Complete test bank for
Family practice guidelines 5th edition
by cash,glass,mullen|100% verified answers
(with answer key at end of chapter)
,table of contents
chapter 1. Health maintenance guidelines ................................................................................................... 3
chapter 2. Public health guidelines ............................................................................................................. 30
chapter 3. Pain management guidelines .................................................................................................... 55
chapter 4. Dermatology guidelines ............................................................................................................. 65
chapter 5. Nasal guidelines ......................................................................................................................... 74
chapter 6. Throat and mouth guidelines .................................................................................................... 78
chapter 7. Respiratory guidelines ............................................................................................................... 92
chapter 8. Cardiovascular guidelines ........................................................................................................ 113
chapter 9. Obstetrics guidelines ............................................................................................................... 176
chapter 10. Gynecologic guidelines .......................................................................................................... 192
chapter 11. Sexually transmitted infections guidelines ............................................................................ 218
chapter 12. Infectious disease guidelines ................................................................................................. 237
chapter 13. Systemic disorders guidelines ............................................................................................... 259
chapter 14. Musculoskeletal guidelines ................................................................................................... 297
chapter 15. Neurologic guidelines ............................................................................................................ 319
chapter 16. Endocrine guidelines ............................................................................................................. 339
chapter 17. Rheumatological guidelines................................................................................................... 349
chapter 18. Psychiatric guidelines ............................................................................................................ 364
chapter 19. Assessment guide for sport participation.............................................................................. 392
,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 the patient understands possible consequences and then respect the patients wishes.
5. A patient of mexican descent sees a curandero for asthma; the curandero has prescribed a special tea
to be taken four times a day to open the airways. How should the nurse respond to this situation?
A. Encourage the patient to continue drinking the tea.
B. Encourage the patient to drink only one cup of the tea each day.
C. Ask the patient to bring in the tea package and have the pharmacist check the ingredients.
D. Advise the patient to stop drinking the tea because of potential interactions with other
medications.
6. The nurse is caring for a young adult male patient who refuses personal care from a female nursing
assistant. Which approach by the nurse is best?
A. Encourage the patients family to talk with him about his care.
B. Have a registered nurse (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 hospital.
7. The nurse is providing medication instructions to a 45-year-old patient who does not maintain eye
contact. What should this patients behavior indicate to the nurse?
A. The patient is not interested.
B. The nurse threatens the patients ego.
C. The nurse is in a hierarchical position.
D. The patient does not intend to follow the instructions.
8. The nurse is caring for a patient of spanish descent who is experiencing pain, but does not speak
english. An interpreter is located to help with the assessment. What should the nurse do to facilitate
communication with this patient?
A. Use hand signals to determine the cause of the pain.
,B. Ensure the interpreter is not left alone with the patient.
C. Maintain eye contact with the patient 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 nurse 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 patient who follows the muslim religion is approaching death. The family says the patients
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 patient is using.
Which action by the nurse 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 patient is closer to death.
D. Tell them it is impossible because of the short tubing on the oxygen and suction.
11. A patient of northern european descent recovering from surgery denies postoperative pain;
however, vital signs indicate an elevated pulse and blood pressure. The patient 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 patients denial of pain, and do not encourage the pain medicine.
12. A nurse 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 nurse
,understands, the answer is always: yes, i understand. What should the preceptor do to measure the
nurses comprehension?
A. Give the nurse a medication quiz.
B. Have the nurse repeat the instructions.
C. Have the nurse demonstrate the procedures.
D. Ask the nurse 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 nurse respond to this request?
A. Report the request to the physician immediately.
B. Tell the patient that this is not permitted during hospitalization.
C. Tell the patient it is okay for the voodoo practitioner to say prayers.
D. Have the patient meet with the voodoo practitioner in the hospital lobby.
14. The nurse is caring for a patient from a non-english speaking culture. While providing care, the nurse
shows an appreciation for and attention to arts, music, crafts, clothing, and foods belonging to the
patients culture. What did the nurse demonstrate while caring for this patient?
