TEST BANKS For Family Practice Guidelines 5th
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 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. fThe fnurse fis fcaring ffor fa fyoung fadult fmale fpatient fwho frefuses fpersonal fcare ffrom fa ffemale
fnursing fassistant. fWhich fapproach fby fthe fnurse fis fbest?
a. Encourage fthe fpatients ffamily fto ftalk fwith fhim fabout fhis fcare.
b. Have fa fregistered fnurse f(RN) fhelp fwith fhis fpersonal fcare.
c. Assign fa fmale fassistant fto fhelp fwith fhis fpersonal fcare fif fone fis favailable.
d. Explain fto fhim fthat fmales fand ffemales ftake fcare fof fboth fgenders fin fthis fhospital.
f 7. fThe fnurse fis fproviding fmedication finstructions fto fa f45-year-old fpatient fwho fdoes fnot
fmaintain feye fcontact. fWhat fshould fthis fpatients fbehavior findicate fto fthe fnurse?
a. The fpatient fis fnot finterested.
b. The fnurse fthreatens fthe fpatients fego.
c. The fnurse fis fin fa fhierarchical fposition.
d. The fpatient fdoes fnot fintend fto ffollow fthe finstructions.
f f f f f f f f f8. fThe fnurse fis fcaring ffor fa fpatient fof fSpanish fdescent fwho fis fexperiencing fpain, fbut fdoes
, fnot fspeak fEnglish. fAn finterpreter fis flocated fto fhelp fwith fthe fassessment. fWhat fshould fthe fnurse fdo fto
ffacilitate fcommunication fwith fthis fpatient?
a. Use fhand fsignals fto fdetermine fthe fcause fof fthe fpain.
b. Ensure fthe finterpreter fis fnot fleft falone fwith fthe fpatient.
c. Maintain feye fcontact fwith fthe fpatient fand fthe finterpreter.
d. Use fonly fphysical fexamination fdata; fdo fnot frely fon fverbal fcommunication.
f 9. fA fnew fmother fof fGuatemalan fdescent fbrings fher f10-day-old finfant fto fa fclinic ffor fa fwell-
fbaby fcheckup. fTo fpromote fhealing, fshe fhas fa fcoin ftaped fto fthe finfants fumbilicus. fWhat fshould fthe
fnurse fdo fabout fthis fsituation?
a. Teach fthe fmother fhow fto fclean fthe fcoin fdaily fand freapply fit.
b. Explain fto fthe fmother fthat fthe fcoin fis fnot fnecessary ffor fhealing.
f
c. Tell fthe fmother fto fremove fthe fcoin, fbecause fit fcould fcause fan finfection.
d. Teach fthe fmother fhow fto fapply fa fdry fsterile fdressing fin fplace fof fthe fcoin.
f 10. fAn folder fpatient fwho ffollows fthe fMuslim freligion fis fapproaching fdeath. fThe ffamily fsays
fthe fpatients fbed fshould fbe fturned ftoward fthe fopposite fwall, fso fit fcan fface fMecca fto fensure fan feasier
fpassage finto fthe fnext flife. fThe fwall fthey fwant fthe fbed fto fface fhas fwall fsuction fand foxygen, fwhich
fthe fpatient fis fusing. fWhich faction fby fthe fnurse fis fappropriate?
a. Get fpermission ffrom fthe fphysician fto fmove fthe fbed.
b. Rearrange fthe ffurniture fto faccommodate fthe frequest.
c. Tell fthem fyou fwill fmove fthe fbed fwhen fthe fpatient fis fcloser fto fdeath.
d. Tell fthem fit fis fimpossible fbecause fof fthe fshort ftubing fon fthe foxygen fand fsuction.
f f f f f f f f f11. fA fpatient fof fnorthern fEuropean fdescent frecovering ffrom fsurgery fdenies fpostoperative
fpain; fhowever, fvital fsigns findicate fan felevated fpulse fand fblood fpressure. fThe fpatient frefuses fto fmove
fin fbed. fWhich fnursing faction fwould fbest fensure fcomfort fand ftimely fdischarge?
a. Give fthe fpain fmedicine fas fprescribed.
b. Ask fthe fphysician fto fprescribe fthe fanalgesics faround fthe fclock.
c. Explain fthat fthe fpain fmedicine fwill fhelp fprevent fcomplications.
d. Respect fthe fpatients fdenial fof fpain, fand fdo fnot fencourage fthe fpain fmedicine.
