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
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6th Edition by Jill C. Cash; Cheryl A. Glass;
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Jenny Mullen||Chapters 1 - 23
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,
,Chapter 1. Health Maintenance
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GuidelinesMultiple Choice
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Identify the choice that best completes the statement or answers the question.
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MM 1. The nurse is preparing to teach a patient of the Asian culture to perform
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postoperative dressing changes at home after discharge. Which statement made by the
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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 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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MM 2. An unconscious victim of a house fire is brought to the emergency
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department by theparamedics. Tied to the right wrist is an emblem that appears be
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a religious talisman. 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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MM 3. A 43-year-old patient of Arab descent is admitted to the hospital. To
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comply with thestate laws of the organization, the nurse offers the patient a
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Papanicolaou smear, which she refuses. 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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MM 4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and
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a dangerously low hemoglobin level. The patient is fully alert and competent and
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refuses to acceptthe blood transfusion ordered by the physician. Which action by the
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nurse is most 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
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wishes.
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MM 5. A patient of Mexican descent sees a curandero for asthma; the curandero has
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prescribeda special tea to be taken four times a day to open the airways. How
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should the 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
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ingredients.
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d. Advise the patient to stop drinking the tea because of potential interactions
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with othermedications.
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MM 6. The nurse is caring for a young adult male patient who refuses personal
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care from afemale 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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MM 7. The nurse is providing medication instructions to a 45-year-old patient who
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does notmaintain eye contact. What should this patients behavior indicate to the
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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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MM MM MM 8. The nurse is caring for a patient of Spanish descent who is
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experiencing pain, but does not speak English. An interpreter is located to help with
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the assessment. What should the nurse do to facilitate communication with this
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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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MM 9. A new mother of Guatemalan descent brings her 10-day-old infant to a clinic
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