Family Practice Guidelines Fifth Edition Test Bank T T T T T T
Chapter 1. Health Maintenance Guidelines
T T T T
T Multiple Choice T
Identify the choice that best completes the statement or answers the question.
T T T T T T T T T T T
1. The nurse is preparing to teach a patient of the Asian culture to perform postoperative
T T T T T T T T T T T T T T T
T dressing changes at home after discharge. Which statement made by the nurse indicates cultural
T T T T T T T T T T T T T
T competence?
a. Tell me how you feel about your surgery.
T T T T T T T
b. Asian people are smart, so this should be easy for you to understand.
T T T T T T T T T T T T
c. American surgeons are highly qualified; Im sure you will heal quickly.
T T T T T T T T T T
d. Will you tell me about any traditional healing practices that you would like to use?
T T T T T T T T T T T T T T
2. An unconscious victim of a house fire is brought to the emergency department by the
T T T T T T T T T T T T T T T
T paramedics. Tied to the right wrist is an emblem that appears be a religious talisman. Which
T T T T T T T T T T T T T T T
T action should the nurse take?
T T T T
a. Tape it in place. T T T
b. Do nothing with it.
T T T
c. Remove it and lock it up for safekeeping. T T T T T T T
d. Place it in a clothing bag with the rest of the patients belongings.
T T T T T T T T T T T T
3. A 43-year-old patient of Arab descent is admitted to the hospital. To comply with the
T T T T T T T T T T T T T T T
T state laws of the organization, the nurse offers the patient a Papanicolaou smear, which she
T T T T T T T T T T T T T T
T refuses. Which action should the nurse take first?
T T T T T T T
a. Notify the physician. T T
b. Report the refusal to the supervisor. T T T T T
c. Explain the rationale for and benefits of the test.
T T T T T T T T
d. Tell her it is state law and that she does not have a choice.
T T T T T T T T T T T T T
4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a
T T T T T T T T T T T T T
T dangerously low hemoglobin level. The patient is fully alert and competent and refuses to accept
T T T T T T T T T T T T T T
T the blood transfusion ordered by the physician. Which action by the nurse is most appropriate?
T T T T T T T T T T T T T T
a. Obtain a court order to give the blood.
T T T T T T T
b. Administer the blood while the patient is sleeping. T T T T T T T
c. Have the patients spouse sign the consent to have the blood administered.
T T T T T T T T T T T
,d. Ensure the patient understands possible consequences and then respect the patients wishes.
T T T T T T T T T T T
5. A patient of Mexican descent sees a curandero for asthma; the curandero has prescribed a
T T T T T T T T T T T T T T T
T special tea to be taken four times a day to open the airways. How should the nurse respond to
T T T T T T T T T T T T T T T T T T
T this situation?
T
a. Encourage the patient to continue drinking the tea. T T T T T T T
b. Encourage the patient to drink only one cup of the tea each day. T T T T T T T T T T T T
c. Ask the patient to bring in the tea package and have the pharmacist check the ingredients.
T T T T T T T T T T T T T T T
d. Advise the patient to stop drinking the tea because of potential interactions with other
T T T T T T T T T T T T T
T medications.
6. The nurse is caring for a young adult male patient who refuses personal care from a
T T T T T T T T T T T T T T T T
T female nursing assistant. Which approach by the nurse is best?
T T T T T T T T T
a. Encourage the patients family to talk with him about his care. T T T T T T T T T T
b. Have a registered nurse (RN) help with his personal care.
T T T T T T T T T
c. Assign a male assistant to help with his personal care if one is available.
T T T T T T T T T T T T T
d. Explain to him that males and females take care of both genders in this hospital.
T T T T T T T T T T T T T T
7. The nurse is providing medication instructions to a 45-year-old patient who does not
T T T T T T T T T T T T T
T maintain eye contact. What should this patients behavior indicate to the nurse?
T T T T T T T T T T T
a. The patient is not interested.
T T T T
b. The nurse threatens the patients ego.
T T T T T
c. The nurse is in a hierarchical position.
T T T T T T
d. The patient does not intend to follow the instructions.
