TEST BANKS For Family Practice Guidelines, 6th Edition by Jill C. Cash; Cheryl A. Glass, Verified Chapters 1 - 23, Complete Newest Version

TEST BANKS For Family Practice Guidelines
6th Edition by Jill C. Cash; Cheryl A.
Glass; Jenny Mullen||Chapters 1 - 23

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,Chapter1.HealthMaintenance Guidelines r
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Multiple Choice xr




Identifythe choice that best completes the statement or answers the question.
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1. The nurse is preparing to teach a patient ofthe Asian culture to performpostoperative dressing
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changes 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 easyfor you to understand.
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c. Americansurgeons are highlyqualified; Imsure you will heal quickly. xr xr xr xr xr xr xr xr xr xr




d. Will you tell me about anytraditional healingpractices that you would like to use?
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2. An unconscious victim ofa house fire is brought to the emergencydepartment bytheparam
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edics. Tied to the right wrist is an emblem that appears be a religious talisman. Which action should t
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he nurse take?
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a. Tape it in place. xr xr xr




b. Do nothing with it. xr xr xr




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




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




old patient of Arab descent is admitted to the hospital. To complywith thestate laws ofthe organizati
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on, the nurse offers the patient a Papanicolaou smear, which she refuses. Which action should the nu
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rse take first?xr xr




a. Notifythe physician. xr xr




b. Report the refusal to thesupervisor. xr xr xr xr xr




c. Explainthe rationale for and benefits ofthe test. xr xr xr xr xr xr xr xr




d. Tell her it is statelaw and that shedoes 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 bythe physician. Which action bythe nurse is most appropriate?
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a. Obtain a court order to give the blood. xr xr xr xr xr xr xr




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




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 ofMexican descent sees a curandero forasthma; the curandero has prescribeda speci
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al 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. xr xr xr xr xr xr xr




b. Encourage the patient to drink onlyone cup ofthe tea eachday. xr xr xr xr xr xr xr xr xr xr xr xr




c. Ask the patient to bring in the teapackage and have the pharmacist check the ingredients.
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d. Advise the patient to stopdrinkingthe tea because ofpotential interactions with othermedic
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ations.

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6. The nurse is caring for a young adult male patient who refuses personal care fromafemale
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nursing assistant. Which approach bythe nurse is best? xr xr xr xr xr xr xr xr




a. Encourage the patients familyto talk with himabout his care. xr xr xr xr xr xr xr xr xr xr




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




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




d. Explainto him that males and females take care ofboth genders in this hospital. xr xr xr xr xr xr xr xr xr xr xr xr xr xr




xr 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 nu
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rse?
a. The patient is not interested. xr xr xr xr




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




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




d. The patient does not intend to follow the instructions.
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8. The nurse is caring for a patient ofSpanish 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? xr xr xr




a. Use hand signals to determine the cause ofthe pain.
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b. Ensure the interpreter is not left alone with the patient. xr xr xr xr xr xr xr xr xr




c. Maintaineye contact with the patient and the interpreter. xr xr xr xr xr xr xr xr




d. Use onlyphysical examination data; do not relyon verbal communication.
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xr 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 nurse
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do about this situation?
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a. Teach the mother how to clean the coin dailyand reapplyit. xr xr xr xr xr xr xr xr xr xr xr