TEST BANKS For Family Practice Guidelines 6th
i i i i i i i
Edition by Jill C. Cash; Cheryl A. Glass; Jenny M
i i i i i i i i i
ullen||Chapters 1 - 23 i i i
Family Practice Guidelines 6th Edition
,
,ANSWERS IN THE END OF EACH CHAPTER
Chapteri1.iHealthiMaintenanceiGuidelinesi
MultipleiChoice
Identifyitheichoiceithatibesticompletesitheistatementiorianswersitheiquestion.
i
1.iTheinurseiisipreparingitoiteachiaipatientiofitheiAsianicultureitoiperformipostoperativeidres
singichangesiatihomeiafteridischarge.iWhichistatementimadeibyitheinurseiindicatesiculturalicompe
tence?
a. Tellimeihowiyouifeeliaboutiyourisurgery.
b. Asianipeopleiareismart,isoithisishouldibeieasyiforiyouitoiunderstand.
c. Americanisurgeonsiareihighlyiqualified;iImisureiyouiwillihealiquickly.
d. Williyouitellimeiaboutianyitraditionalihealingipracticesithatiyouiwouldilikeitoiuse?
i
2.Aniunconsciousivictimiofiaihouseifireiisibroughtitoitheiemergencyidepartmentibyitheipar
amedics.iTieditoitheirightiwristiisianiemblemithatiappearsibeiaireligiousitalisman.iWhichiactioni
shoulditheinurseitake?
a. Tapeiitiiniplace.
b. Doinothingiwithiit.
c. Removeiitiandilockiitiupiforisafekeeping.
d. Placeiitiiniaiclothingibagiwithitheirestiofitheipatientsibelongings.
i 3.iAi43-year-
oldipatientiofiArabidescentiisiadmitteditoitheihospital.iToicomplyiwithitheistateilawsiofitheiorgan
ization,itheinurseioffersitheipatientiaiPapanicolaouismear,iwhichisheirefuses.iWhichiactionishou
lditheinurseitakeifirst?
a. Notifyitheiphysician.
b. Reportitheirefusalitoitheisupervisor.
c. Explainitheirationaleiforiandibenefitsiofitheitest.
d. Telliheriitiisistateilawiandithatisheidoesinotihaveiaichoice.
i
4.iAipatientiwhoiisiaiJehovahsiWitnessihasisevereigastrointestinalibleedingiandiaidangerously
ilowihemoglobinilevel.iTheipatientiisifullyialertiandicompetentiandirefusesitoiacceptitheiblooditransf
usioniorderedibyitheiphysician.iWhichiactionibyitheinurseiisimostiappropriate?
a. Obtainiaicourtiorderitoigiveitheiblood.
b. Administeritheibloodiwhileitheipatientiisisleeping.
,c. Haveitheipatientsispouseisignitheiconsentitoihaveitheibloodiadministered.
,d. Ensureitheipatientiunderstandsipossibleiconsequencesiandithenirespectitheipatientsiwishes.
i
5.iAipatientiofiMexicanidescentiseesiaicuranderoiforiasthma;itheicuranderoihasiprescribediais
pecialiteaitoibeitakenifouritimesiaidayitoiopenitheiairways.iHowishoulditheinurseiresponditoithisisit
uation?
a. Encourageitheipatientitoicontinueidrinkingitheitea.
b. Encourageitheipatientitoidrinkionlyioneicupiofitheiteaieachiday.
c. Askitheipatientitoibringiinitheiteaipackageiandihaveitheipharmacisticheckitheiingredients.
d. Adviseitheipatientitoistopidrinkingitheiteaibecauseiofipotentialiinteractionsiwithiotherim
edications.
i
6.iTheinurseiisicaringiforiaiyoungiadultimaleipatientiwhoirefusesipersonalicareifromiaife
maleinursingiassistant.iWhichiapproachibyitheinurseiisibest?
a. Encourageitheipatientsifamilyitoitalkiwithihimiaboutihisicare.
b. Haveiairegisteredinursei(RN)ihelpiwithihisipersonalicare.
c. Assigniaimaleiassistantitoihelpiwithihisipersonalicareiifioneiisiavailable.
d. Explainitoihimithatimalesiandifemalesitakeicareiofibothigendersiinithisihospital.
i 7.iTheinurseiisiprovidingimedicationiinstructionsitoiai45-year-
oldipatientiwhoidoesinotimaintainieyeicontact.iWhatishouldithisipatientsibehavioriindicateitoith
einurse?
a. Theipatientiisinotiinterested.
b. Theinurseithreatensitheipatientsiego.
c. Theinurseiisiiniaihierarchicaliposition.
d. Theipatientidoesinotiintenditoifollowitheiinstructions.
