Test Bank - Family Practice Guidelines 6th Edition by Jill
C. Cash, (All Chapters 1-23)
, Family qPractice qGuidelines qSixth qEdition qTest qBank
Chapter q1. qHealth qMaintenance qGuidelines
q Multiple qChoice
Identify qthe qchoice qthat qbest qcompletes qthe qstatement qor qanswers qthe qquestion.
1. qThe qnurse qis qpreparing qto qteach qa qpatient qof qthe qAsian qculture qto qperform
q postoperative qdressing qchanges qat qhome qafter qdischarge. qWhich qstatement qmade qby qthe qnurse
indicates qcultural qcompetence?
q
a. Tell qme qhow qyou qfeel qabout qyour qsurgery.
b. Asian qpeople qare qsmart, qso qthis qshould qbe qeasy qfor qyou qto qunderstand.
c. American qsurgeons qare qhighly qqualified; qIm qsure qyou qwill qheal qquickly.
d. Will qyou qtell qme qabout qany qtraditional qhealing qpractices qthat qyou qwould qlike qto quse?
2. qAn qunconscious qvictim qof qa qhouse qfire qis qbrought qto qthe qemergency qdepartment qby
the qparamedics. qTied qto qthe qright qwrist qis qan qemblem qthat qappears qbe qa qreligious qtalisman.
q
q Which qaction qshould qthe qnurse qtake?
a. Tape qit qin qplace.
b. Do qnothing qwith qit.
c. Remove qit qand qlock qit qup qfor qsafekeeping.
d. Place qit qin qa qclothing qbag qwith qthe qrest qof qthe qpatients qbelongings.
3. qA q43-year-old qpatient qof qArab qdescent qis qadmitted qto qthe qhospital. qTo qcomply qwith
the qstate qlaws qof qthe qorganization, qthe qnurse qoffers qthe qpatient qa qPapanicolaou qsmear, qwhich
q
q she qrefuses. qWhich qaction qshould qthe qnurse qtake qfirst?
a. Notify qthe qphysician.
b. Report qthe qrefusal qto qthe qsupervisor.
c. Explain qthe qrationale qfor qand qbenefits qof qthe qtest.
d. Tell qher qit qis qstate qlaw qand qthat qshe qdoes qnot qhave qa qchoice.
4. qA qpatient qwho qis qa qJehovahs qWitness qhas qsevere qgastrointestinal qbleeding qand qa
q dangerously qlow qhemoglobin qlevel. qThe qpatient qis qfully qalert qand qcompetent qand qrefuses qto
accept qthe qblood qtransfusion qordered qby qthe qphysician. qWhich qaction qby qthe qnurse qis qmost
q
q appropriate?
a. Obtain qa qcourt qorder qto qgive qthe qblood.
b. Administer qthe qblood qwhile qthe qpatient qis qsleeping.
c. Have qthe qpatients qspouse qsign qthe qconsent qto qhave qthe qblood qadministered.
,d. Ensure qthe qpatient qunderstands qpossible qconsequences qand qthen qrespect qthe qpatients qwishes.
5. qA qpatient qof qMexican qdescent qsees qa qcurandero qfor qasthma; qthe qcurandero qhas
prescribed qa qspecial qtea qto qbe qtaken qfour qtimes qa qday qto qopen qthe qairways. qHow qshould qthe
q
q nurse qrespond qto qthis qsituation?
a. Encourage qthe qpatient qto qcontinue qdrinking qthe qtea.
b. Encourage qthe qpatient qto qdrink qonly qone qcup qof qthe qtea qeach qday.
c. Ask qthe qpatient qto qbring qin qthe qtea qpackage qand qhave qthe qpharmacist qcheck qthe qingredients.
d. Advise qthe qpatient qto qstop qdrinking qthe qtea qbecause qof qpotential qinteractions qwith
other qmedications.
q
6. qThe qnurse qis qcaring qfor qa qyoung qadult qmale qpatient qwho qrefuses qpersonal qcare qfrom
a qfemale qnursing qassistant. qWhich qapproach qby qthe qnurse qis qbest?
q
a. Encourage qthe qpatients qfamily qto qtalk qwith qhim qabout qhis qcare.
b. Have qa qregistered qnurse q(RN) qhelp qwith qhis qpersonal qcare.
c. Assign qa qmale qassistant qto qhelp qwith qhis qpersonal qcare qif qone qis qavailable.
d. Explain qto qhim qthat qmales qand qfemales qtake qcare qof qboth qgenders qin qthis qhospital.
