Test Bank - Family Practice Guidelines 6th Edition by Jill
C. Cash, (All Chapters 1-23)
, Family f Practice f Guidelines f Sixth f Edition f Test f Bank
Chapter f1. fHealth fMaintenance fGuidelines
f Multiple fChoice
Identify fthe f choice f that f best f completes f the f statement f or f answers f the f question.
1. fThe fnurse fis fpreparing fto fteach fa fpatient fof fthe fAsian fculture fto fperform
f postoperative fdressing fchanges fat fhome fafter fdischarge. fWhich fstatement fmade fby fthe
f nurse findicates fcultural fcompetence?
a. Tell f me f how f you f feel f about f your f surgery.
b. Asian fpeople f are f smart, f so f this f should f be f easy ffor f you f to f understand.
c. American fsurgeons f are f highly fqualified; f Im f sure f you f will f heal f quickly.
d. Will f you f tell f me f about f any ftraditional f healing fpractices f that f you f would f like f to f use?
f f f 2. fAn funconscious fvictim fof fa fhouse ffire fis fbrought fto fthe femergency fdepartment
f by fthe fparamedics. fTied fto fthe fright fwrist fis fan femblem fthat fappears fbe fa freligious
f talisman. fWhich faction fshould fthe fnurse ftake?
a. Tape f it f in f place.
b. Do f nothing f with f it.
c. Remove f it f and f lock f it f up f for f safekeeping.
d. Place fit f in f a f clothing f bag f with f the f rest f of f the f patients f belongings.
3. fA f43-year-old fpatient fof fArab fdescent fis fadmitted fto fthe fhospital. fTo fcomply fwith
f the fstate flaws fof fthe forganization, fthe fnurse foffers fthe fpatient fa fPapanicolaou fsmear,
f which fshe frefuses. fWhich faction fshould fthe fnurse ftake ffirst?
a. Notify f the f physician.
b. Report f the f refusal f to f the f supervisor.
c. Explain fthe f rationale f for f and f benefits f of f the f test.
d. Tell f her f it f is f state f law f and f that f she f does f not f have f a f choice.
4. fA fpatient fwho fis fa fJehovahs fWitness fhas fsevere fgastrointestinal fbleeding fand fa
f dangerously flow fhemoglobin flevel. fThe fpatient fis ffully falert fand fcompetent fand frefuses
f to faccept fthe fblood ftransfusion fordered fby fthe fphysician. fWhich faction fby fthe fnurse fis
f most fappropriate?
a. Obtain f a f court f order f to f give f the f blood.
b. Administer fthe f blood f while f the f patient f is f sleeping.
c. Have fthe fpatients f spouse f sign f the f consent f to f have f the f blood f administered.
,d. Ensure f the f patient f understands f possible f consequences f and f then f respect f the f patients f wishes.
5. fA fpatient fof fMexican fdescent fsees fa fcurandero ffor fasthma; fthe fcurandero fhas
f prescribed fa fspecial ftea fto fbe ftaken ffour ftimes fa fday fto fopen fthe fairways. fHow fshould
f the f nurse frespond fto fthis fsituation?
a. Encourage f the f patient f to f continue f drinking fthe f tea.
b. Encourage f the f patient f to f drink f only fone f cup f of f the f tea f each f day.
c. Ask fthe f patient f to f bring f in f the f tea fpackage f and f have f the f pharmacist f check f the f ingredients.
d. Advise fthe fpatient fto fstop fdrinking fthe ftea fbecause fof fpotential finteractions
f with fother fmedications.
6. fThe fnurse fis fcaring ffor fa fyoung fadult fmale fpatient fwho frefuses fpersonal fcare
f from fa ffemale fnursing fassistant. fWhich fapproach fby fthe fnurse fis fbest?
a. Encourage fthe f patients f family fto f talk f with f him f about f his f care.
b. Have f a f registered f nurse f (RN) f help f with f his f personal f care.
c. Assign fa fmale f assistant f to f help f with f his f personal f care f if f one f is f available.
d. Explain fto f him fthat f males f and f females f take f care f of f both f genders f in f this f hospital.
7. fThe fnurse fis fproviding fmedication finstructions fto fa f45-year-old fpatient fwho
f does fnot fmaintain feye fcontact. fWhat fshould fthis fpatients fbehavior findicate fto fthe
f nurse?
a. The f patient f is f not f interested.
b. The f nurse f threatens fthe f patients f ego.
c. The f nurse f is f in f a f hierarchical f position.
d. The f patient f does f not f intend f to f follow f the f instructions.
