TEST BANKS For Family Practice Guidelines 5th
Edition by Jill C. Cash; Cheryl A. Glass; Jenny
Mullen||Chapters 1 - 23
,
,Chapter 1. Health Maintenance
GuidelinesMultiple 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 culturalcompetence?
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?
2. An unconscious victim of a house fire is brought to the emergency department by
theparamedics. Tied to the right wrist is an emblem that appears be a religious talisman.
Which action should the nurse take?
a. Tape it in place.
b. Do nothing with it.
c. Remove it and lock it up for safekeeping.
d. Place it in a clothing bag with the rest of the patients belongings.
3. A 43-year-old patient of Arab descent is admitted to the hospital. To comply with
thestate laws of the organization, the nurse offers the patient a Papanicolaou smear, which
she refuses. Which action should the nurse take first?
a. Notify the physician.
b. Report the refusal to the supervisor.
c. Explain the rationale for and benefits of the test.
d. Tell her it is state law and that she does not have a choice.
4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a
dangerously low hemoglobin level. The patient is fully alert and competent and refuses to
acceptthe blood transfusion ordered by the physician. Which action by the nurse is most
appropriate?
a. Obtain a court order to give the blood.
, b. Administer the blood while the patient is sleeping.
c. Have the patients spouse sign the consent to have the blood administered.
d. Ensure the patient understands possible consequences and then respect the patients wishes.
5. A tpatient tof tMexican tdescent tsees ta tcurandero tfor tasthma; tthe tcurandero thas
tprescribedta tspecial ttea tto tbe ttaken tfour ttimes ta tday tto topen tthe tairways. tHow tshould
tthe tnurse trespond tto tthis tsituation?
a. Encourage tthe tpatient tto tcontinue tdrinking tthe ttea.
b. Encourage tthe tpatient tto tdrink tonly tone tcup tof tthe ttea teach tday.
c. Ask tthe tpatient tto tbring tin tthe ttea tpackage tand thave tthe tpharmacist tcheck tthe
tingredients.
d. Advise tthe tpatient tto tstop tdrinking tthe ttea tbecause tof tpotential tinteractions
twith tothertmedications.
t 6. tThe tnurse tis tcaring tfor ta tyoung tadult tmale tpatient twho trefuses tpersonal tcare
tfrom tatfemale tnursing tassistant. tWhich tapproach tby tthe tnurse tis tbest?
a. Encourage tthe tpatients tfamily tto ttalk twith thim tabout this tcare.
b. Have ta tregistered tnurse t(RN) thelp twith this tpersonal tcare.
c. Assign ta tmale tassistant tto thelp twith this tpersonal tcare tif tone tis tavailable.
d. Explain tto thim tthat tmales tand tfemales ttake tcare tof tboth tgenders tin tthis thospital.
t 7. tThe tnurse tis tproviding tmedication tinstructions tto ta t45-year-old tpatient twho
tdoes tnottmaintain teye tcontact. tWhat tshould tthis tpatients tbehavior tindicate tto tthe
tnurse?
a. The tpatient tis tnot tinterested.
b. The tnurse tthreatens tthe tpatients tego.
c. The tnurse tis tin ta thierarchical tposition.
d. The tpatient tdoes tnot tintend tto tfollow tthe tinstructions.
t t t t t t t t t8. tThe tnurse tis tcaring tfor ta tpatient tof tSpanish tdescent twho tis texperiencing tpain,
tbut tdoes tnot tspeak tEnglish. tAn tinterpreter tis tlocated tto thelp twith tthe tassessment. tWhat
tshould tthe tnursetdo tto tfacilitate tcommunication twith tthis tpatient?
a. Use thand tsignals tto tdetermine tthe tcause tof tthe tpain.
b. Ensure tthe tinterpreter tis tnot tleft talone twith tthe tpatient.
c. Maintain teye tcontact twith tthe tpatient tand tthe tinterpreter.
d. Use tonly tphysical texamination tdata; tdo tnot trely ton tverbal tcommunication.