8.iTheinurseiisicaringiforiaipatientiofiSpanishidescentiwhoiisiexperiencingipain,ibutidoesinotisp
iiiiiiiii
eakiEnglish.iAniinterpreteriisilocateditoihelpiwithitheiassessment.iWhatishoulditheinurseidoitoifaci
litateicommunicationiwithithisipatient?
a. Useihandisignalsitoidetermineitheicauseiofitheipain.
b. Ensureitheiinterpreteriisinotileftialoneiwithitheipatient.
c. Maintainieyeicontactiwithitheipatientianditheiinterpreter.
d. Useionlyiphysicaliexaminationidata;idoinotirelyioniverbalicommunication.
i 9.iAinewimotheriofiGuatemalanidescentibringsiheri10-day-oldiinfantitoiaicliniciforiaiwell-
ibabyicheckup.iToipromoteihealing,isheihasiaicoinitapeditoitheiinfantsiumbilicus.iWhatishouldithein
urseidoiaboutithisisituation?
,a. Teachitheimotherihowitoicleanitheicoinidailyiandireapplyiit.
b. Explainitoitheimotherithatitheicoiniisinotinecessaryiforihealing.
,c. Tellitheimotheritoiremoveitheicoin,ibecauseiiticouldicauseianiinfection.
d. Teachitheimotherihowitoiapplyiaidryisterileidressingiiniplaceiofitheicoin.
i
10.iAniolderipatientiwhoifollowsitheiMuslimireligioniisiapproachingideath.iTheifamilyisay
sitheipatientsibedishouldibeiturneditowarditheioppositeiwall,isoiiticanifaceiMeccaitoiensureianieasi
eripassageiintoitheinextilife.iTheiwallitheyiwantitheibeditoifaceihasiwallisuctioniandioxygen,iwhic
hitheipatientiisiusing.iWhichiactionibyitheinurseiisiappropriate?
a. Getipermissionifromitheiphysicianitoimoveitheibed.
b. Rearrangeitheifurnitureitoiaccommodateitheirequest.
c. Tellithemiyouiwillimoveitheibediwhenitheipatientiisicloseritoideath.
d. Tellithemiitiisiimpossibleibecauseiofitheishortitubingionitheioxygeniandisuction.
11.iAipatientiofinortherniEuropeanidescentirecoveringifromisurgeryideniesipostoperativeipain
iiiiiiiii
;ihowever,ivitalisignsiindicateianielevatedipulseiandibloodipressure.iTheipatientirefusesitoimoveii
nibed.iWhichinursingiactioniwouldibestiensureicomfortianditimelyidischarge?
a. Giveitheipainimedicineiasiprescribed.
b. Askitheiphysicianitoiprescribeitheianalgesicsiarounditheiclock.
c. Explainithatitheipainimedicineiwillihelpipreventicomplications.
d. Respectitheipatientsidenialiofipain,iandidoinotiencourageitheipainimedicine.
i
12.iAinurseiwhoiemigratedifromiChinaibeginsiworkingioniaimedicaliunit.iTheipreceptoriexpla
insitheiunitiroutines,iincludingitheimedicationiadministrationisystem.iWhenitheipreceptoriasksiifith
einurseiunderstands,itheiansweriisialways:iYes,iIiunderstand.iWhatishoulditheipreceptoridoitoimeasu
reitheinursesicomprehension?
a. Giveitheinurseiaimedicationiquiz.
b. Haveitheinurseirepeatitheiinstructions.
c. Haveitheinurseidemonstrateitheiprocedures.