8. fThe fnurse fis fcaring ffor fa fpatient fof fSpanish fdescent fwho fis fexperiencing fpain, fbut
f does f not fspeak f English. fAn finterpreter fis flocated fto fhelp fwith fthe fassessment. fWhat fshould
f the fnurse fdo fto ffacilitate fcommunication fwith fthis fpatient?
a. Use f hand f signals f to f determine f the f cause f of f the fpain.
b. Ensure f the f interpreter f is f not f left f alone f with f the f patient.
c. Maintain feye f contact f with f the f patient f and f the f interpreter.
d. Use f only fphysical f examination f data; f do f not f rely fon f verbal f communication.
9. fA fnew fmother fof fGuatemalan fdescent fbrings fher f10-day-old finfant fto fa fclinic ffor fa
f well- fbaby fcheckup. fTo fpromote fhealing, fshe fhas fa fcoin ftaped fto fthe finfants fumbilicus. fWhat
f should fthe fnurse fdo fabout fthis fsituation?
a. Teach f the f mother f how f to f clean f the f coin f daily f and f reapply f it.
b. Explain fto f the f mother f that f the f coin f is f not f necessary f for f healing.
, c. Tell fthe f mother fto f remove f the f coin, f because f it f could f cause fan f infection.
d. Teach f the f mother f how f to f apply f a f dry fsterile f dressing f in f place f of f the f coin.
10. f An f older f patient f who f follows f the f Muslim f religion f is f approaching f death.
f The ffamily fsays fthe fpatients fbed fshould fbe fturned ftoward fthe fopposite fwall, fso fit fcan fface
f Mecca fto fensure fan feasier fpassage finto fthe fnext flife. fThe fwall fthey fwant fthe fbed fto fface
f has fwall f suction f and f oxygen, fwhich f the f patient fis fusing. fWhich f action f by fthe f nurse f is
f appropriate?
a. Get f permission f from f the f physician f to f move f the f bed.
b. Rearrange fthe f furniture f to f accommodate f the f request.
c. Tell fthem f you f will f move f the f bed f when f the f patient f is f closer f to f death.
d. Tell f them f it f is f impossible f because f of f the f short f tubing f on f the foxygen f and f suction.
f f 11. f A f patient f of f northern f European f descent f recovering f from f surgery f denies
f postoperative fpain; fhowever, fvital fsigns findicate fan felevated fpulse fand fblood fpressure. fThe
f patient frefuses fto fmove fin fbed. fWhich fnursing faction fwould fbest fensure fcomfort fand ftimely
f discharge?
a. Give f the f pain f medicine f as f prescribed.
b. Ask fthe f physician f to f prescribe f the f analgesics f around f the f clock.
c. Explain fthat f the f pain f medicine f will f help f prevent f complications.
d. Respect fthe f patients f denial f of f pain, f and f do f not f encourage f the f pain f medicine.
12. fA fnurse fwho femigrated ffrom fChina fbegins fworking fon fa fmedical funit. fThe fpreceptor
f explains f the f unit f routines, f including f the f medication f administration f system. f When f the
f preceptor fasks fif fthe fnurse funderstands, fthe fanswer fis falways: fYes, fI funderstand. fWhat
f should fthe fpreceptor fdo fto fmeasure fthe fnurses fcomprehension?
a. Give f the f nurse f a f medication f quiz.
b. Have f the f nurse f repeat f the f instructions.
c. Have f the fnurse f demonstrate f the f procedures.
d. Ask f the f nurse f which f information f is f hard f to f understand.
13. fA f52-year-old ffrom fHaiti fis fhospitalized fwith fheart ffailure fand fwants fto fhave
f a fvoodoo f practitioner f visit f to f say f prayers. f How f should f the f nurse f respond f to f this
f request?
a. Report f the f request f to f the fphysician f immediately.
b. Tell fthe f patient f that f this f is f not f permitted f during f hospitalization.
c. Tell fthe f patient f it f is f okay ffor f the f voodoo f practitioner f to f say f prayers.
d. Have f the f patient f meet f with f the f voodoo f practitioner f in f the f hospital f lobby.