7. qThe qnurse qis qproviding qmedication qinstructions qto qa q45-year-old qpatient qwho qdoes
not qmaintain qeye qcontact. qWhat qshould qthis qpatients qbehavior qindicate qto qthe qnurse?
q
a. The qpatient qis qnot qinterested.
b. The qnurse qthreatens qthe qpatients qego.
c. The qnurse qis qin qa qhierarchical qposition.
d. The qpatient qdoes qnot qintend qto qfollow qthe qinstructions.
q q q 8. qThe qnurse qis qcaring qfor qa qpatient qof qSpanish qdescent qwho qis qexperiencing qpain, qbut
q does qnot qspeak qEnglish. qAn qinterpreter qis qlocated qto qhelp qwith qthe qassessment. qWhat qshould
the qnurse qdo qto qfacilitate qcommunication qwith qthis qpatient?
q
a. Use qhand qsignals qto qdetermine qthe qcause qof qthe qpain.
b. Ensure qthe qinterpreter qis qnot qleft qalone qwith qthe qpatient.
c. Maintain qeye qcontact qwith qthe qpatient qand qthe qinterpreter.
d. Use qonly qphysical qexamination qdata; qdo qnot qrely qon qverbal qcommunication.
9. qA qnew qmother qof qGuatemalan qdescent qbrings qher q10-day-old qinfant qto qa qclinic qfor qa
well- qbaby qcheckup. qTo qpromote qhealing, qshe qhas qa qcoin qtaped qto qthe qinfants qumbilicus. qWhat
q
q should qthe qnurse qdo qabout qthis qsituation?
a. Teach qthe qmother qhow qto qclean qthe qcoin qdaily qand qreapply qit.
b. Explain qto qthe qmother qthat qthe qcoin qis qnot qnecessary qfor qhealing.
, c. Tell qthe qmother qto qremove qthe qcoin, qbecause qit qcould qcause qan qinfection.
d. Teach qthe qmother qhow qto qapply qa qdry qsterile qdressing qin qplace qof qthe qcoin.
10. qAn qolder qpatient qwho qfollows qthe qMuslim qreligion qis qapproaching qdeath. qThe
q family qsays qthe qpatients qbed qshould qbe qturned qtoward qthe qopposite qwall, qso qit qcan qface qMecca
to qensure qan qeasier qpassage qinto qthe qnext qlife. qThe qwall qthey qwant qthe qbed qto qface qhas qwall
q
q suction qand qoxygen, qwhich qthe qpatient qis qusing. qWhich qaction qby qthe qnurse qis qappropriate?
a. Get qpermission qfrom qthe qphysician qto qmove qthe qbed.
b. Rearrange qthe qfurniture qto qaccommodate qthe qrequest.
c. Tell qthem qyou qwill qmove qthe qbed qwhen qthe qpatient qis qcloser qto qdeath.
d. Tell qthem qit qis qimpossible qbecause qof qthe qshort qtubing qon qthe qoxygen qand qsuction.
q q 11. qA qpatient qof qnorthern qEuropean qdescent qrecovering qfrom qsurgery qdenies
postoperative qpain; qhowever, qvital qsigns qindicate qan qelevated qpulse qand qblood qpressure. qThe
q
patient qrefuses qto qmove qin qbed. qWhich qnursing qaction qwould qbest qensure qcomfort qand qtimely
q
q discharge?
a. Give qthe qpain qmedicine qas qprescribed.
b. Ask qthe qphysician qto qprescribe qthe qanalgesics qaround qthe qclock.
c. Explain qthat qthe qpain qmedicine qwill qhelp qprevent qcomplications.
d. Respect qthe qpatients qdenial qof qpain, qand qdo qnot qencourage qthe qpain qmedicine.