f 12. fA fnurse fwho femigrated ffrom fChina fbegins fworking fon fa fmedical funit. fThe fpreceptor
fexplains fthe funit froutines, fincluding fthe fmedication fadministration fsystem. fWhen fthe fpreceptor fasks fif
fthe fnurse funderstands, fthe fanswer fis falways: fYes, fI funderstand. fWhat fshould fthe fpreceptor fdo fto
fmeasure fthe fnurses fcomprehension?
a. Give fthe fnurse fa fmedication fquiz.
b. Have fthe fnurse frepeat fthe finstructions.
c. Have fthe fnurse fdemonstrate fthe fprocedures.
d. Ask fthe fnurse fwhich finformation fis fhard fto funderstand.
f 13. fA f52-year-old ffrom fHaiti fis fhospitalized fwith fheart ffailure fand fwants fto fhave fa fvoodoo
fpractitioner fvisit fto fsay fprayers. fHow fshould fthe fnurse frespond fto fthis frequest?
a. Report fthe frequest fto fthe fphysician fimmediately.
b. Tell fthe fpatient fthat fthis fis fnot fpermitted fduring fhospitalization.
c. Tell fthe fpatient fit fis fokay ffor fthe fvoodoo fpractitioner fto fsay fprayers.
d. Have fthe fpatient fmeet fwith fthe fvoodoo fpractitioner fin fthe fhospital flobby.
f 14. fThe fnurse fis fcaring ffor fa fpatient ffrom fa fnon-English fspeaking fculture. fWhile fproviding
fcare, fthe fnurse fshows fan fappreciation ffor fand fattention fto farts, fmusic, fcrafts, fclothing, fand ffoods
f
belonging fto fthe fpatients fculture. fWhat fdid fthe fnurse fdemonstrate fwhile fcaring ffor fthis fpatient?
a. Cultural fbeliefs
b. Cultural fawareness
c. Cultural fsensitivity
d. Cultural fcompetence
f 15. fA ffemale fCaucasian fnurse, foverhead fdiscussing fa fpatient ffrom fanother fculture, fasks fwhy
fthe fpatient fwants fto fsee fa fpractitioner ffrom fhis fown fculture, fsince feveryone fsees fphysicians fwhen
fthey fare fill. fWhat fcharacteristic fis fthe fnurse fexhibiting?
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 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. fThe fnurse fis fcaring ffor fa fyoung fadult fmale fpatient fwho frefuses fpersonal fcare ffrom fa ffemale
fnursing fassistant. fWhich fapproach fby fthe fnurse fis fbest?
a. Encourage fthe fpatients ffamily fto ftalk fwith fhim fabout fhis fcare.
b. Have fa fregistered fnurse f(RN) fhelp fwith fhis fpersonal fcare.
c. Assign fa fmale fassistant fto fhelp fwith fhis fpersonal fcare fif fone fis favailable.
d. Explain fto fhim fthat fmales fand ffemales ftake fcare fof fboth fgenders fin fthis fhospital.
f 7. fThe fnurse fis fproviding fmedication finstructions fto fa f45-year-old fpatient fwho fdoes fnot
fmaintain feye fcontact. fWhat fshould fthis fpatients fbehavior findicate fto fthe fnurse?
a. The fpatient fis fnot finterested.
b. The fnurse fthreatens fthe fpatients fego.
c. The fnurse fis fin fa fhierarchical fposition.
d. The fpatient fdoes fnot fintend fto ffollow fthe finstructions.
f f f f f f f f f8. fThe fnurse fis fcaring ffor fa fpatient fof fSpanish fdescent fwho fis fexperiencing fpain, fbut fdoes
, fnot fspeak fEnglish. fAn finterpreter fis flocated fto fhelp fwith fthe fassessment. fWhat fshould fthe fnurse fdo fto
ffacilitate fcommunication fwith fthis fpatient?
a. Use fhand fsignals fto fdetermine fthe fcause fof fthe fpain.
b. Ensure fthe finterpreter fis fnot fleft falone fwith fthe fpatient.
c. Maintain feye fcontact fwith fthe fpatient fand fthe finterpreter.
d. Use fonly fphysical fexamination fdata; fdo fnot frely fon fverbal fcommunication.
f 9. fA fnew fmother fof fGuatemalan fdescent fbrings fher f10-day-old finfant fto fa fclinic ffor fa fwell-
fbaby fcheckup. fTo fpromote fhealing, fshe fhas fa fcoin ftaped fto fthe finfants fumbilicus. fWhat fshould fthe
fnurse fdo fabout fthis fsituation?
