TESTBANK |
Family Practice Guidelines by Jill C. Cash
| | | | | |
Fifth Edition
|
TESTBANK |
,Jill |C. |Cash: |Family |Practice |Guidelines |Fifth |Edition
|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.
Family Practice Guidelines by Jill C. Cash
| | | | | |
Fifth Edition
|
TESTBANK |
,Jill |C. |Cash: |Family |Practice |Guidelines |Fifth |Edition
|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.
