TEST BANKS For Family Practice Guidelines 5th
v v v v v v v
Edition by Jill C. Cash; Cheryl A. Glass; Jenny
v v v v v v v v v
Mullen||Chapters 1 - 23 v v v
,
,Answers are in the end of each chapter
Chapterv1.vHealthvMaintenancevGuideline
svMultiplevChoice
Identifyvthevchoicevthatvbestvcompletesvthevstatementvorvanswersvthevquestion.
v
1.vThevnursevisvpreparingvtovteachvavpatientvofvthevAsianvculturevtovperformvpostoperative
vdressingvchangesvatvhomevaftervdischarge.vWhichvstatementvmadevbyvthevnursevindicatesvcultu
ralvcompetence?
a. Tellvmevhowvyouvfeelvaboutvyourvsurgery.
b. Asianvpeoplevarevsmart,vsovthisvshouldvbeveasyvforvyouvtovunderstand.
c. Americanvsurgeonsvarevhighlyvqualified;vImvsurevyouvwillvhealvquickly.
d. Willvyouvtellvmevaboutvanyvtraditionalvhealingvpracticesvthatvyouvwouldvlikevtovuse?
v
2.vAnvunconsciousvvictimvofvavhousevfirevisvbroughtvtovthevemergencyvdepartmentvbyvt
hevparamedics.vTiedvtovthevrightvwristvisvanvemblemvthatvappearsvbevavreligiousvtalisman.vWh
ichvactionvshouldvthevnursevtake?
a. Tapevitvinvplace.
b. Dovnothingvwithvit.
c. Removevitvandvlockvitvupvforvsafekeeping.
d. Placevitvinvavclothingvbagvwithvthevrestvofvthevpatientsvbelongings.
v 3.vAv43-year-
oldvpatientvofvArabvdescentvisvadmittedvtovthevhospital.vTovcomplyvwithvthevstatevlawsvofvthev
organization,vthevnursevoffersvthevpatientvavPapanicolaouvsmear,vwhichvshevrefuses.vWhichva
ctionvshouldvthevnursevtakevfirst?
a. Notifyvthevphysician.
b. Reportvthevrefusalvtovthevsupervisor.
c. Explainvthevrationalevforvandvbenefitsvofvthevtest.
d. Tellvhervitvisvstatevlawvandvthatvshevdoesvnotvhavevavchoice.
v
4.vAvpatientvwhovisvavJehovahsvWitnessvhasvseverevgastrointestinalvbleedingvandvavdanger
ouslyvlowvhemoglobinvlevel.vThevpatientvisvfullyvalertvandvcompetentvandvrefusesvtovacceptvthevb
loodvtransfusionvorderedvbyvthevphysician.vWhichvactionvbyvthevnursevisvmostvappropriate?
a. Obtainvavcourtvordervtovgivevthevblood.
b. Administervthevbloodvwhilevthevpatientvisvsleeping.
,c. Havevthevpatientsvspousevsignvthevconsentvtovhavevthevbloodvadministered.
,d. Ensurevthevpatientvunderstandsvpossiblevconsequencesvandvthenvrespectvthevpatientsvwishes.
v
5.vAvpatientvofvMexicanvdescentvseesvavcuranderovforvasthma;vthevcuranderovhasvprescrib
edvavspecialvteavtovbevtakenvfourvtimesvavdayvtovopenvthevairways.vHowvshouldvthevnursevrespon
dvtovthisvsituation?
a. Encouragevthevpatientvtovcontinuevdrinkingvthevtea.
b. Encouragevthevpatientvtovdrinkvonlyvonevcupvofvthevteaveachvday.
c. Askvthevpatientvtovbringvinvthevteavpackagevandvhavevthevpharmacistvcheckvthevingredients.
d. Advisevthevpatientvtovstopvdrinkingvthevteavbecausevofvpotentialvinteractionsvwithvoth
ervmedications.
v
6.vThevnursevisvcaringvforvavyoungvadultvmalevpatientvwhovrefusesvpersonalvcarevfrom
vavfemalevnursingvassistant.vWhichvapproachvbyvthevnursevisvbest?
a. Encouragevthevpatientsvfamilyvtovtalkvwithvhimvaboutvhisvcare.
b. Havevavregisteredvnursev(RN)vhelpvwithvhisvpersonalvcare.
c. Assignvavmalevassistantvtovhelpvwithvhisvpersonalvcarevifvonevisvavailable.
d. Explainvtovhimvthatvmalesvandvfemalesvtakevcarevofvbothvgendersvinvthisvhospital.
v 7.vThevnursevisvprovidingvmedicationvinstructionsvtovav45-year-
oldvpatientvwhovdoesvnotvmaintainveyevcontact.vWhatvshouldvthisvpatientsvbehaviorvindicatevt
ovthevnurse?
a. Thevpatientvisvnotvinterested.
b. Thevnursevthreatensvthevpatientsvego.
c. Thevnursevisvinvavhierarchicalvposition.
d. Thevpatientvdoesvnotvintendvtovfollowvthevinstructions.
