TESTBANK FOR FAMILY PRACTICE GUIDELINES 6TH
EDITION BY JILL C.CASH
, Family Practice Guidelines Sixth Edition Test Bank
Chapter 1. Health Maintenance
GuidelinesMultiple Choice
Identify the choice that best completes the statement or answers the question.
1. The caregiver is preparing to teach a client of the Asian culture to perform
postoperative dressing changes at home after discharge. Which statement made by the
caregiver indicates culturalcompetence?
a. Tell me how you feel about your surgery.
b. Asian people are smart, so this should be easy for you to understand.
c. American surgeons are highly qualified; Im sure you will heal quickly.
d. Will you tell me about any traditional healing practices that you would like to use?
2. An unconscious victim of a house fire is brought to the emergency department by the
paramedics. Tied to the right wrist is an emblem that appears be a religious talisman. Which
action should the caregiver take?
a. Tape it in place.
b. Do nothing with it.
c. Remove it and lock it up for safekeeping.
d. Place it in a clothing bag with the rest of the clients belongings.
3. A 43-year-old client of Arab descent is admitted to the health center. To comply with
thestate laws of the organization, the caregiver offers the client a Papanicolaou smear, which
she refuses. Which action should the caregiver take first?
a. Notify the physician.
b. Report the refusal to the supervisor.
c. Explain the rationale for and benefits of the test.
d. Tell her it is state law and that she does not have a choice.
4. A client who is a Jehovahs Witness has severe gastrointestinal bleeding and a
dangerously low hemoglobin level. The client is fully alert and competent and refuses to accept
the blood transfusion ordered by the physician. Which action by the caregiver is most
appropriate?
a. Obtain a court order to give the blood.
b. Administer the blood while the client is sleeping.
c. Have the clients spouse sign the consent to have the blood administered.
,d. Ensure the client understands possible consequences and then respect the clients wishes.
5. A client of Mexican descent sees a curandero for asthma; the curandero has prescribeda
special tea to be taken four times a day to open the airways. How should the caregiver respond
to this situation?
a. Encourage the client to continue drinking the tea.
b. Encourage the client to drink only one cup of the tea each day.
c. Ask the client to bring in the tea package and have the pharmacist check the ingredients.
d. Advise the client to stop drinking the tea because of potential interactions with other
medications.
6. The caregiver is caring for a young adult male client who refuses personal care
from a female nursing assistant. Which approach by the caregiver is best?
a. Encourage the clients family to talk with him about his care.
b. Have a registered caregiver (RN) help with his personal care.
c. Assign a male assistant to help with his personal care if one is available.
d. Explain to him that males and females take care of both genders in this health center.
7. The caregiver is providing medication instructions to a 45-year-old client who does
not maintain eye contact. What should this clients behavior indicate to the caregiver?
a. The client is not interested.
b. The caregiver threatens the clients ego.
c. The caregiver is in a hierarchical position.
d. The client does not intend to follow the instructions.
8. The caregiver is caring for a client of Spanish descent who is experiencing pain, but
does not speak English. An interpreter is located to help with the assessment. What should the
caregiver do to facilitate communication with this client?
a. Use hand signals to determine the cause of the pain.
b. Ensure the interpreter is not left alone with the client.
c. Maintain eye contact with the client and the interpreter.
d. Use only physical examination data; do not rely on verbal communication.
9. A new mother of Guatemalan descent brings her 10-day-old infant to a clinic for a well-
baby checkup. To promote healing, she has a coin taped to the infants umbilicus. What should
the caregiver do about this situation?
a. Teach the mother how to clean the coin daily and reapply it.
b. Explain to the mother that the coin is not necessary for healing.
, c. Tell the mother to remove the coin, because it could cause an infection.
d. Teach the mother how to apply a dry sterile dressing in place of the coin.
10. An older client who follows the Muslim religion is approaching death. The family
says the clients bed should be turned toward the opposite wall, so it can face Mecca to ensure
an easier passage into the next life. The wall they want the bed to face has wall suction and
oxygen, which the client is using. Which action by the caregiver is appropriate?
a. Get permission from the physician to move the bed.
b. Rearrange the furniture to accommodate the request.
c. Tell them you will move the bed when the client is closer to death.
d. Tell them it is impossible because of the short tubing on the oxygen and suction.
11. A client of northern European descent recovering from surgery denies postoperative
pain; however, vital signs indicate an elevated pulse and blood pressure. The client refuses to
move in bed. Which nursing action would best ensure comfort and timely discharge?
a. Give the pain medicine as prescribed.
b. Ask the physician to prescribe the analgesics around the clock.
c. Explain that the pain medicine will help prevent complications.
d. Respect the clients denial of pain, and do not encourage the pain medicine.
12. A caregiver who emigrated from China begins working on a medical unit. The
preceptor explains the unit routines, including the medication administration system. When the
preceptor asks if the caregiver understands, the answer is always: Yes, I understand. What
should the preceptordo to measure the caregivers comprehension?
a. Give the caregiver a medication quiz.
b. Have the caregiver repeat the instructions.
c. Have the caregiver demonstrate the procedures.
d. Ask the caregiver which information is hard to understand.
13. A 52-year-old from Haiti is hospitalized with heart failure and wants to have a voodoo
practitioner visit to say prayers. How should the caregiver respond to this request?
a. Report the request to the physician immediately.
b. Tell the client that this is not permitted during hospitalization.
c. Tell the client it is okay for the voodoo practitioner to say prayers.
d. Have the client meet with the voodoo practitioner in the health center lobby.
