TEST BANKS For Family Practice Guidelines 6th Editio
u u u u u u u
n by Jill C. Cash; Cheryl A. Glass; Jenny Mullen||Chapte
u u u u u u u u u
rs 1 - 23
u u u
,
,Chapteru1.uHealthuMaintenanceuGuidelinesu
MultipleuChoice
Identifyutheuchoiceuthatubestucompletesutheustatementuoruanswersutheuquestion.
u
1.uTheunurseuisupreparingutouteachuaupatientuofutheuAsianucultureutouperformupostoperativeudr
essinguchangesuatuhomeuafterudischarge.uWhichustatementumadeubyutheunurseuindicatesuculturaluco
mpetence?
a. Tellumeuhowuyouufeeluaboutuyourusurgery.
b. Asianupeopleuareusmart,usouthisushouldubeueasyuforuyouutouunderstand.
c. Americanusurgeonsuareuhighlyuqualified;uImusureuyouuwilluhealuquickly.
d. Willuyouutellumeuaboutuanyutraditionaluhealingupracticesuthatuyouuwouldulikeutouuse?
u
2.uAnuunconsciousuvictimuofuauhouseufireuisubroughtutoutheuemergencyudepartmentubyutheup
aramedics.uTiedutoutheurightuwristuisuanuemblemuthatuappearsubeuaureligiousutalisman.uWhichuact
ionushouldutheunurseutake?
a. Tapeuituinuplace.
b. Dounothinguwithuit.
c. Removeuituandulockuituupuforusafekeeping.
d. Placeuituinuauclothingubaguwithutheurestuofutheupatientsubelongings.
u 3.uAu43-year-
oldupatientuofuArabudescentuisuadmittedutoutheuhospital.uToucomplyuwithutheustateulawsuofutheuorg
anization,utheunurseuoffersutheupatientuauPapanicolaouusmear,uwhichusheurefuses.uWhichuactionus
houldutheunurseutakeufirst?
a. Notifyutheuphysician.
b. Reportutheurefusalutoutheusupervisor.
c. Explainutheurationaleuforuandubenefitsuofutheutest.
d. Telluheruituisustateulawuanduthatusheudoesunotuhaveuauchoice.
u
4.uAupatientuwhouisuauJehovahsuWitnessuhasusevereugastrointestinalubleedinguanduaudangerous
lyulowuhemoglobinulevel.uTheupatientuisufullyualertuanducompetentuandurefusesutouacceptutheubloodutr
ansfusionuorderedubyutheuphysician.uWhichuactionubyutheunurseuisumostuappropriate?
a. Obtainuaucourtuorderutougiveutheublood.
b. Administerutheublooduwhileutheupatientuisusleeping.
c. Haveutheupatientsuspouseusignutheuconsentutouhaveutheublooduadministered.
, d. Ensureutheupatientuunderstandsupossibleuconsequencesuanduthenurespectutheupatientsuwishes.
u
5.uAupatientuofuMexicanudescentuseesuaucuranderouforuasthma;utheucuranderouhasuprescribedua
uspecialuteautoubeutakenufourutimesuaudayutouopenutheuairways.uHowushouldutheunurseurespondutouthi
susituation?
a. Encourageutheupatientutoucontinueudrinkingutheutea.
b. Encourageutheupatientutoudrinkuonlyuoneucupuofutheuteaueachuday.
c. Askutheupatientutoubringuinutheuteaupackageuanduhaveutheupharmacistucheckutheuingredients.
d. Adviseutheupatientutoustopudrinkingutheuteaubecauseuofupotentialuinteractionsuwithuotheru
medications.
u
6.uTheunurseuisucaringuforuauyounguadultumaleupatientuwhourefusesupersonalucareufromuauf
emaleunursinguassistant.uWhichuapproachubyutheunurseuisubest?
a. Encourageutheupatientsufamilyutoutalkuwithuhimuaboutuhisucare.
b. Haveuauregisteredunurseu(RN)uhelpuwithuhisupersonalucare.
c. Assignuaumaleuassistantutouhelpuwithuhisupersonalucareuifuoneuisuavailable.
d. Explainutouhimuthatumalesuandufemalesutakeucareuofubothugendersuinuthisuhospital.
u 7.uTheunurseuisuprovidingumedicationuinstructionsutouau45-year-
oldupatientuwhoudoesunotumaintainueyeucontact.uWhatushoulduthisupatientsubehavioruindicateutout
heunurse?
a. Theupatientuisunotuinterested.
b. Theunurseuthreatensutheupatientsuego.
c. Theunurseuisuinuauhierarchicaluposition.
d. Theupatientudoesunotuintendutoufollowutheuinstructions.
8.uTheunurseuisucaringuforuaupatientuofuSpanishudescentuwhouisuexperiencingupain,ubutudoesuno
uuuuuuuuu
tuspeakuEnglish.uAnuinterpreteruisulocatedutouhelpuwithutheuassessment.uWhatushouldutheunurseudout
oufacilitateucommunicationuwithuthisupatient?
a. Useuhandusignalsutoudetermineutheucauseuofutheupain.
b. Ensureutheuinterpreteruisunotuleftualoneuwithutheupatient.
c. Maintainueyeucontactuwithutheupatientuandutheuinterpreter.
d. Useuonlyuphysicaluexaminationudata;udounoturelyuonuverbalucommunication.
u 9.uAunewumotheruofuGuatemalanudescentubringsuheru10-day-olduinfantutouauclinicuforuauwell-
ubabyucheckup.uToupromoteuhealing,usheuhasuaucoinutapedutoutheuinfantsuumbilicus.uWhatushoulduthe
unurseudouaboututhisusituation?
