TEST BANKS For Family Practice Guidelines
tt vb ttvb tt vb ttvb ttvb
6th Edition by Jill C. Cash; Cheryl A. Glass;
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
Jenny Mullen||Chapters 1 - 23
ttvb ttvb ttvb ttvb tt vb
,
,Chapter 1. Health Maintenance
ttvb ttvb ttvb
GuidelinesMultiple Choice
ttvb b
tv ttvb
Identify the choice that best completes the statement or answers the question.
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
ttvb 1. The nurse is preparing to teach a patient of the Asian culture to perform
ttvb tt vb tt vb ttvb tt vb ttvb tt vb ttvb tt vb ttvb tt vb tt vb tt vb tt vb
postoperative dressing changes at home after discharge. Which statement made by the
ttvb tt vb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
nurse indicates culturalcompetence?
ttvb ttvb ttvb b
tv
a. Tell me how you feel about your surgery.
ttvb ttvb ttvb ttvb ttvb ttvb ttvb
b. Asian people are smart, so this should be easy for you to understand.
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb tt vb ttvb
c. American surgeons are highly qualified; Im sure you will heal quickly.
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
d. Will you tell me about any traditional healing practices that you would like to use?
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb tt vb ttvb ttvb ttvb ttvb
ttvb 2. An unconscious victim of a house fire is brought to the emergency
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb tt vb ttvb tt vb
department by theparamedics. Tied to the right wrist is an emblem that appears be
ttvb tt vb ttvb b
tv ttvb tt vb ttvb tt vb ttvb ttvb ttvb ttvb tt vb ttvb ttvb
a religious talisman. Which action should the nurse take?
ttvb ttvb tt vb ttvb tt vb ttvb ttvb ttvb ttvb
a. Tape it in place. ttvb ttvb ttvb
b. Do nothing with it.
ttvb ttvb ttvb
c. Remove it and lock it up for safekeeping.
ttvb ttvb ttvb ttvb ttvb ttvb ttvb
d. Place it in a clothing bag with the rest of the patients belongings.
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
ttvb 3. A 43-year-old patient of Arab descent is admitted to the hospital. To
ttvb ttvb ttvb tt vb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
comply with thestate laws of the organization, the nurse offers the patient a
ttvb ttvb ttvb b
tv ttvb ttvb ttvb tt vb ttvb ttvb tt vb ttvb tt vb ttvb
Papanicolaou smear, which she refuses. Which action should the nurse take first?
ttvb tt vb ttvb ttvb tt vb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
a. Notify the physician. ttvb ttvb
b. Report the refusal to the supervisor.
ttvb ttvb ttvb ttvb ttvb
c. Explain the rationale for and benefits of the test.
ttvb ttvb ttvb ttvb ttvb tt vb ttvb ttvb
d. Tell her it is state law and that she does not have a choice.
ttvb ttvb ttvb ttvb ttvb ttvb tt vb ttvb ttvb ttvb ttvb tt vb ttvb
ttvb 4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a
ttvb tt vb ttvb tt vb ttvb tt vb ttvb ttvb tt vb ttvb tt vb ttvb tt vb
dangerously low hemoglobin level. The patient is fully alert and competent and refuses
tt vb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb tt vb ttvb
to acceptthe blood transfusion ordered by the physician. Which action by the nurse is
ttvb ttvb b
tv ttvb ttvb ttvb tt vb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
most appropriate?
ttvb tt vb
a. Obtain a court order to give the blood.
ttvb ttvb ttvb ttvb tt vb ttvb ttvb
b. Administer the blood while the patient is sleeping. ttvb ttvb ttvb ttvb ttvb ttvb ttvb
c. Have the patients spouse sign the consent to have the blood administered.
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
, d. Ensure the patient understands possible consequences and then respect the patients
ttvb ttvb ttvb ttvb ttvb tt vb ttvb ttvb ttvb ttvb
wishes.
ttvb
ttvb 5. A patient of Mexican descent sees a curandero for asthma; the curandero has
ttvb ttvb ttvb ttvb tt vb ttvb ttvb ttvb tt vb ttvb ttvb ttvb ttvb
prescribeda special tea to be taken four times a day to open the airways. How
ttvb b
tv ttvb ttvb ttvb tt vb tt vb tt vb tt vb ttvb tt vb ttvb tt vb tt vb ttvb tt vb
should the nurse respond to this situation?
ttvb tt vb ttvb tt vb ttvb tt vb ttvb
a. Encourage the patient to continue drinking the tea. ttvb ttvb ttvb ttvb ttvb ttvb ttvb
b. Encourage the patient to drink only one cup of the tea each day.
