STUDY NOTES & REFERENCE GUIDE
TEST BANKS For Family Practice Guidelines 6th
t t t t t t
t Edition by Jill C. Cash; Cheryl A. Glass; Jenny
t t t t t t t t
Mullen||Chapters 1 - 23
t t t t
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Chapter t1. tHealth tMaintenance
tGuidelinestMultiple tChoice
Identify tthe tchoice tthat tbest tcompletes tthe tstatement tor tanswers tthe tquestion.
t 1. tThe tnurse tis tpreparing tto tteach ta tpatient tof tthe tAsian tculture tto tperform
tpostoperative tdressing tchanges tat thome tafter tdischarge. tWhich tstatement tmade tby tthe
tnurse tindicates tculturaltcompetence?
a. Tell tme thow tyou tfeel tabout tyour tsurgery.
b. Asian tpeople tare tsmart, tso tthis tshould tbe teasy tfor tyou tto tunderstand.
c. American tsurgeons tare thighly tqualified; tIm tsure tyou twill theal tquickly.
d. Will tyou ttell tme tabout tany ttraditional thealing tpractices tthat tyou twould tlike tto tuse?
t 2. tAn tunconscious tvictim tof ta thouse tfire tis tbrought tto tthe temergency tdepartment
tby tthetparamedics. tTied tto tthe tright twrist tis tan temblem tthat tappears tbe ta treligious
ttalisman. tWhich taction tshould tthe tnurse ttake?
a. Tape tit tin tplace.
b. Do tnothing twith tit.
c. Remove tit tand tlock tit tup tfor tsafekeeping.
d. Place tit tin ta tclothing tbag twith tthe trest tof tthe tpatients tbelongings.
t 3. tA t43-year-old tpatient tof tArab tdescent tis tadmitted tto tthe thospital. tTo tcomply
twith tthetstate tlaws tof tthe torganization, tthe tnurse toffers tthe tpatient ta tPapanicolaou
tsmear, twhich tshe trefuses. tWhich taction tshould tthe tnurse ttake tfirst?
a. Notify tthe tphysician.
b. Report tthe trefusal tto tthe tsupervisor.
c. Explain tthe trationale tfor tand tbenefits tof tthe ttest.
d. Tell ther tit tis tstate tlaw tand tthat tshe tdoes tnot thave ta tchoice.
t 4. tA tpatient twho tis ta tJehovahs tWitness thas tsevere tgastrointestinal tbleeding tand ta
tdangerously tlow themoglobin tlevel. tThe tpatient tis tfully talert tand tcompetent tand trefuses tto
taccepttthe tblood ttransfusion tordered tby tthe tphysician. tWhich taction tby tthe tnurse tis tmost
tappropriate?
a. Obtain ta tcourt torder tto tgive tthe tblood.
b. Administer tthe tblood twhile tthe tpatient tis tsleeping.
c. Have tthe tpatients tspouse tsign tthe tconsent tto thave tthe tblood tadministered.
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d. Ensure tthe tpatient tunderstands tpossible tconsequences tand tthen trespect tthe tpatients
twishes.
t 5. tA tpatient tof tMexican tdescent tsees ta tcurandero tfor tasthma; tthe tcurandero thas
tprescribedta tspecial ttea tto tbe ttaken tfour ttimes ta tday tto topen tthe tairways. tHow tshould tthe
tnurse trespond tto tthis tsituation?
a. Encourage tthe tpatient tto tcontinue tdrinking tthe ttea.
b. Encourage tthe tpatient tto tdrink tonly tone tcup tof tthe ttea teach tday.
c. Ask tthe tpatient tto tbring tin tthe ttea tpackage tand thave tthe tpharmacist tcheck tthe tingredients.
d. Advise tthe tpatient tto tstop tdrinking tthe ttea tbecause tof tpotential tinteractions twith
tothertmedications.
t 6. tThe tnurse tis tcaring tfor ta tyoung tadult tmale tpatient twho trefuses tpersonal tcare
from tatfemale tnursing tassistant. tWhich tapproach tby tthe tnurse tis tbest?