A. Cultural beliefs
B. Cultural awareness
C. Cultural sensitivity
D. Cultural competence
15. A female caucasian nurse, overhead discussing a patient from another culture, asks why the patient
wants to see a practitioner from his own culture, since everyone sees physicians when they are ill. What
characteristic is the nurse exhibiting?
A. Stereotyping
B. Ethnocentrism
C. Cultural sensitivity
D. Cultural generalization
16. During an assessment, the nurse determines that a patient from a non-english speaking culture
practices activities that are past-oriented. What behavior did the nurse assess in this patient?
,A. Investing time and money
B. Enjoying each day as it comes
C. Worshipping ancestors and maintaining traditions
D. Learning from the past to avoid making the same mistakes in the future
17. The nurse notes that a patient of arab descent is not eating anything on the meal trays. What should
the nurse do about this situation?
A. Wait for the patient to ask for specific foods.
B. Ask if the patient has special food preferences.
C. Consult with a physician of arab descent on staff.
D. Contact the dietitian to find out what patients of arab descent patients like to eat.
18. The mother of a 6-year-old vietnamese child admitted with pneumonia is rubbing a coin on the
childs back. The coin leaves red marks. What should the nurse do about this observation?
A. Report the possibility of child abuse.
B. Do not allow the mother to be alone with her child.
C. Explain to the mother that she cannot do this in the hospital.
D. Add a statement to the care plan that the family practices coining.
19. The family of an older arab-american patient does not want the patient to be informed
Of a diagnosis of cancer. What should the nurse do?
A. Call a religious counselor.
B. Respect the familys wishes.
C. Insist that the family tell the patient about the diagnosis.
D. Tell the patient anyway, because patients have a right to know.
20. A patient with diabetes mellitus who comes to the clinic for a routine examination agrees to have a
diagnostic test, but is concerned that her transportation will not wait for the test to be performed. What
should the nurse do?
A. Contact the department to have the test done now.
,B. Ask the patient to schedule an appointment for the test.
C. Refer the patient to the community health nurse practitioner.
D. Schedule the test for the next time the patient comes to the clinic.
21. The nurse is assessing a patient who believes in a balance of yin and yang in the body, has a brother
with stomach cancer, and frequently uses acupuncture for headache treatment. The nurse should
validate that the patient is a member of which cultural group?
A. Hispanic/latino
B. Asian american
C. African american
D. American indian/native alaskan
22. An older patient is observed wearing a copper bracelet to relieve the pain of arthritis. What type of
practice should the nurse realize this patient is demonstrating?
A. Allopathy
B. Acupressure
C. Reflexology
D. Folk medicine
23. The nurse is preparing discharge teaching for an older patient who immigrated to the united states a
few years ago. What should the nurse remember when preparing these instructions?
A. The patient most likely has limited financial resources.
B. The patient will prefer to follow cultural medical practices.
C. The patient will most likely live with other family members.
D. The patient will attend all follow-up appointments as needed.
24. During a home visit to a family of a non-english speaking culture, the nurse observes
The male parent becoming upset when the youngest child refuses to speak the native language in the
home. What should the nurse realize is occurring within the family at this time?
A. Ethnocentrism
,B. Cultural shock
C. Cultural conflict
D. Cultural assimilation
25. An older male patient is admitted to the hospital for treatment of a chronic disease. The spouse is at
the bedside for most hours of the day, and the patients children come to visit every day after work to
discuss activities and ask for advice. What should the nurse realize about the social organization of this
family?
A. The male patient is the head of the household.
B. The spouse does not trust health care providers.
C. The children want to learn everything before the patient dies.
D. The children are concerned that the patient is not receiving adequate care.
multiple response
Identify one or more choices that best complete the statement or answer the question.
26. The nurse is planning care for a patient from a non-english speaking culture. Which cultural factors
should the nurse be aware of in order to provide culturally competent care to this patient? (select all
that apply.)