8.vThevnursevisvcaringvforvavpatientvofvSpanishvdescentvwhovisvexperiencingvpain,vbutvd
vvvvvvvvv
oesvnotvspeakvEnglish.vAnvinterpretervisvlocatedvtovhelpvwithvthevassessment.vWhatvshouldvthev
nursevdovtovfacilitatevcommunicationvwithvthisvpatient?
a. Usevhandvsignalsvtovdeterminevthevcausevofvthevpain.
b. Ensurevthevinterpretervisvnotvleftvalonevwithvthevpatient.
c. Maintainveyevcontactvwithvthevpatientvandvthevinterpreter.
d. Usevonlyvphysicalvexaminationvdata;vdovnotvrelyvonvverbalvcommunication.
v 9.vAvnewvmothervofvGuatemalanvdescentvbringsvherv10-day-
oldvinfantvtovavclinicvforvavwell-
vbabyvcheckup.vTovpromotevhealing,vshevhasvavcoinvtapedvtovthevinfantsvumbilicus.vWhatvshould
,vthevnursevdovaboutvthisvsituation?
a. Teachvthevmothervhowvtovcleanvthevcoinvdailyvandvreapplyvit.
b. Explainvtovthevmothervthatvthevcoinvisvnotvnecessaryvforvhealing.
,c. Tellvthevmothervtovremovevthevcoin,vbecausevitvcouldvcausevanvinfection.
d. Teachvthevmothervhowvtovapplyvavdryvsterilevdressingvinvplacevofvthevcoin.
v
10.vAnvoldervpatientvwhovfollowsvthevMuslimvreligionvisvapproachingvdeath.vThevfamily
vsaysvthevpatientsvbedvshouldvbevturnedvtowardvthevoppositevwall,vsovitvcanvfacevMeccavtovens
urevanveasiervpassagevintovthevnextvlife.vThevwallvtheyvwantvthevbedvtovfacevhasvwallvsuctionva
ndvoxygen,vwhichvthevpatientvisvusing.vWhichvactionvbyvthevnursevisvappropriate?
a. Getvpermissionvfromvthevphysicianvtovmovevthevbed.
b. Rearrangevthevfurniturevtovaccommodatevthevrequest.
c. Tellvthemvyouvwillvmovevthevbedvwhenvthevpatientvisvcloservtovdeath.
d. Tellvthemvitvisvimpossiblevbecausevofvthevshortvtubingvonvthevoxygenvandvsuction.
11.vAvpatientvofvnorthernvEuropeanvdescentvrecoveringvfromvsurgeryvdeniesvpostoperati
vvvvvvvvv
vevpain;vhowever,vvitalvsignsvindicatevanvelevatedvpulsevandvbloodvpressure.vThevpatientvrefuse
svtovmovevinvbed.vWhichvnursingvactionvwouldvbestvensurevcomfortvandvtimelyvdischarge?
a. Givevthevpainvmedicinevasvprescribed.
b. Askvthevphysicianvtovprescribevthevanalgesicsvaroundvthevclock.
c. Explainvthatvthevpainvmedicinevwillvhelpvpreventvcomplications.
d. Respectvthevpatientsvdenialvofvpain,vandvdovnotvencouragevthevpainvmedicine.
v
12.vAvnursevwhovemigratedvfromvChinavbeginsvworkingvonvavmedicalvunit.vThevpreceptorv
explainsvthevunitvroutines,vincludingvthevmedicationvadministrationvsystem.vWhenvthevpreceptorv
asksvifvthevnursevunderstands,vthevanswervisvalways:vYes,vIvunderstand.vWhatvshouldvthevprecept
orvdovtovmeasurevthevnursesvcomprehension?
a. Givevthevnursevavmedicationvquiz.
b. Havevthevnursevrepeatvthevinstructions.
c. Havevthevnursevdemonstratevthevprocedures.
d. Askvthevnursevwhichvinformationvisvhardvtovunderstand.