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb tt vb ttvb ttvb
c. Ask the patient to bring in the tea package and have the pharmacist check the
ttvb ttvb ttvb ttvb ttvb tt vb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
ingredients.
ttvb
d. Advise the patient to stop drinking the tea because of potential interactions
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb tt vb ttvb ttvb
with othermedications.
ttvb ttvb b
tv
ttvb 6. The nurse is caring for a young adult male patient who refuses personal
ttvb ttvb ttvb tt vb ttvb ttvb ttvb ttvb ttvb ttvb tt vb ttvb ttvb
care from afemale nursing assistant. Which approach by the nurse is best?
ttvb ttvb ttvb b
tv ttvb ttvb tt vb tt vb tt vb ttvb tt vb tt vb ttvb
a. Encourage the patients family to talk with him about his care. ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
b. Have a registered nurse (RN) help with his personal care.
ttvb ttvb ttvb ttvb ttvb ttvb ttvb tt vb ttvb
c. Assign a male assistant to help with his personal care if one is available.
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
d. Explain to him that males and females take care of both genders in this hospital.
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb tt vb ttvb
ttvb 7. The nurse is providing medication instructions to a 45-year-old patient who
ttvb tt vb tt vb ttvb tt vb tt vb ttvb tt vb tt vb tt vb ttvb
does notmaintain eye contact. What should this patients behavior indicate to the
ttvb ttvb b
tv ttvb tt vb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
nurse?
ttvb
a. The patient is not interested.
ttvb ttvb ttvb ttvb
b. The nurse threatens the patients ego.
ttvb ttvb ttvb ttvb ttvb
c. The nurse is in a hierarchical position.
ttvb ttvb ttvb ttvb ttvb ttvb
d. The patient does not intend to follow the instructions.
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
ttvb tt vb 8. The nurse is caring for a patient of Spanish descent who is
tt vb tt vb tt vb tt vb tt vb tt vb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
experiencing pain, but does not speak English. An interpreter is located to help with
ttvb ttvb tt vb ttvb b
tv ttvb tt vb ttvb ttvb ttvb ttvb ttvb ttvb tt vb
the assessment. What should the nurse do to facilitate communication with this
ttvb ttvb tt vb ttvb ttvb ttvb b
tv ttvb ttvb tt vb ttvb tt vb
patient?
ttvb
a. Use hand signals to determine the cause of the pain.
ttvb tt vb ttvb tt vb ttvb ttvb ttvb ttvb ttvb
b. Ensure the interpreter is not left alone with the patient.
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
c. Maintain eye contact with the patient and the interpreter.
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
d. Use only physical examination data; do not rely on verbal communication.
ttvb ttvb tt vb tt vb ttvb ttvb ttvb ttvb ttvb ttvb
ttvb 9. A new mother of Guatemalan descent brings her 10-day-old infant to a clinic
ttvb tt vb tt vb ttvb ttvb tt vb ttvb tt vb tt vb ttvb ttvb tt vb tt vb
tt vb ttvb tt vb ttvb ttvb
6th Edition by Jill C. Cash; Cheryl A. Glass;
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
Jenny Mullen||Chapters 1 - 23
ttvb ttvb ttvb ttvb tt vb
,
,Chapter 1. Health Maintenance
ttvb ttvb ttvb
GuidelinesMultiple Choice
ttvb b
tv ttvb
Identify the choice that best completes the statement or answers the question.
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
ttvb 1. The nurse is preparing to teach a patient of the Asian culture to perform
ttvb tt vb tt vb ttvb tt vb ttvb tt vb ttvb tt vb ttvb tt vb tt vb tt vb tt vb
postoperative dressing changes at home after discharge. Which statement made by the
ttvb tt vb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
nurse indicates culturalcompetence?
ttvb ttvb ttvb b
tv
a. Tell me how you feel about your surgery.
ttvb ttvb ttvb ttvb ttvb ttvb ttvb
b. Asian people are smart, so this should be easy for you to understand.
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb tt vb ttvb
c. American surgeons are highly qualified; Im sure you will heal quickly.
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
d. Will you tell me about any traditional healing practices that you would like to use?
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb tt vb ttvb ttvb ttvb ttvb
ttvb 2. An unconscious victim of a house fire is brought to the emergency
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb tt vb ttvb tt vb
department by theparamedics. Tied to the right wrist is an emblem that appears be
ttvb tt vb ttvb b
tv ttvb tt vb ttvb tt vb ttvb ttvb ttvb ttvb tt vb ttvb ttvb
a religious talisman. Which action should the nurse take?
ttvb ttvb tt vb ttvb tt vb ttvb ttvb ttvb ttvb
a. Tape it in place. ttvb ttvb ttvb
b. Do nothing with it.
ttvb ttvb ttvb
c. Remove it and lock it up for safekeeping.
ttvb ttvb ttvb ttvb ttvb ttvb ttvb
d. Place it in a clothing bag with the rest of the patients belongings.
