TESTBANK d
Family Practice Guidelines by Jill C. Cash
d d d d d d
Fifth Edition
d
TESTBANK d
,Jill C. Cash: Family Practice Guidelines Fifth Edition
d d d d d d d
Chapter 1.Health Maintenance Guidelines
d d d d
Multiple Choice d
Identify the choice that best completes the statement or answers the question.
d d d d d d d d d d d
1. The nurse is preparing to teach a patient of the Asian culture to perform postoperative
d d d d d d d d d d d d d d d
d dressing changes at home after discharge. Which statement made by the nurse indicates cultural
d d d d d d d d d d d d d
d competence?
a. Tell me how you feel about your surgery.
d d d d d d d
b. Asian people are smart, so this should be easy for you to understand.
d d d d d d d d d d d d
c. American surgeons are highly qualified; Im sure you will heal quickly. d d d d d d d d d d
d. Will you tell me about any traditional healing practices that you would like to use?
d d d d d d d d d d d d d d
2. An unconscious victim of a house fire is brought to the emergency department by the
d d d d d d d d d d d d d d d
d paramedics. Tied to the right wrist is an emblem that appears be a religious talisman. Which
d d d d d d d d d d d d d d d
d action should the nurse take?
d d d d
a. Tape it in place. d d d
b. Do nothing with it.
d d d
c. Remove it and lock it up for safekeeping. d d d d d d d
d. Place it in a clothing bag with the rest of the patients belongings.
d d d d d d d d d d d d
3. A 43-year-old patient of Arab descent is admitted to the hospital. To comply with the state
d d d d d d d d d d d d d d d d
d laws of the organization, the nurse offers the patient a Papanicolaou smear, which she refuses.
d d d d d d d d d d d d d d
d Which action should the nurse take first?
d d d d d d
a. Notify the physician. d d
b. Report the refusal to the supervisor. d d d d d
c. Explain the rationale for and benefits of the test. d d d d d d d d
d. Tell her it is state law and that she does not have a choice.
d d d d d d d d d d d d d
4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a dangerously
d d d d d d d d d d d d d d
low hemoglobin level. The patient is fully alert and competent and refuses to accept the blood
d d d d d d d d d d d d d d d d
d transfusion ordered by the physician. Which action by the nurse is most appropriate?
d d d d d d d d d d d d
a. Obtain a court order to give the blood. d d d d d d d
b. Administer the blood while the patient is sleeping. d d d d d d d
c. Have the patients spouse sign the consent to have the blood administered.
d d d d d d d d d d d
,d. Ensure the patient understands possible consequences and then respect the patients wishes.
d d d d d d d d d d d
5. A patient of Mexican descent sees a curandero for asthma; the curandero has prescribed a
d d d d d d d d d d d d d d d
d special tea to be taken four times a day to open the airways. How should the nurse respond to this
d d d d d d d d d d d d d d d d d d d
d situation?
a. Encourage the patient to continue drinking the tea. d d d d d d d
b. Encourage the patient to drink only one cup of the tea each day. d d d d d d d d d d d d
c. Ask the patient to bring in the tea package and have the pharmacist check the ingredients.
d d d d d d d d d d d d d d d
d. Advise the patient to stop drinking the tea because of potential interactions with other
d d d d d d d d d d d d d
d medications.
6. The nurse is caring for a young adult male patient who refuses personal care from a
d d d d d d d d d d d d d d d d
d female nursing assistant. Which approach by the nurse is best?
d d d d d d d d d
a. Encourage the patients family to talk with him about his care. d d d d d d d d d d
b. Have a registered nurse (RN) help with his personal care.
d d d d d d d d d
c. Assign a male assistant to help with his personal care if one is available.
d d d d d d d d d d d d d
d. Explain to him that males and females take care of both genders in this hospital.
d d d d d d d d d d d d d d
7. The nurse is providing medication instructions to a 45-year-old patient who does not
d d d d d d d d d d d d d
d maintain eye contact. What should this patients behavior indicate to the nurse?
d d d d d d d d d d d
a. The patient is not interested.
d d d d
b. The nurse threatens the patients ego.
d d d d d
c. The nurse is in a hierarchical position.
d d d d d d
d. The patient does not intend to follow the instructions.
d d d d d d d d
d d d 8. The nurse is caring for a patient of Spanish descent who is experiencing pain, but does not
d d d d d d d d d d d d d d d d d
speak English. An interpreter is located to help with the assessment. What should the nurse do to
d d d d d d d d d d d d d d d d d
d facilitate communication with this patient?
d d d d
a. Use hand signals to determine the cause of the pain.
d d d d d d d d d
b. Ensure the interpreter is not left alone with the patient.
d d d d d d d d d
c. Maintain eye contact with the patient and the interpreter. d d d d d d d d
d. Use only physical examination data; do not rely on verbal communication.
d d d d d d d d d d
d d 9. A new mother of Guatemalan descent brings her 10-day-old infant to a clinic for a well- baby
d d d d d d d d d d d d d d d d d
d checkup. To promote healing, she has a coin taped to the infants umbilicus. What should
d d d d d d d d d d d d d d
, the nurse do about this situation?
d d d d d
a. Teach the mother how to clean the coin daily and reapply it.
d d d d d d d d d d d
b. Explain to the mother that the coin is not necessary for healing.