u u u u u u u
n by Jill C. Cash; Cheryl A. Glass; Jenny Mullen||Chapte
u u u u u u u u u
rs 1 - 23
u u u
,
,Chapteru1.uHealthuMaintenanceuGuidelinesu
MultipleuChoice
Identifyutheuchoiceuthatubestucompletesutheustatementuoruanswersutheuquestion.
u
1.uTheunurseuisupreparingutouteachuaupatientuofutheuAsianucultureutouperformupostoperativeudr
essinguchangesuatuhomeuafterudischarge.uWhichustatementumadeubyutheunurseuindicatesuculturaluco
mpetence?
a. Tellumeuhowuyouufeeluaboutuyourusurgery.
b. Asianupeopleuareusmart,usouthisushouldubeueasyuforuyouutouunderstand.
c. Americanusurgeonsuareuhighlyuqualified;uImusureuyouuwilluhealuquickly.
d. Willuyouutellumeuaboutuanyutraditionaluhealingupracticesuthatuyouuwouldulikeutouuse?
u
2.uAnuunconsciousuvictimuofuauhouseufireuisubroughtutoutheuemergencyudepartmentubyutheup
aramedics.uTiedutoutheurightuwristuisuanuemblemuthatuappearsubeuaureligiousutalisman.uWhichuact
ionushouldutheunurseutake?
a. Tapeuituinuplace.
b. Dounothinguwithuit.
c. Removeuituandulockuituupuforusafekeeping.
d. Placeuituinuauclothingubaguwithutheurestuofutheupatientsubelongings.
u 3.uAu43-year-
oldupatientuofuArabudescentuisuadmittedutoutheuhospital.uToucomplyuwithutheustateulawsuofutheuorg
anization,utheunurseuoffersutheupatientuauPapanicolaouusmear,uwhichusheurefuses.uWhichuactionus
houldutheunurseutakeufirst?
a. Notifyutheuphysician.
b. Reportutheurefusalutoutheusupervisor.
c. Explainutheurationaleuforuandubenefitsuofutheutest.
d. Telluheruituisustateulawuanduthatusheudoesunotuhaveuauchoice.
u
4.uAupatientuwhouisuauJehovahsuWitnessuhasusevereugastrointestinalubleedinguanduaudangerous
lyulowuhemoglobinulevel.uTheupatientuisufullyualertuanducompetentuandurefusesutouacceptutheubloodutr
ansfusionuorderedubyutheuphysician.uWhichuactionubyutheunurseuisumostuappropriate?
a. Obtainuaucourtuorderutougiveutheublood.
b. Administerutheublooduwhileutheupatientuisusleeping.
c. Haveutheupatientsuspouseusignutheuconsentutouhaveutheublooduadministered.
, d. Ensureutheupatientuunderstandsupossibleuconsequencesuanduthenurespectutheupatientsuwishes.
u
5.uAupatientuofuMexicanudescentuseesuaucuranderouforuasthma;utheucuranderouhasuprescribedua
uspecialuteautoubeutakenufourutimesuaudayutouopenutheuairways.uHowushouldutheunurseurespondutouthi
susituation?
a. Encourageutheupatientutoucontinueudrinkingutheutea.
b. Encourageutheupatientutoudrinkuonlyuoneucupuofutheuteaueachuday.
c. Askutheupatientutoubringuinutheuteaupackageuanduhaveutheupharmacistucheckutheuingredients.
d. Adviseutheupatientutoustopudrinkingutheuteaubecauseuofupotentialuinteractionsuwithuotheru
medications.
u
6.uTheunurseuisucaringuforuauyounguadultumaleupatientuwhourefusesupersonalucareufromuauf
emaleunursinguassistant.uWhichuapproachubyutheunurseuisubest?
a. Encourageutheupatientsufamilyutoutalkuwithuhimuaboutuhisucare.
b. Haveuauregisteredunurseu(RN)uhelpuwithuhisupersonalucare.
c. Assignuaumaleuassistantutouhelpuwithuhisupersonalucareuifuoneuisuavailable.
d. Explainutouhimuthatumalesuandufemalesutakeucareuofubothugendersuinuthisuhospital.
u 7.uTheunurseuisuprovidingumedicationuinstructionsutouau45-year-
oldupatientuwhoudoesunotumaintainueyeucontact.uWhatushoulduthisupatientsubehavioruindicateutout
heunurse?
a. Theupatientuisunotuinterested.
b. Theunurseuthreatensutheupatientsuego.
c. Theunurseuisuinuauhierarchicaluposition.
d. Theupatientudoesunotuintendutoufollowutheuinstructions.
8.uTheunurseuisucaringuforuaupatientuofuSpanishudescentuwhouisuexperiencingupain,ubutudoesuno
uuuuuuuuu
tuspeakuEnglish.uAnuinterpreteruisulocatedutouhelpuwithutheuassessment.uWhatushouldutheunurseudout
oufacilitateucommunicationuwithuthisupatient?
a. Useuhandusignalsutoudetermineutheucauseuofutheupain.
b. Ensureutheuinterpreteruisunotuleftualoneuwithutheupatient.
c. Maintainueyeucontactuwithutheupatientuandutheuinterpreter.
d. Useuonlyuphysicaluexaminationudata;udounoturelyuonuverbalucommunication.
u 9.uAunewumotheruofuGuatemalanudescentubringsuheru10-day-olduinfantutouauclinicuforuauwell-
ubabyucheckup.uToupromoteuhealing,usheuhasuaucoinutapedutoutheuinfantsuumbilicus.uWhatushoulduthe
unurseudouaboututhisusituation?
