COMPLETE TEST BANK___
FAMILY PRACTICE GUIDELINES 6TH EDITION
BY JILL C. CASH MSN APN FNP-BC (EDITOR)
ALL CHAPTERS 1-23| LATEST VERSION WITH WELL DETAILED AND VERIFIED ANSWERS| GRADE A
,table of contents
chapter 1. health maintenance guidelines multiple choice ...................................................................... 3
chapter 2. public health guidelines ......................................................................................................... 17
chapter 3. pain management guidelines ................................................................................................ 45
chapter 4. dermatology guidelines ......................................................................................................... 55
chapter 5. eye guidelines ........................................................................................................................ 55
chapter 6. ear guidelines......................................................................................................................... 77
chapter 7. nasal guidelines ..................................................................................................................... 90
chapter 8. throat and mouth guidelines ................................................................................................. 95
chapter 9. respiratory guidelines .......................................................................................................... 110
chapter 10. cardiovascular guidelines .................................................................................................. 134
chapter 11. gastrointestinal guidelines................................................................................................. 204
chapter 12. genitourinary guidelines .................................................................................................... 217
chapter 13. obstetrics guidelines .......................................................................................................... 230
chapter 14. gynecologic guidelines ....................................................................................................... 248
chapter 15. sexually transmitted infections guidelines ........................................................................ 278
chapter 16. infectious disease guidelines ............................................................................................. 300
chapter 17. systemic disorders guidelines multiple choice .................................................................. 324
chapter 18. musculoskeletal guidelines multiple choice ...................................................................... 367
chapter 19. neurologic guidelines......................................................................................................... 391
chapter 20. endocrine guidelines ......................................................................................................... 411
chapter 21. rheumatological guidelines ............................................................................................... 417
chapter 22. psychiatric guidelines ........................................................................................................ 433
chapter 23. assessment guide for sport participation .......................................................................... 464
,chapter 1. health maintenance guidelines multiple choice
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; i’m sure you will heal quickly.
d. will you tell me about any traditional healing practices that you would like to use?
answer:>d. will you tell me about any traditional healing practices that you would like to use?
rationale: cultural competence involves respecting and integrating the patient’s cultural beliefs and
practices into care. option d demonstrates this by asking about traditional healing practices. option a is
empathetic but does not address cultural competence. options b and c are culturally insensitive and
make assumptions based on stereotypes.
question 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 to 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 patient’s belongings.
answer:>a. tape it in place.
rationale: religious or cultural items should be respected and left in place unless they interfere with
care. taping it in place ensures it remains with the patient while allowing for necessary medical
interventions. options b, c, and d do not respect the patient’s cultural or religious beliefs.
, question 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.
answer:>c. explain the rationale for and benefits of the test.
rationale: the nurse should first educate the patient about the importance of the test while
respecting her autonomy. options a and b are unnecessary unless the patient continues to refuse after
education. option d is coercive and violates the patient’s right to refuse care.
question 4
a patient who is a jehovah’s 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 patient’s spouse sign the consent to have the blood administered.
d. ensure the patient understands possible consequences and then respect the patient’s wishes.
answer:>d. ensure the patient understands possible consequences and then respect the patient’s
wishes.
rationale: competent patients have the right to refuse treatment, even if it is life-saving. the nurse
must ensure the patient understands the risks and then respect their decision. options a, b, and c violate
the patient’s autonomy and legal rights.
FAMILY PRACTICE GUIDELINES 6TH EDITION
BY JILL C. CASH MSN APN FNP-BC (EDITOR)
ALL CHAPTERS 1-23| LATEST VERSION WITH WELL DETAILED AND VERIFIED ANSWERS| GRADE A
,table of contents
chapter 1. health maintenance guidelines multiple choice ...................................................................... 3
chapter 2. public health guidelines ......................................................................................................... 17
chapter 3. pain management guidelines ................................................................................................ 45
chapter 4. dermatology guidelines ......................................................................................................... 55
chapter 5. eye guidelines ........................................................................................................................ 55
chapter 6. ear guidelines......................................................................................................................... 77
chapter 7. nasal guidelines ..................................................................................................................... 90
chapter 8. throat and mouth guidelines ................................................................................................. 95
chapter 9. respiratory guidelines .......................................................................................................... 110
chapter 10. cardiovascular guidelines .................................................................................................. 134
chapter 11. gastrointestinal guidelines................................................................................................. 204
chapter 12. genitourinary guidelines .................................................................................................... 217
chapter 13. obstetrics guidelines .......................................................................................................... 230
chapter 14. gynecologic guidelines ....................................................................................................... 248
chapter 15. sexually transmitted infections guidelines ........................................................................ 278
chapter 16. infectious disease guidelines ............................................................................................. 300
chapter 17. systemic disorders guidelines multiple choice .................................................................. 324
chapter 18. musculoskeletal guidelines multiple choice ...................................................................... 367
chapter 19. neurologic guidelines......................................................................................................... 391
chapter 20. endocrine guidelines ......................................................................................................... 411
chapter 21. rheumatological guidelines ............................................................................................... 417
chapter 22. psychiatric guidelines ........................................................................................................ 433
chapter 23. assessment guide for sport participation .......................................................................... 464
,chapter 1. health maintenance guidelines multiple choice
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; i’m sure you will heal quickly.
d. will you tell me about any traditional healing practices that you would like to use?
answer:>d. will you tell me about any traditional healing practices that you would like to use?
rationale: cultural competence involves respecting and integrating the patient’s cultural beliefs and
practices into care. option d demonstrates this by asking about traditional healing practices. option a is
empathetic but does not address cultural competence. options b and c are culturally insensitive and
make assumptions based on stereotypes.
question 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 to 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 patient’s belongings.
answer:>a. tape it in place.
rationale: religious or cultural items should be respected and left in place unless they interfere with
care. taping it in place ensures it remains with the patient while allowing for necessary medical
interventions. options b, c, and d do not respect the patient’s cultural or religious beliefs.
, question 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.
answer:>c. explain the rationale for and benefits of the test.
rationale: the nurse should first educate the patient about the importance of the test while
respecting her autonomy. options a and b are unnecessary unless the patient continues to refuse after
education. option d is coercive and violates the patient’s right to refuse care.
question 4
a patient who is a jehovah’s 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 patient’s spouse sign the consent to have the blood administered.
d. ensure the patient understands possible consequences and then respect the patient’s wishes.
answer:>d. ensure the patient understands possible consequences and then respect the patient’s
wishes.
rationale: competent patients have the right to refuse treatment, even if it is life-saving. the nurse
must ensure the patient understands the risks and then respect their decision. options a, b, and c violate
the patient’s autonomy and legal rights.