d d d d d d d d d d d
Family Practice Guidelines by Jill C. Cash
d d d d d d
Fifth Edition
d
TESTBANK d
,Jill C. Cash: Family Practice Guidelines Fifth Edition
d d d d d d d
Chapter 1.Health Maintenance Guidelines
d d d d
Multiple Choice d
Identify the choice that best completes the statement or answers the question.
d d d d d d d d d d d
1. The nurse is preparing to teach a patient of the Asian culture to perform postoperative
d d d d d d d d d d d d d d d
d dressing changes at home after discharge. Which statement made by the nurse indicates cultural
d d d d d d d d d d d d d
d competence?
a. Tell me how you feel about your surgery.
d d d d d d d
b. Asian people are smart, so this should be easy for you to understand.
d d d d d d d d d d d d
c. American surgeons are highly qualified; Im sure you will heal quickly. d d d d d d d d d d
d. Will you tell me about any traditional healing practices that you would like to use?
d d d d d d d d d d d d d d
2. An unconscious victim of a house fire is brought to the emergency department by the
d d d d d d d d d d d d d d d
d paramedics. Tied to the right wrist is an emblem that appears be a religious talisman. Which
d d d d d d d d d d d d d d d
d action should the nurse take?
d d d d
a. Tape it in place. d d d
b. Do nothing with it.
d d d
c. Remove it and lock it up for safekeeping. d d d d d d d
d. Place it in a clothing bag with the rest of the patients belongings.
d d d d d d d d d d d d
3. A 43-year-old patient of Arab descent is admitted to the hospital. To comply with the state
d d d d d d d d d d d d d d d d
d laws of the organization, the nurse offers the patient a Papanicolaou smear, which she refuses.
d d d d d d d d d d d d d d
d Which action should the nurse take first?
d d d d d d
a. Notify the physician. d d
b. Report the refusal to the supervisor. d d d d d
c. Explain the rationale for and benefits of the test. d d d d d d d d
d. Tell her it is state law and that she does not have a choice.
d d d d d d d d d d d d d
4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a dangerously
d d d d d d d d d d d d d d
low hemoglobin level. The patient is fully alert and competent and refuses to accept the blood
d d d d d d d d d d d d d d d d
d transfusion ordered by the physician. Which action by the nurse is most appropriate?
d d d d d d d d d d d d
a. Obtain a court order to give the blood. d d d d d d d
b. Administer the blood while the patient is sleeping. d d d d d d d
c. Have the patients spouse sign the consent to have the blood administered.
d d d d d d d d d d d
,d. Ensure the patient understands possible consequences and then respect the patients wishes.
d d d d d d d d d d d
5. A patient of Mexican descent sees a curandero for asthma; the curandero has prescribed a
d d d d d d d d d d d d d d d
d special tea to be taken four times a day to open the airways. How should the nurse respond to this
d d d d d d d d d d d d d d d d d d d
d situation?
a. Encourage the patient to continue drinking the tea. d d d d d d d
b. Encourage the patient to drink only one cup of the tea each day. d d d d d d d d d d d d
c. Ask the patient to bring in the tea package and have the pharmacist check the ingredients.
d d d d d d d d d d d d d d d
d. Advise the patient to stop drinking the tea because of potential interactions with other
d d d d d d d d d d d d d
d medications.
6. The nurse is caring for a young adult male patient who refuses personal care from a
d d d d d d d d d d d d d d d d
d female nursing assistant. Which approach by the nurse is best?
d d d d d d d d d
a. Encourage the patients family to talk with him about his care. d d d d d d d d d d
b. Have a registered nurse (RN) help with his personal care.
d d d d d d d d d
c. Assign a male assistant to help with his personal care if one is available.
d d d d d d d d d d d d d
d. Explain to him that males and females take care of both genders in this hospital.
d d d d d d d d d d d d d d
7. The nurse is providing medication instructions to a 45-year-old patient who does not
d d d d d d d d d d d d d
d maintain eye contact. What should this patients behavior indicate to the nurse?
d d d d d d d d d d d
a. The patient is not interested.
d d d d
b. The nurse threatens the patients ego.
d d d d d
c. The nurse is in a hierarchical position.
d d d d d d
d. The patient does not intend to follow the instructions.
d d d d d d d d
d d d 8. The nurse is caring for a patient of Spanish descent who is experiencing pain, but does not
d d d d d d d d d d d d d d d d d
speak English. An interpreter is located to help with the assessment. What should the nurse do to
d d d d d d d d d d d d d d d d d
d facilitate communication with this patient?
d d d d
a. Use hand signals to determine the cause of the pain.
d d d d d d d d d
b. Ensure the interpreter is not left alone with the patient.
d d d d d d d d d
c. Maintain eye contact with the patient and the interpreter. d d d d d d d d
d. Use only physical examination data; do not rely on verbal communication.
d d d d d d d d d d
d d 9. A new mother of Guatemalan descent brings her 10-day-old infant to a clinic for a well- baby
d d d d d d d d d d d d d d d d d
d checkup. To promote healing, she has a coin taped to the infants umbilicus. What should
d d d d d d d d d d d d d d
, the nurse do about this situation?
d d d d d
a. Teach the mother how to clean the coin daily and reapply it.
d d d d d d d d d d d
b. Explain to the mother that the coin is not necessary for healing.
d d d d d d d d d d d
