Family Practice Guidelines, 5th Edition – Jill C. Cash, Cheryl A. Glass & Jenny Mullen – Complete Test Bank (Chapters 1-23)

TEST BANKS For Family Practice Guidelines
5th Edition by Jill C. Cash; Cheryl A. Glass;
Jenny Mullen||Chapters 1 - 23

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,Chapter1. Health Maintenance Guidelines dk dk dk dk k
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Multiple Choice dk




Identifythe 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 dressin
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gchanges at home after discharge. Which statement made bythe nurse indicates culturalcompetence
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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 highlyqualified; Im sure you will heal quickly. dk dk dk dk dk dk dk dk dk dk




d. Will you tell me about any traditional healingpractices 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 theparam
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edics. Tied to the right wrist is an emblem that appears be a religious talisman. Which action should
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the nurse take?dk dk




a. Tape it in place. dk dk dk




b. Do nothing with it. dk dk dk




c. Remove it and lock it up for safekeeping. dk dk dk dk dk dk dk




d. Place it in a clothing bag with the rest of the patients belongings.
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dk 3. A 43-year- dk dk




old patient of Arab descent is admitted to the hospital. To comply with thestate laws of the organizat
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ion, the nurse offers the patient a Papanicolaou smear, which she refuses. Which action should the n
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urse take first? dk dk




a. Notify the physician. dk dk




b. Report the refusal to the supervisor. dk dk dk dk dk




c. Explain the rationale for and benefits of the test. dk dk dk dk dk dk dk dk




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 dangerouslylo
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w hemoglobin level. The patient is fullyalert and competent and refuses to acceptthe blood transfusion
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ordered by the physician. Which action bythe nurse is most appropriate?
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a. Obtain a court order to give the blood. dk dk dk dk dk dk dk




b. Administer the blood while the patient is sleeping. dk dk dk dk dk dk dk




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 prescribeda spec
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ial tea to be taken four times a day to open the airways. How should the nurse respond to this situation?
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a. Encourage the patient to continue drinkingthe tea. dk dk dk dk dk dk dk




b. Encourage the patient to drink onlyone cup of the tea each day. dk dk dk dk dk dk dk dk dk dk dk dk




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 drinkingthe tea because of potential interactions with othermedi
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cations.

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6. The nurse is caring for a young adult male patient who refuses personal care from afemale
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nursing assistant. Which approach by the nurse is best? dk dk dk dk dk dk dk dk




a. Encourage the patients familyto talk with him about his care. dk dk dk dk dk dk dk dk dk dk




b. Have a registered nurse (RN) help with his personal care. dk dk dk dk dk dk dk dk dk




c. Assign a male assistant to help with his personal care if one is available. dk dk dk dk dk dk dk dk dk dk dk dk dk




d. Explain to him that males and females take care of both genders in this hospital. dk dk dk dk dk dk dk dk dk dk dk dk dk dk




dk 7. The nurse is providing medication instructions to a 45-year-
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old patient who does notmaintain eye contact. What should this patients behavior indicate to the n
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urse?
a. The patient is not interested. dk dk dk dk




b. The nurse threatens the patients ego. dk dk dk dk dk




c. The nurse is in a hierarchical position. dk dk dk dk dk dk




d. The patient does not intend to follow the instructions.
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8. The nurse is caring for a patient of Spanish descent who is experiencing pain, but doesnot speak E
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nglish. An interpreter is located to help with the assessment. What should the nursedo to facilitate co
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mmunication with this patient? dk dk dk




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. dk dk dk dk dk dk dk dk dk




c. Maintain eye contact with the patient and the interpreter. dk dk dk dk dk dk dk dk




d. Use onlyphysical examination data; do not rely on verbal communication.
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dk 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 nurs
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e do about this situation?
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a. Teach the mother how to clean the coin daily and reapply it. dk dk dk dk dk dk dk dk dk dk dk