14. fThe fnurse fis fcaring ffor fa fpatient ffrom fa fnon-English fspeaking fculture. fWhile
f providing fcare, fthe fnurse fshows fan fappreciation ffor fand fattention fto farts, fmusic,
C. Cash, (All Chapters 1-23)
, Family f Practice f Guidelines f Sixth f Edition f Test f Bank
Chapter f1. fHealth fMaintenance fGuidelines
f Multiple fChoice
Identify fthe f choice f that f best f completes f the f statement f or f answers f the f question.
1. fThe fnurse fis fpreparing fto fteach fa fpatient fof fthe fAsian fculture fto fperform
f postoperative fdressing fchanges fat fhome fafter fdischarge. fWhich fstatement fmade fby fthe
f nurse findicates fcultural fcompetence?
a. Tell f me f how f you f feel f about f your f surgery.
b. Asian fpeople f are f smart, f so f this f should f be f easy ffor f you f to f understand.
c. American fsurgeons f are f highly fqualified; f Im f sure f you f will f heal f quickly.
d. Will f you f tell f me f about f any ftraditional f healing fpractices f that f you f would f like f to f use?
f f f 2. fAn funconscious fvictim fof fa fhouse ffire fis fbrought fto fthe femergency fdepartment
f by fthe fparamedics. fTied fto fthe fright fwrist fis fan femblem fthat fappears fbe fa freligious
f talisman. fWhich faction fshould fthe fnurse ftake?
a. Tape f it f in f place.
b. Do f nothing f with f it.
c. Remove f it f and f lock f it f up f for f safekeeping.
d. Place fit f in f a f clothing f bag f with f the f rest f of f the f patients f belongings.
3. fA f43-year-old fpatient fof fArab fdescent fis fadmitted fto fthe fhospital. fTo fcomply fwith
f the fstate flaws fof fthe forganization, fthe fnurse foffers fthe fpatient fa fPapanicolaou fsmear,
f which fshe frefuses. fWhich faction fshould fthe fnurse ftake ffirst?
a. Notify f the f physician.
b. Report f the f refusal f to f the f supervisor.
c. Explain fthe f rationale f for f and f benefits f of f the f test.
d. Tell f her f it f is f state f law f and f that f she f does f not f have f a f choice.
4. fA fpatient fwho fis fa fJehovahs fWitness fhas fsevere fgastrointestinal fbleeding fand fa
f dangerously flow fhemoglobin flevel. fThe fpatient fis ffully falert fand fcompetent fand frefuses
f to faccept fthe fblood ftransfusion fordered fby fthe fphysician. fWhich faction fby fthe fnurse fis
f most fappropriate?
a. Obtain f a f court f order f to f give f the f blood.
b. Administer fthe f blood f while f the f patient f is f sleeping.
c. Have fthe fpatients f spouse f sign f the f consent f to f have f the f blood f administered.
,d. Ensure f the f patient f understands f possible f consequences f and f then f respect f the f patients f wishes.
5. fA fpatient fof fMexican fdescent fsees fa fcurandero ffor fasthma; fthe fcurandero fhas
f prescribed fa fspecial ftea fto fbe ftaken ffour ftimes fa fday fto fopen fthe fairways. fHow fshould
f the f nurse frespond fto fthis fsituation?
a. Encourage f the f patient f to f continue f drinking fthe f tea.
b. Encourage f the f patient f to f drink f only fone f cup f of f the f tea f each f day.
c. Ask fthe f patient f to f bring f in f the f tea fpackage f and f have f the f pharmacist f check f the f ingredients.
d. Advise fthe fpatient fto fstop fdrinking fthe ftea fbecause fof fpotential finteractions
f with fother fmedications.
6. fThe fnurse fis fcaring ffor fa fyoung fadult fmale fpatient fwho frefuses fpersonal fcare
f from fa ffemale fnursing fassistant. fWhich fapproach fby fthe fnurse fis fbest?
a. Encourage fthe f patients f family fto f talk f with f him f about f his f care.
b. Have f a f registered f nurse f (RN) f help f with f his f personal f care.
c. Assign fa fmale f assistant f to f help f with f his f personal f care f if f one f is f available.
d. Explain fto f him fthat f males f and f females f take f care f of f both f genders f in f this f hospital.
7. fThe fnurse fis fproviding fmedication finstructions fto fa f45-year-old fpatient fwho
f does fnot fmaintain feye fcontact. fWhat fshould fthis fpatients fbehavior findicate fto fthe
f nurse?
a. The f patient f is f not f interested.
b. The f nurse f threatens fthe f patients f ego.
c. The f nurse f is f in f a f hierarchical f position.
d. The f patient f does f not f intend f to f follow f the f instructions.