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
ttvb 3. A 43-year-old patient of Arab descent is admitted to the hospital. To
ttvb ttvb ttvb tt vb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
comply with thestate laws of the organization, the nurse offers the patient a
ttvb ttvb ttvb b
tv ttvb ttvb ttvb tt vb ttvb ttvb tt vb ttvb tt vb ttvb
Papanicolaou smear, which she refuses. Which action should the nurse take first?
ttvb tt vb ttvb ttvb tt vb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
a. Notify the physician. ttvb ttvb
b. Report the refusal to the supervisor.
ttvb ttvb ttvb ttvb ttvb
c. Explain the rationale for and benefits of the test.
ttvb ttvb ttvb ttvb ttvb tt vb ttvb ttvb
d. Tell her it is state law and that she does not have a choice.
ttvb ttvb ttvb ttvb ttvb ttvb tt vb ttvb ttvb ttvb ttvb tt vb ttvb
ttvb 4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a
ttvb tt vb ttvb tt vb ttvb tt vb ttvb ttvb tt vb ttvb tt vb ttvb tt vb
dangerously low hemoglobin level. The patient is fully alert and competent and refuses
tt vb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb tt vb ttvb
to acceptthe blood transfusion ordered by the physician. Which action by the nurse is
ttvb ttvb b
tv ttvb ttvb ttvb tt vb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
most appropriate?
ttvb tt vb
a. Obtain a court order to give the blood.
ttvb ttvb ttvb ttvb tt vb ttvb ttvb
b. Administer the blood while the patient is sleeping. ttvb ttvb ttvb ttvb ttvb ttvb ttvb
c. Have the patients spouse sign the consent to have the blood administered.
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
, d. Ensure the patient understands possible consequences and then respect the patients
ttvb ttvb ttvb ttvb ttvb tt vb ttvb ttvb ttvb ttvb
wishes.
ttvb
ttvb 5. A patient of Mexican descent sees a curandero for asthma; the curandero has
ttvb ttvb ttvb ttvb tt vb ttvb ttvb ttvb tt vb ttvb ttvb ttvb ttvb
prescribeda special tea to be taken four times a day to open the airways. How
ttvb b
tv ttvb ttvb ttvb tt vb tt vb tt vb tt vb ttvb tt vb ttvb tt vb tt vb ttvb tt vb
should the nurse respond to this situation?
ttvb tt vb ttvb tt vb ttvb tt vb ttvb
a. Encourage the patient to continue drinking the tea. ttvb ttvb ttvb ttvb ttvb ttvb ttvb
b. Encourage the patient to drink only one cup of the tea each day.
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb tt vb ttvb ttvb
c. Ask the patient to bring in the tea package and have the pharmacist check the
ttvb ttvb ttvb ttvb ttvb tt vb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
ingredients.
ttvb
d. Advise the patient to stop drinking the tea because of potential interactions
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb tt vb ttvb ttvb
with othermedications.
ttvb ttvb b
tv
ttvb 6. The nurse is caring for a young adult male patient who refuses personal
ttvb ttvb ttvb tt vb ttvb ttvb ttvb ttvb ttvb ttvb tt vb ttvb ttvb
care from afemale nursing assistant. Which approach by the nurse is best?
ttvb ttvb ttvb b
tv ttvb ttvb tt vb tt vb tt vb ttvb tt vb tt vb ttvb
a. Encourage the patients family to talk with him about his care. ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
b. Have a registered nurse (RN) help with his personal care.
ttvb ttvb ttvb ttvb ttvb ttvb ttvb tt vb ttvb
c. Assign a male assistant to help with his personal care if one is available.
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
d. Explain to him that males and females take care of both genders in this hospital.
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb tt vb ttvb
ttvb 7. The nurse is providing medication instructions to a 45-year-old patient who
ttvb tt vb tt vb ttvb tt vb tt vb ttvb tt vb tt vb tt vb ttvb
does notmaintain eye contact. What should this patients behavior indicate to the
ttvb ttvb b
tv ttvb tt vb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
nurse?
ttvb
a. The patient is not interested.
ttvb ttvb ttvb ttvb
b. The nurse threatens the patients ego.
ttvb ttvb ttvb ttvb ttvb
c. The nurse is in a hierarchical position.
ttvb ttvb ttvb ttvb ttvb ttvb
d. The patient does not intend to follow the instructions.
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
ttvb tt vb 8. The nurse is caring for a patient of Spanish descent who is
tt vb tt vb tt vb tt vb tt vb tt vb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
experiencing pain, but does not speak English. An interpreter is located to help with
ttvb ttvb tt vb ttvb b
tv ttvb tt vb ttvb ttvb ttvb ttvb ttvb ttvb tt vb
the assessment. What should the nurse do to facilitate communication with this
ttvb ttvb tt vb ttvb ttvb ttvb b
tv ttvb ttvb tt vb ttvb tt vb
patient?
ttvb
a. Use hand signals to determine the cause of the pain.
ttvb tt vb ttvb tt vb ttvb ttvb ttvb ttvb ttvb
b. Ensure the interpreter is not left alone with the patient.
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
c. Maintain eye contact with the patient and the interpreter.
ttvb ttvb ttvb ttvb ttvb ttvb ttvb ttvb
d. Use only physical examination data; do not rely on verbal communication.
ttvb ttvb tt vb tt vb ttvb ttvb ttvb ttvb ttvb ttvb
ttvb 9. A new mother of Guatemalan descent brings her 10-day-old infant to a clinic
ttvb tt vb tt vb ttvb ttvb tt vb ttvb tt vb tt vb ttvb ttvb tt vb tt vb