14. The caregiver is caring for a client from a non-English speaking culture. While
providingcare, the caregiver shows an appreciation for and attention to arts, music, crafts,
clothing, and foods
EDITION BY JILL C.CASH
, Family Practice Guidelines Sixth Edition Test Bank
Chapter 1. Health Maintenance
GuidelinesMultiple Choice
Identify the choice that best completes the statement or answers the question.
1. The caregiver is preparing to teach a client of the Asian culture to perform
postoperative dressing changes at home after discharge. Which statement made by the
caregiver indicates culturalcompetence?
a. Tell me how you feel about your surgery.
b. Asian people are smart, so this should be easy for you to understand.
c. American surgeons are highly qualified; Im sure you will heal quickly.
d. Will you tell me about any traditional healing practices that you would like to use?
2. An unconscious victim of a house fire is brought to the emergency department by the
paramedics. Tied to the right wrist is an emblem that appears be a religious talisman. Which
action should the caregiver take?
a. Tape it in place.
b. Do nothing with it.
c. Remove it and lock it up for safekeeping.
d. Place it in a clothing bag with the rest of the clients belongings.
3. A 43-year-old client of Arab descent is admitted to the health center. To comply with
thestate laws of the organization, the caregiver offers the client a Papanicolaou smear, which
she refuses. Which action should the caregiver take first?
a. Notify the physician.
b. Report the refusal to the supervisor.
c. Explain the rationale for and benefits of the test.
d. Tell her it is state law and that she does not have a choice.
4. A client who is a Jehovahs Witness has severe gastrointestinal bleeding and a
dangerously low hemoglobin level. The client is fully alert and competent and refuses to accept
the blood transfusion ordered by the physician. Which action by the caregiver is most
appropriate?
a. Obtain a court order to give the blood.
b. Administer the blood while the client is sleeping.
c. Have the clients spouse sign the consent to have the blood administered.
,d. Ensure the client understands possible consequences and then respect the clients wishes.
5. A client of Mexican descent sees a curandero for asthma; the curandero has prescribeda
special tea to be taken four times a day to open the airways. How should the caregiver respond
to this situation?
a. Encourage the client to continue drinking the tea.
b. Encourage the client to drink only one cup of the tea each day.
c. Ask the client to bring in the tea package and have the pharmacist check the ingredients.
d. Advise the client to stop drinking the tea because of potential interactions with other
medications.
6. The caregiver is caring for a young adult male client who refuses personal care
from a female nursing assistant. Which approach by the caregiver is best?
a. Encourage the clients family to talk with him about his care.
b. Have a registered caregiver (RN) help with his personal care.
c. Assign a male assistant to help with his personal care if one is available.
d. Explain to him that males and females take care of both genders in this health center.
7. The caregiver is providing medication instructions to a 45-year-old client who does
not maintain eye contact. What should this clients behavior indicate to the caregiver?
a. The client is not interested.
b. The caregiver threatens the clients ego.
c. The caregiver is in a hierarchical position.
d. The client does not intend to follow the instructions.
8. The caregiver is caring for a client of Spanish descent who is experiencing pain, but
does not speak English. An interpreter is located to help with the assessment. What should the
caregiver do to facilitate communication with this client?
a. Use hand signals to determine the cause of the pain.
b. Ensure the interpreter is not left alone with the client.
c. Maintain eye contact with the client and the interpreter.
d. Use only physical examination data; do not rely on verbal communication.
9. A new mother of Guatemalan descent brings her 10-day-old infant to a clinic for a well-
baby checkup. To promote healing, she has a coin taped to the infants umbilicus. What should
the caregiver do about this situation?
a. Teach the mother how to clean the coin daily and reapply it.
b. Explain to the mother that the coin is not necessary for healing.
, c. Tell the mother to remove the coin, because it could cause an infection.
d. Teach the mother how to apply a dry sterile dressing in place of the coin.
10. An older client who follows the Muslim religion is approaching death. The family
says the clients bed should be turned toward the opposite wall, so it can face Mecca to ensure
an easier passage into the next life. The wall they want the bed to face has wall suction and
oxygen, which the client is using. Which action by the caregiver is appropriate?
a. Get permission from the physician to move the bed.
b. Rearrange the furniture to accommodate the request.
c. Tell them you will move the bed when the client is closer to death.
d. Tell them it is impossible because of the short tubing on the oxygen and suction.
11. A client of northern European descent recovering from surgery denies postoperative
pain; however, vital signs indicate an elevated pulse and blood pressure. The client refuses to
move in bed. Which nursing action would best ensure comfort and timely discharge?
a. Give the pain medicine as prescribed.
b. Ask the physician to prescribe the analgesics around the clock.
c. Explain that the pain medicine will help prevent complications.
d. Respect the clients denial of pain, and do not encourage the pain medicine.
12. A caregiver who emigrated from China begins working on a medical unit. The
preceptor explains the unit routines, including the medication administration system. When the
preceptor asks if the caregiver understands, the answer is always: Yes, I understand. What
should the preceptordo to measure the caregivers comprehension?
a. Give the caregiver a medication quiz.
b. Have the caregiver repeat the instructions.
c. Have the caregiver demonstrate the procedures.
d. Ask the caregiver which information is hard to understand.
13. A 52-year-old from Haiti is hospitalized with heart failure and wants to have a voodoo
practitioner visit to say prayers. How should the caregiver respond to this request?
a. Report the request to the physician immediately.
b. Tell the client that this is not permitted during hospitalization.
c. Tell the client it is okay for the voodoo practitioner to say prayers.
d. Have the client meet with the voodoo practitioner in the health center lobby.
14. The caregiver is caring for a client from a non-English speaking culture. While
providingcare, the caregiver shows an appreciation for and attention to arts, music, crafts,
clothing, and foods
