Family Practice Guidelines 5th Edition
By Cash,Glass,Mullen|100% Verified
Answers
(With Answer Key At End Of Chapter)
,table of contents
chapter 1. health maintenance guidelines ..........................................3
chapter 2. public health guidelines ................................................... 44
chapter 3. pain management guidelines ........................................... 84
chapter 4. dermatology guidelines ................................................... 98
chapter 5. nasal guidelines ............................................................. 111
chapter 6. throat and mouth guidelines .......................................... 119
chapter 7. respiratory guidelines .................................................... 139
chapter 8. cardiovascular guidelines ............................................... 172
chapter 9. obstetrics guidelines ...................................................... 267
chapter 10. gynecologic guidelines ................................................. 291
chapter 11. sexually transmitted infections guidelines .................... 331
chapter 12. infectious disease guidelines ........................................ 362
chapter 13. systemic disorders guidelines ....................................... 395
chapter 14. musculoskeletal guidelines .......................................... 454
chapter 15. neurologic guidelines ................................................... 488
chapter 16. endocrine guidelines .................................................... 518
chapter 17. rheumatological guidelines .......................................... 532
chapter 18. psychiatric guidelines ................................................... 555
chapter 19. assessment guide for sport participation ...................... 598
,chapter 1. health maintenance guidelines
multiple choice
identify the choice that best completes the statement or answers the
question.
1. the nurse is preparing to teach a patient of the asian culture
to perform postoperative dressing changes at home after discharge.
which statement made by the nurse indicates cultural competence?
a. tell me how you feel about your surgery.
b. asian people are smart, so this should be easy for you to
understand.
c. american surgeons are highly qualified; im sure you will heal
quickly.
d. will you tell me about any traditional healing practices that you
would like to use?
2. an unconscious victim of a house fire is brought to the
emergency department by the paramedics. tied to the right wrist is an
emblem that appears be a religious talisman. which action should the
nurse take?
a. tape it in place.
b. do nothing with it.
c. remove it and lock it up for safekeeping.
d. place it in a clothing bag with the rest of the patients belongings.
, 3. a 43-year-old patient of arab descent is admitted to the
hospital. to comply with the state laws of the organization, the nurse
offers the patient a papanicolaou smear, which she refuses. which
action should the nurse take first?
a. notify the physician.
b. report the refusal to the supervisor.
c. explain the rationale for and benefits of the test.
d. tell her it is state law and that she does not have a choice.
4. a patient who is a jehovahs witness has severe
gastrointestinal bleeding and a dangerously low hemoglobin level. the
patient is fully alert and competent and refuses to accept the blood
transfusion ordered by the physician. which action by the nurse is
most appropriate?
a. obtain a court order to give the blood.
b. administer the blood while the patient is sleeping.
c. have the patients spouse sign the consent to have the blood
administered.
d. ensure the patient understands possible consequences and then
respect the patients wishes.
5. a patient of mexican descent sees a curandero for asthma; the
curandero has prescribed a special tea to be taken four times a day to
open the airways. how should the nurse respond to this situation?
a. encourage the patient to continue drinking the tea.
b. encourage the patient to drink only one cup of the tea each day.
,c. ask the patient to bring in the tea package and have the
pharmacist check the ingredients.
d. advise the patient to stop drinking the tea because of potential
interactions with other medications.
6. the nurse is caring for a young adult male patient who refuses
personal care from a female nursing assistant. which approach by the
nurse is best?
a. encourage the patients family to talk with him about his care.
b. have a registered nurse (rn) help with his personal care.
c. assign a male assistant to help with his personal care if one is
available.
d. explain to him that males and females take care of both genders
in this hospital.
7. the nurse is providing medication instructions to a 45-year-old
patient who does not maintain eye contact. what should this patients
behavior indicate to the nurse?
a. the patient is not interested.
b. the nurse threatens the patients ego.
c. the nurse is in a hierarchical position.
d. the patient does not intend to follow the instructions.
8. the nurse is caring for a patient of spanish descent who is
experiencing pain, but does not speak english. an interpreter is
located to help with the assessment. what should the nurse do to
facilitate communication with this patient?
a. use hand signals to determine the cause of the pain.
, b. ensure the interpreter is not left alone with the patient.
c. maintain eye contact with the patient and the interpreter.
d. use only physical examination data; do not rely on verbal
communication.
9. a new mother of guatemalan descent brings her 10-day-old
infant to a clinic for a well- baby checkup. to promote healing, she has
a coin taped to the infants umbilicus. what should the nurse do about
this situation?
a. teach the mother how to clean the coin daily and reapply it.
b. explain to the mother that the coin is not necessary for healing.
c. tell the mother to remove the coin, because it could cause an
infection.
d. teach the mother how to apply a dry sterile dressing in place of
the coin.
10. an older patient who follows the muslim religion is
approaching death. the family says the patients bed should be turned
toward the opposite wall, so it can face mecca to ensure an easier
passage into the next life. the wall they want the bed to face has wall
suction and oxygen, which the patient is using. which action by the
nurse is appropriate?
a. get permission from the physician to move the bed.
b. rearrange the furniture to accommodate the request.
c. tell them you will move the bed when the patient is closer to
death.
d. tell them it is impossible because of the short tubing on the
oxygen and suction.