T T T T T T T T
T T T 8. The nurse is caring for a patient of Spanish descent who is experiencing pain, but does
T T T T T T T T T T T T T T T T
T not speak English. An interpreter is located to help with the assessment. What should the nurse
T T T T T T T T T T T T T T T
T do to facilitate communication with this patient?
T T T T T T
a. Use hand signals to determine the cause of the pain.
T T T T T T T T T
b. Ensure the interpreter is not left alone with the patient.
T T T T T T T T T
c. Maintain eye contact with the patient and the interpreter.
T T T T T T T T
d. Use only physical examination data; do not rely on verbal communication.
T T T T T T T T T T
9. A new mother of Guatemalan descent brings her 10-day-old infant to a clinic for a well-
T T T T T T T T T T T T T T T T
baby checkup. To promote healing, she has a coin taped to the infants umbilicus. What should
T T T T T T T T T T T T T T T
T the nurse do about this situation?
T T T T T
a. Teach the mother how to clean the coin daily and reapply it.
T T T T T T T T T T T
b. Explain to the mother that the coin is not necessary for healing.
T T T T T T T T T T T
,c. Tell the mother to remove the coin, because it could cause an infection.
T T T T T T T T T T T T
d. Teach the mother how to apply a dry sterile dressing in place of the coin.
T T T T T T T T T T T T T T
10. An older patient who follows the Muslim religion is approaching death. The family
T T T T T T T T T T T T T
T says the patients bed should be turned toward the opposite wall, so it can face Mecca to ensure
T T T T T T T T T T T T T T T T T
T an easier passage into the next life. The wall they want the bed to face has wall suction and
T T T T T T T T T T T T T T T T T T
T oxygen, which the patient is using. Which action by the nurse is appropriate?
T T T T T T T T T T T T
a. Get permission from the physician to move the bed.
T T T T T T T T
b. Rearrange the furniture to accommodate the request. T T T T T T
c. Tell them you will move the bed when the patient is closer to death.
T T T T T T T T T T T T T
d. Tell them it is impossible because of the short tubing on the oxygen and suction.
T T T T T T T T T T T T T T
T T 11. A patient of northern European descent recovering from surgery denies postoperative
T T T T T T T T T T T
T pain; however, vital signs indicate an elevated pulse and blood pressure. The patient refuses to
T T T T T T T T T T T T T T
T move in bed. Which nursing action would best ensure comfort and timely discharge?
T T T T T T T T T T T T
a. Give the pain medicine as prescribed.
T T T T T
b. Ask the physician to prescribe the analgesics around the clock.
T T T T T T T T T
c. Explain that the pain medicine will help prevent complications.
T T T T T T T T
d. Respect the patients denial of pain, and do not encourage the pain medicine.
T T T T T T T T T T T T
12. A nurse who emigrated from China begins working on a medical unit. The preceptor
T T T T T T T T T T T T T T
T explains the unit routines, including the medication administration system. When the preceptor
T T T T T T T T T T T
T asks if the nurse understands, the answer is always: Yes, I understand. What should the preceptor
T T T T T T T T T T T T T T T
T do to measure the nurses comprehension?
T T T T T
a. Give the nurse a medication quiz.
T T T T T
b. Have the nurse repeat the instructions.
T T T T T
c. Have the nurse demonstrate the procedures.
T T T T T
d. Ask the nurse which information is hard to understand.
T T T T T T T T
13. A 52-year-old from Haiti is hospitalized with heart failure and wants to have a voodoo
T T T T T T T T T T T T T T T
T practitioner visit to say prayers. How should the nurse respond to this request?
T T T T T T T T T T T T
a. Report the request to the physician immediately.
T T T T T T
b. Tell the patient that this is not permitted during hospitalization.
T T T T T T T T T
c. Tell the patient it is okay for the voodoo practitioner to say prayers.
T T T T T T T T T T T T
d. Have the patient meet with the voodoo practitioner in the hospital lobby.
T T T T T T T T T T T
14. The nurse is caring for a patient from a non-English speaking culture. While providing
T T T T T T T T T T T T T T
T care, the nurse shows an appreciation for and attention to arts, music, crafts, clothing, and foods
T T T T T T T T T T T T T T T
, belonging to the patients culture. What did the nurse demonstrate while caring for this patient?
