Family Practice Guidelines, Sixth Edition

TEST BANKS FOR FAMILY PRACTICE GUIDELINES 6TH
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s s BB EDITION BY JILL C. CASH; CHERYL A. GLASS; JENNY
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MULLEN||CHAPTERS 1 - 23 B
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,Chapter 1. Health Maintenance Guidelines bb bb nbb bb




ss Multiple s Choice
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Identify the choice that ss best ss completes ss the statement ss or answers the ss question.
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1. ss The ss nurse ss is ss preparing ss to ss teach ss a ss patient ss of ss the ss Asian ss culture ss to ss perform
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ss postoperative s dressing changess at home s after discharge. Which statement made by the nurse
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ss indicates cultural s competence?
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a. Tellsme how s you feelss aboutss your surgery.
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b. Asian people are smart, ss so ss this ss should ss be easy for ss you ss to ss understand.
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c. American surgeons s are highly qualified;s Ims sure yous will s heals quickly. nbb bb bb bb bb bb bb bb bb bb




d. Willsyous tells me aboutss any traditionals healing practicess thatss yous woulds like to s use?
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s s 2. ss An ss unconscious ss victim ss of ss a house ss fire is ss brought ss to ss the
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ss emergency department ss by ss the ss paramedics. ss Tied ss to ss the ss right ss wrist ss is ss an ss emblem ss that
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ss appears ss be ss a ss religious ss talisman. ss Which s action s shouldss the s nurses take?
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a. Tape its inss place. bb bb bb




b. Do nothing ss with ss it.nbb bb bb




c. Remove it ss and ss locks itss up for safekeeping. bb bb bb bb bb bb bb




d. Place itss ins a clothing s bags withs thes rests of the patients ss belongings.
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3. A 43-year-oldsspatient ss ofs Arab descentss is admitted ss to the hospital. To comply with the
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ss state ss laws ss of ss the ss organization, ss the ss nurse ss offers ss the ss patient ss a ss Papanicolaou ss smear,
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ss which ss she ss refuses. ss Which ss action ss should ss the ss nurse ss take ss first?
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a. Notify the physician. bb bb




b. Report the refusal ss toss thes supervisor. nbb bb bb bb bb




c. Explain the rationales for ss and ss benefits ss of thes test. bb bb bb bb bb bb bb bb




d. Tells hers its iss state law andss thats she doesss nots havess as choice.
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4. ss A ss patient ss who ss is ss a ss Jehovahs ss Witness ss has ss severe ss gastrointestinal ss bleeding ss and
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ss a ss dangerously low hemoglobin level. The patient is fully alert and competent
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s and refuses to accept ss the ss blood ss transfusion ss ordered ss by ss the ss physician. ss Which ss action ss by
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ss the ss nurse ss is ss most ss appropriate?
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a. Obtains a courts orders tos gives thes blood. bb bb bb bb bb bb bb




b. Administer the blood s whiless the patient ss isss sleeping. bb bb bb bb bb bb bb




c. Have the patients ss spouse ss sign ss the consentss toss have the blood ss administered.
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, d. Ensure the patient ss understands ss possible ss consequences ss and then respect ss the patients ss wishes.
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s s s s5. ss A ss patient ss of ss Mexican ss descent ss sees ss a ss curandero ss for ss asthma;
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ss the ss curandero ss has ss prescribed ss a ss special ss tea ss to ss be ss taken ss four ss times ss a ss day ss to ss open
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ss the ss airways. ss How ss should ss the ss nursess respond ss to ss this ss situation?
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a. Encourage the patient to ss continue drinking the ss tea. nbb bb bb bb bb bb bb




b. Encourage thes patientss toss drinks only one cup ss ofss the ss tea eachs day. bb bb bb bb bb bb bb bb bb bb bb bb




c. Ask the patients toss brings inss the tea packages andss have thes pharmacistss check ss thes ingredients.
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d. Advise the patient to stop drinking the tea because s of potential interactionss with other
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ss medications.
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6. The nurse is caring for a young adult male patients who refusess personals care from s a
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ss female ss nursing ss assistant. ss Which ss approach ss by ss the ss nurse ss is ss best?
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a. Encourage the patientss family tos talks withs hims abouts hiss care. nbb bb bb bb bb bb bb bb bb bb




b. Have a registered ss nurses (RN) helps withs his ss personalss care.
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c. Assign a male assistant ss to ss help ss withss his ss personalss care if one is ss available.
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d. Explain tos hims thats maless ands femaless takes care ofs boths genderss ins thiss hospital.
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7. The nurse is providingsmedicationsinstructions to a 45-year-oldspatientswho does not
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ss maintain ss eye ss contact. ss What ss should ss this ss patients ss behavior ss indicate ss to ss the ss nurse?
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a. The patient ss is ss not interested.
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b. The nurse threatens the ss patients ss ego.
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c. The nurse isss in ss a hierarchical ss position.
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d. The patients doess nots intends tos follow s thes instructions.
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s s 8. ss The ss nurse ss is ss caring ss for ss a ss patient ss of ss Spanish ss descent ss who ss is
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ss experiencing ss pain, ss but ss does ss not ss speak ss English. ss An ss interpreter ss is ss located to ss help ss with
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ss the ss assessment. ss What ss should ss the ss nurse ss do ss to ss facilitate ss communication ss with ss this
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ss patient?
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a. Use hand signals ss to ss determine ss the ss cause of ss the pain.
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b. Ensure the interpreterss is ss not ss left ss alone withs thes patient.
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c. Maintain eye contacts withs the patients and thesinterpreter. nbb bb bb bb bb bb nbb bb




d. Use only physical ss examination ss data; ss doss nots rely ons verbal ss communication.
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9. A new mother of Guatemalans descent s brings her 10-day-olds infant to a clinic for a well-
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ss baby ss checkup. ss To ss promote ss healing, ss she ss has ss a ss coin ss taped ss to ss the ss infants ss umbilicus.
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ss What ss should ss the ss nurse ss do ss about ss this ss situation?
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a. Teachsthe mothers how s tos cleanss thes coins daily ands reapplys it.
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b. Explain tos thes mother thats thes coins issnots necessary for healing.
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