d. Askitheinurseiwhichiinformationiisiharditoiunderstand.
i 13.iAi52-year-
oldifromiHaitiiisihospitalizediwithiheartifailureiandiwantsitoihaveiaivoodooipractitionerivisititoisayi
prayers.iHowishoulditheinurseiresponditoithisirequest?
a. Reportitheirequestitoitheiphysicianiimmediately.
b. Tellitheipatientithatithisiisinotipermittediduringihospitalization.
c. Tellitheipatientiitiisiokayiforitheivoodooipractitioneritoisayiprayers.
d. Haveitheipatientimeetiwithitheivoodooipractitioneriinitheihospitalilobby.
i 14.iTheinurseiisicaringiforiaipatientifromiainon-
Englishispeakingiculture.iWhileiprovidingicare,itheinurseishowsianiappreciationiforiandiattentionit
oiarts,imusic,icrafts,iclothing,iandifoods
,belongingitoitheipatientsiculture.iWhatididitheinurseidemonstrateiwhileicaringiforithisipatient?
a. Culturalibeliefs
b. Culturaliawareness
c. Culturalisensitivity
d. Culturalicompetence
i
15.iAifemaleiCaucasianinurse,ioverheadidiscussingiaipatientifromianothericulture,iasksiwhyi
theipatientiwantsitoiseeiaipractitionerifromihisiowniculture,isinceieveryoneiseesiphysiciansiwhenith
eyiareiill.iWhaticharacteristiciisitheinurseiexhibiting?
a. Stereotyping
b. Ethnocentrism
c. Culturalisensitivity
d. Culturaligeneralization
i 16.iDuringianiassessment,itheinurseideterminesithatiaipatientifromiainon-
Englishispeakingicultureipracticesiactivitiesithatiareipast-
oriented.iWhatibehaviorididitheinurseiassessiinithisipatient?
a. Investingitimeiandimoney
b. Enjoyingieachidayiasiiticomes
c. Worshippingiancestorsiandimaintainingitraditions
d. Learningifromitheipastitoiavoidimakingitheisameimistakesiinitheifuture
i
17.iTheinurseinotesithatiaipatientiofiArabidescentiisinotieatingianythingionitheimealitrays.iWh
atishoulditheinurseidoiaboutithisisituation?
a. Waitiforitheipatientitoiaskiforispecificifoods.
b. Askiifitheipatientihasispecialifoodipreferences.
c. ConsultiwithiaiphysicianiofiArabidescentionistaff.
d. ContactitheidietitianitoifindioutiwhatipatientsiofiArabidescentipatientsilikeitoieat.
i 18.iTheimotheriofiai6-year-
oldiVietnameseichildiadmittediwithipneumoniaiisirubbingiaicoinionitheichildsiback.iTheicoinile
avesiredimarks.iWhatishoulditheinurseidoiaboutithisiobservation?
a. Reportitheipossibilityiofichildiabuse.
b. Doinotiallowitheimotheritoibeialoneiwithiherichild.
c. Explainitoitheimotherithatisheicannotidoithisiinitheihospital.
d. Addiaistatementitoitheicareiplanithatitheifamilyipracticesicoining.
i 19.iTheifamilyiofianiolderiArab-Americanipatientidoesinotiwantitheipatientitoibeiinformed
,ofiaidiagnosisioficancer.iWhatishoulditheinurseido?
a. Calliaireligiousicounselor.
b. Respectitheifamilysiwishes.
c. Insistithatitheifamilyitellitheipatientiaboutitheidiagnosis.
d. Tellitheipatientianyway,ibecauseipatientsihaveiairightitoiknow.
i
20.iAipatientiwithidiabetesimellitusiwhoicomesitoitheicliniciforiairoutineiexaminationiagreesi
toihaveiaidiagnosticitest,ibutiisiconcernedithatiheritransportationiwillinotiwaitiforitheitestitoibeiperfo
rmed.iWhatishoulditheinurseido?
a. Contactitheidepartmentitoihaveitheitestidoneinow.
b. Askitheipatientitoischeduleianiappointmentiforitheitest.
c. Referitheipatientitoitheicommunityihealthinurseipractitioner.
d. Scheduleitheitestiforitheinextitimeitheipatienticomesitoitheiclinic.
