,
,Chaptert1.tHealthtMaintenancetGuidelinestMtul
tipletChoice
Identifytthet choicet thatt bestt completest thet statementt ortanswerst thet question.
1.t Thet nurset ist preparingt tot teacht at patientt oft thet Asiant culturet tot performt postoperativtetdress
t t t
ingtchangestatthometaftertdischarge.tWhichtstatementtmadetbytthetnursetindicatestcultturaltcompet
ence?
a. Tellt methowt yout feelt aboutt yourt surgery.
b. Asiantpeoplet aret smart,t sot thist shouldt bet easytfort yout tot understand.
c. Americantsurgeonst arethighlytqualified;t Imt suret yout willt healt quickly.
d. Willt yout tellt met aboutt anyttraditionalt healingtpracticest thatt yout wouldt liket tot use?
2.tAntunconscioustvictimtoftathousetfiretistbroughtttotthetemergencytdepartmenttbyttthetpara
t t t
medics.tTiedttotthetrighttwristtistantemblemtthattappearstbetatreligiousttalisman.tWthichtactiontsh
ouldtthetnursettake?
a. Tapetitt int place.
b. Dot nothingt witht it.
c. Removetitt andt lockt itt upt fortsafekeeping.
d. Placetitt int at clothingt bagt witht thet restt oft thetpatientst belongings.
3.tAt 43-year-
oldtpatienttoftArabtdescenttistadmittedttotthethospital.tTotcomplytwithtthetstatetlawstoftthetorgan
ization,tthetnursetofferstthetpatienttatPapanicolaoutsmear,twhichtshetrefuses.tWhichtactiontshou
ldtthetnursettaketfirst?
a. Notifytthet physician.
b. Reportt thet refusalt tot thet supervisor.
c. Explaintthet rationalet fort andt benefitst oftthet test.
d. Tellt hert itt ist statetlawt andt thatt shetdoest nott havet at choice.
4.tAtpatienttwhotistatJehovahstWitnessthastseveretgastrointestinaltbleedingtandtatdangertousl
ytlowthemoglobintlevel.tThetpatienttistfullytalerttandtcompetenttandtrefusesttotaccepttthetbloodttran
sfusiontorderedtbytthetphysician.tWhichtactiontbytthetnursetistmosttappropriate?
a. Obtaint at courtt ordert tot givet thet blood.
b. Administertthet bloodt whilet thet patientt ist sleeping.
c. Havetthetpatientst spouset signt thet consentt tot havet thetbloodt administered.
, d. Ensuretthetpatientt understandst possiblet consequencest andt thent respectt thet patientst wishes.
t t t5.tAtpatienttoftMexicantdescenttseestatcuranderotfortasthma;tthetcuranderothastprescribtedtatspe
cialtteattotbettakentfourttimestatdayttotopentthetairways.tHowtshouldtthetnursetrespotndttotthistsituati
on?
a. Encouragetthet patientt tot continuet drinkingtthet tea.
b. Encouragetthet patientt tot drinkt onlytonet cupt oft thet teat eacht day.
c. Asktthet patientt tot bringt int thet teatpackaget andt havet thet pharmacistt checkt thet ingredients.
d. Advisetthetpatientttotstoptdrinkingtthetteatbecausetoftpotentialtinteractionstwithtothtertm
edications.
6.tThetnursetistcaringtfortatyoungtadulttmaletpatienttwhotrefusestpersonaltcaretfromtatfem
aletnursingtassistant.tWhichtapproachtbytthetnursetistbest?
a. Encouragetthet patientst familyttot talkt witht himt aboutt hist care.
b. Havet atregisteredt nurset (RN)thelpt witht hist personalt care.
c. Assigntatmalet assistantt tot helpt witht hist personalt caret ift onet ist available.
d. Explainttot himt thatt malest andt femalest taket caret oftbotht genderst int thist hospital.
7.t Thetnursetist providingt medicationt instructionst tot at 45-year-
oldtpatienttwhotdoestnottmaintainteyetcontact.tWhattshouldtthistpatientstbehaviortindicatettotth
etnurse?
a. Thetpatientt ist nott interested.
b. Thetnurset threatenstthet patientst ego.
c. Thetnurset ist int athierarchicalt position.
d. Thetpatientt doest nott intendt tot followt thet instructions.
8.tThetnursetistcaringtfortatpatienttoftSpanisht descenttwhotistexperiencingt pain,tbuttdoet stnotts
peaktEnglish.tAntinterpretertistlocatedttothelptwithtthetassessment.tWhattshouldtthetntursetdottotfaci
litatetcommunicationtwithtthistpatient?
a. Usethandt signalst tot determinet thet causet oft thetpain.
b. Ensuretthet interpretert ist nott leftt alonet witht thet patient.
c. Maintainteyet contactt witht thet patientt andt thet interpreter.
d. Usetonlytphysicalt examinationt data;t dot nott relytont verbalt communication.
9.tAtnewtmothertoftGuatemalantdescenttbringsthert10-day-
toldtinfantttotatclinictfortatwell-
babytcheckup.tTotpromotethealing,tshethastatcointtapedttotthetinfantstumbilicus.tWhattshoult dtthet
nursetdotabouttthistsituation?