v 13.vAv52-year-
oldvfromvHaitivisvhospitalizedvwithvheartvfailurevandvwantsvtovhavevavvoodoovpractitionervvisitvt
ovsayvprayers.vHowvshouldvthevnursevrespondvtovthisvrequest?
a. Reportvthevrequestvtovthevphysicianvimmediately.
b. Tellvthevpatientvthatvthisvisvnotvpermittedvduringvhospitalization.
c. Tellvthevpatientvitvisvokayvforvthevvoodoovpractitionervtovsayvprayers.
d. Havevthevpatientvmeetvwithvthevvoodoovpractitionervinvthevhospitalvlobby.
v 14.vThevnursevisvcaringvforvavpatientvfromvavnon-
Englishvspeakingvculture.vWhilevprovidingvcare,vthevnursevshowsvanvappreciationvforvandvattenti
onvtovarts,vmusic,vcrafts,vclothing,vandvfoods
,belongingvtovthevpatientsvculture.vWhatvdidvthevnursevdemonstratevwhilevcaringvforvthisvpatient?
a. Culturalvbeliefs
b. Culturalvawareness
c. Culturalvsensitivity
d. Culturalvcompetence
v
15.vAvfemalevCaucasianvnurse,voverheadvdiscussingvavpatientvfromvanothervculture,vasksv
whyvthevpatientvwantsvtovseevavpractitionervfromvhisvownvculture,vsinceveveryonevseesvphysicia
nsvwhenvtheyvarevill.vWhatvcharacteristicvisvthevnursevexhibiting?
a. Stereotyping
b. Ethnocentrism
c. Culturalvsensitivity
d. Culturalvgeneralization
v 16.vDuringvanvassessment,vthevnursevdeterminesvthatvavpatientvfromvavnon-
Englishvspeakingvculturevpracticesvactivitiesvthatvarevpast-
oriented.vWhatvbehaviorvdidvthevnursevassessvinvthisvpatient?
a. Investingvtimevandvmoney
b. Enjoyingveachvdayvasvitvcomes
c. Worshippingvancestorsvandvmaintainingvtraditions
d. Learningvfromvthevpastvtovavoidvmakingvthevsamevmistakesvinvthevfuture
v
17.vThevnursevnotesvthatvavpatientvofvArabvdescentvisvnotveatingvanythingvonvthevmealvtra
ys.vWhatvshouldvthevnursevdovaboutvthisvsituation?
a. Waitvforvthevpatientvtovaskvforvspecificvfoods.
b. Askvifvthevpatientvhasvspecialvfoodvpreferences.
c. ConsultvwithvavphysicianvofvArabvdescentvonvstaff.
d. ContactvthevdietitianvtovfindvoutvwhatvpatientsvofvArabvdescentvpatientsvlikevtoveat.
v 18.vThevmothervofvav6-year-
oldvVietnamesevchildvadmittedvwithvpneumoniavisvrubbingvavcoinvonvthevchildsvback.vThevco
invleavesvredvmarks.vWhatvshouldvthevnursevdovaboutvthisvobservation?
a. Reportvthevpossibilityvofvchildvabuse.
b. Dovnotvallowvthevmothervtovbevalonevwithvhervchild.
c. Explainvtovthevmothervthatvshevcannotvdovthisvinvthevhospital.
d. Addvavstatementvtovthevcarevplanvthatvthevfamilyvpracticesvcoining.
v 19.vThevfamilyvofvanvoldervArab-Americanvpatientvdoesvnotvwantvthevpatientvtovbevinformed
,ofvavdiagnosisvofvcancer.vWhatvshouldvthevnursevdo?
a. Callvavreligiousvcounselor.
b. Respectvthevfamilysvwishes.
c. Insistvthatvthevfamilyvtellvthevpatientvaboutvthevdiagnosis.
d. Tellvthevpatientvanyway,vbecausevpatientsvhavevavrightvtovknow.
v
20.vAvpatientvwithvdiabetesvmellitusvwhovcomesvtovthevclinicvforvavroutinevexaminationva
greesvtovhavevavdiagnosticvtest,vbutvisvconcernedvthatvhervtransportationvwillvnotvwaitvforvthevtes
tvtovbevperformed.vWhatvshouldvthevnursevdo?
a. Contactvthevdepartmentvtovhavevthevtestvdonevnow.
b. Askvthevpatientvtovschedulevanvappointmentvforvthevtest.
c. Refervthevpatientvtovthevcommunityvhealthvnursevpractitioner.
d. Schedulevthevtestvforvthevnextvtimevthevpatientvcomesvtovthevclinic.