A. The patients nutritional habits
B. The patients communication style
C. The patients sense of personal space
D. Complementary therapies the patient is using
E. The prescribed medications the patient is taking
27. A female nurse is providing smoking cessation counseling and education during a community health
fair. The nurse should avoid physical closeness, shaking hands, or touching during instruction with which
of the following? (select all that apply.)
A. A 35-year-old man of asian descent
B. A 45-year-old woman of arab descent
C. A 28-year-old man of hispanic descent
, D. A 52-year-old woman of african american descent
E. A 41-year-old woman of american indian descent
28. The nurse is providing care in a clinic with a culturally diverse patient population.
Which actions should the nurse take to ensure care is culturally appropriate? (select all that apply.)
A. Awareness of cultural bias
B. Desire to be culturally competent
C. Educational training related to world politics
D. Awareness of personal communication patterns
E. Number of face-to-face encounters with people from various cultural backgrounds
29.the staff development instructor is planning a seminar on improving cultural sensitivity when
providing patient care. What should the instructor include in this seminar? (select all that apply.)
A. Information about different cultural groups
B. Recognition that patient are unique and not defined by their culture
C. Ways to enhance cultural assimilation in the health care environment
D. The importance of nurses knowing information about their own cultural group
E. Strategies to incorporate patients cultural values and practices into the plan of care
30.the nurse is visiting the home of a patient who recently immigrated to the united states from buenos
aires. Which observations in the patients home should the nurse question to determine the patients
health beliefs? (select all that apply.)
A. Black bracelet woven with a cross being worn on the patients left wrist
B. A lit candle burning near a picture of a saint on a side table in the living room
C. Cup of hot black liquid that the patient is sipping from periodically during the visit
D. A copy of a magazine printed in spanish sitting on the coffee table in the living room
E. A pillow placed between the patient and the nurse after the nurse sits down on the couch
Chapter 1. Answer section
Family practice guidelines 5th edition
by cash,glass,mullen|100% verified answers
(with answer key at end of chapter)
,table of contents
chapter 1. Health maintenance guidelines ................................................................................................... 3
chapter 2. Public health guidelines ............................................................................................................. 30
chapter 3. Pain management guidelines .................................................................................................... 55
chapter 4. Dermatology guidelines ............................................................................................................. 65
chapter 5. Nasal guidelines ......................................................................................................................... 74
chapter 6. Throat and mouth guidelines .................................................................................................... 78
chapter 7. Respiratory guidelines ............................................................................................................... 92
chapter 8. Cardiovascular guidelines ........................................................................................................ 113
chapter 9. Obstetrics guidelines ............................................................................................................... 176
chapter 10. Gynecologic guidelines .......................................................................................................... 192
chapter 11. Sexually transmitted infections guidelines ............................................................................ 218
chapter 12. Infectious disease guidelines ................................................................................................. 237
chapter 13. Systemic disorders guidelines ............................................................................................... 259
chapter 14. Musculoskeletal guidelines ................................................................................................... 297
chapter 15. Neurologic guidelines ............................................................................................................ 319
chapter 16. Endocrine guidelines ............................................................................................................. 339
chapter 17. Rheumatological guidelines................................................................................................... 349
chapter 18. Psychiatric guidelines ............................................................................................................ 364
chapter 19. Assessment guide for sport participation.............................................................................. 392
,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 the patient understands possible consequences and then respect the patients wishes.
5. A patient of mexican descent sees a curandero for asthma; the curandero has prescribed a special tea
to be taken four times a day to open the airways. How should the nurse respond to this situation?
A. Encourage the patient to continue drinking the tea.
B. Encourage the patient to drink only one cup of the tea each day.
C. Ask the patient to bring in the tea package and have the pharmacist check the ingredients.
D. Advise the patient to stop drinking the tea because of potential interactions with other
medications.