t
a. Encourage tthe tpatients tfamily tto ttalk twith thim tabout this tcare.
b. Have ta tregistered tnurse t(RN) thelp twith this tpersonal tcare.
c. Assign ta tmale tassistant tto thelp twith this tpersonal tcare tif tone tis tavailable.
d. Explain tto thim tthat tmales tand tfemales ttake tcare tof tboth tgenders tin tthis thospital.
t 7. tThe tnurse tis tproviding tmedication tinstructions tto ta t45-year-old tpatient twho
tdoes tnottmaintain teye tcontact. tWhat tshould tthis tpatients tbehavior tindicate tto tthe
tnurse?
a. The tpatient tis tnot tinterested.
b. The tnurse tthreatens tthe tpatients tego.
c. The tnurse tis tin ta thierarchical tposition.
d. The tpatient tdoes tnot tintend tto tfollow tthe tinstructions.
8. tThe tnurse tis tcaring tfor ta tpatient tof tSpanish tdescent twho tis texperiencing tpain, tbut
ttttttttt
tdoes tnot tspeak tEnglish. tAn tinterpreter tis tlocated tto thelp twith tthe tassessment. tWhat
tshould tthe tnursetdo tto tfacilitate tcommunication twith tthis tpatient?
a. Use thand tsignals tto tdetermine tthe tcause tof tthe tpain.
b. Ensure tthe tinterpreter tis tnot tleft talone twith tthe tpatient.
c. Maintain teye tcontact twith tthe tpatient tand tthe tinterpreter.
d. Use tonly tphysical texamination tdata; tdo tnot trely ton tverbal tcommunication.
t 9. tA tnew tmother tof tGuatemalan tdescent tbrings ther t10-day-old tinfant tto ta tclinic tfor ta
twell-tbaby tcheckup. tTo tpromote thealing, tshe thas ta tcoin ttaped tto tthe tinfants tumbilicus.
tWhat tshould tthe tnurse tdo tabout tthis tsituation?
NurseStudyHub - Stuvia | Page 4 of 534
TEST BANKS For Family Practice Guidelines 6th
t t t t t t
t Edition by Jill C. Cash; Cheryl A. Glass; Jenny
t t t t t t t t
Mullen||Chapters 1 - 23
t t t t
NurseStudyHub - Stuvia | Page 1 of 534
, STUDY NOTES & REFERENCE GUIDE
NurseStudyHub - Stuvia | Page 2 of 534
, STUDY NOTES & REFERENCE GUIDE
Chapter t1. tHealth tMaintenance
tGuidelinestMultiple tChoice
Identify tthe tchoice tthat tbest tcompletes tthe tstatement tor tanswers tthe tquestion.
t 1. tThe tnurse tis tpreparing tto tteach ta tpatient tof tthe tAsian tculture tto tperform
tpostoperative tdressing tchanges tat thome tafter tdischarge. tWhich tstatement tmade tby tthe
tnurse tindicates tculturaltcompetence?
a. Tell tme thow tyou tfeel tabout tyour tsurgery.
b. Asian tpeople tare tsmart, tso tthis tshould tbe teasy tfor tyou tto tunderstand.
c. American tsurgeons tare thighly tqualified; tIm tsure tyou twill theal tquickly.
d. Will tyou ttell tme tabout tany ttraditional thealing tpractices tthat tyou twould tlike tto tuse?
t 2. tAn tunconscious tvictim tof ta thouse tfire tis tbrought tto tthe temergency tdepartment
tby tthetparamedics. tTied tto tthe tright twrist tis tan temblem tthat tappears tbe ta treligious
ttalisman. tWhich taction tshould tthe tnurse ttake?
a. Tape tit tin tplace.
b. Do tnothing twith tit.
c. Remove tit tand tlock tit tup tfor tsafekeeping.
d. Place tit tin ta tclothing tbag twith tthe trest tof tthe tpatients tbelongings.
t 3. tA t43-year-old tpatient tof tArab tdescent tis tadmitted tto tthe thospital. tTo tcomply
twith tthetstate tlaws tof tthe torganization, tthe tnurse toffers tthe tpatient ta tPapanicolaou
tsmear, twhich tshe trefuses. tWhich taction tshould tthe tnurse ttake tfirst?
