,
,Chapter 1. Health Maintenance Guidelines
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Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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1. The nurse is preparing to teach a patient of the Asian culture to perform postoperative
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dressing changes at home after discharge. Which statement made by the nurse indicates cultural
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competence?
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a. Tell me how you feel about your surgery.
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b. Asian people are smart, so this should be easy for you to understand.
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c. American surgeons are highly qualified; Im sure you will heal quickly.
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d. Will you tell me about any traditional healing practices that you would like to use?
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2. An unconscious victim of a house fire is brought to the emergency department by the
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paramedics. Tied to the right wrist is an emblem that appears be a religious talisman. Which
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action should the nurse take?
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a. Tape it in place. f f f
b. Do nothing with it.
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c. Remove it and lock it up for safekeeping. f f f f f f f
d. Place it in a clothing bag with the rest of the patients belongings.
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3. A 43-year-old patient of Arab descent is admitted to the hospital. To comply with the
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state laws of the organization, the nurse offers the patient a Papanicolaou smear, which she
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refuses. Which action should the nurse take first?
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a. Notify the physician. f f
b. Report the refusal to the supervisor.f f f f f
c. Explain the rationale for and benefits of the test.
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d. Tell her it is state law and that she does not have a choice.
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4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a
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dangerously low hemoglobin level. The patient is fully alert and competent and refuses to accept
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the blood transfusion ordered by the physician. Which action by the nurse is most appropriate?
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a. Obtain a court order to give the blood.
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b. Administer the blood while the patient is sleeping. f f f f f f f
c. Have the patients spouse sign the consent to have the blood administered.
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, d. Ensure the patient understands possible consequences and then respect the patients wishes.
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5. A patient of Mexican descent sees a curandero for asthma; the curandero has prescribed a
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special tea to be taken four times a day to open the airways. How should the nurse respond to this
f f f f f f f f f f f f f f f f f f f f
situation?
f
a. Encourage the patient to continue drinking the tea. f f f f f f f
b. Encourage the patient to drink only one cup of the tea each day. f f f f f f f f f f f f
c. Ask the patient to bring in the tea package and have the pharmacist check the ingredients.
f f f f f f f f f f f f f f f
d. Advise the patient to stop drinking the tea because of potential interactions with other
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medications.
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6. The nurse is caring for a young adult male patient who refuses personal care from a
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female nursing assistant. Which approach by the nurse is best?
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a. Encourage the patients family to talk with him about his care. f f f f f f f f f f
b. Have a registered nurse (RN) help with his personal care.
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c. Assign a male assistant to help with his personal care if one is available.
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d. Explain to him that males and females take care of both genders in this hospital.
f f f f f f f f f f f f f f
7. The nurse is providing medication instructions to a 45-year-old patient who does not
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maintain eye contact. What should this patients behavior indicate to the nurse?
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a. The patient is not interested.
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b. The nurse threatens the patients ego.
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c. The nurse is in a hierarchical position.
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d. The patient does not intend to follow the instructions.
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f 8. The nurse is caring for a patient of Spanish descent who is experiencing pain, but does
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not speak English. An interpreter is located to help with the assessment. What should the nurse
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do to facilitate communication with this patient?
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a. Use hand signals to determine the cause of the pain.
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b. Ensure the interpreter is not left alone with the patient.
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c. Maintain eye contact with the patient and the interpreter. f f f f f f f f
d. Use only physical examination data; do not rely on verbal communication.
f f f f f f f f f f
9. A new mother of Guatemalan descent brings her 10-day-old infant to a clinic for a well-
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baby checkup. To promote healing, she has a coin taped to the infants umbilicus. What should the
f f f f f f f f f f f f f f f f f
nurse do about this situation?
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a. Teach the mother how to clean the coin daily and reapply it.
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b. Explain to the mother that the coin is not necessary for healing.
f f f f f f f f f f f
,Chapter 1. Health Maintenance Guidelines
f f f f
Multiple Choice
f f
Identify the choice that best completes the statement or answers the question.
f f f f f f f f f f f
1. The nurse is preparing to teach a patient of the Asian culture to perform postoperative
f f f f f f f f f f f f f f f
dressing changes at home after discharge. Which statement made by the nurse indicates cultural
f f f f f f f f f f f f f f
competence?
f
a. Tell me how you feel about your surgery.
f f f f f f f
b. Asian people are smart, so this should be easy for you to understand.
f f f f f f f f f f f f
c. American surgeons are highly qualified; Im sure you will heal quickly.
