5
Jenny Mullen||Chapters 1 - 23
,
,Chapter 1. Health Maintenance Guidelines
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nurse is preparing to teach a patient of the Asian culture to perform postoperative
dressing changes at home after discharge. Which statement made by the nurse indicates cultural
competence?
a. Tell me how you feel about your surgery.
b. Asian people are smart, so this should be easy for you to understand.
c. American surgeons are highly qualified; Im sure you will heal quickly.
d. Will you tell me about any traditional healing practices that you would like to use?
aj
2.ajAnajunconsciousajvictimajofajaajhouseajfireajisajbroughtajtoajtheajemergencyajdepartmentajbyajt
hejpa aramedics.ajTiedajtoajtheajrightajwristajisajanajemblemajthatajappearsajbeajaajreligiousajtalisman.ajW
hichajactionajshouldajtheajnurseajtake?
a. Tapeajitajinajplace.
b. Doajnothingajwithajit.
c. Removeajitajandajlockajitajupajforajsafekeeping.
d. Placeajitajinajaajclothingajbagajwithajtheajrestajofajtheajpatientsajbelongings.
aj 3.ajAaj43-year-
oldajpatientajofajArabajdescentajisajadmittedajtoajtheajhospital.ajToajcomplyajwithajthejsa tateajlawsajofajtheaj
organization,ajtheajnurseajoffersajtheajpatientajaajPapanicolaouajsmear,ajwhichajsheajrefuses.ajWhichaja
ctionajshouldajtheajnurseajtakeajfirst?
a. Notifyajtheajphysician.
b. Reportajtheajrefusalajtoajtheajsupervisor.
c. Explainajtheajrationaleajforajandajbenefitsajofajtheajtest.
d. Tellajherajitajisajstateajlawajandajthatajsheajdoesajnotajhaveajaajchoice.
aj
4.ajAajpatientajwhoajisajaajJehovahsajWitnessajhasajsevereajgastrointestinalajbleedingajandajaajdanger
ouslyajlowajhemoglobinajlevel.ajTheajpatientajisajfullyajalertajandajcompetentajandajrefusesajtoajacceptjta heajb
loodajtransfusionajorderedajbyajtheajphysician.ajWhichajactionajbyajtheajnurseajisajmostajappropriate?
a. Obtainajaajcourtajorderajtoajgiveajtheajblood.
b. Administerajtheajbloodajwhileajtheajpatientajisajsleeping.
c. Haveajtheajpatientsajspouseajsignajtheajconsentajtoajhaveajtheajbloodajadministered.
, d. Ensureajtheajpatientajunderstandsajpossibleajconsequencesajandajthenajrespectajtheajpatientsajwishes.
aj
5.ajAajpatientajofajMexicanajdescentajseesajaajcuranderoajforajasthma;ajtheajcuranderoajhasajprescrib
edjaa ajspecialajteaajtoajbeajtakenajfourajtimesajaajdayajtoajopenajtheajairways.ajHowajshouldajtheajnurseajrespon
dajtoajthisajsituation?
a. Encourageajtheajpatientajtoajcontinueajdrinkingajtheajtea.
b. Encourageajtheajpatientajtoajdrinkajonlyajoneajcupajofajtheajteaajeachajday.
c. Askajtheajpatientajtoajbringajinajtheajteaajpackageajandajhaveajtheajpharmacistajcheckajtheajingredients.
d. Adviseajtheajpatientajtoajstopajdrinkingajtheajteaajbecauseajofajpotentialajinteractionsajwithajoth
erjamedications.
aj
6.ajTheajnurseajisajcaringajforajaajyoungajadultajmaleajpatientajwhoajrefusesajpersonalajcareajfrom
ajajf
a emaleajnursing ajassistant. ajWhichajapproachaj byajthe ajnurse aj isaj best?
a. Encourageajtheajpatientsajfamilyajtoajtalkajwithajhimajaboutajhisajcare.
b. Haveajaajregisteredajnurseaj(RN)ajhelpajwithajhisajpersonalajcare.
c. Assignajaajmaleajassistantajtoajhelpajwithajhisajpersonalajcareajifajoneajisajavailable.
d. Explainajtoajhimajthatajmalesajandajfemalesajtakeajcareajofajbothajgendersajinajthisajhospital.
aj 7.ajTheajnurseajisajprovidingajmedicationajinstructionsajtoajaaj45-year-
oldajpatientajwhoajdoesajnotjamaintainajeyeajcontact.ajWhatajshouldajthisajpatientsajbehaviorajindicateajt
oajtheajnurse?
a. Theajpatientajisajnotajinterested.
b. Theajnurseajthreatensajtheajpatientsajego.
c. Theajnurseajisajinajaajhierarchicalajposition.
d. Theajpatientajdoesajnotajintendajtoajfollowajtheajinstructions.
8.ajTheajnurseajisajcaringajforajaajpatientajofajSpanishajdescentajwhoajisajexperiencingajpain,ajbutajd
ajajajajajajajajaj
oesjna otajspeakajEnglish.ajAnajinterpreterajisajlocatedajtoajhelpajwithajtheajassessment.ajWhatajshouldajtheaj
nursejadoajtoajfacilitateajcommunicationajwithajthisajpatient?
a. Useajhandajsignalsajtoajdetermineajtheajcauseajofajtheajpain.
b. Ensureajtheajinterpreterajisajnotajleftajaloneajwithajtheajpatient.
c. Maintainajeyeajcontactajwithajtheajpatientajandajtheajinterpreter.
d. Useajonlyajphysicalajexaminationajdata;ajdoajnotajrelyajonajverbalajcommunication.
aj 9.ajAajnewajmotherajofajGuatemalanajdescentajbringsajheraj10-day-
oldajinfantajtoajaajclinicajforajaajwell-
jb
a abyajcheckup.ajTo ajpromoteajhealing, ajsheaj has ajaajcoinajtapedajto ajtheaj infantsajumbilicus. ajWhat ajshould