21.vThevnursevisvassessingvavpatientvwhovbelievesvinvavbalancevofvyinvandvyangvinvthevbo
vvvvvvvvv
dy,vhasvavbrothervwithvstomachvcancer,vandvfrequentlyvusesvacupuncturevforvheadachevtreatment.
vThevnursevshouldvvalidatevthatvthevpatientvisvavmembervofvwhichvculturalvgroup?
a. Hispanic/Latino
b. AsianvAmerican
c. AfricanvAmerican
d. AmericanvIndian/NativevAlaskan
v
22.vAnvoldervpatientvisvobservedvwearingvavcoppervbraceletvtovrelievevthevpainvofvarthriti
s.vWhatvtypevofvpracticevshouldvthevnursevrealizevthisvpatientvisvdemonstrating?
a. Allopathy
b. Acupressure
c. Reflexology
d. Folkvmedicine
v
23.vThevnursevisvpreparingvdischargevteachingvforvanvoldervpatientvwhovimmigratedvtovt
hevUnitedvStatesvavfewvyearsvago.vWhatvshouldvthevnursevremembervwhenvpreparingvthesevins
tructions?
a. Thevpatientvmostvlikelyvhasvlimitedvfinancialvresources.
b. Thevpatientvwillvprefervtovfollowvculturalvmedicalvpractices.
c. Thevpatientvwillvmostvlikelyvlivevwithvothervfamilyvmembers.
d. Thevpatientvwillvattendvallvfollow-upvappointmentsvasvneeded.
v 24.vDuringvavhomevvisitvtovavfamilyvofvavnon-Englishvspeakingvculture,vthevnursevobserves
, thevmalevparentvbecomingvupsetvwhenvthevyoungestvchildvrefusesvtovspeakvthevnativevlanguagev
invthevhome.vWhatvshouldvthevnursevrealizevisvoccurringvwithinvthevfamilyvatvthisvtime?
a. Ethnocentrism
b. Culturalvshock
c. Culturalvconflict
d. Culturalvassimilation
v
25.vAnvoldervmalevpatientvisvadmittedvtovthevhospitalvforvtreatmentvofvavchronicvdisease.vT
hevspousevisvatvthevbedsidevforvmostvhoursvofvthevday,vandvthevpatientsvchildrenvcomevtovvisitvev
eryvdayvaftervworkvtovdiscussvactivitiesvandvaskvforvadvice.vWhatvshouldvthevnursevrealizevabout
vthevsocialvorganizationvofvthisvfamily?
a. Thevmalevpatientvisvthevheadvofvthevhousehold.
b. Thevspousevdoesvnotvtrustvhealthvcarevproviders.
c. Thevchildrenvwantvtovlearnveverythingvbeforevthevpatientvdies.
d. Thevchildrenvarevconcernedvthatvthevpatientvisvnotvreceivingvadequatevcar
e.vMultiplevResponse
Identifyvonevorvmorevchoicesvthatvbestvcompletevthevstatementvorvanswervthevquestion.
v 26.vThevnursevisvplanningvcarevforvavpatientvfromvavnon-
Englishvspeakingvculture.vWhichvculturalvfactorsvshouldvthevnursevbevawarevofvinvordervtovprovi
devculturallyvcompetentvcarevtovthisvpatient?v(Selectvallvthatvapply.)
a. Thevpatientsvnutritionalvhabits
b. Thevpatientsvcommunicationvstyle
c. Thevpatientsvsensevofvpersonalvspace
d. Complementaryvtherapiesvthevpatientvisvusing
e. Thevprescribedvmedicationsvthevpatientvisvtaking
v
27.vAvfemalevnursevisvprovidingvsmokingvcessationvcounselingvandveducationvduringvav
communityvhealthvfair.vThevnursevshouldvavoidvphysicalvcloseness,vshakingvhands,vorvtouchin
gvduringvinstructionvwithvwhichvofvthevfollowing?v(Selectvallvthatvapply.)
a. Av35-year-oldvmanvofvAsianvdescent
b. Av45-year-oldvwomanvofvArabvdescent
c. Av28-year-oldvmanvofvHispanicvdescent
d. Av52-year-oldvwomanvofvAfricanvAmericanvdescent
e. Av41-year-oldvwomanvofvAmericanvIndianvdescent
v 28.vThevnursevisvprovidingvcarevinvavclinicvwithvavculturallyvdiversevpatientvpopulation.