21.iTheinurseiisiassessingiaipatientiwhoibelievesiiniaibalanceiofiyiniandiyangiinitheibody,ihasiaib
iiiiiiiii
rotheriwithistomachicancer,iandifrequentlyiusesiacupunctureiforiheadacheitreatment.iTheinurseisho
uldivalidateithatitheipatientiisiaimemberiofiwhichiculturaligroup?
a. Hispanic/Latino
b. AsianiAmerican
c. AfricaniAmerican
d. AmericaniIndian/NativeiAlaskan
i
22.iAniolderipatientiisiobservediwearingiaicopperibraceletitoirelieveitheipainiofiarthritis.iW
hatitypeiofipracticeishoulditheinurseirealizeithisipatientiisidemonstrating?
a. Allopathy
b. Acupressure
c. Reflexology
d. Folkimedicine
i
23.iTheinurseiisipreparingidischargeiteachingiforianiolderipatientiwhoiimmigrateditoitheiUn
itediStatesiaifewiyearsiago.iWhatishoulditheinurseirememberiwhenipreparingitheseiinstructions?
a. Theipatientimostilikelyihasilimitedifinancialiresources.
b. Theipatientiwillipreferitoifollowiculturalimedicalipractices.
c. Theipatientiwillimostilikelyiliveiwithiotherifamilyimembers.
d. Theipatientiwilliattendiallifollow-upiappointmentsiasineeded.
i 24.iDuringiaihomeivisititoiaifamilyiofiainon-Englishispeakingiculture,itheinurseiobserves
, theimaleiparentibecomingiupsetiwhenitheiyoungestichildirefusesitoispeakitheinativeilanguageiinithei
home.iWhatishoulditheinurseirealizeiisioccurringiwithinitheifamilyiatithisitime?
a. Ethnocentrism
b. Culturalishock
c. Culturaliconflict
d. Culturaliassimilation
i
25.iAniolderimaleipatientiisiadmitteditoitheihospitaliforitreatmentiofiaichronicidisease.iTheispo
useiisiatitheibedsideiforimostihoursiofitheiday,ianditheipatientsichildrenicomeitoivisitieveryidayiafter
iworkitoidiscussiactivitiesiandiaskiforiadvice.iWhatishoulditheinurseirealizeiaboutitheisocialiorganiz
ationiofithisifamily?
a. Theimaleipatientiisitheiheadiofitheihousehold.
b. Theispouseidoesinotitrustihealthicareiproviders.
c. Theichildreniwantitoilearnieverythingibeforeitheipatientidies.
d. Theichildreniareiconcernedithatitheipatientiisinotireceivingiadequateicare.iM
ultipleiResponse
Identifyioneiorimoreichoicesithatibesticompleteitheistatementioriansweritheiquestion.
i 26.iTheinurseiisiplanningicareiforiaipatientifromiainon-
Englishispeakingiculture.iWhichiculturalifactorsishoulditheinurseibeiawareiofiiniorderitoiprovideicu
lturallyicompetenticareitoithisipatient?i(Selectiallithatiapply.)
a. Theipatientsinutritionalihabits
b. Theipatientsicommunicationistyle
c. Theipatientsisenseiofipersonalispace
d. Complementaryitherapiesitheipatientiisiusing
e. Theiprescribedimedicationsitheipatientiisitaking
i
27.iAifemaleinurseiisiprovidingismokingicessationicounselingiandieducationiduringiaicom
munityihealthifair.iTheinurseishouldiavoidiphysicalicloseness,ishakingihands,ioritouchingiduringi
instructioniwithiwhichiofitheifollowing?i(Selectiallithatiapply.)
a. Ai35-year-oldimaniofiAsianidescent
b. Ai45-year-oldiwomaniofiArabidescent
c. Ai28-year-oldimaniofiHispanicidescent
d. Ai52-year-oldiwomaniofiAfricaniAmericanidescent
e. Ai41-year-oldiwomaniofiAmericaniIndianidescent
i 28.iTheinurseiisiprovidingicareiiniaicliniciwithiaiculturallyidiverseipatientipopulation.
