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,Chapter1.Health Maintenance Guidelines Mul tip m
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le Choice
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Identifythe choice that best completes the statement or answers the question.
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m v 1. The nurse is preparing to teach a patient of the Asian culture to perform posto
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perativ e d ressing changes at home after discharge. Which statement made by the nurse indic
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ates cultu ral co mpetence?
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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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2. An unconscious victim of a house fire is brought to the emergency department b
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y t he paramedics. Tied to the right wrist is an emblem that appears be a religious talism
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an. Which action should the nurse take?
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a. Tape it in place. mv mv mv




b. Do nothing with it. mv mv mv




c. Remove it and lock it up for safekeeping. mv zm v mv mv mv mv mv




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




old patient of Arab descent is admitted to the hospital. To comply with the state laws of t
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he or ganization, the nurse offers the patient a Papanicolaou smear, which she refuses.
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Which actio n should the nurse take first?
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a. Notify the physician. mv mv




b. Report the refusal to the supervisor. mv mv mv mv mv




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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4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a dang
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er ou slylow hemoglobin level. The patient is fully alert and competent and refuses to accept
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the blood transfusion ordered by the physician. Which action by the nurse is most ap
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propriate?
a. Obtain a court order to give the blood. mv mv mv mv mv mv mv




b. Administer the blood while the patient is sleeping. m
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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 wishes.
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m v 5. A patient of Mexican descent sees a curandero for asthma; the curandero has pres
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crib ed a special tea to be taken four times a day to open the airways. How should the nurs
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e respo nd to t his situation?
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a. Encourage the patient to continue drinking the tea. mv mv mv mv mv n% mv




b. Encourage the patient to drink only one cup of the tea each day. mv mv mv mv mv m
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c. Ask the patient to bring in the tea package and have the pharmacist check the ingredients.
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d. Advise the patient to stop drinking the tea because of potential interactions with oth
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e r medications.
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6. The nurse is caring for a young adult male patient who refuses personal care from
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a f emale 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. mv mv mv m
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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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7. The nurse is providing medication instructions to a 45-year-
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old patient who does not maintain eye contact. What should this patients behavior indicate to
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vthe nurse? mv




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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8. The nurse is caring for a patient of Spanish descent who is experiencing pain,
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b ut doe s not speak English. An interpreter is located to help with the assessment. What
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shoul d the nurs e do to facilitate communication with this 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. mv mv mv mv mv mv mv mv




d. Use only physical examination data; do not rely on verbal communication.
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9. A new mother of Guatemalan descent brings her 10-
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day-old infant to a clinic for a well-mv mv mv mv mv mv mv




baby checkup. To promote healing, she has a coin taped to the infants umbilicus. What sh
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ou ld t he nurse do about this situation?
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a. Teach the mother how to clean the coin daily and reapply it.
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