Test Banks For Family Practice Guidelines 6th Edition (Cash,20223), Chapter 1-23 | All Chapters.

,
,Chapter 1. Health Maintenance Guidelines
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Multiple Choice x@




Identify the 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 posto
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perative dressing changes at home after discharge. Which statement made by the nurse in
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dicates cultural 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 easy for you to understand.
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c. American surgeons are highly qualified; Im sure you will heal quickly.
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d. Will you tell me about any traditional healing practices that you would like to use?
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2. An unconscious victim of a house fire is brought to the emergency department
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by the paramedics. Tied to the right wrist is an emblem that appears be a religious t
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alisman. Which action should the nurse take?
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a. Tape it in place.
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b. Do nothing with it.
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c. Remove it and lock it up for safekeeping.
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d. Place it in a clothing bag with the rest of the patients belongings.
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3. A 43-year-
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old patient of Arab descent is admitted to the hospital. To comply with the state laws
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@of the organization, the nurse offers the patient a Papanicolaou smear, which she refu
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ses. Which action should the nurse take first?
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a. Notify the physician.
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b. Report the refusal to the supervisor.
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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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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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@accept the blood transfusion ordered by the physician. Which action by the nurse is mos
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t appropriate?
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a. Obtain a court order to give the blood.
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b. Administer the blood while the patient is sleeping.
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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 pre
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scribed a special tea to be taken four times a day to open the airways. How should the
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@nurse respond to this situation?
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a. Encourage the patient to continue drinking the tea.
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b. Encourage the patient to drink only one cup of the tea each day.
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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 drinking the tea because of potential interactions with
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other medications.
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6. The nurse is caring for a young adult male patient who refuses personal care
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@from a female nursing assistant. Which approach by the nurse is best?
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a. Encourage the patients family to talk with him about his care.
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b. Have a registered nurse (RN) help with his personal care.
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c. Assign a male assistant to help with his personal care if one is available.
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d. Explain to him that males and females take care of both genders in this hospital.
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7. The nurse is providing medication instructions to a 45-year-
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old patient who does not maintain eye contact. What should this patients behavior in
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dicate to the nurse?
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a. The patient is not interested.
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b. The nurse threatens the patients ego.
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c. The nurse is in a hierarchical position.
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d. The patient does not intend to follow the instructions.
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x @ 8. The nurse is caring for a patient of Spanish descent who is experiencing pai
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n, but does not speak English. An interpreter is located to help with the assessment. W
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hat should the nurse do to facilitate communication with this patient?
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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.
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c. Maintain eye contact with the patient and the interpreter.
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d. Use only physical examination data; do not rely on verbal communication.
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9. A new mother of Guatemalan descent brings her 10-day-
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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
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should the nurse do about this situation?
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