i i i i i i i
Edition by Jill C. Cash; Cheryl A. Glass; Jenny M
i i i i i i i i i
ullen||Chapters 1 - 23 i i i
Family Practice Guidelines 6th Edition
,
,ANSWERS IN THE END OF EACH CHAPTER
Chapteri1.iHealthiMaintenanceiGuidelinesi
MultipleiChoice
Identifyitheichoiceithatibesticompletesitheistatementiorianswersitheiquestion.
i
1.iTheinurseiisipreparingitoiteachiaipatientiofitheiAsianicultureitoiperformipostoperativeidres
singichangesiatihomeiafteridischarge.iWhichistatementimadeibyitheinurseiindicatesiculturalicompe
tence?
a. Tellimeihowiyouifeeliaboutiyourisurgery.
b. Asianipeopleiareismart,isoithisishouldibeieasyiforiyouitoiunderstand.
c. Americanisurgeonsiareihighlyiqualified;iImisureiyouiwillihealiquickly.
d. Williyouitellimeiaboutianyitraditionalihealingipracticesithatiyouiwouldilikeitoiuse?
i
2.Aniunconsciousivictimiofiaihouseifireiisibroughtitoitheiemergencyidepartmentibyitheipar
amedics.iTieditoitheirightiwristiisianiemblemithatiappearsibeiaireligiousitalisman.iWhichiactioni
shoulditheinurseitake?
a. Tapeiitiiniplace.
b. Doinothingiwithiit.
c. Removeiitiandilockiitiupiforisafekeeping.
d. Placeiitiiniaiclothingibagiwithitheirestiofitheipatientsibelongings.
i 3.iAi43-year-
oldipatientiofiArabidescentiisiadmitteditoitheihospital.iToicomplyiwithitheistateilawsiofitheiorgan
ization,itheinurseioffersitheipatientiaiPapanicolaouismear,iwhichisheirefuses.iWhichiactionishou
lditheinurseitakeifirst?
a. Notifyitheiphysician.
b. Reportitheirefusalitoitheisupervisor.
c. Explainitheirationaleiforiandibenefitsiofitheitest.
d. Telliheriitiisistateilawiandithatisheidoesinotihaveiaichoice.
i
4.iAipatientiwhoiisiaiJehovahsiWitnessihasisevereigastrointestinalibleedingiandiaidangerously
ilowihemoglobinilevel.iTheipatientiisifullyialertiandicompetentiandirefusesitoiacceptitheiblooditransf
usioniorderedibyitheiphysician.iWhichiactionibyitheinurseiisimostiappropriate?
a. Obtainiaicourtiorderitoigiveitheiblood.
b. Administeritheibloodiwhileitheipatientiisisleeping.
,c. Haveitheipatientsispouseisignitheiconsentitoihaveitheibloodiadministered.
,d. Ensureitheipatientiunderstandsipossibleiconsequencesiandithenirespectitheipatientsiwishes.
i
5.iAipatientiofiMexicanidescentiseesiaicuranderoiforiasthma;itheicuranderoihasiprescribediais
pecialiteaitoibeitakenifouritimesiaidayitoiopenitheiairways.iHowishoulditheinurseiresponditoithisisit
uation?
a. Encourageitheipatientitoicontinueidrinkingitheitea.
b. Encourageitheipatientitoidrinkionlyioneicupiofitheiteaieachiday.
c. Askitheipatientitoibringiinitheiteaipackageiandihaveitheipharmacisticheckitheiingredients.
d. Adviseitheipatientitoistopidrinkingitheiteaibecauseiofipotentialiinteractionsiwithiotherim
edications.
i
6.iTheinurseiisicaringiforiaiyoungiadultimaleipatientiwhoirefusesipersonalicareifromiaife
maleinursingiassistant.iWhichiapproachibyitheinurseiisibest?
a. Encourageitheipatientsifamilyitoitalkiwithihimiaboutihisicare.
b. Haveiairegisteredinursei(RN)ihelpiwithihisipersonalicare.
c. Assigniaimaleiassistantitoihelpiwithihisipersonalicareiifioneiisiavailable.
d. Explainitoihimithatimalesiandifemalesitakeicareiofibothigendersiinithisihospital.
i 7.iTheinurseiisiprovidingimedicationiinstructionsitoiai45-year-
oldipatientiwhoidoesinotimaintainieyeicontact.iWhatishouldithisipatientsibehavioriindicateitoith
einurse?
a. Theipatientiisinotiinterested.
b. Theinurseithreatensitheipatientsiego.
c. Theinurseiisiiniaihierarchicaliposition.
d. Theipatientidoesinotiintenditoifollowitheiinstructions.
