TEST BANKS For Family Practice Guidelines 6th
h h h h h h
Edition by Jill C. Cash; Cheryl A. Glass; Jenny
h h h h h h h h h
Mullen||Chapters 1 - 23
h h h h
,
,Chapter 1. Health Maintenance h h h
GuidelinesMultiple Choice
h h h
Identify the choice that best completes the statement or answers the question.
h h h h h h h h h h h
h 1. The nurse is preparing to teach a patient of the Asian culture to perform postoperative
h h h h h h h h h h h h h h h
dressing changes at home after discharge. Which statement made by the nurse indicates
h h h h h h h h h h h h h
culturalcompetence?
h h
a. Tell me how you feel about your surgery.
h h h h h h h
b. Asian people are smart, so this should be easy for you to understand.
h h h h h h h h h h h h
c. American surgeons are highly qualified; Im sure you will heal quickly. h h h h h h h h h h
d. Will you tell me about any traditional healing practices that you would like to use?
h h h h h h h h h h h h h h
h 2. An unconscious victim of a house fire is brought to the emergency department by
h h h h h h h h h h h h h h
theparamedics. Tied to the right wrist is an emblem that appears be a religious talisman. Which
h h h h h h h h h h h h h h h h h
action should the nurse take?
h h h h h
a. Tape it in place. h h h
b. Do nothing with it.
h h h
c. Remove it and lock it up for safekeeping. h h h h h h h
d. Place it in a clothing bag with the rest of the patients belongings.
h h h h h h h h h h h h
h 3. A 43-year-old patient of Arab descent is admitted to the hospital. To comply with thestate
h h h h h h h h h h h h h h h h
laws of the organization, the nurse offers the patient a Papanicolaou smear, which she refuses.
h h h h h h h h h h h h h h h
Which action should the nurse take first?
h h h h h h h
a. Notify the physician. h h
b. Report the refusal to the supervisor. h h h h h
c. Explain the rationale for and benefits of the test. h h h h h h h h
d. Tell her it is state law and that she does not have a choice.
h h h h h h h h h h h h h
h 4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a dangerously
h h h h h h h h h h h h h h
low hemoglobin level. The patient is fully alert and competent and refuses to acceptthe blood
h h h h h h h h h h h h h h h h
transfusion ordered by the physician. Which action by the nurse is most appropriate?
h h h h h h h h h h h h h
a. Obtain a court order to give the blood. h h h h h h h
b. Administer the blood while the patient is sleeping. h h h h h h h
c. Have the patients spouse sign the consent to have the blood administered.
h h h h h h h h h h h
, d. Ensure the patient understands possible consequences and then respect the patients wishes.
h h h h h h h h h h h
h 5. A patient of Mexican descent sees a curandero for asthma; the curandero has prescribeda
h h h h h h h h h h h h h h h
special tea to be taken four times a day to open the airways. How should the nurse respond to this
h h h h h h h h h h h h h h h h h h h h
situation?
h
a. Encourage the patient to continue drinking the tea. h h h h h h h
b. Encourage the patient to drink only one cup of the tea each day. h h h h h h h h h h h h
c. Ask the patient to bring in the tea package and have the pharmacist check the ingredients.
h h h h h h h h h h h h h h h
d. Advise the patient to stop drinking the tea because of potential interactions with
h h h h h h h h h h h h
othermedications.
h h
h 6. The nurse is caring for a young adult male patient who refuses personal care from
h h h h h h h h h h h h h h h
afemale nursing assistant. Which approach by the nurse is best?
h h h h h h h h h h h
a. Encourage the patients family to talk with him about his care. h h h h h h h h h h
b. Have a registered nurse (RN) help with his personal care.
h h h h h h h h h
c. Assign a male assistant to help with his personal care if one is available.
h h h h h h h h h h h h h
d. Explain to him that males and females take care of both genders in this hospital.
h h h h h h h h h h h h h h
h 7. The nurse is providing medication instructions to a 45-year-old patient who does
h h h h h h h h h h h h
notmaintain eye contact. What should this patients behavior indicate to the nurse?
h h h h h h h h h h h h h
a. The patient is not interested.
h h h h
b. The nurse threatens the patients ego.
h h h h h
c. The nurse is in a hierarchical position.
h h h h h h
d. The patient does not intend to follow the instructions.
h h h h h h h h
8. The nurse is caring for a patient of Spanish descent who is experiencing pain, but does not
h h h h h h h h h h h h h h h h h h h h h h h h h h
speak English. An interpreter is located to help with the assessment. What should the nurse do to
h h h h h h h h h h h h h h h h h
facilitate communication with this patient?
h h h h h
a. Use hand signals to determine the cause of the pain.
h h h h h h h h h
b. Ensure the interpreter is not left alone with the patient.
h h h h h h h h h
c. Maintain eye contact with the patient and the interpreter. h h h h h h h h
d. Use only physical examination data; do not rely on verbal communication.
h h h h h h h h h h
h 9. A new mother of Guatemalan descent brings her 10-day-old infant to a clinic for a well-baby
h h h h h h h h h h h h h h h h h
checkup. To promote healing, she has a coin taped to the infants umbilicus. What should the nurse
h h h h h h h h h h h h h h h h h
do about this situation?
h h h h
a. Teach the mother how to clean the coin daily and reapply it.
h h h h h h h h h h h
b. Explain to the mother that the coin is not necessary for healing.
