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EditionbyJillC.Cash;CherylA.Glass;Jenny
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Mullen||Chapters1-23
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,Chapter1.Health MaintenanceGuidelines c c c c
Multiple Choice
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Identifythe choice that best completes the statement or answers the question.
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c 1. The nurse is preparing to teach a patient of the Asian culture to perform postoperative
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dressingchanges at home after discharge. Which statement made bythe 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 easyfor you to understand.
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c. Americansurgeons are highlyqualified; Im sure you will heal quickly. c c c c c c c c c c
d. Willyou tell me about anytraditional healingpractices that you would like to use?
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c 2. An unconscious victim of a house fire is brought to the emergencydepartment bythe
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paramedics. Tied to the right wrist is an emblem that appears be a religious talisman. Which
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actionshould the nurse take?
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a. Tape it in place. c c c
b. Do nothingwith it.
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c. Remove it and lock it upfor safekeeping. c c c c c c c
d. Place it ina clothingbag with the rest of thepatients belongings.
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c 3. A 43-year-old patient of Arab descent is admitted to the hospital. To complywith thestate
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laws of the organization, the nurse offers the patient a Papanicolaou smear, which she refuses.
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Which action should the nurse take first?
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a. Notifythephysician. c c
b. Reportthe refusal to thesupervisor. c c c c c
c. Explainthe rationale for and benefits of the test. c c c c c c c c
d. Tell her it is statelaw and that shedoes not have a choice.
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c 4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a dangerously
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low hemoglobin level. Thepatient isfullyalert and competent and refusesto acceptthe blood
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transfusion ordered bythe physician. Which action bythe nurse is most appropriate?
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a. Obtain a court order to give the blood. c c c c c c c
b. Administerthe blood while thepatient is sleeping. c c c c c c c
, c. Have thepatients spouse sign the consent to have the blood administered.
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