v v v v v v v
Edition by Jill C. Cash; Cheryl A. Glass; Jenny
v v v v v v v v v
Mullen||Chapters 1 - 23 v v v
,
,Answers are in the end of each chapter
Chapterv1.vHealthvMaintenancevGuideline
svMultiplevChoice
Identifyvthevchoicevthatvbestvcompletesvthevstatementvorvanswersvthevquestion.
v
1.vThevnursevisvpreparingvtovteachvavpatientvofvthevAsianvculturevtovperformvpostoperative
vdressingvchangesvatvhomevaftervdischarge.vWhichvstatementvmadevbyvthevnursevindicatesvcultu
ralvcompetence?
a. Tellvmevhowvyouvfeelvaboutvyourvsurgery.
b. Asianvpeoplevarevsmart,vsovthisvshouldvbeveasyvforvyouvtovunderstand.
c. Americanvsurgeonsvarevhighlyvqualified;vImvsurevyouvwillvhealvquickly.
d. Willvyouvtellvmevaboutvanyvtraditionalvhealingvpracticesvthatvyouvwouldvlikevtovuse?
v
2.vAnvunconsciousvvictimvofvavhousevfirevisvbroughtvtovthevemergencyvdepartmentvbyvt
hevparamedics.vTiedvtovthevrightvwristvisvanvemblemvthatvappearsvbevavreligiousvtalisman.vWh
ichvactionvshouldvthevnursevtake?
a. Tapevitvinvplace.
b. Dovnothingvwithvit.
c. Removevitvandvlockvitvupvforvsafekeeping.
d. Placevitvinvavclothingvbagvwithvthevrestvofvthevpatientsvbelongings.
v 3.vAv43-year-
oldvpatientvofvArabvdescentvisvadmittedvtovthevhospital.vTovcomplyvwithvthevstatevlawsvofvthev
organization,vthevnursevoffersvthevpatientvavPapanicolaouvsmear,vwhichvshevrefuses.vWhichva
ctionvshouldvthevnursevtakevfirst?
a. Notifyvthevphysician.
b. Reportvthevrefusalvtovthevsupervisor.
c. Explainvthevrationalevforvandvbenefitsvofvthevtest.
d. Tellvhervitvisvstatevlawvandvthatvshevdoesvnotvhavevavchoice.
v
4.vAvpatientvwhovisvavJehovahsvWitnessvhasvseverevgastrointestinalvbleedingvandvavdanger
ouslyvlowvhemoglobinvlevel.vThevpatientvisvfullyvalertvandvcompetentvandvrefusesvtovacceptvthevb
loodvtransfusionvorderedvbyvthevphysician.vWhichvactionvbyvthevnursevisvmostvappropriate?
a. Obtainvavcourtvordervtovgivevthevblood.
b. Administervthevbloodvwhilevthevpatientvisvsleeping.
,c. Havevthevpatientsvspousevsignvthevconsentvtovhavevthevbloodvadministered.
,d. Ensurevthevpatientvunderstandsvpossiblevconsequencesvandvthenvrespectvthevpatientsvwishes.
v
5.vAvpatientvofvMexicanvdescentvseesvavcuranderovforvasthma;vthevcuranderovhasvprescrib
edvavspecialvteavtovbevtakenvfourvtimesvavdayvtovopenvthevairways.vHowvshouldvthevnursevrespon
dvtovthisvsituation?
a. Encouragevthevpatientvtovcontinuevdrinkingvthevtea.
b. Encouragevthevpatientvtovdrinkvonlyvonevcupvofvthevteaveachvday.
c. Askvthevpatientvtovbringvinvthevteavpackagevandvhavevthevpharmacistvcheckvthevingredients.
d. Advisevthevpatientvtovstopvdrinkingvthevteavbecausevofvpotentialvinteractionsvwithvoth
ervmedications.
v
6.vThevnursevisvcaringvforvavyoungvadultvmalevpatientvwhovrefusesvpersonalvcarevfrom
vavfemalevnursingvassistant.vWhichvapproachvbyvthevnursevisvbest?
a. Encouragevthevpatientsvfamilyvtovtalkvwithvhimvaboutvhisvcare.
b. Havevavregisteredvnursev(RN)vhelpvwithvhisvpersonalvcare.
c. Assignvavmalevassistantvtovhelpvwithvhisvpersonalvcarevifvonevisvavailable.
d. Explainvtovhimvthatvmalesvandvfemalesvtakevcarevofvbothvgendersvinvthisvhospital.
v 7.vThevnursevisvprovidingvmedicationvinstructionsvtovav45-year-
oldvpatientvwhovdoesvnotvmaintainveyevcontact.vWhatvshouldvthisvpatientsvbehaviorvindicatevt
ovthevnurse?
a. Thevpatientvisvnotvinterested.
b. Thevnursevthreatensvthevpatientsvego.
c. Thevnursevisvinvavhierarchicalvposition.
d. Thevpatientvdoesvnotvintendvtovfollowvthevinstructions.
