which approach by the nurse is
bbvb bbvb bbvb bbvb b
bv bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
best?
bbvb
a. Encourage the patients family to talk with him about his care.
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
b. Have a registered nurse (RN) help with his personal care.
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c. Assign a male assistant to help with his personal care if one is available.
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d. Explain to him that males and females take care of both genders in this hospital.
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bbvb 7. The nurse is providing medication instructions to a 45-year-old patient
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who does notmaintain eye contact. What should this patients behavior indicate
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bv bbvb bb vb bbvb bbvb bbvb bbvb bbvb bbvb
to the nurse?
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a. The patient is not interested.
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b. The nurse threatens the patients ego.
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c. The nurse is in a hierarchical position.
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d. The patient does not intend to follow the instructions.
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8. The nurse is caring for a patient of Spanish descent who is
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experiencing pain, but does not speak English. An interpreter is located to help
bbvb bbvb bbvb bbvb b
bv bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
with the assessment. What should the nurse do to facilitate communication with
bbvb bbvb bbvb bb vb bbvb bbvb bbvb b
bv bbvb bbvb bbvb bbvb
this patient?
bbvb bbvb
a. Use hand signals to determine the cause of the pain.
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
b. Ensure the interpreter is not left alone with the patient.
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
c. Maintain eye contact with the patient and the interpreter.
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d. Use only physical examination data; do not rely on verbal communication.
bbvb bbvb bb vb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
bbvb bbvb bbvb bbvb bbvb
6th Edition by Jill C. Cash; Cheryl A. Glass;
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
Jenny Mullen||Chapters 1 - 23
bbvb bbvb bbvb bbvb bbvb
,
,Chapter 1. Health Maintenance
bbvb bbvb bbvb
GuidelinesMultiple Choice
bbvb b
bv bbvb
Identify the choice that best completes the statement or answers the question.
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
bbvb 1. The nurse is preparing to teach a patient of the Asian culture to perform
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
postoperative dressing changes at home after discharge. Which statement made by
bbvb bb vb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
the nurse indicates culturalcompetence?
bbvb bbvb bbvb bbvb b
bv
a. Tell me how you feel about your surgery.
bbvb bbvb bbvb bbvb bbvb bbvb bbvb
b. Asian people are smart, so this should be easy for you to understand.
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
c. American surgeons are highly qualified; Im sure you will heal quickly.
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
d. Will you tell me about any traditional healing practices that you would like to use?
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bb vb bbvb bbvb bbvb bbvb
bbvb 2. An unconscious victim of a house fire is brought to the emergency
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
department by theparamedics. Tied to the right wrist is an emblem that appears
bbvb bbvb bbvb b
bv bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
be a religious talisman. Which action should the nurse take?
bbvb bbvb bbvb bbvb bbvb bb vb bbvb bbvb bbvb bbvb
a. Tape it in place. bbvb bbvb bbvb
b. Do nothing with it.
bbvb bbvb bbvb
c. Remove it and lock it up for safekeeping.
bbvb bbvb bbvb bbvb bbvb bbvb bbvb
d. Place it in a clothing bag with the rest of the patients belongings.
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
bbvb 3. A 43-year-old patient of Arab descent is admitted to the hospital. To
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
comply with thestate laws of the organization, the nurse offers the patient a
bbvb bbvb bbvb b
bv bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
Papanicolaou smear, which she refuses. Which action should the nurse take first?
bbvb bbvb bbvb bbvb bb vb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
a. Notify the physician. bbvb bbvb
b. Report the refusal to the supervisor.
bbvb bbvb bbvb bbvb bbvb
c. Explain the rationale for and benefits of the test.
bbvb bbvb bb vb bbvb bbvb bbvb bbvb bbvb
d. Tell her it is state law and that she does not have a choice.
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
bbvb 4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding
bbvb bbvb bbvb bb vb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
and a dangerously low hemoglobin level. The patient is fully alert and competent
bbvb bbvb bb vb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
and refuses to acceptthe blood transfusion ordered by the physician. Which action
bbvb bbvb bbvb bbvb b
bv bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
by the nurse is most appropriate?
bbvb bbvb bbvb bbvb bbvb bbvb
a. Obtain a court order to give the blood.
bbvb bbvb bbvb bb vb bb vb bbvb bbvb
b. Administer the blood while the patient is sleeping.
bbvb bbvb bbvb bbvb bbvb bbvb bbvb
c. Have the patients spouse sign the consent to have the blood administered.
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
, d. Ensure the patient understands possible consequences and then respect the patients
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
wishes.
bbvb
bbvb 5. A patient of Mexican descent sees a curandero for asthma; the curandero
bbvb bbvb bbvb bbvb bb vb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
has prescribeda special tea to be taken four times a day to open the airways.
bbvb bbvb b
bv bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
How should the nurse respond to this situation?
bbvb bbvb bbvb bbvb bbvb bbvb bb vb bbvb
a. Encourage the patient to continue drinking the tea.bbvb bbvb bbvb bbvb bbvb bbvb bbvb
b. Encourage the patient to drink only one cup of the tea each day.
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
c. Ask the patient to bring in the tea package and have the pharmacist check the
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
ingredients.
bbvb
d. Advise the patient to stop drinking the tea because of potential interactions
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bb vb bbvb bbvb
with othermedications.
bbvb bbvb b
bv
bbvb 6. The nurse is caring for a young adult male patient who refuses
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
personal care from afemale nursing assistant. Which approach by the nurse is
bbvb bbvb bbvb bbvb b
bv bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
best?
bbvb
a. Encourage the patients family to talk with him about his care.
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
b. Have a registered nurse (RN) help with his personal care.
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bb vb bbvb
c. Assign a male assistant to help with his personal care if one is available.
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
d. Explain to him that males and females take care of both genders in this hospital.
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
bbvb 7. The nurse is providing medication instructions to a 45-year-old patient
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
who does notmaintain eye contact. What should this patients behavior indicate
bbvb bbvb bbvb b
bv bbvb bb vb bbvb bbvb bbvb bbvb bbvb bbvb
to the nurse?
bbvb bbvb bbvb
a. The patient is not interested.
bbvb bbvb bbvb bbvb
b. The nurse threatens the patients ego.
bbvb bbvb bbvb bbvb bbvb
c. The nurse is in a hierarchical position.
bbvb bbvb bbvb bbvb bbvb bbvb
d. The patient does not intend to follow the instructions.
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
8. The nurse is caring for a patient of Spanish descent who is
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
experiencing pain, but does not speak English. An interpreter is located to help
bbvb bbvb bbvb bbvb b
bv bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
with the assessment. What should the nurse do to facilitate communication with
bbvb bbvb bbvb bb vb bbvb bbvb bbvb b
bv bbvb bbvb bbvb bbvb
this patient?
bbvb bbvb
a. Use hand signals to determine the cause of the pain.
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
b. Ensure the interpreter is not left alone with the patient.
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
c. Maintain eye contact with the patient and the interpreter.
bbvb bbvb bbvb bbvb bbvb bbvb bbvb bbvb
d. Use only physical examination data; do not rely on verbal communication.
bbvb bbvb bb vb bbvb bbvb bbvb bbvb bbvb bbvb bbvb