6. The nurse is caring for a young adult male patient who refuses personal care from a female nursing
assistant. Which approach by the nurse is best?
A. Encourage the patients family to talk with him about his care.
B. Have a registered nurse (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 hospital.
7. The nurse is providing medication instructions to a 45-year-old patient who does not maintain eye
contact. What should this patients behavior indicate to the nurse?
A. The patient is not interested.
B. The nurse threatens the patients ego.
C. The nurse is in a hierarchical position.
D. The patient does not intend to follow the instructions.
8. The nurse is caring for a patient of spanish descent who is experiencing pain, but does not speak
english. An interpreter is located to help with the assessment. What should the nurse do to facilitate
communication with this patient?
A. Use hand signals to determine the cause of the pain.
,B. Ensure the interpreter is not left alone with the patient.
C. Maintain eye contact with the patient 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 nurse 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 patient who follows the muslim religion is approaching death. The family says the patients
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 patient is using.
Which action by the nurse 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 patient is closer to death.
D. Tell them it is impossible because of the short tubing on the oxygen and suction.
11. A patient of northern european descent recovering from surgery denies postoperative pain;
however, vital signs indicate an elevated pulse and blood pressure. The patient 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 patients denial of pain, and do not encourage the pain medicine.
12. A nurse 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 nurse
,understands, the answer is always: yes, i understand. What should the preceptor do to measure the
nurses comprehension?
A. Give the nurse a medication quiz.
B. Have the nurse repeat the instructions.
C. Have the nurse demonstrate the procedures.
D. Ask the nurse 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 nurse respond to this request?
A. Report the request to the physician immediately.
B. Tell the patient that this is not permitted during hospitalization.
C. Tell the patient it is okay for the voodoo practitioner to say prayers.
D. Have the patient meet with the voodoo practitioner in the hospital lobby.
14. The nurse is caring for a patient from a non-english speaking culture. While providing care, the nurse
shows an appreciation for and attention to arts, music, crafts, clothing, and foods belonging to the
patients culture. What did the nurse demonstrate while caring for this patient?
A. Cultural beliefs
B. Cultural awareness
C. Cultural sensitivity
D. Cultural competence
15. A female caucasian nurse, overhead discussing a patient from another culture, asks why the patient
wants to see a practitioner from his own culture, since everyone sees physicians when they are ill. What
characteristic is the nurse exhibiting?
A. Stereotyping
B. Ethnocentrism
C. Cultural sensitivity
D. Cultural generalization
16. During an assessment, the nurse determines that a patient from a non-english speaking culture
practices activities that are past-oriented. What behavior did the nurse assess in this patient?
,A. Investing time and money
B. Enjoying each day as it comes
C. Worshipping ancestors and maintaining traditions
D. Learning from the past to avoid making the same mistakes in the future
17. The nurse notes that a patient of arab descent is not eating anything on the meal trays. What should
the nurse do about this situation?
A. Wait for the patient to ask for specific foods.
B. Ask if the patient has special food preferences.
C. Consult with a physician of arab descent on staff.
D. Contact the dietitian to find out what patients of arab descent patients like to eat.
18. The mother of a 6-year-old vietnamese child admitted with pneumonia is rubbing a coin on the
childs back. The coin leaves red marks. What should the nurse do about this observation?
A. Report the possibility of child abuse.
B. Do not allow the mother to be alone with her child.
C. Explain to the mother that she cannot do this in the hospital.
D. Add a statement to the care plan that the family practices coining.
19. The family of an older arab-american patient does not want the patient to be informed
Of a diagnosis of cancer. What should the nurse do?
A. Call a religious counselor.
B. Respect the familys wishes.
C. Insist that the family tell the patient about the diagnosis.
D. Tell the patient anyway, because patients have a right to know.
20. A patient with diabetes mellitus who comes to the clinic for a routine examination agrees to have a
diagnostic test, but is concerned that her transportation will not wait for the test to be performed. What
should the nurse do?