8.iTheinurseiisicaringiforiaipatientiofiSpanishidescentiwhoiisiexperiencingipain,ibutidoesinotisp
iiiiiiiii
eakiEnglish.iAniinterpreteriisilocateditoihelpiwithitheiassessment.iWhatishoulditheinurseidoitoifaci
litateicommunicationiwithithisipatient?
a. Useihandisignalsitoidetermineitheicauseiofitheipain.
b. Ensureitheiinterpreteriisinotileftialoneiwithitheipatient.
c. Maintainieyeicontactiwithitheipatientianditheiinterpreter.
d. Useionlyiphysicaliexaminationidata;idoinotirelyioniverbalicommunication.
i 9.iAinewimotheriofiGuatemalanidescentibringsiheri10-day-oldiinfantitoiaicliniciforiaiwell-
ibabyicheckup.iToipromoteihealing,isheihasiaicoinitapeditoitheiinfantsiumbilicus.iWhatishouldithein
urseidoiaboutithisisituation?
,a. Teachitheimotherihowitoicleanitheicoinidailyiandireapplyiit.
b. Explainitoitheimotherithatitheicoiniisinotinecessaryiforihealing.
,c. Tellitheimotheritoiremoveitheicoin,ibecauseiiticouldicauseianiinfection.
d. Teachitheimotherihowitoiapplyiaidryisterileidressingiiniplaceiofitheicoin.
i
10.iAniolderipatientiwhoifollowsitheiMuslimireligioniisiapproachingideath.iTheifamilyisay
sitheipatientsibedishouldibeiturneditowarditheioppositeiwall,isoiiticanifaceiMeccaitoiensureianieasi
eripassageiintoitheinextilife.iTheiwallitheyiwantitheibeditoifaceihasiwallisuctioniandioxygen,iwhic
hitheipatientiisiusing.iWhichiactionibyitheinurseiisiappropriate?
a. Getipermissionifromitheiphysicianitoimoveitheibed.
b. Rearrangeitheifurnitureitoiaccommodateitheirequest.
c. Tellithemiyouiwillimoveitheibediwhenitheipatientiisicloseritoideath.
d. Tellithemiitiisiimpossibleibecauseiofitheishortitubingionitheioxygeniandisuction.
11.iAipatientiofinortherniEuropeanidescentirecoveringifromisurgeryideniesipostoperativeipain
iiiiiiiii
;ihowever,ivitalisignsiindicateianielevatedipulseiandibloodipressure.iTheipatientirefusesitoimoveii
nibed.iWhichinursingiactioniwouldibestiensureicomfortianditimelyidischarge?
a. Giveitheipainimedicineiasiprescribed.
b. Askitheiphysicianitoiprescribeitheianalgesicsiarounditheiclock.
c. Explainithatitheipainimedicineiwillihelpipreventicomplications.
d. Respectitheipatientsidenialiofipain,iandidoinotiencourageitheipainimedicine.
i
12.iAinurseiwhoiemigratedifromiChinaibeginsiworkingioniaimedicaliunit.iTheipreceptoriexpla
insitheiunitiroutines,iincludingitheimedicationiadministrationisystem.iWhenitheipreceptoriasksiifith
einurseiunderstands,itheiansweriisialways:iYes,iIiunderstand.iWhatishoulditheipreceptoridoitoimeasu
reitheinursesicomprehension?
a. Giveitheinurseiaimedicationiquiz.
b. Haveitheinurseirepeatitheiinstructions.
c. Haveitheinurseidemonstrateitheiprocedures.
d. Askitheinurseiwhichiinformationiisiharditoiunderstand.
