Family Practice Guidelines 5th Edition Test Bank (Cash, Glass & Mullen) | 100% Verified Questions & Answers

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FamilyoPracticeoGuidelinesoFifthoEditionoTestoBank


Chaptero1.oHealthoMaintenanceoGuidelinesoMulti

pleoChoice
Identifyotheochoiceothatobestocompletesotheostatementooroanswersotheoquestion.

1.oTheonurseoisopreparingotooteachoaopatientoofotheoAsianocultureotooperformopostoperativeodr
essingochangesoatohomeoafterodischarge.oWhichostatementomadeobyotheonurseoindicatesoculturaloco
mpetence?
a. Tellomeohowoyouofeeloaboutoyourosurgery.
b. Asianopeopleoareosmart,osoothisoshouldobeoeasyoforoyouotoounderstand.
c. Americanosurgeonsoareohighlyoqualified;oImosureoyouowillohealoquickly.
d. Willoyouotellomeoaboutoanyotraditionalohealingopracticesothatoyouowouldolikeotoouse?
o o 2.oAnounconsciousovictimoofoaohouseofireoisobroughtotootheoemergencyodepartmentobyotheopar
amedics.oTiedotootheorightowristoisoanoemblemothatoappearsobeoaoreligiousotalisman.oWhichoacti
onoshouldotheonurseotake?
a. Tapeoitoinoplace.
b. Doonothingowithoit.
c. Removeoitoandolockoitoupoforosafekeeping.
d. Placeoitoinoaoclothingobagowithotheorestoofotheopatientsobelongings.
3.oAo43-year-
oldopatientoofoArabodescentoisoadmittedotootheohospital.oToocomplyowithotheostateolawsoofotheoorg
anization,otheonurseooffersotheopatientoaoPapanicolaouosmear,owhichosheorefuses.oWhichoactiono
shouldotheonurseotakeofirst?
a. Notifyotheophysician.
b. Reportotheorefusalotootheosupervisor.
c. Explainotheorationaleoforoandobenefitsoofotheotest.
d. Telloheroitoisostateolawoandothatosheodoesonotohaveoaochoice.
4.oAopatientowhooisoaoJehovahsoWitnessohasosevereogastrointestinalobleedingoandoaodangerou
slyolowohemoglobinolevel.oTheopatientoisofullyoalertoandocompetentoandorefusesotooacceptotheobloodot
ransfusionoorderedobyotheophysician.oWhichoactionobyotheonurseoisomostoappropriate?
a. Obtainoaocourtoorderotoogiveotheoblood.
b. Administerotheobloodowhileotheopatientoisosleeping.
c. Haveotheopatientsospouseosignotheoconsentotoohaveotheobloodoadministered.

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d. Ensureotheopatientounderstandsopossibleoconsequencesoandothenorespectotheopatientsowishes.
o o o 5.oAopatientoofoMexicanodescentoseesoaocuranderooforoasthma;otheocuranderoohasoprescribedoao
specialoteaotoobeotakenofourotimesoaodayotooopenotheoairways.oHowoshouldotheonurseorespondotoothis
situation?
o


a. Encourageotheopatientotoocontinueodrinkingotheotea.
b. Encourageotheopatientotoodrinkoonlyooneocupoofotheoteaoeachoday.
c. Askotheopatientotoobringoinotheoteaopackageoandohaveotheopharmacistocheckotheoingredients.
d. Adviseotheopatientotoostopodrinkingotheoteaobecauseoofopotentialointeractionsowithoothero
medications.
6.oTheonurseoisocaringoforoaoyoungoadultomaleopatientowhoorefusesopersonalocareofromoaof
emaleonursingoassistant.oWhichoapproachobyotheonurseoisobest?
a. Encourageotheopatientsofamilyotootalkowithohimoaboutohisocare.
b. Haveoaoregisteredonurseo(RN)ohelpowithohisopersonalocare.
c. Assignoaomaleoassistantotoohelpowithohisopersonalocareoifooneoisoavailable.
d. Explainotoohimothatomalesoandofemalesotakeocareoofobothogendersoinothisohospital.
7.oTheonurseoisoprovidingomedicationoinstructionsotooao45-year-
oldopatientowhoodoesonotomaintainoeyeocontact.oWhatoshouldothisopatientsobehavioroindicateotoo
theonurse?
a. Theopatientoisonotointerested.
b. Theonurseothreatensotheopatientsoego.
c. Theonurseoisoinoaohierarchicaloposition.
d. Theopatientodoesonotointendotoofollowotheoinstructions.
o o 8.oTheonurseoisocaringoforoaopatientoofoSpanishodescentowhooisoexperiencingopain,obutodoesonoto
speakoEnglish.oAnointerpreteroisolocatedotoohelpowithotheoassessment.oWhatoshouldotheonurseodooto
facilitateocommunicationowithothisopatient?
o


a. Useohandosignalsotoodetermineotheocauseoofotheopain.
b. Ensureotheointerpreteroisonotoleftoaloneowithotheopatient.
c. Maintainoeyeocontactowithotheopatientoandotheointerpreter.
d. Useoonlyophysicaloexaminationodata;odoonotorelyoonoverbalocommunication.
9.oAonewomotheroofoGuatemalanodescentobringsohero10-day-oldoinfantotooaoclinicoforoaowell-
babyocheckup.oToopromoteohealing,osheohasoaocoinotapedotootheoinfantsoumbilicus.oWhatoshouldoth
o


eonurseodooaboutothisosituation?
a. Teachotheomotherohowotoocleanotheocoinodailyoandoreapplyoit.
b. Explainotootheomotherothatotheocoinoisonotonecessaryoforohealing.

