Family Practice Guidelines (Cash, Glass & Mullen, 5th Edition) Chapters 1–23 Exam Practice Questions & Study Guide | Complete Review 2026–2027

Test bank for Family Practice Guidelines (Cash, Glass &
Mullen, 5th Edition) Chapters 1–23 Exam Practice
Questions & Study Guide | Complete Review 2026–2027
All chapters covered

,
,Chapter1.Health Maintenance n n n




GuidelinesMultiple Choice
n n




Identifythe choice that best completes the statement or answers the question.
n n n n n n n n n n n




1. The nurse is preparing to teach a patient of the Asian culture to perform postoperative
n n n n n n n n n n n n n n n




dressing changes at home after discharge. Which statement made by the nurse indicates
n n n n n n n n n n n n n




culturalcompetence?
n




a. Tell me how you feel about your surgery.
n n n n n n n




b. Asian people are smart, so this should be easy for you to understand.
n n n n n n n n n n n n




c. American surgeons are highly qualified; Im sure you will heal quickly. n n n n n n n n n n




d. Will you tell me about any traditional healing practices that you would like to use?
n n n n n n n n n n n n n n




2. An unconscious victim of a house fire is brought to the emergency department by
n n n n n n n n n n n n n n




theparamedics. Tied to the right wrist is an emblem that appears be a religious talisman.
n n n n n n n n n n n n n n n




Which action should the nurse take?
n n n n n n




a. Tape it in place. n n n




b. Do nothing with it.
n n n




c. Remove it and lock it up for safekeeping. n n n n n n n




d. Place it in a clothing bag with the rest of the patients belongings.
n n n n n n n n n n n n




3. A 43-year-old patient of Arab descent is admitted to the hospital. To comply with
n n n n n n n n n n n n n n




thestate laws of the organization, the nurse offers the patient a Papanicolaou smear, which she
n n n n n n n n n n n n n n n




refuses. Which action should the nurse take first?
n n n n n n n n




a. Notify the physician. n n




b. Report the refusal to the supervisor. n n n n n




c. Explain the rationale for and benefits of the test.
n n n n n n n n




d. Tell her it is state law and that she does not have a choice.
n n n n n n n n n n n n n




4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a
n n n n n n n n n n n n n




dangerously low hemoglobin level. The patient is fully alert and competent and refuses to
n n n n n n n n n n n n n n




acceptthe blood transfusion ordered by the physician. Which action by the nurse is most
n n n n n n n n n n n n n n




appropriate?
n




a. Obtain a court order to give the blood. n n n n n n n




b. Administer the blood while the patient is sleeping. n n n n n n n

, c. Have the patients spouse sign the consent to have the blood administered.
n n n n n n n n n n n




d. Ensure the patient understands possible consequences and then respect the patients wishes.
n n n n n n n n n n n




5. A patient of Mexican descent sees a curandero for asthma; the curandero has
n n n n n n n n n n n n n




prescribeda special tea to be taken four times a day to open the airways. How should the
n n n n n n n n n n n n n n n n n




nurse respond to this situation?
n n n n n




a. Encourage the patient to continue drinking the tea. n n n n n n n




b. Encourage the patient to drink only one cup of the tea each day. n n n n n n n n n n n n




c. Ask the patient to bring in the tea package and have the pharmacist check the ingredients.
n n n n n n n n n n n n n n n




d. Advise the patient to stop drinking the tea because of potential interactions with
n n n n n n n n n n n n




othermedications.
n




6. The nurse is caring for a young adult male patient who refuses personal care from
n n n n n n n n n n n n n n n




afemale nursing assistant. Which approach by the nurse is best?
n n n n n n n n n n




a. Encourage the patients family to talk with him about his care. n n n n n n n n n n




b. Have a registered nurse (RN) help with his personal care.
n n n n n n n n n




c. Assign a male assistant to help with his personal care if one is available.
n n n n n n n n n n n n n




d. Explain to him that males and females take care of both genders in this hospital.
n n n n n n n n n n n n n n




7. The nurse is providing medication instructions to a 45-year-old patient who does
n n n n n n n n n n n n




notmaintain eye contact. What should this patients behavior indicate to the nurse?
n n n n n n n n n n n n




a. The patient is not interested.
n n n n




b. The nurse threatens the patients ego.
n n n n n




c. The nurse is in a hierarchical position.
n n n n n n




d. The patient does not intend to follow the instructions.
n n n n n n n n




n 8. The nurse is caring for a patient of Spanish descent who is experiencing pain, but does not
n n n n n n n n n n n n n n n n n n n




speak English. An interpreter is located to help with the assessment. What should the nursedo to
n n n n n n n n n n n n n n n n




facilitate communication with this patient?
n n n n n




a. Use hand signals to determine the cause of the pain.
n n n n n n n n n




b. Ensure the interpreter is not left alone with the patient.
n n n n n n n n n




c. Maintain eye contact with the patient and the interpreter. n n n n n n n n




d. Use only physical examination data; do not rely on verbal communication.
n n n n n n n n n n




9. A new mother of Guatemalan descent brings her 10-day-old infant to a clinic for a well-
n n n n n n n n n n n n n n n n




baby checkup. To promote healing, she has a coin taped to the infants umbilicus. What
n n n n n n n n n n n n n n