i 13.iAi52-year-
oldifromiHaitiiisihospitalizediwithiheartifailureiandiwantsitoihaveiaivoodooipractitionerivisititoisayi
prayers.iHowishoulditheinurseiresponditoithisirequest?
a. Reportitheirequestitoitheiphysicianiimmediately.
b. Tellitheipatientithatithisiisinotipermittediduringihospitalization.
c. Tellitheipatientiitiisiokayiforitheivoodooipractitioneritoisayiprayers.
d. Haveitheipatientimeetiwithitheivoodooipractitioneriinitheihospitalilobby.
i 14.iTheinurseiisicaringiforiaipatientifromiainon-
Englishispeakingiculture.iWhileiprovidingicare,itheinurseishowsianiappreciationiforiandiattentionit
oiarts,imusic,icrafts,iclothing,iandifoods
,belongingitoitheipatientsiculture.iWhatididitheinurseidemonstrateiwhileicaringiforithisipatient?
a. Culturalibeliefs
b. Culturaliawareness
c. Culturalisensitivity
d. Culturalicompetence
i
15.iAifemaleiCaucasianinurse,ioverheadidiscussingiaipatientifromianothericulture,iasksiwhyi
theipatientiwantsitoiseeiaipractitionerifromihisiowniculture,isinceieveryoneiseesiphysiciansiwhenith
eyiareiill.iWhaticharacteristiciisitheinurseiexhibiting?
a. Stereotyping
b. Ethnocentrism
c. Culturalisensitivity
d. Culturaligeneralization
i 16.iDuringianiassessment,itheinurseideterminesithatiaipatientifromiainon-
Englishispeakingicultureipracticesiactivitiesithatiareipast-
oriented.iWhatibehaviorididitheinurseiassessiinithisipatient?
a. Investingitimeiandimoney
b. Enjoyingieachidayiasiiticomes
c. Worshippingiancestorsiandimaintainingitraditions
d. Learningifromitheipastitoiavoidimakingitheisameimistakesiinitheifuture
i
17.iTheinurseinotesithatiaipatientiofiArabidescentiisinotieatingianythingionitheimealitrays.iWh
atishoulditheinurseidoiaboutithisisituation?
a. Waitiforitheipatientitoiaskiforispecificifoods.
b. Askiifitheipatientihasispecialifoodipreferences.
c. ConsultiwithiaiphysicianiofiArabidescentionistaff.
d. ContactitheidietitianitoifindioutiwhatipatientsiofiArabidescentipatientsilikeitoieat.
i 18.iTheimotheriofiai6-year-
oldiVietnameseichildiadmittediwithipneumoniaiisirubbingiaicoinionitheichildsiback.iTheicoinile
avesiredimarks.iWhatishoulditheinurseidoiaboutithisiobservation?
a. Reportitheipossibilityiofichildiabuse.
b. Doinotiallowitheimotheritoibeialoneiwithiherichild.
c. Explainitoitheimotherithatisheicannotidoithisiinitheihospital.
d. Addiaistatementitoitheicareiplanithatitheifamilyipracticesicoining.
i 19.iTheifamilyiofianiolderiArab-Americanipatientidoesinotiwantitheipatientitoibeiinformed
,ofiaidiagnosisioficancer.iWhatishoulditheinurseido?
a. Calliaireligiousicounselor.
b. Respectitheifamilysiwishes.
c. Insistithatitheifamilyitellitheipatientiaboutitheidiagnosis.
d. Tellitheipatientianyway,ibecauseipatientsihaveiairightitoiknow.
i
20.iAipatientiwithidiabetesimellitusiwhoicomesitoitheicliniciforiairoutineiexaminationiagreesi
toihaveiaidiagnosticitest,ibutiisiconcernedithatiheritransportationiwillinotiwaitiforitheitestitoibeiperfo
rmed.iWhatishoulditheinurseido?
a. Contactitheidepartmentitoihaveitheitestidoneinow.
b. Askitheipatientitoischeduleianiappointmentiforitheitest.
c. Referitheipatientitoitheicommunityihealthinurseipractitioner.
d. Scheduleitheitestiforitheinextitimeitheipatienticomesitoitheiclinic.
