family practice guidelines 5th edition test bank

Family Practice Guidelines Fifth Edition TestB
c c c c c c




ank

Chapterc1.c HealthcMaintenancecGuidelinesc

MultiplecChoice
Identifycthecchoicecthatcbestccompletescthecstatementcorcanswerscthecquestion.

c

1.cAcpatientcwhociscacJehovahscWitnesschascseverecgastrointestinalcbleedingcandcacdangerousl
yclowchemoglobinclevel.cThecpatientciscfullycalertcandccompetentcandcrefusesctocacceptcthecbloodctran
sfusioncorderedcbycthecphysician.cWhichcactioncbycthecnurseciscmostcappropriate?ca.cObtaincaccourtco
rderctocgivecthecblood.
b. Administercthecbloodcwhilecthecpatientciscsleeping.
c. Havecthecpatientscspousecsigncthecconsentctochavecthecbloodcadministered.
d. Ensurecthecpatientcunderstandscpossiblecconsequencescandcthencrespectcthecpatientscwishes.
c

2.cAcpatientcofcMexicancdescentcseescaccuranderocforcasthma;ctheccuranderochascpresc
ribedcacspecialcteactocbectakencfourctimescacdayctocopencthecairways.cHowcshouldcthecnursecre
spondctocthiscsituation?
a. Encouragecthecpatientctoccontinuecdrinkingcthectea.
b. Encouragecthecpatientctocdrinkconlyconeccupcofcthecteaceachcday.
c. Askcthecpatientctocbringcincthecteacpackagecandchavecthecpharmacistccheckcthecingredients.
d. Advisecthecpatientctocstopcdrinkingcthecteacbecausecofcpotentialcinteractionscwithcothercm
edications.
c

3.cThecnursecisccaringcforcacyoungcadultcmalecpatientcwhocrefusescpersonalccarecfromcacfe
malecnursingcassistant.cWhichcapproachcbycthecnurseciscbest?
a. Encouragecthecpatientscfamilyctoctalkcwithchimcaboutchisccare.
b. Havecacregisteredcnursec(RN)chelpcwithchiscpersonalccare.
c. Assigncacmalecassistantctochelpcwithchiscpersonalccarecifconeciscavailable.
d. Explainctochimcthatcmalescandcfemalesctakeccarecofcbothcgenderscincthischospital.
c 4.cThecnurseciscprovidingcmedicationcinstructionsctocac45-year-
oldcpatientcwhocdoescnotcmaintainceyeccontact.cWhatcshouldcthiscpatientscbehaviorcindicatectoct
hecnurse?ca.cThecpatientciscnotcinterested.
b. Thecnursecthreatenscthecpatientscego.

,c. Thecnurseciscincachierarchicalcposition.
d. Thecpatientcdoescnotcintendctocfollowcthecinstructions.
5.cThecnursecisccaringcforcacpatientcofcSpanishcdescentcwhociscexperiencingcpain,cbutcdoescnotc
ccccccccc


speakcEnglish.cAncinterpretercisclocatedctochelpcwithcthecassessment.cWhatcshouldcthecnursecdoctoc
facilitateccommunicationcwithcthiscpatient?
a. Usechandcsignalsctocdeterminectheccausecofcthecpain.
b. Ensurecthecinterpreterciscnotcleftcalonecwithcthecpatient.
c. Maintainceyeccontactcwithcthecpatientcandcthecinterpreter.
d. Useconlycphysicalcexaminationcdata;cdocnotcrelyconcverbalccommunication.
c 6.cAcnewcmothercofcGuatemalancdescentcbringscherc10-day-
oldcinfantctocaccliniccforcacwellbabyccheckup.cTocpromotechealing,cshechascaccoinctapedctoctheci
nfantscumbilicus.cWhatcshouldcthecnursecdocaboutcthiscsituation?
a. Teachcthecmotherchowctoccleanctheccoincdailycandcreapplycit.
b. Explainctocthecmothercthatctheccoinciscnotcnecessarycforchealing.
c. Tellcthecmotherctocremovectheccoin,cbecausecitccouldccausecancinfection.
d. Teachcthecmotherchowctocapplycacdrycsterilecdressingcincplacecofctheccoin.
c