12. qA qnurse qwho qemigrated qfrom qChina qbegins qworking qon qa qmedical qunit. qThe qpreceptor
q explains qthe qunit qroutines, qincluding qthe qmedication qadministration qsystem. qWhen qthe
q preceptor qasks qif qthe qnurse qunderstands, qthe qanswer qis qalways: qYes, qI qunderstand. qWhat qshould
the qpreceptor qdo qto qmeasure qthe qnurses qcomprehension?
q
a. Give qthe qnurse qa qmedication qquiz.
b. Have qthe qnurse qrepeat qthe qinstructions.
c. Have qthe qnurse qdemonstrate qthe qprocedures.
d. Ask qthe qnurse qwhich qinformation qis qhard qto qunderstand.
13. qA q52-year-old qfrom qHaiti qis qhospitalized qwith qheart qfailure qand qwants qto qhave qa
voodoo qpractitioner qvisit qto qsay qprayers. qHow qshould qthe qnurse qrespond qto qthis qrequest?
q
a. Report qthe qrequest qto qthe qphysician qimmediately.
b. Tell qthe qpatient qthat qthis qis qnot qpermitted qduring qhospitalization.
c. Tell qthe qpatient qit qis qokay qfor qthe qvoodoo qpractitioner qto qsay qprayers.
d. Have qthe qpatient qmeet qwith qthe qvoodoo qpractitioner qin qthe qhospital qlobby.
14. qThe qnurse qis qcaring qfor qa qpatient qfrom qa qnon-English qspeaking qculture. qWhile
providing qcare, qthe qnurse qshows qan qappreciation qfor qand qattention qto qarts, qmusic, qcrafts,
q
q clothing, qand qfoods
C. Cash, (All Chapters 1-23)
, Family qPractice qGuidelines qSixth qEdition qTest qBank
Chapter q1. qHealth qMaintenance qGuidelines
q Multiple qChoice
Identify qthe qchoice qthat qbest qcompletes qthe qstatement qor qanswers qthe qquestion.
1. qThe qnurse qis qpreparing qto qteach qa qpatient qof qthe qAsian qculture qto qperform
q postoperative qdressing qchanges qat qhome qafter qdischarge. qWhich qstatement qmade qby qthe qnurse
indicates qcultural qcompetence?
q
a. Tell qme qhow qyou qfeel qabout qyour qsurgery.
b. Asian qpeople qare qsmart, qso qthis qshould qbe qeasy qfor qyou qto qunderstand.
c. American qsurgeons qare qhighly qqualified; qIm qsure qyou qwill qheal qquickly.
d. Will qyou qtell qme qabout qany qtraditional qhealing qpractices qthat qyou qwould qlike qto quse?
2. qAn qunconscious qvictim qof qa qhouse qfire qis qbrought qto qthe qemergency qdepartment qby
the qparamedics. qTied qto qthe qright qwrist qis qan qemblem qthat qappears qbe qa qreligious qtalisman.
q
q Which qaction qshould qthe qnurse qtake?
a. Tape qit qin qplace.
b. Do qnothing qwith qit.
c. Remove qit qand qlock qit qup qfor qsafekeeping.
d. Place qit qin qa qclothing qbag qwith qthe qrest qof qthe qpatients qbelongings.
3. qA q43-year-old qpatient qof qArab qdescent qis qadmitted qto qthe qhospital. qTo qcomply qwith
the qstate qlaws qof qthe qorganization, qthe qnurse qoffers qthe qpatient qa qPapanicolaou qsmear, qwhich
q
q she qrefuses. qWhich qaction qshould qthe qnurse qtake qfirst?
a. Notify qthe qphysician.
b. Report qthe qrefusal qto qthe qsupervisor.
c. Explain qthe qrationale qfor qand qbenefits qof qthe qtest.
d. Tell qher qit qis qstate qlaw qand qthat qshe qdoes qnot qhave qa qchoice.