21.iTheinurseiisiassessingiaipatientiwhoibelievesiiniaibalanceiofiyiniandiyangiinitheibody,ihasiaib
iiiiiiiii
rotheriwithistomachicancer,iandifrequentlyiusesiacupunctureiforiheadacheitreatment.iTheinurseisho
uldivalidateithatitheipatientiisiaimemberiofiwhichiculturaligroup?
a. Hispanic/Latino
b. AsianiAmerican
c. AfricaniAmerican
d. AmericaniIndian/NativeiAlaskan
i
22.iAniolderipatientiisiobservediwearingiaicopperibraceletitoirelieveitheipainiofiarthritis.iW
hatitypeiofipracticeishoulditheinurseirealizeithisipatientiisidemonstrating?
a. Allopathy
b. Acupressure
c. Reflexology
d. Folkimedicine
i
23.iTheinurseiisipreparingidischargeiteachingiforianiolderipatientiwhoiimmigrateditoitheiUn
itediStatesiaifewiyearsiago.iWhatishoulditheinurseirememberiwhenipreparingitheseiinstructions?
a. Theipatientimostilikelyihasilimitedifinancialiresources.
b. Theipatientiwillipreferitoifollowiculturalimedicalipractices.
c. Theipatientiwillimostilikelyiliveiwithiotherifamilyimembers.
d. Theipatientiwilliattendiallifollow-upiappointmentsiasineeded.
i 24.iDuringiaihomeivisititoiaifamilyiofiainon-Englishispeakingiculture,itheinurseiobserves
, theimaleiparentibecomingiupsetiwhenitheiyoungestichildirefusesitoispeakitheinativeilanguageiinithei
home.iWhatishoulditheinurseirealizeiisioccurringiwithinitheifamilyiatithisitime?
a. Ethnocentrism
b. Culturalishock
c. Culturaliconflict
d. Culturaliassimilation
i
25.iAniolderimaleipatientiisiadmitteditoitheihospitaliforitreatmentiofiaichronicidisease.iTheispo
useiisiatitheibedsideiforimostihoursiofitheiday,ianditheipatientsichildrenicomeitoivisitieveryidayiafter
iworkitoidiscussiactivitiesiandiaskiforiadvice.iWhatishoulditheinurseirealizeiaboutitheisocialiorganiz
ationiofithisifamily?
a. Theimaleipatientiisitheiheadiofitheihousehold.
b. Theispouseidoesinotitrustihealthicareiproviders.
c. Theichildreniwantitoilearnieverythingibeforeitheipatientidies.
d. Theichildreniareiconcernedithatitheipatientiisinotireceivingiadequateicare.iM
ultipleiResponse
Identifyioneiorimoreichoicesithatibesticompleteitheistatementioriansweritheiquestion.
i 26.iTheinurseiisiplanningicareiforiaipatientifromiainon-
Englishispeakingiculture.iWhichiculturalifactorsishoulditheinurseibeiawareiofiiniorderitoiprovideicu
lturallyicompetenticareitoithisipatient?i(Selectiallithatiapply.)
a. Theipatientsinutritionalihabits
b. Theipatientsicommunicationistyle
c. Theipatientsisenseiofipersonalispace
d. Complementaryitherapiesitheipatientiisiusing
e. Theiprescribedimedicationsitheipatientiisitaking
i
27.iAifemaleinurseiisiprovidingismokingicessationicounselingiandieducationiduringiaicom
munityihealthifair.iTheinurseishouldiavoidiphysicalicloseness,ishakingihands,ioritouchingiduringi
instructioniwithiwhichiofitheifollowing?i(Selectiallithatiapply.)
a. Ai35-year-oldimaniofiAsianidescent
b. Ai45-year-oldiwomaniofiArabidescent
c. Ai28-year-oldimaniofiHispanicidescent
d. Ai52-year-oldiwomaniofiAfricaniAmericanidescent
e. Ai41-year-oldiwomaniofiAmericaniIndianidescent
i 28.iTheinurseiisiprovidingicareiiniaicliniciwithiaiculturallyidiverseipatientipopulation.