7.cAncoldercpatientcwhocfollowscthecMuslimcreligionciscapproachingcdeath.cThecfamilycsaysc
thecpatientscbedcshouldcbecturnedctowardcthecoppositecwall,csocitccancfacecMeccactocensurecanceasi
ercpassagecintocthecnextclife.cThecwallctheycwantcthecbedctocfacechascwallcsuctioncandcoxygen,cwhi
chcthecpatientciscusing.cWhichcactioncbycthecnurseciscappropriate?ca.cGetcpermissioncfromcthecphy
sicianctocmovecthecbed.
b. Rearrangecthecfurniturectocaccommodatecthecrequest.
c. Tellcthemcyoucwillcmovecthecbedcwhencthecpatientcisccloserctocdeath.
d. Tellcthemcitciscimpossiblecbecausecofcthecshortctubingconcthecoxygencandcsuction.
c

8.cAcpatientcofcnortherncEuropeancdescentcrecoveringcfromcsurgerycdeniescpostoperativecpa
in;chowever,cvitalcsignscindicatecancelevatedcpulsecandcbloodcpressure.cThecpatientcrefusesctocmov
ecincbed.cWhichcnursingcactioncwouldcbestcensureccomfortcandctimelycdischarge?ca.cGivecthecpain
c medicinecascprescribed.
b. Askcthecphysicianctocprescribecthecanalgesicscaroundcthecclock.
c. Explaincthatcthecpaincmedicinecwillchelpcpreventccomplications.
d. Respectcthecpatientscdenialcofcpain,candcdocnotcencouragecthecpaincmedicine.


9. ThecnurseciscpreparingctocteachcacpatientcofcthecAsiancculturectocperformcpostoperativecdressing
c changescatchomecaftercdischarge.cWhichcstatementcmadecbycthecnursecindicatesccultural

,competence?
a. Tellcmechowcyoucfeelcaboutcyourcsurgery.
b. Asiancpeoplecarecsmart,csocthiscshouldcbeceasycforcyouctocunderstand.
c. Americancsurgeonscarechighlycqualified;cImcsurecyoucwillchealcquickly.
d. Willcyouctellcmecaboutcanyctraditionalchealingcpracticescthatcyoucwouldclikectocuse?c
10. Ancunconsciouscvictimcofcachousecfireciscbroughtctocthecemergencycdepartmentcbycthecpara
medics.cTiedctocthecrightcwristciscancemblemcthatcappearscbecacreligiousctalisman.cWhichcactionc
shouldcthecnursectake?ca.cTapecitcincplace.
b. Docnothingcwithcit.
c. Removecitcandclockcitcupcforcsafekeeping.
d. Placecitcincacclothingcbagcwithcthecrestcofcthecpatientscbelongings.
11.cAc43-year-
ccccccccc


oldcpatientcofcArabcdescentciscadmittedctocthechospital.cToccomplycwithcthecstateclawscofcthecor
ganization,cthecnursecofferscthecpatientcacPapanicolaoucsmear,cwhichcshecrefuses.cWhichcactio
ncshouldcthecnursectakecfirst?ca.cNotifycthecphysician.
b.cReportcthecrefusalctocthecsupervisor.
c.c Explaincthecrationalecforcandcbenefitscofcthectest.
BcTellchercitciscstateclawcandcthatcshecdoescnotchavecacchoice