,Chaptert1.tHealthtMaintenancetGuidelinestMtul
tipletChoice
Identifytthet choicet thatt bestt completest thet statementt ortanswerst thet question.
1.t Thet nurset ist preparingt tot teacht at patientt oft thet Asiant culturet tot performt postoperativtetdress
t t t
ingtchangestatthometaftertdischarge.tWhichtstatementtmadetbytthetnursetindicatestcultturaltcompet
ence?
a. Tellt methowt yout feelt aboutt yourt surgery.
b. Asiantpeoplet aret smart,t sot thist shouldt bet easytfort yout tot understand.
c. Americantsurgeonst arethighlytqualified;t Imt suret yout willt healt quickly.
d. Willt yout tellt met aboutt anyttraditionalt healingtpracticest thatt yout wouldt liket tot use?
2.tAntunconscioustvictimtoftathousetfiretistbroughtttotthetemergencytdepartmenttbyttthetpara
t t t
medics.tTiedttotthetrighttwristtistantemblemtthattappearstbetatreligiousttalisman.tWthichtactiontsh
ouldtthetnursettake?
a. Tapetitt int place.
b. Dot nothingt witht it.
c. Removetitt andt lockt itt upt fortsafekeeping.
d. Placetitt int at clothingt bagt witht thet restt oft thetpatientst belongings.
3.tAt 43-year-
oldtpatienttoftArabtdescenttistadmittedttotthethospital.tTotcomplytwithtthetstatetlawstoftthetorgan
ization,tthetnursetofferstthetpatienttatPapanicolaoutsmear,twhichtshetrefuses.tWhichtactiontshou
ldtthetnursettaketfirst?
a. Notifytthet physician.
b. Reportt thet refusalt tot thet supervisor.
c. Explaintthet rationalet fort andt benefitst oftthet test.
d. Tellt hert itt ist statetlawt andt thatt shetdoest nott havet at choice.
4.tAtpatienttwhotistatJehovahstWitnessthastseveretgastrointestinaltbleedingtandtatdangertousl
ytlowthemoglobintlevel.tThetpatienttistfullytalerttandtcompetenttandtrefusesttotaccepttthetbloodttran
sfusiontorderedtbytthetphysician.tWhichtactiontbytthetnursetistmosttappropriate?
a. Obtaint at courtt ordert tot givet thet blood.
b. Administertthet bloodt whilet thet patientt ist sleeping.
c. Havetthetpatientst spouset signt thet consentt tot havet thetbloodt administered.
, d. Ensuretthetpatientt understandst possiblet consequencest andt thent respectt thet patientst wishes.
t t t5.tAtpatienttoftMexicantdescenttseestatcuranderotfortasthma;tthetcuranderothastprescribtedtatspe
cialtteattotbettakentfourttimestatdayttotopentthetairways.tHowtshouldtthetnursetrespotndttotthistsituati
on?
a. Encouragetthet patientt tot continuet drinkingtthet tea.
b. Encouragetthet patientt tot drinkt onlytonet cupt oft thet teat eacht day.
c. Asktthet patientt tot bringt int thet teatpackaget andt havet thet pharmacistt checkt thet ingredients.
d. Advisetthetpatientttotstoptdrinkingtthetteatbecausetoftpotentialtinteractionstwithtothtertm
edications.
6.tThetnursetistcaringtfortatyoungtadulttmaletpatienttwhotrefusestpersonaltcaretfromtatfem
aletnursingtassistant.tWhichtapproachtbytthetnursetistbest?
a. Encouragetthet patientst familyttot talkt witht himt aboutt hist care.
b. Havet atregisteredt nurset (RN)thelpt witht hist personalt care.
c. Assigntatmalet assistantt tot helpt witht hist personalt caret ift onet ist available.
d. Explainttot himt thatt malest andt femalest taket caret oftbotht genderst int thist hospital.
7.t Thetnursetist providingt medicationt instructionst tot at 45-year-
oldtpatienttwhotdoestnottmaintainteyetcontact.tWhattshouldtthistpatientstbehaviortindicatettotth
etnurse?
a. Thetpatientt ist nott interested.
b. Thetnurset threatenstthet patientst ego.
c. Thetnurset ist int athierarchicalt position.
d. Thetpatientt doest nott intendt tot followt thet instructions.
8.tThetnursetistcaringtfortatpatienttoftSpanisht descenttwhotistexperiencingt pain,tbuttdoet stnotts
peaktEnglish.tAntinterpretertistlocatedttothelptwithtthetassessment.tWhattshouldtthetntursetdottotfaci
litatetcommunicationtwithtthistpatient?
a. Usethandt signalst tot determinet thet causet oft thetpain.
b. Ensuretthet interpretert ist nott leftt alonet witht thet patient.
c. Maintainteyet contactt witht thet patientt andt thet interpreter.
d. Usetonlytphysicalt examinationt data;t dot nott relytont verbalt communication.
9.tAtnewtmothertoftGuatemalantdescenttbringsthert10-day-
toldtinfantttotatclinictfortatwell-
babytcheckup.tTotpromotethealing,tshethastatcointtapedttotthetinfantstumbilicus.tWhattshoult dtthet
nursetdotabouttthistsituation?