a. Teach fthe fmother fhow fto fclean fthe fcoin fdaily fand freapply fit.
b. Explain fto fthe fmother fthat fthe fcoin fis fnot fnecessary ffor fhealing.
f
c. Tell fthe fmother fto fremove fthe fcoin, fbecause fit fcould fcause fan finfection.
d. Teach fthe fmother fhow fto fapply fa fdry fsterile fdressing fin fplace fof fthe fcoin.
f 10. fAn folder fpatient fwho ffollows fthe fMuslim freligion fis fapproaching fdeath. fThe ffamily fsays
fthe fpatients fbed fshould fbe fturned ftoward fthe fopposite fwall, fso fit fcan fface fMecca fto fensure fan feasier
fpassage finto fthe fnext flife. fThe fwall fthey fwant fthe fbed fto fface fhas fwall fsuction fand foxygen, fwhich
fthe fpatient fis fusing. fWhich faction fby fthe fnurse fis fappropriate?
a. Get fpermission ffrom fthe fphysician fto fmove fthe fbed.
b. Rearrange fthe ffurniture fto faccommodate fthe frequest.
c. Tell fthem fyou fwill fmove fthe fbed fwhen fthe fpatient fis fcloser fto fdeath.
d. Tell fthem fit fis fimpossible fbecause fof fthe fshort ftubing fon fthe foxygen fand fsuction.
f f f f f f f f f11. fA fpatient fof fnorthern fEuropean fdescent frecovering ffrom fsurgery fdenies fpostoperative
fpain; fhowever, fvital fsigns findicate fan felevated fpulse fand fblood fpressure. fThe fpatient frefuses fto fmove
fin fbed. fWhich fnursing faction fwould fbest fensure fcomfort fand ftimely fdischarge?
a. Give fthe fpain fmedicine fas fprescribed.
b. Ask fthe fphysician fto fprescribe fthe fanalgesics faround fthe fclock.
c. Explain fthat fthe fpain fmedicine fwill fhelp fprevent fcomplications.
d. Respect fthe fpatients fdenial fof fpain, fand fdo fnot fencourage fthe fpain fmedicine.
f 12. fA fnurse fwho femigrated ffrom fChina fbegins fworking fon fa fmedical funit. fThe fpreceptor
fexplains fthe funit froutines, fincluding fthe fmedication fadministration fsystem. fWhen fthe fpreceptor fasks fif
fthe fnurse funderstands, fthe fanswer fis falways: fYes, fI funderstand. fWhat fshould fthe fpreceptor fdo fto
fmeasure fthe fnurses fcomprehension?
a. Give fthe fnurse fa fmedication fquiz.
b. Have fthe fnurse frepeat fthe finstructions.
c. Have fthe fnurse fdemonstrate fthe fprocedures.
d. Ask fthe fnurse fwhich finformation fis fhard fto funderstand.
f 13. fA f52-year-old ffrom fHaiti fis fhospitalized fwith fheart ffailure fand fwants fto fhave fa fvoodoo
fpractitioner fvisit fto fsay fprayers. fHow fshould fthe fnurse frespond fto fthis frequest?
a. Report fthe frequest fto fthe fphysician fimmediately.
b. Tell fthe fpatient fthat fthis fis fnot fpermitted fduring fhospitalization.
c. Tell fthe fpatient fit fis fokay ffor fthe fvoodoo fpractitioner fto fsay fprayers.
d. Have fthe fpatient fmeet fwith fthe fvoodoo fpractitioner fin fthe fhospital flobby.
f 14. fThe fnurse fis fcaring ffor fa fpatient ffrom fa fnon-English fspeaking fculture. fWhile fproviding
fcare, fthe fnurse fshows fan fappreciation ffor fand fattention fto farts, fmusic, fcrafts, fclothing, fand ffoods
f
belonging fto fthe fpatients fculture. fWhat fdid fthe fnurse fdemonstrate fwhile fcaring ffor fthis fpatient?
a. Cultural fbeliefs
b. Cultural fawareness
c. Cultural fsensitivity
d. Cultural fcompetence
f 15. fA ffemale fCaucasian fnurse, foverhead fdiscussing fa fpatient ffrom fanother fculture, fasks fwhy
fthe fpatient fwants fto fsee fa fpractitioner ffrom fhis fown fculture, fsince feveryone fsees fphysicians fwhen
fthey fare fill. fWhat fcharacteristic fis fthe fnurse fexhibiting?