12.cAcnursecwhocemigratedcfromcChinacbeginscworkingconcacmedicalcunit.cThecpreceptorcexplainscth
ecunitcroutines,cincludingcthecmedicationcadministrationcsystem.cWhencthecpreceptorcaskscifcthecnurs
ecunderstands,cthecanswerciscalways:cYes,cIcunderstand.cWhatcshouldcthecpreceptorcdoctocmeasurecth
ecnursesccomprehension?ca.cGivecthecnursecacmedicationcquiz.
b. Havecthecnursecrepeatcthecinstructions.
c. Havecthecnursecdemonstratecthecprocedures.
d. Askcthecnursecwhichcinformationcischardctocunderstand.
c 13.cAc52-year-
oldcfromcHaiticischospitalizedcwithcheartcfailurecandcwantsctochavecacvoodoocpractitionercvisitctocsa
ycprayers.cHowcshouldcthecnursecrespondctocthiscrequest?ca.cReportcthecrequestctocthecphysiciancim
mediately.
b. Tellcthecpatientcthatcthisciscnotcpermittedcduringchospitalization.
c. Tellcthecpatientcitciscokaycforcthecvoodoocpractitionerctocsaycprayers.
d. Havecthecpatientcmeetcwithcthecvoodoocpractitionercincthechospitalclobby.
c 14.cThecnursecisccaringcforcacpatientcfromcacnon-
Englishcspeakingcculture.cWhilecprovidingccare,cthecnursecshowscancappreciationcforcandcattentionc
tocarts,cmusic,ccrafts,cclothing,candcfoods

, belongingctocthecpatientscculture.cWhatcdidcthecnursecdemonstratecwhileccaringcforcthiscpatient?ca.
Culturalcbeliefs
b. Culturalcawareness
c. Culturalcsensitivity
d. Culturalccompetence
c

15.cAcfemalecCaucasiancnurse,coverheadcdiscussingcacpatientcfromcanothercculture,caskscwhy
c thecpatientcwantsctocseecacpractitionercfromchiscowncculture,csinceceveryonecseescphysicianscwhenct
heycarecill.cWhatccharacteristicciscthecnursecexhibiting?
a. Stereotyping
b. Ethnocentrism
c. Culturalcsensitivity
d. Culturalcgeneralization
c 16.cDuringcancassessment,cthecnursecdeterminescthatcacpatientcfromcacnon-
Englishcspeakingcculturecpracticescactivitiescthatcarecpast-
oriented.cWhatcbehaviorcdidcthecnursecassesscincthiscpatient?
a. Investingctimecandcmoney
b. Enjoyingceachcdaycascitccomes
c. Worshippingcancestorscandcmaintainingctraditions
d. Learningcfromcthecpastctocavoidcmakingcthecsamecmistakescincthecfuture
c

17.cThecnursecnotescthatcacpatientcofcArabcdescentciscnotceatingcanythingconcthecmealctrays.cW
hatcshouldcthecnursecdocaboutcthiscsituation?
a. Waitcforcthecpatientctocaskcforcspecificcfoods.
b. Askcifcthecpatientchascspecialcfoodcpreferences.
c. ConsultcwithcacphysiciancofcArabcdescentconcstaff.
d. ContactcthecdietitianctocfindcoutcwhatcpatientscofcArabcdescentcpatientsclikectoceat.
18.cThecmothercofcac6-year-
oldcVietnamesecchildcadmittedcwithcpneumoniaciscrubbingcaccoinconcthecchildscback.cTheccoincl
eavescredcmarks.cWhatcshouldcthecnursecdocaboutcthiscobservation?
a. Reportcthecpossibilitycofcchildcabuse.
b. Docnotcallowcthecmotherctocbecalonecwithchercchild.
c. Explainctocthecmothercthatcsheccannotcdocthiscincthechospital.
d. Addcacstatementctoctheccarecplancthatcthecfamilycpracticesccoining.
c 19.cThecfamilycofcancoldercArab-
Americancpatientcdoescnotcwantcthecpatientctocbecinformedcofcacdiagnosiscofccancer.cWhatcshouldcthe
c nursecdo?ca.cCallcacreligiousccounselor.
b. Respectcthecfamilyscwishes.