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Edition by Jill C. Cash; Cheryl A. Glass; Jenny
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Mullen||Chapters 1 - 23 vVVVV vVVVV vVVVV
,
,Chapter 1. Health Maintenance Guidelines M vVV vVV vVV vVV vVV
ultiple Choice vVV
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 postoperati
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ve dressing changes at home after discharge. Which statement made by the nurse indicates cult
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ural competence? vVV
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. vVV vVV vVV vVV vVV vVV vVV vVV vVV vVV
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 th
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e paramedics. Tied to the right wrist is an emblem that appears be a religious talisman. W
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hich action should the nurse take?
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a. Tape it in place. vVV vVV vVV
b. Do nothing with it. vVV vVV vVV
c. Remove it and lock it up for safekeeping. vVV vVV vVV vVV vVV vVV vVV
d. Place it in a clothing bag with the rest of the patients belongings.
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3. A 43-year- vVV vVV
old patient of Arab descent is admitted to the hospital. To comply with the state laws of the
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organization, the nurse offers the patient a Papanicolaou smear, which she refuses. Which
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action should the nurse take first?
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a. Notify the physician. vVV vVV
b. Report the refusal to the supervisor. vVV vVV vVV vVV vVV
c. Explain the rationale for and benefits of the test. vVV vVV vVV vVV vVV vVV vVV vVV
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 dange
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rously low hemoglobin level. The patient is fully alert and competent and refuses to accept the
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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. vVV vVV vVV vVV vVV vVV vVV
b. Administer the blood while the patient is sleeping. vVV vVV vVV vVV vVV vVV vVV
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 prescribe
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d a special tea to be taken four times a day to open the airways. How should the nurse respo
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nd to this situation?
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a. Encourage the patient to continue drinking the tea. vVV vVV vVV vVV vVV vVV vVV
b. Encourage the patient to drink only one cup of the tea each day. vVV vVV vVV vVV vVV vVV vVV vVV vVV vVV vVV vVV
c. Ask the patient to bring in the tea package and have the pharmacist check the ingredients.
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d. Advise the patient to stop drinking the tea because of potential interactions with othe
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r medications.
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6. The nurse is caring for a young adult male patient who refuses personal care from
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a 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. vVV vVV vVV vVV vVV vVV vVV vVV vVV vVV
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.
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7. The nurse is providing medication instructions to a 45-year-
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old patient who does not maintain eye contact. What should this patients behavior indicate
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to the nurse?
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a. The patient is not interested. vVV vVV vVV vVV
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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v V 8. The nurse is caring for a patient of Spanish descent who is experiencing pain, b
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ut does not speak English. An interpreter is located to help with the assessment. What should
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the nurse 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. vVV vVV vVV vVV vVV vVV vVV vVV
d. Use only physical examination data; do not rely on verbal communication.
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9. A new mother of Guatemalan descent brings her 10-day-
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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 shou
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ld the 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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