a. Notify tthe tphysician.
b. Report tthe trefusal tto tthe tsupervisor.
c. Explain tthe trationale tfor tand tbenefits tof tthe ttest.
d. Tell ther tit tis tstate tlaw tand tthat tshe tdoes tnot thave ta tchoice.
t 4. tA tpatient twho tis ta tJehovahs tWitness thas tsevere tgastrointestinal tbleeding tand ta
tdangerously tlow themoglobin tlevel. tThe tpatient tis tfully talert tand tcompetent tand trefuses tto
taccepttthe tblood ttransfusion tordered tby tthe tphysician. tWhich taction tby tthe tnurse tis tmost
tappropriate?
a. Obtain ta tcourt torder tto tgive tthe tblood.
b. Administer tthe tblood twhile tthe tpatient tis tsleeping.
c. Have tthe tpatients tspouse tsign tthe tconsent tto thave tthe tblood tadministered.
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d. Ensure tthe tpatient tunderstands tpossible tconsequences tand tthen trespect tthe tpatients
twishes.
t 5. tA tpatient tof tMexican tdescent tsees ta tcurandero tfor tasthma; tthe tcurandero thas
tprescribedta tspecial ttea tto tbe ttaken tfour ttimes ta tday tto topen tthe tairways. tHow tshould tthe
tnurse trespond tto tthis tsituation?
a. Encourage tthe tpatient tto tcontinue tdrinking tthe ttea.
b. Encourage tthe tpatient tto tdrink tonly tone tcup tof tthe ttea teach tday.
c. Ask tthe tpatient tto tbring tin tthe ttea tpackage tand thave tthe tpharmacist tcheck tthe tingredients.
d. Advise tthe tpatient tto tstop tdrinking tthe ttea tbecause tof tpotential tinteractions twith
tothertmedications.
t 6. tThe tnurse tis tcaring tfor ta tyoung tadult tmale tpatient twho trefuses tpersonal tcare
from tatfemale tnursing tassistant. tWhich tapproach tby tthe tnurse tis tbest?
t
a. Encourage tthe tpatients tfamily tto ttalk twith thim tabout this tcare.
b. Have ta tregistered tnurse t(RN) thelp twith this tpersonal tcare.
c. Assign ta tmale tassistant tto thelp twith this tpersonal tcare tif tone tis tavailable.
d. Explain tto thim tthat tmales tand tfemales ttake tcare tof tboth tgenders tin tthis thospital.
t 7. tThe tnurse tis tproviding tmedication tinstructions tto ta t45-year-old tpatient twho
tdoes tnottmaintain teye tcontact. tWhat tshould tthis tpatients tbehavior tindicate tto tthe
tnurse?
a. The tpatient tis tnot tinterested.
b. The tnurse tthreatens tthe tpatients tego.
c. The tnurse tis tin ta thierarchical tposition.
d. The tpatient tdoes tnot tintend tto tfollow tthe tinstructions.
8. tThe tnurse tis tcaring tfor ta tpatient tof tSpanish tdescent twho tis texperiencing tpain, tbut
ttttttttt
tdoes tnot tspeak tEnglish. tAn tinterpreter tis tlocated tto thelp twith tthe tassessment. tWhat
tshould tthe tnursetdo tto tfacilitate tcommunication twith tthis tpatient?
a. Use thand tsignals tto tdetermine tthe tcause tof tthe tpain.
b. Ensure tthe tinterpreter tis tnot tleft talone twith tthe tpatient.
c. Maintain teye tcontact twith tthe tpatient tand tthe tinterpreter.
d. Use tonly tphysical texamination tdata; tdo tnot trely ton tverbal tcommunication.
t 9. tA tnew tmother tof tGuatemalan tdescent tbrings ther t10-day-old tinfant tto ta tclinic tfor ta
twell-tbaby tcheckup. tTo tpromote thealing, tshe thas ta tcoin ttaped tto tthe tinfants tumbilicus.
tWhat tshould tthe tnurse tdo tabout tthis tsituation?
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