Edition by Jill C. Cash; Cheryl A. Glass; Jenny
Mullen||Chapters 1 - 23
,
,Chapter 1. Health Maintenance
GuidelinesMultiple 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 culturalcompetence?
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?
2. An unconscious victim of a house fire is brought to the emergency department by
theparamedics. Tied to the right wrist is an emblem that appears be a religious talisman.
Which action should the nurse take?
a. Tape it in place.
b. Do nothing with it.
c. Remove it and lock it up for safekeeping.
d. Place it in a clothing bag with the rest of the patients belongings.
3. A 43-year-old patient of Arab descent is admitted to the hospital. To comply with
thestate laws of the organization, the nurse offers the patient a Papanicolaou smear, which
she refuses. Which action should the nurse take first?
a. Notify the physician.
b. Report the refusal to the supervisor.
c. Explain the rationale for and benefits of the test.
d. Tell her it is state law and that she does not have a choice.
4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a
dangerously low hemoglobin level. The patient is fully alert and competent and refuses to
acceptthe blood transfusion ordered by the physician. Which action by the nurse is most
appropriate?
a. Obtain a court order to give the blood.
, b. Administer the blood while the patient is sleeping.
c. Have the patients spouse sign the consent to have the blood administered.
d. Ensure the patient understands possible consequences and then respect the patients wishes.
5. A tpatient tof tMexican tdescent tsees ta tcurandero tfor tasthma; tthe tcurandero thas
tprescribedta tspecial ttea tto tbe ttaken tfour ttimes ta tday tto topen tthe tairways. tHow tshould
tthe tnurse trespond tto tthis tsituation?
a. Encourage tthe tpatient tto tcontinue tdrinking tthe ttea.
b. Encourage tthe tpatient tto tdrink tonly tone tcup tof tthe ttea teach tday.
c. Ask tthe tpatient tto tbring tin tthe ttea tpackage tand thave tthe tpharmacist tcheck tthe
tingredients.
d. Advise tthe tpatient tto tstop tdrinking tthe ttea tbecause tof tpotential tinteractions
twith tothertmedications.
t 6. tThe tnurse tis tcaring tfor ta tyoung tadult tmale tpatient twho trefuses tpersonal tcare
tfrom tatfemale tnursing tassistant. tWhich tapproach tby tthe tnurse tis tbest?
a. Encourage tthe tpatients tfamily tto ttalk twith thim tabout this tcare.
b. Have ta tregistered tnurse t(RN) thelp twith this tpersonal tcare.
c. Assign ta tmale tassistant tto thelp twith this tpersonal tcare tif tone tis tavailable.
d. Explain tto thim tthat tmales tand tfemales ttake tcare tof tboth tgenders tin tthis thospital.
t 7. tThe tnurse tis tproviding tmedication tinstructions tto ta t45-year-old tpatient twho
tdoes tnottmaintain teye tcontact. tWhat tshould tthis tpatients tbehavior tindicate tto tthe
tnurse?
a. The tpatient tis tnot tinterested.
b. The tnurse tthreatens tthe tpatients tego.
c. The tnurse tis tin ta thierarchical tposition.
d. The tpatient tdoes tnot tintend tto tfollow tthe tinstructions.
t t t t t t t t t8. tThe tnurse tis tcaring tfor ta tpatient tof tSpanish tdescent twho tis texperiencing tpain,
tbut tdoes tnot tspeak tEnglish. tAn tinterpreter tis tlocated tto thelp twith tthe tassessment. tWhat
tshould tthe tnursetdo tto tfacilitate tcommunication twith tthis tpatient?
a. Use thand tsignals tto tdetermine tthe tcause tof tthe tpain.
b. Ensure tthe tinterpreter tis tnot tleft talone twith tthe tpatient.
c. Maintain teye tcontact twith tthe tpatient tand tthe tinterpreter.
d. Use tonly tphysical texamination tdata; tdo tnot trely ton tverbal tcommunication.