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c. Tellotheomotherotooremoveotheocoin,obecauseoitocouldocauseoanoinfection.
d. Teachotheomotherohowotooapplyoaodryosterileodressingoinoplaceoofotheocoin.
10.oAnoolderopatientowhoofollowsotheoMuslimoreligionoisoapproachingodeath.oTheofamilyos
aysotheopatientsobedoshouldobeoturnedotowardotheooppositeowall,osooitocanofaceoMeccaotooensureoan
easieropassageointootheonextolife.oTheowallotheyowantotheobedotoofaceohasowallosuctionoandooxyge
o


n,owhichotheopatientoisousing.oWhichoactionobyotheonurseoisoappropriate?
a. Getopermissionofromotheophysicianotoomoveotheobed.
b. Rearrangeotheofurnitureotooaccommodateotheorequest.
c. Tellothemoyouowillomoveotheobedowhenotheopatientoisocloserotoodeath.
d. Tellothemoitoisoimpossibleobecauseoofotheoshortotubingoonotheooxygenoandosuction.
o 11.oAopatientoofonorthernoEuropeanodescentorecoveringofromosurgeryodeniesopostoperativeopain
;ohowever,ovitalosignsoindicateoanoelevatedopulseoandobloodopressure.oTheopatientorefusesotoomove
inobed.oWhichonursingoactionowouldobestoensureocomfortoandotimelyodischarge?
o


a. Giveotheopainomedicineoasoprescribed.
b. Askotheophysicianotooprescribeotheoanalgesicsoaroundotheoclock.
c. Explainothatotheopainomedicineowillohelpopreventocomplications.
d. Respectotheopatientsodenialoofopain,oandodoonotoencourageotheopainomedicine.
12.oAonurseowhooemigratedofromoChinaobeginsoworkingoonoaomedicalounit.oTheopreceptoroex
plainsotheounitoroutines,oincludingotheomedicationoadministrationosystem.oWhenotheopreceptoroasks
ifotheonurseounderstands,otheoansweroisoalways:oYes,oIounderstand.oWhatoshouldotheopreceptorodootoo
o


measureotheonursesocomprehension?
a. Giveotheonurseoaomedicationoquiz.
b. Haveotheonurseorepeatotheoinstructions.
c. Haveotheonurseodemonstrateotheoprocedures.
d. Askotheonurseowhichoinformationoisohardotoounderstand.
13.oAo52-year-
oldofromoHaitioisohospitalizedowithoheartofailureoandowantsotoohaveoaovoodooopractitionerovisitotoos
ayoprayers.oHowoshouldotheonurseorespondotoothisorequest?
a. Reportotheorequestotootheophysicianoimmediately.
b. Tellotheopatientothatothisoisonotopermittedoduringohospitalization.
c. Tellotheopatientoitoisookayoforotheovoodooopractitionerotoosayoprayers.
d. Haveotheopatientomeetowithotheovoodooopractitioneroinotheohospitalolobby.
14.oTheonurseoisocaringoforoaopatientofromoaonon-
Englishospeakingoculture.oWhileoprovidingocare,otheonurseoshowsoanoappreciationoforoandoattentio
notooarts,omusic,ocrafts,oclothing,oandofoods

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belongingotootheopatientsoculture.oWhatodidotheonurseodemonstrateowhileocaringoforothisopatient?
a. Culturalobeliefs
b. Culturaloawareness
c. Culturalosensitivity
d. Culturalocompetence
15.oAofemaleoCaucasianonurse,ooverheadodiscussingoaopatientofromoanotheroculture,oasksow
hyotheopatientowantsotooseeoaopractitionerofromohisoownoculture,osinceoeveryoneoseesophysiciansowh
enotheyoareoill.oWhatocharacteristicoisotheonurseoexhibiting?
a. Stereotyping
b. Ethnocentrism
c. Culturalosensitivity
d. Culturalogeneralization
16.oDuringoanoassessment,otheonurseodeterminesothatoaopatientofromoaonon-
Englishospeakingocultureopracticesoactivitiesothatoareopast-
oriented.oWhatobehaviorodidotheonurseoassessoinothisopatient?
a. Investingotimeoandomoney
b. Enjoyingoeachodayoasoitocomes
c. Worshippingoancestorsoandomaintainingotraditions
d. Learningofromotheopastotooavoidomakingotheosameomistakesoinotheofuture
17.oTheonurseonotesothatoaopatientoofoArabodescentoisonotoeatingoanythingoonotheomealotrays.o
Whatoshouldotheonurseodooaboutothisosituation?
a. Waitoforotheopatientotooaskoforospecificofoods.
b. Askoifotheopatientohasospecialofoodopreferences.
c. ConsultowithoaophysicianoofoArabodescentoonostaff.
d. ContactotheodietitianotoofindooutowhatopatientsoofoArabodescentopatientsolikeotooeat.
18.oTheomotheroofoao6-year-
oldoVietnameseochildoadmittedowithopneumoniaoisorubbingoaocoinoonotheochildsoback.oTheocoino
leavesoredomarks.oWhatoshouldotheonurseodooaboutothisoobservation?
a. Reportotheopossibilityoofochildoabuse.
b. Doonotoallowotheomotherotoobeoaloneowithoherochild.
c. Explainotootheomotherothatosheocannotodoothisoinotheohospital.
d. Addoaostatementotootheocareoplanothatotheofamilyopracticesocoining.
19.oTheofamilyoofoanoolderoArab-Americanopatientodoesonotowantotheopatientotoobeoinformed