8.vThevnursevisvcaringvforvavpatientvofvSpanishvdescentvwhovisvexperiencingvpain,vbutvd
vvvvvvvvv
oesvnotvspeakvEnglish.vAnvinterpretervisvlocatedvtovhelpvwithvthevassessment.vWhatvshouldvthev
nursevdovtovfacilitatevcommunicationvwithvthisvpatient?
a. Usevhandvsignalsvtovdeterminevthevcausevofvthevpain.
b. Ensurevthevinterpretervisvnotvleftvalonevwithvthevpatient.
c. Maintainveyevcontactvwithvthevpatientvandvthevinterpreter.
d. Usevonlyvphysicalvexaminationvdata;vdovnotvrelyvonvverbalvcommunication.
v 9.vAvnewvmothervofvGuatemalanvdescentvbringsvherv10-day-
oldvinfantvtovavclinicvforvavwell-
vbabyvcheckup.vTovpromotevhealing,vshevhasvavcoinvtapedvtovthevinfantsvumbilicus.vWhatvshould
,vthevnursevdovaboutvthisvsituation?
a. Teachvthevmothervhowvtovcleanvthevcoinvdailyvandvreapplyvit.
b. Explainvtovthevmothervthatvthevcoinvisvnotvnecessaryvforvhealing.
,c. Tellvthevmothervtovremovevthevcoin,vbecausevitvcouldvcausevanvinfection.
d. Teachvthevmothervhowvtovapplyvavdryvsterilevdressingvinvplacevofvthevcoin.
v
10.vAnvoldervpatientvwhovfollowsvthevMuslimvreligionvisvapproachingvdeath.vThevfamily
vsaysvthevpatientsvbedvshouldvbevturnedvtowardvthevoppositevwall,vsovitvcanvfacevMeccavtovens
urevanveasiervpassagevintovthevnextvlife.vThevwallvtheyvwantvthevbedvtovfacevhasvwallvsuctionva
ndvoxygen,vwhichvthevpatientvisvusing.vWhichvactionvbyvthevnursevisvappropriate?
a. Getvpermissionvfromvthevphysicianvtovmovevthevbed.
b. Rearrangevthevfurniturevtovaccommodatevthevrequest.
c. Tellvthemvyouvwillvmovevthevbedvwhenvthevpatientvisvcloservtovdeath.
d. Tellvthemvitvisvimpossiblevbecausevofvthevshortvtubingvonvthevoxygenvandvsuction.
11.vAvpatientvofvnorthernvEuropeanvdescentvrecoveringvfromvsurgeryvdeniesvpostoperati
vvvvvvvvv
vevpain;vhowever,vvitalvsignsvindicatevanvelevatedvpulsevandvbloodvpressure.vThevpatientvrefuse
svtovmovevinvbed.vWhichvnursingvactionvwouldvbestvensurevcomfortvandvtimelyvdischarge?
a. Givevthevpainvmedicinevasvprescribed.
b. Askvthevphysicianvtovprescribevthevanalgesicsvaroundvthevclock.
c. Explainvthatvthevpainvmedicinevwillvhelpvpreventvcomplications.
d. Respectvthevpatientsvdenialvofvpain,vandvdovnotvencouragevthevpainvmedicine.
v
12.vAvnursevwhovemigratedvfromvChinavbeginsvworkingvonvavmedicalvunit.vThevpreceptorv
explainsvthevunitvroutines,vincludingvthevmedicationvadministrationvsystem.vWhenvthevpreceptorv
asksvifvthevnursevunderstands,vthevanswervisvalways:vYes,vIvunderstand.vWhatvshouldvthevprecept
orvdovtovmeasurevthevnursesvcomprehension?
a. Givevthevnursevavmedicationvquiz.
b. Havevthevnursevrepeatvthevinstructions.
c. Havevthevnursevdemonstratevthevprocedures.
d. Askvthevnursevwhichvinformationvisvhardvtovunderstand.
