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 .......................................................... 32
CHAPTER 3. PAIN MANAGEMENT GUIDELINES .................................................. 58
CHAPTER 4. DERMATOLOGY GUIDELINES .......................................................... 68
CHAPTER 5. NASAL GUIDELINES ........................................................................ 77
CHAPTER 6. THROAT AND MOUTH GUIDELINES ................................................ 83
CHAPTER 7. RESPIRATORY GUIDELINES ............................................................. 97
CHAPTER 8. CARDIOVASCULAR GUIDELINES .................................................... 119
CHAPTER 9. OBSTETRICS GUIDELINES .............................................................. 184
CHAPTER 10. GYNECOLOGIC GUIDELINES ........................................................ 201
CHAPTER 11. SEXUALLY TRANSMITTED INFECTIONS GUIDELINES .................... 229
CHAPTER 12. INFECTIOUS DISEASE GUIDELINES .............................................. 249
CHAPTER 13. SYSTEMIC DISORDERS GUIDELINES............................................. 272
CHAPTER 14. MUSCULOSKELETAL GUIDELINES ................................................ 313
CHAPTER 15. NEUROLOGIC GUIDELINES .......................................................... 337
CHAPTER 16. ENDOCRINE GUIDELINES ............................................................ 357
CHAPTER 17. RHEUMATOLOGICAL GUIDELINES............................................... 367
CHAPTER 18. PSYCHIATRIC GUIDELINES .......................................................... 383
CHAPTER 19. ASSESSMENT GUIDE FOR SPORT PARTICIPATION ....................... 412
,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.