T T T T T T T T T T T T T T
a. Cultural beliefs T
b. Cultural awareness T
c. Cultural sensitivity T
d. Cultural competence T
15. A female Caucasian nurse, overhead discussing a patient from another culture, asks
T T T T T T T T T T T T
T why the patient wants to see a practitioner from his own culture, since everyone sees physicians
T T T T T T T T T T T T T T T
T when they are ill. What characteristic is the nurse exhibiting?
T T T T T T T T T
a. Stereotyping
b. Ethnocentrism
c. Cultural sensitivity T
d. Cultural generalization T
16. During an assessment, the nurse determines that a patient from a non-English speaking
T T T T T T T T T T T T T
T culture practices activities that are past-oriented. What behavior did the nurse assess in this
T T T T T T T T T T T T T
T patient?
a. Investing time and money T T T
b. Enjoying each day as it comes T T T T T
c. Worshipping ancestors and maintaining traditions T T T T
d. Learning from the past to avoid making the same mistakes in the future
T T T T T T T T T T T T
17. The nurse notes that a patient of Arab descent is not eating anything on the meal trays.
T T T T T T T T T T T T T T T T T
T What should the nurse do about this situation?
T T T T T T T
a. Wait for the patient to ask for specific foods.
T T T T T T T T
b. Ask if the patient has special food preferences.
T T T T T T T
c. Consult with a physician of Arab descent on staff.
T T T T T T T T
d. Contact the dietitian to find out what patients of Arab descent patients like to eat.
T T T T T T T T T T T T T T
18. The mother of a 6-year-old Vietnamese child admitted with pneumonia is rubbing a
T T T T T T T T T T T T T
T coin on the childs back. The coin leaves red marks. What should the nurse do about this
T T T T T T T T T T T T T T T T
observation?
T
a. Report the possibility of child abuse.
T T T T T
b. Do not allow the mother to be alone with her child.
T T T T T T T T T T
c. Explain to the mother that she cannot do this in the hospital.
T T T T T T T T T T T
d. Add a statement to the care plan that the family practices coining.
T T T T T T T T T T T
19. The family of an older Arab-American patient does not want the patient to be informed
T T T T T T T T T T T T T T T
Chapter 1. Health Maintenance Guidelines
T T T T
T Multiple Choice T
Identify the choice that best completes the statement or answers the question.
T T T T T T T T T T T
1. The nurse is preparing to teach a patient of the Asian culture to perform postoperative
T T T T T T T T T T T T T T T
T dressing changes at home after discharge. Which statement made by the nurse indicates cultural
T T T T T T T T T T T T T
T competence?
a. Tell me how you feel about your surgery.
T T T T T T T
b. Asian people are smart, so this should be easy for you to understand.
T T T T T T T T T T T T
c. American surgeons are highly qualified; Im sure you will heal quickly.
T T T T T T T T T T
d. Will you tell me about any traditional healing practices that you would like to use?
T T T T T T T T T T T T T T
2. An unconscious victim of a house fire is brought to the emergency department by the
T T T T T T T T T T T T T T T
T paramedics. Tied to the right wrist is an emblem that appears be a religious talisman. Which
T T T T T T T T T T T T T T T
T action should the nurse take?
T T T T
a. Tape it in place. T T T
b. Do nothing with it.
T T T
c. Remove it and lock it up for safekeeping. T T T T T T T
d. Place it in a clothing bag with the rest of the patients belongings.
T T T T T T T T T T T T
3. A 43-year-old patient of Arab descent is admitted to the hospital. To comply with the
T T T T T T T T T T T T T T T
T state laws of the organization, the nurse offers the patient a Papanicolaou smear, which she
T T T T T T T T T T T T T T
T refuses. Which action should the nurse take first?
T T T T T T T
a. Notify the physician. T T
b. Report the refusal to the supervisor. T T T T T
c. Explain the rationale for and benefits of the test.
T T T T T T T T
d. Tell her it is state law and that she does not have a choice.
T T T T T T T T T T T T T
4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a
T T T T T T T T T T T T T
T dangerously low hemoglobin level. The patient is fully alert and competent and refuses to accept
T T T T T T T T T T T T T T
T the blood transfusion ordered by the physician. Which action by the nurse is most appropriate?