4. qA qpatient qwho qis qa qJehovahs qWitness qhas qsevere qgastrointestinal qbleeding qand qa
q dangerously qlow qhemoglobin qlevel. qThe qpatient qis qfully qalert qand qcompetent qand qrefuses qto
accept qthe qblood qtransfusion qordered qby qthe qphysician. qWhich qaction qby qthe qnurse qis qmost
q
q appropriate?
a. Obtain qa qcourt qorder qto qgive qthe qblood.
b. Administer qthe qblood qwhile qthe qpatient qis qsleeping.
c. Have qthe qpatients qspouse qsign qthe qconsent qto qhave qthe qblood qadministered.
,d. Ensure qthe qpatient qunderstands qpossible qconsequences qand qthen qrespect qthe qpatients qwishes.
5. qA qpatient qof qMexican qdescent qsees qa qcurandero qfor qasthma; qthe qcurandero qhas
prescribed qa qspecial qtea qto qbe qtaken qfour qtimes qa qday qto qopen qthe qairways. qHow qshould qthe
q
q nurse qrespond qto qthis qsituation?
a. Encourage qthe qpatient qto qcontinue qdrinking qthe qtea.
b. Encourage qthe qpatient qto qdrink qonly qone qcup qof qthe qtea qeach qday.
c. Ask qthe qpatient qto qbring qin qthe qtea qpackage qand qhave qthe qpharmacist qcheck qthe qingredients.
d. Advise qthe qpatient qto qstop qdrinking qthe qtea qbecause qof qpotential qinteractions qwith
other qmedications.
q
6. qThe qnurse qis qcaring qfor qa qyoung qadult qmale qpatient qwho qrefuses qpersonal qcare qfrom
a qfemale qnursing qassistant. qWhich qapproach qby qthe qnurse qis qbest?
q
a. Encourage qthe qpatients qfamily qto qtalk qwith qhim qabout qhis qcare.
b. Have qa qregistered qnurse q(RN) qhelp qwith qhis qpersonal qcare.
c. Assign qa qmale qassistant qto qhelp qwith qhis qpersonal qcare qif qone qis qavailable.
d. Explain qto qhim qthat qmales qand qfemales qtake qcare qof qboth qgenders qin qthis qhospital.
7. qThe qnurse qis qproviding qmedication qinstructions qto qa q45-year-old qpatient qwho qdoes
not qmaintain qeye qcontact. qWhat qshould qthis qpatients qbehavior qindicate qto qthe qnurse?
q
a. The qpatient qis qnot qinterested.
b. The qnurse qthreatens qthe qpatients qego.
c. The qnurse qis qin qa qhierarchical qposition.
d. The qpatient qdoes qnot qintend qto qfollow qthe qinstructions.
q q q 8. qThe qnurse qis qcaring qfor qa qpatient qof qSpanish qdescent qwho qis qexperiencing qpain, qbut
q does qnot qspeak qEnglish. qAn qinterpreter qis qlocated qto qhelp qwith qthe qassessment. qWhat qshould
the qnurse qdo qto qfacilitate qcommunication qwith qthis qpatient?
q
a. Use qhand qsignals qto qdetermine qthe qcause qof qthe qpain.
b. Ensure qthe qinterpreter qis qnot qleft qalone qwith qthe qpatient.
c. Maintain qeye qcontact qwith qthe qpatient qand qthe qinterpreter.
d. Use qonly qphysical qexamination qdata; qdo qnot qrely qon qverbal qcommunication.