A. Contact the department to have the test done now.
,B. Ask the patient to schedule an appointment for the test.
C. Refer the patient to the community health nurse practitioner.
D. Schedule the test for the next time the patient comes to the clinic.
21. The nurse is assessing a patient who believes in a balance of yin and yang in the body, has a brother
with stomach cancer, and frequently uses acupuncture for headache treatment. The nurse should
validate that the patient is a member of which cultural group?
A. Hispanic/latino
B. Asian american
C. African american
D. American indian/native alaskan
22. An older patient is observed wearing a copper bracelet to relieve the pain of arthritis. What type of
practice should the nurse realize this patient is demonstrating?
A. Allopathy
B. Acupressure
C. Reflexology
D. Folk medicine
23. The nurse is preparing discharge teaching for an older patient who immigrated to the united states a
few years ago. What should the nurse remember when preparing these instructions?
A. The patient most likely has limited financial resources.
B. The patient will prefer to follow cultural medical practices.
C. The patient will most likely live with other family members.
D. The patient will attend all follow-up appointments as needed.
24. During a home visit to a family of a non-english speaking culture, the nurse observes
The male parent becoming upset when the youngest child refuses to speak the native language in the
home. What should the nurse realize is occurring within the family at this time?
A. Ethnocentrism
,B. Cultural shock
C. Cultural conflict
D. Cultural assimilation
25. An older male patient is admitted to the hospital for treatment of a chronic disease. The spouse is at
the bedside for most hours of the day, and the patients children come to visit every day after work to
discuss activities and ask for advice. What should the nurse realize about the social organization of this
family?
A. The male patient is the head of the household.
B. The spouse does not trust health care providers.
C. The children want to learn everything before the patient dies.
D. The children are concerned that the patient is not receiving adequate care.
multiple response
Identify one or more choices that best complete the statement or answer the question.
26. The nurse is planning care for a patient from a non-english speaking culture. Which cultural factors
should the nurse be aware of in order to provide culturally competent care to this patient? (select all
that apply.)
A. The patients nutritional habits
B. The patients communication style
C. The patients sense of personal space
D. Complementary therapies the patient is using
E. The prescribed medications the patient is taking
27. A female nurse is providing smoking cessation counseling and education during a community health
fair. The nurse should avoid physical closeness, shaking hands, or touching during instruction with which
of the following? (select all that apply.)
A. A 35-year-old man of asian descent
B. A 45-year-old woman of arab descent
C. A 28-year-old man of hispanic descent
, D. A 52-year-old woman of african american descent
E. A 41-year-old woman of american indian descent
28. The nurse is providing care in a clinic with a culturally diverse patient population.
Which actions should the nurse take to ensure care is culturally appropriate? (select all that apply.)
A. Awareness of cultural bias
B. Desire to be culturally competent
C. Educational training related to world politics
D. Awareness of personal communication patterns
E. Number of face-to-face encounters with people from various cultural backgrounds
29.the staff development instructor is planning a seminar on improving cultural sensitivity when
providing patient care. What should the instructor include in this seminar? (select all that apply.)
A. Information about different cultural groups
B. Recognition that patient are unique and not defined by their culture
C. Ways to enhance cultural assimilation in the health care environment
D. The importance of nurses knowing information about their own cultural group
E. Strategies to incorporate patients cultural values and practices into the plan of care
30.the nurse is visiting the home of a patient who recently immigrated to the united states from buenos
aires. Which observations in the patients home should the nurse question to determine the patients
health beliefs? (select all that apply.)
A. Black bracelet woven with a cross being worn on the patients left wrist
B. A lit candle burning near a picture of a saint on a side table in the living room
C. Cup of hot black liquid that the patient is sipping from periodically during the visit
D. A copy of a magazine printed in spanish sitting on the coffee table in the living room
E. A pillow placed between the patient and the nurse after the nurse sits down on the couch
Chapter 1. Answer section