8. fThe fnurse fis fcaring ffor fa fpatient fof fSpanish fdescent fwho fis fexperiencing fpain, fbut
f does f not fspeak f English. fAn finterpreter fis flocated fto fhelp fwith fthe fassessment. fWhat fshould
f the fnurse fdo fto ffacilitate fcommunication fwith fthis fpatient?
a. Use f hand f signals f to f determine f the f cause f of f the fpain.
b. Ensure f the f interpreter f is f not f left f alone f with f the f patient.
c. Maintain feye f contact f with f the f patient f and f the f interpreter.
d. Use f only fphysical f examination f data; f do f not f rely fon f verbal f communication.
9. fA fnew fmother fof fGuatemalan fdescent fbrings fher f10-day-old finfant fto fa fclinic ffor fa
f well- fbaby fcheckup. fTo fpromote fhealing, fshe fhas fa fcoin ftaped fto fthe finfants fumbilicus. fWhat
f should fthe fnurse fdo fabout fthis fsituation?
a. Teach f the f mother f how f to f clean f the f coin f daily f and f reapply f it.
b. Explain fto f the f mother f that f the f coin f is f not f necessary f for f healing.
, c. Tell fthe f mother fto f remove f the f coin, f because f it f could f cause fan f infection.
d. Teach f the f mother f how f to f apply f a f dry fsterile f dressing f in f place f of f the f coin.
10. f An f older f patient f who f follows f the f Muslim f religion f is f approaching f death.
f The ffamily fsays fthe fpatients fbed fshould fbe fturned ftoward fthe fopposite fwall, fso fit fcan fface
f Mecca fto fensure fan feasier fpassage finto fthe fnext flife. fThe fwall fthey fwant fthe fbed fto fface
f has fwall f suction f and f oxygen, fwhich f the f patient fis fusing. fWhich f action f by fthe f nurse f is
f appropriate?
a. Get f permission f from f the f physician f to f move f the f bed.
b. Rearrange fthe f furniture f to f accommodate f the f request.
c. Tell fthem f you f will f move f the f bed f when f the f patient f is f closer f to f death.
d. Tell f them f it f is f impossible f because f of f the f short f tubing f on f the foxygen f and f suction.
f f 11. f A f patient f of f northern f European f descent f recovering f from f surgery f denies
f postoperative fpain; fhowever, fvital fsigns findicate fan felevated fpulse fand fblood fpressure. fThe
f patient frefuses fto fmove fin fbed. fWhich fnursing faction fwould fbest fensure fcomfort fand ftimely
f discharge?
a. Give f the f pain f medicine f as f prescribed.
b. Ask fthe f physician f to f prescribe f the f analgesics f around f the f clock.
c. Explain fthat f the f pain f medicine f will f help f prevent f complications.
d. Respect fthe f patients f denial f of f pain, f and f do f not f encourage f the f pain f medicine.
12. fA fnurse fwho femigrated ffrom fChina fbegins fworking fon fa fmedical funit. fThe fpreceptor
f explains f the f unit f routines, f including f the f medication f administration f system. f When f the
f preceptor fasks fif fthe fnurse funderstands, fthe fanswer fis falways: fYes, fI funderstand. fWhat
f should fthe fpreceptor fdo fto fmeasure fthe fnurses fcomprehension?
a. Give f the f nurse f a f medication f quiz.
b. Have f the f nurse f repeat f the f instructions.
c. Have f the fnurse f demonstrate f the f procedures.
d. Ask f the f nurse f which f information f is f hard f to f understand.
13. fA f52-year-old ffrom fHaiti fis fhospitalized fwith fheart ffailure fand fwants fto fhave
f a fvoodoo f practitioner f visit f to f say f prayers. f How f should f the f nurse f respond f to f this
f request?
a. Report f the f request f to f the fphysician f immediately.
b. Tell fthe f patient f that f this f is f not f permitted f during f hospitalization.
c. Tell fthe f patient f it f is f okay ffor f the f voodoo f practitioner f to f say f prayers.
d. Have f the f patient f meet f with f the f voodoo f practitioner f in f the f hospital f lobby.
14. fThe fnurse fis fcaring ffor fa fpatient ffrom fa fnon-English fspeaking fculture. fWhile
f providing fcare, fthe fnurse fshows fan fappreciation ffor fand fattention fto farts, fmusic,
