TEST BANK
Family Practice Guidelines by Jill C. Cash
Fifth Edition
TEST BANK
,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 lnurse ldo labout lthis lsituation?
a. Teach lthe lmother lhow lto lclean lthe lcoin ldaily land lreapply lit.
b. Explain lto lthe lmother lthat lthe lcoin lis lnot lnecessary lfor lhealing.
c. Tell lthe lmother lto lremove lthe lcoin, lbecause lit lcould lcause lan linfection.
d. Teach lthe lmother lhow lto lapply la ldry lsterile ldressing lin lplace lof lthe lcoin.
10. lAn lolder lpatient lwho lfollows lthe lMuslim lreligion lis lapproaching ldeath. lThe
lfamily lsays lthe lpatients lbed lshould lbe lturned ltoward lthe lopposite lwall, lso lit lcan lface
lMecca lto lensure lan leasier lpassage linto lthe lnext llife. lThe lwall lthey lwant lthe lbed lto lface
lhas lwall lsuction land loxygen, lwhich lthe lpatient lis lusing. lWhich laction lby lthe lnurse lis
lappropriate?
a. Get lpermission lfrom lthe lphysician lto lmove lthe lbed.
b. Rearrange lthe lfurniture lto laccommodate lthe lrequest.
c. Tell lthem lyou lwill lmove lthe lbed lwhen lthe lpatient lis lcloser lto ldeath.
d. Tell lthem lit lis limpossible lbecause lof lthe lshort ltubing lon lthe loxygen land lsuction.
l l 11. lA lpatient lof lnorthern lEuropean ldescent lrecovering lfrom lsurgery ldenies
lpostoperative lpain; lhowever, lvital lsigns lindicate lan lelevated lpulse land lblood lpressure. lThe
lpatient lrefuses lto lmove lin lbed. lWhich lnursing laction lwould lbest lensure lcomfort land
ltimely ldischarge?
a. Give lthe lpain lmedicine las lprescribed.
b. Ask lthe lphysician lto lprescribe lthe lanalgesics laround lthe lclock.
c. Explain lthat lthe lpain lmedicine lwill lhelp lprevent lcomplications.
d. Respect lthe lpatients ldenial lof lpain, land ldo lnot lencourage lthe lpain lmedicine.
12. lA lnurse lwho lemigrated lfrom lChina lbegins lworking lon la lmedical lunit. lThe
lpreceptor lexplains lthe lunit lroutines, lincluding lthe lmedication ladministration lsystem. lWhen
lthe lpreceptor lasks lif lthe lnurse lunderstands, lthe lanswer lis lalways: lYes, lI lunderstand. lWhat
lshould lthe lpreceptor ldo lto lmeasure lthe lnurses lcomprehension?
a. Give lthe lnurse la lmedication lquiz.
b. Have lthe lnurse lrepeat lthe linstructions.
c. Have lthe lnurse ldemonstrate lthe lprocedures.
d. Ask lthe lnurse lwhich linformation lis lhard lto lunderstand.
13. lA l52-year-old lfrom lHaiti lis lhospitalized lwith lheart lfailure land lwants lto lhave la
lvoodoo lpractitioner lvisit lto lsay lprayers. lHow lshould lthe lnurse lrespond lto lthis lrequest?
a. Report lthe lrequest lto lthe lphysician limmediately.
Family Practice Guidelines by Jill C. Cash
Fifth Edition
TEST BANK
,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 lnurse ldo labout lthis lsituation?
a. Teach lthe lmother lhow lto lclean lthe lcoin ldaily land lreapply lit.
b. Explain lto lthe lmother lthat lthe lcoin lis lnot lnecessary lfor lhealing.
c. Tell lthe lmother lto lremove lthe lcoin, lbecause lit lcould lcause lan linfection.
d. Teach lthe lmother lhow lto lapply la ldry lsterile ldressing lin lplace lof lthe lcoin.
10. lAn lolder lpatient lwho lfollows lthe lMuslim lreligion lis lapproaching ldeath. lThe
lfamily lsays lthe lpatients lbed lshould lbe lturned ltoward lthe lopposite lwall, lso lit lcan lface
lMecca lto lensure lan leasier lpassage linto lthe lnext llife. lThe lwall lthey lwant lthe lbed lto lface
lhas lwall lsuction land loxygen, lwhich lthe lpatient lis lusing. lWhich laction lby lthe lnurse lis
lappropriate?
a. Get lpermission lfrom lthe lphysician lto lmove lthe lbed.
b. Rearrange lthe lfurniture lto laccommodate lthe lrequest.
c. Tell lthem lyou lwill lmove lthe lbed lwhen lthe lpatient lis lcloser lto ldeath.
d. Tell lthem lit lis limpossible lbecause lof lthe lshort ltubing lon lthe loxygen land lsuction.
l l 11. lA lpatient lof lnorthern lEuropean ldescent lrecovering lfrom lsurgery ldenies
lpostoperative lpain; lhowever, lvital lsigns lindicate lan lelevated lpulse land lblood lpressure. lThe
lpatient lrefuses lto lmove lin lbed. lWhich lnursing laction lwould lbest lensure lcomfort land
ltimely ldischarge?
a. Give lthe lpain lmedicine las lprescribed.
b. Ask lthe lphysician lto lprescribe lthe lanalgesics laround lthe lclock.
c. Explain lthat lthe lpain lmedicine lwill lhelp lprevent lcomplications.
d. Respect lthe lpatients ldenial lof lpain, land ldo lnot lencourage lthe lpain lmedicine.
12. lA lnurse lwho lemigrated lfrom lChina lbegins lworking lon la lmedical lunit. lThe
lpreceptor lexplains lthe lunit lroutines, lincluding lthe lmedication ladministration lsystem. lWhen
lthe lpreceptor lasks lif lthe lnurse lunderstands, lthe lanswer lis lalways: lYes, lI lunderstand. lWhat
lshould lthe lpreceptor ldo lto lmeasure lthe lnurses lcomprehension?
a. Give lthe lnurse la lmedication lquiz.
b. Have lthe lnurse lrepeat lthe linstructions.
c. Have lthe lnurse ldemonstrate lthe lprocedures.
d. Ask lthe lnurse lwhich linformation lis lhard lto lunderstand.
13. lA l52-year-old lfrom lHaiti lis lhospitalized lwith lheart lfailure land lwants lto lhave la
lvoodoo lpractitioner lvisit lto lsay lprayers. lHow lshould lthe lnurse lrespond lto lthis lrequest?
a. Report lthe lrequest lto lthe lphysician limmediately.
