TEST BANKS For Family Practice Guidelines
6th Edition by Jill C. Cash; Cheryl A.
Glass; Jenny Mullen||Chapters 1 - 23
,
,Chapter 1. Health Maintenance Guidelines
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nurse is preparing to teach a patient of the Asian culture to perform postoperative
dressing changes at home after discharge. Which statement made by the nurse indicates cultural
competence?
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 nurse 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 patients belongings.
3. A 43-year-old patient of Arab descent is admitted to the hospital. To comply with the
state laws of the organization, the nurse offers the patient a Papanicolaou smear, which she
refuses. Which action should the nurse 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 patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a
dangerously low hemoglobin level. The patient is fully alert and competent and refuses to accept
the blood transfusion ordered by the physician. Which action by the nurse is most appropriate?
a. Obtain a court order to give the blood.
b. Administer the blood while the patient is sleeping.
c. Have the patients spouse sign the consent to have the blood administered.
, d. Ensure ithe ipatient iunderstands ipossible iconsequences iand ithen irespect ithe ipatients iwishes.
i 5. iA ipatient iof iMexican idescent isees ia icurandero ifor iasthma; ithe icurandero ihas
iprescribedia ispecial itea ito ibe itaken ifour itimes ia iday ito iopen ithe iairways. iHow ishould ithe
inurse irespond ito ithis isituation?
a. Encourage ithe ipatient ito icontinue idrinking ithe itea.
b. Encourage ithe ipatient ito idrink ionly ione icup iof ithe itea ieach iday.
c. Ask ithe ipatient ito ibring iin ithe itea ipackage iand ihave ithe ipharmacist icheck ithe iingredients.
d. Advise ithe ipatient ito istop idrinking ithe itea ibecause iof ipotential iinteractions iwith
iotherimedications.
i 6. iThe inurse iis icaring ifor ia iyoung iadult imale ipatient iwho irefuses ipersonal icare
ifrom iaifemale inursing iassistant. iWhich iapproach iby ithe inurse iis ibest?
a. Encourage ithe ipatients ifamily ito italk iwith ihim iabout ihis icare.
b. Have ia iregistered inurse i(RN) ihelp iwith ihis ipersonal icare.
c. Assign ia imale iassistant ito ihelp iwith ihis ipersonal icare iif ione iis iavailable.
d. Explain ito ihim ithat imales iand ifemales itake icare iof iboth igenders iin ithis ihospital.
i 7. iThe inurse iis iproviding imedication iinstructions ito ia i45-year-old ipatient iwho idoes
inotimaintain ieye icontact. iWhat ishould ithis ipatients ibehavior iindicate ito ithe inurse?
a. The ipatient iis inot iinterested.
b. The inurse ithreatens ithe ipatients iego.
c. The inurse iis iin ia ihierarchical iposition.
d. The ipatient idoes inot iintend ito ifollow ithe iinstructions.
i i i i i i i i i8. iThe inurse iis icaring ifor ia ipatient iof iSpanish idescent iwho iis iexperiencing ipain,
ibut idoes inot ispeak iEnglish. iAn iinterpreter iis ilocated ito ihelp iwith ithe iassessment. iWhat
ishould ithe inurseido ito ifacilitate icommunication iwith ithis ipatient?
a. Use ihand isignals ito idetermine ithe icause iof ithe ipain.
b. Ensure ithe iinterpreter iis inot ileft ialone iwith ithe ipatient.
c. Maintain ieye icontact iwith ithe ipatient iand ithe iinterpreter.
d. Use ionly iphysical iexamination idata; ido inot irely ion iverbal icommunication.
i 9. iA inew imother iof iGuatemalan idescent ibrings iher i10-day-old iinfant ito ia iclinic ifor ia
iwell-ibaby icheckup. iTo ipromote ihealing, ishe ihas ia icoin itaped ito ithe iinfants iumbilicus. iWhat
ishould ithe inurse ido iabout ithis isituation?
a. Teach ithe imother ihow ito iclean ithe icoin idaily iand ireapply iit.
b. Explain ito ithe imother ithat ithe icoin iis inot inecessary ifor ihealing.