h h h h h h h h h h h
h h h h h h
Edition by Jill C. Cash; Cheryl A. Glass; Jenny
h h h h h h h h h
Mullen||Chapters 1 - 23
h h h h
,
,Chapter 1. Health Maintenance h h h
GuidelinesMultiple Choice
h h h
Identify the choice that best completes the statement or answers the question.
h h h h h h h h h h h
h 1. The nurse is preparing to teach a patient of the Asian culture to perform postoperative
h h h h h h h h h h h h h h h
dressing changes at home after discharge. Which statement made by the nurse indicates
h h h h h h h h h h h h h
culturalcompetence?
h h
a. Tell me how you feel about your surgery.
h h h h h h h
b. Asian people are smart, so this should be easy for you to understand.
h h h h h h h h h h h h
c. American surgeons are highly qualified; Im sure you will heal quickly. h h h h h h h h h h
d. Will you tell me about any traditional healing practices that you would like to use?
h h h h h h h h h h h h h h
h 2. An unconscious victim of a house fire is brought to the emergency department by
h h h h h h h h h h h h h h
theparamedics. Tied to the right wrist is an emblem that appears be a religious talisman. Which
h h h h h h h h h h h h h h h h h
action should the nurse take?
h h h h h
a. Tape it in place. h h h
b. Do nothing with it.
h h h
c. Remove it and lock it up for safekeeping. h h h h h h h
d. Place it in a clothing bag with the rest of the patients belongings.
h h h h h h h h h h h h
h 3. A 43-year-old patient of Arab descent is admitted to the hospital. To comply with thestate
h h h h h h h h h h h h h h h h
laws of the organization, the nurse offers the patient a Papanicolaou smear, which she refuses.
h h h h h h h h h h h h h h h
Which action should the nurse take first?
h h h h h h h
a. Notify the physician. h h
b. Report the refusal to the supervisor. h h h h h
c. Explain the rationale for and benefits of the test. h h h h h h h h
d. Tell her it is state law and that she does not have a choice.
h h h h h h h h h h h h h
h 4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a dangerously
h h h h h h h h h h h h h h
low hemoglobin level. The patient is fully alert and competent and refuses to acceptthe blood
h h h h h h h h h h h h h h h h
transfusion ordered by the physician. Which action by the nurse is most appropriate?
h h h h h h h h h h h h h
a. Obtain a court order to give the blood. h h h h h h h
b. Administer the blood while the patient is sleeping. h h h h h h h
c. Have the patients spouse sign the consent to have the blood administered.
h h h h h h h h h h h
, d. Ensure the patient understands possible consequences and then respect the patients wishes.
h h h h h h h h h h h
h 5. A patient of Mexican descent sees a curandero for asthma; the curandero has prescribeda
h h h h h h h h h h h h h h h
special tea to be taken four times a day to open the airways. How should the nurse respond to this
h h h h h h h h h h h h h h h h h h h h
situation?
h
a. Encourage the patient to continue drinking the tea. h h h h h h h
b. Encourage the patient to drink only one cup of the tea each day. h h h h h h h h h h h h
c. Ask the patient to bring in the tea package and have the pharmacist check the ingredients.
h h h h h h h h h h h h h h h
d. Advise the patient to stop drinking the tea because of potential interactions with
h h h h h h h h h h h h
othermedications.
h h
h 6. The nurse is caring for a young adult male patient who refuses personal care from
h h h h h h h h h h h h h h h
afemale nursing assistant. Which approach by the nurse is best?
h h h h h h h h h h h
a. Encourage the patients family to talk with him about his care. h h h h h h h h h h
b. Have a registered nurse (RN) help with his personal care.
h h h h h h h h h
c. Assign a male assistant to help with his personal care if one is available.
h h h h h h h h h h h h h
d. Explain to him that males and females take care of both genders in this hospital.
h h h h h h h h h h h h h h
h 7. The nurse is providing medication instructions to a 45-year-old patient who does
h h h h h h h h h h h h
notmaintain eye contact. What should this patients behavior indicate to the nurse?
h h h h h h h h h h h h h
a. The patient is not interested.
h h h h
b. The nurse threatens the patients ego.
h h h h h
c. The nurse is in a hierarchical position.
h h h h h h
d. The patient does not intend to follow the instructions.
h h h h h h h h
8. The nurse is caring for a patient of Spanish descent who is experiencing pain, but does not
h h h h h h h h h h h h h h h h h h h h h h h h h h
speak English. An interpreter is located to help with the assessment. What should the nurse do to
h h h h h h h h h h h h h h h h h
facilitate communication with this patient?
h h h h h
a. Use hand signals to determine the cause of the pain.
h h h h h h h h h
b. Ensure the interpreter is not left alone with the patient.
h h h h h h h h h
c. Maintain eye contact with the patient and the interpreter. h h h h h h h h
d. Use only physical examination data; do not rely on verbal communication.
h h h h h h h h h h
h 9. A new mother of Guatemalan descent brings her 10-day-old infant to a clinic for a well-baby
h h h h h h h h h h h h h h h h h
checkup. To promote healing, she has a coin taped to the infants umbilicus. What should the nurse
h h h h h h h h h h h h h h h h h
do about this situation?
h h h h
a. Teach the mother how to clean the coin daily and reapply it.
h h h h h h h h h h h
b. Explain to the mother that the coin is not necessary for healing.
h h h h h h h h h h h