v 13.vAv52-year-
oldvfromvHaitivisvhospitalizedvwithvheartvfailurevandvwantsvtovhavevavvoodoovpractitionervvisitvt
ovsayvprayers.vHowvshouldvthevnursevrespondvtovthisvrequest?
a. Reportvthevrequestvtovthevphysicianvimmediately.
b. Tellvthevpatientvthatvthisvisvnotvpermittedvduringvhospitalization.
c. Tellvthevpatientvitvisvokayvforvthevvoodoovpractitionervtovsayvprayers.
d. Havevthevpatientvmeetvwithvthevvoodoovpractitionervinvthevhospitalvlobby.
v 14.vThevnursevisvcaringvforvavpatientvfromvavnon-
Englishvspeakingvculture.vWhilevprovidingvcare,vthevnursevshowsvanvappreciationvforvandvattenti
onvtovarts,vmusic,vcrafts,vclothing,vandvfoods
,belongingvtovthevpatientsvculture.vWhatvdidvthevnursevdemonstratevwhilevcaringvforvthisvpatient?
a. Culturalvbeliefs
b. Culturalvawareness
c. Culturalvsensitivity
d. Culturalvcompetence
v
15.vAvfemalevCaucasianvnurse,voverheadvdiscussingvavpatientvfromvanothervculture,vasksv
whyvthevpatientvwantsvtovseevavpractitionervfromvhisvownvculture,vsinceveveryonevseesvphysicia
nsvwhenvtheyvarevill.vWhatvcharacteristicvisvthevnursevexhibiting?
a. Stereotyping
b. Ethnocentrism
c. Culturalvsensitivity
d. Culturalvgeneralization
v 16.vDuringvanvassessment,vthevnursevdeterminesvthatvavpatientvfromvavnon-
Englishvspeakingvculturevpracticesvactivitiesvthatvarevpast-
oriented.vWhatvbehaviorvdidvthevnursevassessvinvthisvpatient?
a. Investingvtimevandvmoney
b. Enjoyingveachvdayvasvitvcomes
c. Worshippingvancestorsvandvmaintainingvtraditions
d. Learningvfromvthevpastvtovavoidvmakingvthevsamevmistakesvinvthevfuture
v
17.vThevnursevnotesvthatvavpatientvofvArabvdescentvisvnotveatingvanythingvonvthevmealvtra
ys.vWhatvshouldvthevnursevdovaboutvthisvsituation?
a. Waitvforvthevpatientvtovaskvforvspecificvfoods.
b. Askvifvthevpatientvhasvspecialvfoodvpreferences.
c. ConsultvwithvavphysicianvofvArabvdescentvonvstaff.
d. ContactvthevdietitianvtovfindvoutvwhatvpatientsvofvArabvdescentvpatientsvlikevtoveat.
v 18.vThevmothervofvav6-year-
oldvVietnamesevchildvadmittedvwithvpneumoniavisvrubbingvavcoinvonvthevchildsvback.vThevco
invleavesvredvmarks.vWhatvshouldvthevnursevdovaboutvthisvobservation?
a. Reportvthevpossibilityvofvchildvabuse.
b. Dovnotvallowvthevmothervtovbevalonevwithvhervchild.
c. Explainvtovthevmothervthatvshevcannotvdovthisvinvthevhospital.
d. Addvavstatementvtovthevcarevplanvthatvthevfamilyvpracticesvcoining.
v 19.vThevfamilyvofvanvoldervArab-Americanvpatientvdoesvnotvwantvthevpatientvtovbevinformed
,ofvavdiagnosisvofvcancer.vWhatvshouldvthevnursevdo?
a. Callvavreligiousvcounselor.
b. Respectvthevfamilysvwishes.
c. Insistvthatvthevfamilyvtellvthevpatientvaboutvthevdiagnosis.
d. Tellvthevpatientvanyway,vbecausevpatientsvhavevavrightvtovknow.
v
20.vAvpatientvwithvdiabetesvmellitusvwhovcomesvtovthevclinicvforvavroutinevexaminationva
greesvtovhavevavdiagnosticvtest,vbutvisvconcernedvthatvhervtransportationvwillvnotvwaitvforvthevtes
tvtovbevperformed.vWhatvshouldvthevnursevdo?
a. Contactvthevdepartmentvtovhavevthevtestvdonevnow.
b. Askvthevpatientvtovschedulevanvappointmentvforvthevtest.
c. Refervthevpatientvtovthevcommunityvhealthvnursevpractitioner.
d. Schedulevthevtestvforvthevnextvtimevthevpatientvcomesvtovthevclinic.