6th Edition by Jill C. Cash; Cheryl A.
Glass; Jenny Mullen||Chapters 1 - 23
,
,Chapter 1. Health Maintenance Guidelines
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nurse is preparing to teach a patient of the Asian culture to perform postoperative
dressing changes at home after discharge. Which statement made by the nurse indicates cultural
competence?
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 nurse 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 patients belongings.
3. A 43-year-old patient of Arab descent is admitted to the hospital. To comply with the
state laws of the organization, the nurse offers the patient a Papanicolaou smear, which she
refuses. Which action should the nurse 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 patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a
dangerously low hemoglobin level. The patient is fully alert and competent and refuses to accept
the blood transfusion ordered by the physician. Which action by the nurse is most appropriate?
a. Obtain a court order to give the blood.
b. Administer the blood while the patient is sleeping.
c. Have the patients spouse sign the consent to have the blood administered.
, d. Ensure ithe ipatient iunderstands ipossible iconsequences iand ithen irespect ithe ipatients iwishes.
i 5. iA ipatient iof iMexican idescent isees ia icurandero ifor iasthma; ithe icurandero ihas
iprescribedia ispecial itea ito ibe itaken ifour itimes ia iday ito iopen ithe iairways. iHow ishould ithe
inurse irespond ito ithis isituation?
a. Encourage ithe ipatient ito icontinue idrinking ithe itea.
b. Encourage ithe ipatient ito idrink ionly ione icup iof ithe itea ieach iday.
c. Ask ithe ipatient ito ibring iin ithe itea ipackage iand ihave ithe ipharmacist icheck ithe iingredients.
d. Advise ithe ipatient ito istop idrinking ithe itea ibecause iof ipotential iinteractions iwith
iotherimedications.
i 6. iThe inurse iis icaring ifor ia iyoung iadult imale ipatient iwho irefuses ipersonal icare
ifrom iaifemale inursing iassistant. iWhich iapproach iby ithe inurse iis ibest?
a. Encourage ithe ipatients ifamily ito italk iwith ihim iabout ihis icare.
b. Have ia iregistered inurse i(RN) ihelp iwith ihis ipersonal icare.
c. Assign ia imale iassistant ito ihelp iwith ihis ipersonal icare iif ione iis iavailable.
d. Explain ito ihim ithat imales iand ifemales itake icare iof iboth igenders iin ithis ihospital.
i 7. iThe inurse iis iproviding imedication iinstructions ito ia i45-year-old ipatient iwho idoes
inotimaintain ieye icontact. iWhat ishould ithis ipatients ibehavior iindicate ito ithe inurse?
a. The ipatient iis inot iinterested.
b. The inurse ithreatens ithe ipatients iego.
c. The inurse iis iin ia ihierarchical iposition.
d. The ipatient idoes inot iintend ito ifollow ithe iinstructions.
i i i i i i i i i8. iThe inurse iis icaring ifor ia ipatient iof iSpanish idescent iwho iis iexperiencing ipain,
ibut idoes inot ispeak iEnglish. iAn iinterpreter iis ilocated ito ihelp iwith ithe iassessment. iWhat
ishould ithe inurseido ito ifacilitate icommunication iwith ithis ipatient?
a. Use ihand isignals ito idetermine ithe icause iof ithe ipain.
b. Ensure ithe iinterpreter iis inot ileft ialone iwith ithe ipatient.
c. Maintain ieye icontact iwith ithe ipatient iand ithe iinterpreter.
d. Use ionly iphysical iexamination idata; ido inot irely ion iverbal icommunication.
i 9. iA inew imother iof iGuatemalan idescent ibrings iher i10-day-old iinfant ito ia iclinic ifor ia
iwell-ibaby icheckup. iTo ipromote ihealing, ishe ihas ia icoin itaped ito ithe iinfants iumbilicus. iWhat
ishould ithe inurse ido iabout ithis isituation?
a. Teach ithe imother ihow ito iclean ithe icoin idaily iand ireapply iit.
b. Explain ito ithe imother ithat ithe icoin iis inot inecessary ifor ihealing.