T T T T T T T T T T T T T T
a. Obtain a court order to give the blood.
T T T T T T T
b. Administer the blood while the patient is sleeping. T T T T T T T
c. Have the patients spouse sign the consent to have the blood administered.
T T T T T T T T T T T
,d. Ensure the patient understands possible consequences and then respect the patients wishes.
T T T T T T T T T T T
5. A patient of Mexican descent sees a curandero for asthma; the curandero has prescribed a
T T T T T T T T T T T T T T T
T special tea to be taken four times a day to open the airways. How should the nurse respond to
T T T T T T T T T T T T T T T T T T
T this situation?
T
a. Encourage the patient to continue drinking the tea. T T T T T T T
b. Encourage the patient to drink only one cup of the tea each day. T T T T T T T T T T T T
c. Ask the patient to bring in the tea package and have the pharmacist check the ingredients.
T T T T T T T T T T T T T T T
d. Advise the patient to stop drinking the tea because of potential interactions with other
T T T T T T T T T T T T T
T medications.
6. The nurse is caring for a young adult male patient who refuses personal care from a
T T T T T T T T T T T T T T T T
T female nursing assistant. Which approach by the nurse is best?
T T T T T T T T T
a. Encourage the patients family to talk with him about his care. T T T T T T T T T T
b. Have a registered nurse (RN) help with his personal care.
T T T T T T T T T
c. Assign a male assistant to help with his personal care if one is available.
T T T T T T T T T T T T T
d. Explain to him that males and females take care of both genders in this hospital.
T T T T T T T T T T T T T T
7. The nurse is providing medication instructions to a 45-year-old patient who does not
T T T T T T T T T T T T T
T maintain eye contact. What should this patients behavior indicate to the nurse?
T T T T T T T T T T T
a. The patient is not interested.
T T T T
b. The nurse threatens the patients ego.
T T T T T
c. The nurse is in a hierarchical position.
T T T T T T
d. The patient does not intend to follow the instructions.
T T T T T T T T
T T T 8. The nurse is caring for a patient of Spanish descent who is experiencing pain, but does
T T T T T T T T T T T T T T T T
T not speak English. An interpreter is located to help with the assessment. What should the nurse
T T T T T T T T T T T T T T T
T do to facilitate communication with this patient?
T T T T T T
a. Use hand signals to determine the cause of the pain.
T T T T T T T T T
b. Ensure the interpreter is not left alone with the patient.
T T T T T T T T T
c. Maintain eye contact with the patient and the interpreter.
T T T T T T T T
d. Use only physical examination data; do not rely on verbal communication.
T T T T T T T T T T
9. A new mother of Guatemalan descent brings her 10-day-old infant to a clinic for a well-
T T T T T T T T T T T T T T T T
baby checkup. To promote healing, she has a coin taped to the infants umbilicus. What should
T T T T T T T T T T T T T T T
T the nurse do about this situation?
T T T T T
a. Teach the mother how to clean the coin daily and reapply it.
T T T T T T T T T T T
b. Explain to the mother that the coin is not necessary for healing.
T T T T T T T T T T T
,c. Tell the mother to remove the coin, because it could cause an infection.
T T T T T T T T T T T T
d. Teach the mother how to apply a dry sterile dressing in place of the coin.
T T T T T T T T T T T T T T
10. An older patient who follows the Muslim religion is approaching death. The family
T T T T T T T T T T T T T
T says the patients bed should be turned toward the opposite wall, so it can face Mecca to ensure
T T T T T T T T T T T T T T T T T
T an easier passage into the next life. The wall they want the bed to face has wall suction and
T T T T T T T T T T T T T T T T T T
T oxygen, which the patient is using. Which action by the nurse is appropriate?
T T T T T T T T T T T T
a. Get permission from the physician to move the bed.
T T T T T T T T
b. Rearrange the furniture to accommodate the request. T T T T T T
c. Tell them you will move the bed when the patient is closer to death.
T T T T T T T T T T T T T
d. Tell them it is impossible because of the short tubing on the oxygen and suction.
T T T T T T T T T T T T T T
T T 11. A patient of northern European descent recovering from surgery denies postoperative
T T T T T T T T T T T
T pain; however, vital signs indicate an elevated pulse and blood pressure. The patient refuses to
T T T T T T T T T T T T T T
T move in bed. Which nursing action would best ensure comfort and timely discharge?