21.vThevnursevisvassessingvavpatientvwhovbelievesvinvavbalancevofvyinvandvyangvinvthevbo
vvvvvvvvv
dy,vhasvavbrothervwithvstomachvcancer,vandvfrequentlyvusesvacupuncturevforvheadachevtreatment.
vThevnursevshouldvvalidatevthatvthevpatientvisvavmembervofvwhichvculturalvgroup?
a. Hispanic/Latino
b. AsianvAmerican
c. AfricanvAmerican
d. AmericanvIndian/NativevAlaskan
v
22.vAnvoldervpatientvisvobservedvwearingvavcoppervbraceletvtovrelievevthevpainvofvarthriti
s.vWhatvtypevofvpracticevshouldvthevnursevrealizevthisvpatientvisvdemonstrating?
a. Allopathy
b. Acupressure
c. Reflexology
d. Folkvmedicine
v
23.vThevnursevisvpreparingvdischargevteachingvforvanvoldervpatientvwhovimmigratedvtovt
hevUnitedvStatesvavfewvyearsvago.vWhatvshouldvthevnursevremembervwhenvpreparingvthesevins
tructions?
a. Thevpatientvmostvlikelyvhasvlimitedvfinancialvresources.
b. Thevpatientvwillvprefervtovfollowvculturalvmedicalvpractices.
c. Thevpatientvwillvmostvlikelyvlivevwithvothervfamilyvmembers.
d. Thevpatientvwillvattendvallvfollow-upvappointmentsvasvneeded.
v 24.vDuringvavhomevvisitvtovavfamilyvofvavnon-Englishvspeakingvculture,vthevnursevobserves
, thevmalevparentvbecomingvupsetvwhenvthevyoungestvchildvrefusesvtovspeakvthevnativevlanguagev
invthevhome.vWhatvshouldvthevnursevrealizevisvoccurringvwithinvthevfamilyvatvthisvtime?
a. Ethnocentrism
b. Culturalvshock
c. Culturalvconflict
d. Culturalvassimilation
v
25.vAnvoldervmalevpatientvisvadmittedvtovthevhospitalvforvtreatmentvofvavchronicvdisease.vT
hevspousevisvatvthevbedsidevforvmostvhoursvofvthevday,vandvthevpatientsvchildrenvcomevtovvisitvev
eryvdayvaftervworkvtovdiscussvactivitiesvandvaskvforvadvice.vWhatvshouldvthevnursevrealizevabout
vthevsocialvorganizationvofvthisvfamily?
a. Thevmalevpatientvisvthevheadvofvthevhousehold.
b. Thevspousevdoesvnotvtrustvhealthvcarevproviders.
c. Thevchildrenvwantvtovlearnveverythingvbeforevthevpatientvdies.
d. Thevchildrenvarevconcernedvthatvthevpatientvisvnotvreceivingvadequatevcar
e.vMultiplevResponse
Identifyvonevorvmorevchoicesvthatvbestvcompletevthevstatementvorvanswervthevquestion.
v 26.vThevnursevisvplanningvcarevforvavpatientvfromvavnon-
Englishvspeakingvculture.vWhichvculturalvfactorsvshouldvthevnursevbevawarevofvinvordervtovprovi
devculturallyvcompetentvcarevtovthisvpatient?v(Selectvallvthatvapply.)
a. Thevpatientsvnutritionalvhabits
b. Thevpatientsvcommunicationvstyle
c. Thevpatientsvsensevofvpersonalvspace
d. Complementaryvtherapiesvthevpatientvisvusing
e. Thevprescribedvmedicationsvthevpatientvisvtaking
v
27.vAvfemalevnursevisvprovidingvsmokingvcessationvcounselingvandveducationvduringvav
communityvhealthvfair.vThevnursevshouldvavoidvphysicalvcloseness,vshakingvhands,vorvtouchin
gvduringvinstructionvwithvwhichvofvthevfollowing?v(Selectvallvthatvapply.)
a. Av35-year-oldvmanvofvAsianvdescent
b. Av45-year-oldvwomanvofvArabvdescent
c. Av28-year-oldvmanvofvHispanicvdescent
d. Av52-year-oldvwomanvofvAfricanvAmericanvdescent
e. Av41-year-oldvwomanvofvAmericanvIndianvdescent
v 28.vThevnursevisvprovidingvcarevinvavclinicvwithvavculturallyvdiversevpatientvpopulation.