9. qA qnew qmother qof qGuatemalan qdescent qbrings qher q10-day-old qinfant qto qa qclinic qfor qa
well- qbaby qcheckup. qTo qpromote qhealing, qshe qhas qa qcoin qtaped qto qthe qinfants qumbilicus. qWhat
q
q should qthe qnurse qdo qabout qthis qsituation?
a. Teach qthe qmother qhow qto qclean qthe qcoin qdaily qand qreapply qit.
b. Explain qto qthe qmother qthat qthe qcoin qis qnot qnecessary qfor qhealing.
, c. Tell qthe qmother qto qremove qthe qcoin, qbecause qit qcould qcause qan qinfection.
d. Teach qthe qmother qhow qto qapply qa qdry qsterile qdressing qin qplace qof qthe qcoin.
10. qAn qolder qpatient qwho qfollows qthe qMuslim qreligion qis qapproaching qdeath. qThe
q family qsays qthe qpatients qbed qshould qbe qturned qtoward qthe qopposite qwall, qso qit qcan qface qMecca
to qensure qan qeasier qpassage qinto qthe qnext qlife. qThe qwall qthey qwant qthe qbed qto qface qhas qwall
q
q suction qand qoxygen, qwhich qthe qpatient qis qusing. qWhich qaction qby qthe qnurse qis qappropriate?
a. Get qpermission qfrom qthe qphysician qto qmove qthe qbed.
b. Rearrange qthe qfurniture qto qaccommodate qthe qrequest.
c. Tell qthem qyou qwill qmove qthe qbed qwhen qthe qpatient qis qcloser qto qdeath.
d. Tell qthem qit qis qimpossible qbecause qof qthe qshort qtubing qon qthe qoxygen qand qsuction.
q q 11. qA qpatient qof qnorthern qEuropean qdescent qrecovering qfrom qsurgery qdenies
postoperative qpain; qhowever, qvital qsigns qindicate qan qelevated qpulse qand qblood qpressure. qThe
q
patient qrefuses qto qmove qin qbed. qWhich qnursing qaction qwould qbest qensure qcomfort qand qtimely
q
q discharge?
a. Give qthe qpain qmedicine qas qprescribed.
b. Ask qthe qphysician qto qprescribe qthe qanalgesics qaround qthe qclock.
c. Explain qthat qthe qpain qmedicine qwill qhelp qprevent qcomplications.
d. Respect qthe qpatients qdenial qof qpain, qand qdo qnot qencourage qthe qpain qmedicine.
12. qA qnurse qwho qemigrated qfrom qChina qbegins qworking qon qa qmedical qunit. qThe qpreceptor
q explains qthe qunit qroutines, qincluding qthe qmedication qadministration qsystem. qWhen qthe
q preceptor qasks qif qthe qnurse qunderstands, qthe qanswer qis qalways: qYes, qI qunderstand. qWhat qshould
the qpreceptor qdo qto qmeasure qthe qnurses qcomprehension?
q
a. Give qthe qnurse qa qmedication qquiz.
b. Have qthe qnurse qrepeat qthe qinstructions.
c. Have qthe qnurse qdemonstrate qthe qprocedures.
d. Ask qthe qnurse qwhich qinformation qis qhard qto qunderstand.
13. qA q52-year-old qfrom qHaiti qis qhospitalized qwith qheart qfailure qand qwants qto qhave qa
voodoo qpractitioner qvisit qto qsay qprayers. qHow qshould qthe qnurse qrespond qto qthis qrequest?
q
a. Report qthe qrequest qto qthe qphysician qimmediately.
b. Tell qthe qpatient qthat qthis qis qnot qpermitted qduring qhospitalization.
c. Tell qthe qpatient qit qis qokay qfor qthe qvoodoo qpractitioner qto qsay qprayers.
d. Have qthe qpatient qmeet qwith qthe qvoodoo qpractitioner qin qthe qhospital qlobby.
14. qThe qnurse qis qcaring qfor qa qpatient qfrom qa qnon-English qspeaking qculture. qWhile
providing qcare, qthe qnurse qshows qan qappreciation qfor qand qattention qto qarts, qmusic, qcrafts,
q
q clothing, qand qfoods
