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b Edition by Jill C. Cash; Cheryl A. Glass; Jenny
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Mullen||Chapters 1 - 23
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,
,Chapter 1. Health Maintenance b b b
GuidelinesMultiple Choice
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Identify the choice that best completes the statement or answers the question.
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b 1. The nurse is preparing to teach a patient of the Asian culture to perform postoperative
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dressing changes at home after discharge. Which statement made by the nurse indicates
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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 highly qualified; Im sure you will heal quickly. b b b b b b b b b b
d. Will you tell me about any traditional healing practices that you would like to use?
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b 2. An unconscious victim of a house fire is brought to the emergency department by
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theparamedics. Tied to the right wrist is an emblem that appears be a religious talisman. Which
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action should the nurse take?
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a. Tape it in place. b b b
b. Do nothing with it.
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c. Remove it and lock it up for safekeeping. b b b b b b b
d. Place it in a clothing bag with the rest of the patients belongings.
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b 3. A 43-year-old patient of Arab descent is admitted to the hospital. To comply with
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thestate laws of the organization, the nurse offers the patient a Papanicolaou smear, which
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she refuses. Which action should the nurse take first?
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a. Notify the physician. b b
b. Report the refusal to the supervisor. b b b b b
c. Explain the rationale for and benefits of the test.
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d. Tell her it is state law and that she does not have a choice.
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b 4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a
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dangerously low hemoglobin level. The patient is fully alert and competent and refuses to
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acceptthe blood transfusion ordered by the physician. Which action by the nurse is most
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appropriate?
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a. Obtain a court order to give the blood. b b b b b b b
b. Administer the blood while the patient is sleeping. b b b b b b b
, c. Have the patients spouse sign the consent to have the blood administered.
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