f f f f f f f f f f
d. Will you tell me about any traditional healing practices that you would like to use?
f f f f f f f f f f f f f f
2. An unconscious victim of a house fire is brought to the emergency department by the
f f f f f f f f f f f f f f f
paramedics. Tied to the right wrist is an emblem that appears be a religious talisman. Which
f f f f f f f f f f f f f f f f
action should the nurse take?
f f f f f
a. Tape it in place. f f f
b. Do nothing with it.
f f f
c. Remove it and lock it up for safekeeping. f f f f f f f
d. Place it in a clothing bag with the rest of the patients belongings.
f f f f f f f f f f f f
3. A 43-year-old patient of Arab descent is admitted to the hospital. To comply with the
f f f f f f f f f f f f f f f
state laws of the organization, the nurse offers the patient a Papanicolaou smear, which she
f f f f f f f f f f f f f f f
refuses. Which action should the nurse take first?
f f f f f f f f
a. Notify the physician. f f
b. Report the refusal to the supervisor.f f f f f
c. Explain the rationale for and benefits of the test.
f f f f f f f f
d. Tell her it is state law and that she does not have a choice.
f f f f f f f f f f f f f
4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a
f f f f f f f f f f f f f
dangerously low hemoglobin level. The patient is fully alert and competent and refuses to accept
f f f f f f f f f f f f f f f
the blood transfusion ordered by the physician. Which action by the nurse is most appropriate?
f f f f f f f f f f f f f f f
a. Obtain a court order to give the blood.
f f f f f f f
b. Administer the blood while the patient is sleeping. f f f f f f f
c. Have the patients spouse sign the consent to have the blood administered.
f f f f f f f f f f f
, d. Ensure the patient understands possible consequences and then respect the patients wishes.
f f f f f f f f f f f
5. A patient of Mexican descent sees a curandero for asthma; the curandero has prescribed a
f f f f f f f f f f f f f f f
special tea to be taken four times a day to open the airways. How should the nurse respond to this
f f f f f f f f f f f f f f f f f f f f
situation?
f
a. Encourage the patient to continue drinking the tea. f f f f f f f
b. Encourage the patient to drink only one cup of the tea each day. f f f f f f f f f f f f
c. Ask the patient to bring in the tea package and have the pharmacist check the ingredients.
f f f f f f f f f f f f f f f
d. Advise the patient to stop drinking the tea because of potential interactions with other
f f f f f f f f f f f f f
medications.
f
6. The nurse is caring for a young adult male patient who refuses personal care from a
f f f f f f f f f f f f f f f f
female nursing assistant. Which approach by the nurse is best?
f f f f f f f f f f
a. Encourage the patients family to talk with him about his care. f f f f f f f f f f
b. Have a registered nurse (RN) help with his personal care.
f f f f f f f f f
c. Assign a male assistant to help with his personal care if one is available.
f f f f f f f f f f f f f
d. Explain to him that males and females take care of both genders in this hospital.
f f f f f f f f f f f f f f
7. The nurse is providing medication instructions to a 45-year-old patient who does not
f f f f f f f f f f f f f
maintain eye contact. What should this patients behavior indicate to the nurse?
f f f f f f f f f f f f
a. The patient is not interested.
f f f f
b. The nurse threatens the patients ego.
f f f f f
c. The nurse is in a hierarchical position.
f f f f f f
d. The patient does not intend to follow the instructions.
f f f f f f f f
f 8. The nurse is caring for a patient of Spanish descent who is experiencing pain, but does
f f f f f f f f f f f f f f f f f f
not speak English. An interpreter is located to help with the assessment. What should the nurse
f f f f f f f f f f f f f f f f
do to facilitate communication with this patient?
f f f f f f f
a. Use hand signals to determine the cause of the pain.
f f f f f f f f f
b. Ensure the interpreter is not left alone with the patient.
f f f f f f f f f
c. Maintain eye contact with the patient and the interpreter. f f f f f f f f
d. Use only physical examination data; do not rely on verbal communication.
f f f f f f f f f f
9. A new mother of Guatemalan descent brings her 10-day-old infant to a clinic for a well-
f f f f f f f f f f f f f f f f
baby checkup. To promote healing, she has a coin taped to the infants umbilicus. What should the
f f f f f f f f f f f f f f f f f
nurse do about this situation?
f f f f f
a. Teach the mother how to clean the coin daily and reapply it.
f f f f f f f f f f f
b. Explain to the mother that the coin is not necessary for healing.
f f f f f f f f f f f