T T T T T T T T T T T T
a. Give the pain medicine as prescribed.
T T T T T
b. Ask the physician to prescribe the analgesics around the clock.
T T T T T T T T T
c. Explain that the pain medicine will help prevent complications.
T T T T T T T T
d. Respect the patients denial of pain, and do not encourage the pain medicine.
T T T T T T T T T T T T
12. A nurse who emigrated from China begins working on a medical unit. The preceptor
T T T T T T T T T T T T T T
T explains the unit routines, including the medication administration system. When the preceptor
T T T T T T T T T T T
T asks if the nurse understands, the answer is always: Yes, I understand. What should the preceptor
T T T T T T T T T T T T T T T
T do to measure the nurses comprehension?
T T T T T
a. Give the nurse a medication quiz.
T T T T T
b. Have the nurse repeat the instructions.
T T T T T
c. Have the nurse demonstrate the procedures.
T T T T T
d. Ask the nurse which information is hard to understand.
T T T T T T T T
13. A 52-year-old from Haiti is hospitalized with heart failure and wants to have a voodoo
T T T T T T T T T T T T T T T
T practitioner visit to say prayers. How should the nurse respond to this request?
T T T T T T T T T T T T
a. Report the request to the physician immediately.
T T T T T T
b. Tell the patient that this is not permitted during hospitalization.
T T T T T T T T T
c. Tell the patient it is okay for the voodoo practitioner to say prayers.
T T T T T T T T T T T T
d. Have the patient meet with the voodoo practitioner in the hospital lobby.
T T T T T T T T T T T
14. The nurse is caring for a patient from a non-English speaking culture. While providing
T T T T T T T T T T T T T T
T care, the nurse shows an appreciation for and attention to arts, music, crafts, clothing, and foods
T T T T T T T T T T T T T T T
, belonging to the patients culture. What did the nurse demonstrate while caring for this patient?
T T T T T T T T T T T T T T
a. Cultural beliefs T
b. Cultural awareness T
c. Cultural sensitivity T
d. Cultural competence T
15. A female Caucasian nurse, overhead discussing a patient from another culture, asks
T T T T T T T T T T T T
T why the patient wants to see a practitioner from his own culture, since everyone sees physicians
T T T T T T T T T T T T T T T
T when they are ill. What characteristic is the nurse exhibiting?
T T T T T T T T T
a. Stereotyping
b. Ethnocentrism
c. Cultural sensitivity T
d. Cultural generalization T
16. During an assessment, the nurse determines that a patient from a non-English speaking
T T T T T T T T T T T T T
T culture practices activities that are past-oriented. What behavior did the nurse assess in this
T T T T T T T T T T T T T
T patient?
a. Investing time and money T T T
b. Enjoying each day as it comes T T T T T
c. Worshipping ancestors and maintaining traditions T T T T
d. Learning from the past to avoid making the same mistakes in the future
T T T T T T T T T T T T
17. The nurse notes that a patient of Arab descent is not eating anything on the meal trays.
T T T T T T T T T T T T T T T T T
T What should the nurse do about this situation?
T T T T T T T
a. Wait for the patient to ask for specific foods.
T T T T T T T T
b. Ask if the patient has special food preferences.
T T T T T T T
c. Consult with a physician of Arab descent on staff.
T T T T T T T T
d. Contact the dietitian to find out what patients of Arab descent patients like to eat.
T T T T T T T T T T T T T T
18. The mother of a 6-year-old Vietnamese child admitted with pneumonia is rubbing a
T T T T T T T T T T T T T
T coin on the childs back. The coin leaves red marks. What should the nurse do about this
T T T T T T T T T T T T T T T T
observation?
T
a. Report the possibility of child abuse.
T T T T T
b. Do not allow the mother to be alone with her child.
T T T T T T T T T T
c. Explain to the mother that she cannot do this in the hospital.
T T T T T T T T T T T
d. Add a statement to the care plan that the family practices coining.
T T T T T T T T T T T
19. The family of an older Arab-American patient does not want the patient to be informed
T T T T T T T T T T T T T T T
