TEST BANK l
Family Practice Guidelines by Jill C. Cash
l l l l l l
Fifth Edition
l
TEST BANK l
,Jill lC. lCash: lFamily lPractice lGuidelines lFifth lEdition
lChapter l1.Health lMaintenance lGuidelines
Multiple lChoice
Identify lthe lchoice lthat lbest lcompletes lthe lstatement lor lanswers lthe lquestion.
1. lThe lnurse lis lpreparing lto lteach la lpatient lof lthe lAsian lculture lto lperform
l postoperative ldressing lchanges lat lhome lafter ldischarge. lWhich lstatement lmade lby lthe lnurse
indicates lcultural lcompetence?
l
a. Tell lme lhow lyou lfeel labout lyour lsurgery.
b. Asian lpeople lare lsmart, lso lthis lshould lbe leasy lfor lyou lto lunderstand.
c. American lsurgeons lare lhighly lqualified; lIm lsure lyou lwill lheal lquickly.
d. Will lyou ltell lme labout lany ltraditional lhealing lpractices lthat lyou lwould llike lto luse?
2. lAn lunconscious lvictim lof la lhouse lfire lis lbrought lto lthe lemergency ldepartment lby
the lparamedics. lTied lto lthe lright lwrist lis lan lemblem lthat lappears lbe la lreligious ltalisman.
l
l Which laction lshould lthe lnurse ltake?
a. Tape lit lin lplace.
b. Do lnothing lwith lit.
c. Remove lit land llock lit lup lfor lsafekeeping.
d. Place lit lin la lclothing lbag lwith lthe lrest lof lthe lpatients lbelongings.
3. lA l43-year-old lpatient lof lArab ldescent lis ladmitted lto lthe lhospital. lTo lcomply lwith
the lstate llaws lof lthe lorganization, lthe lnurse loffers lthe lpatient la lPapanicolaou lsmear,
l
l which lshe lrefuses. lWhich laction lshould lthe lnurse ltake lfirst?
a. Notify lthe lphysician.
b. Report lthe lrefusal lto lthe lsupervisor.
c. Explain lthe lrationale lfor land lbenefits lof lthe ltest.
d. Tell lher lit lis lstate llaw land lthat lshe ldoes lnot lhave la lchoice.
4. lA lpatient lwho lis la lJehovahs lWitness lhas lsevere lgastrointestinal lbleeding land la
l dangerously llow lhemoglobin llevel. lThe lpatient lis lfully lalert land lcompetent land lrefuses lto
accept lthe lblood ltransfusion lordered lby lthe lphysician. lWhich laction lby lthe lnurse lis lmost
l
l appropriate?
a. Obtain la lcourt lorder lto lgive lthe lblood.
b. Administer lthe lblood lwhile lthe lpatient lis lsleeping.
c. Have lthe lpatients lspouse lsign lthe lconsent lto lhave lthe lblood ladministered.
,d. Ensure lthe lpatient lunderstands lpossible lconsequences land lthen lrespect lthe lpatients lwishes.
5. lA lpatient lof lMexican ldescent lsees la lcurandero lfor lasthma; lthe lcurandero lhas
prescribed la lspecial ltea lto lbe ltaken lfour ltimes la lday lto lopen lthe lairways. lHow lshould lthe
l
l nurse lrespond lto lthis lsituation?
a. Encourage lthe lpatient lto lcontinue ldrinking lthe ltea.
b. Encourage lthe lpatient lto ldrink lonly lone lcup lof lthe ltea leach lday.
c. Ask lthe lpatient lto lbring lin lthe ltea lpackage land lhave lthe lpharmacist lcheck lthe lingredients.
d. Advise lthe lpatient lto lstop ldrinking lthe ltea lbecause lof lpotential linteractions lwith
l other lmedications.
6. lThe lnurse lis lcaring lfor la lyoung ladult lmale lpatient lwho lrefuses lpersonal lcare lfrom
a lfemale lnursing lassistant. lWhich lapproach lby lthe lnurse lis lbest?
l
a. Encourage lthe lpatients lfamily lto ltalk lwith lhim labout lhis lcare.
b. Have la lregistered lnurse l(RN) lhelp lwith lhis lpersonal lcare.
c. Assign la lmale lassistant lto lhelp lwith lhis lpersonal lcare lif lone lis lavailable.
d. Explain lto lhim lthat lmales land lfemales ltake lcare lof lboth lgenders lin lthis lhospital.
7. lThe lnurse lis lproviding lmedication linstructions lto la l45-year-old lpatient lwho ldoes
not lmaintain leye lcontact. lWhat lshould lthis lpatients lbehavior lindicate lto lthe lnurse?
l
a. The lpatient lis lnot linterested.
b. The lnurse lthreatens lthe lpatients lego.
c. The lnurse lis lin la lhierarchical lposition.
d. The lpatient ldoes lnot lintend lto lfollow lthe linstructions.
l l l 8. lThe lnurse lis lcaring lfor la lpatient lof lSpanish ldescent lwho lis lexperiencing lpain,
l but ldoes lnot lspeak lEnglish. lAn linterpreter lis llocated lto lhelp lwith lthe lassessment. lWhat
should lthe lnurse ldo lto lfacilitate lcommunication lwith lthis lpatient?
l
a. Use lhand lsignals lto ldetermine lthe lcause lof lthe lpain.
b. Ensure lthe linterpreter lis lnot lleft lalone lwith lthe lpatient.
c. Maintain leye lcontact lwith lthe lpatient land lthe linterpreter.
d. Use lonly lphysical lexamination ldata; ldo lnot lrely lon lverbal lcommunication.
l l 9. lA lnew lmother lof lGuatemalan ldescent lbrings lher l10-day-old linfant lto la lclinic lfor la
well- lbaby lcheckup. lTo lpromote lhealing, lshe lhas la lcoin ltaped lto lthe linfants lumbilicus. lWhat
l
, l should
Family Practice Guidelines by Jill C. Cash
l l l l l l
Fifth Edition
l
TEST BANK l
,Jill lC. lCash: lFamily lPractice lGuidelines lFifth lEdition
lChapter l1.Health lMaintenance lGuidelines
Multiple lChoice
Identify lthe lchoice lthat lbest lcompletes lthe lstatement lor lanswers lthe lquestion.
1. lThe lnurse lis lpreparing lto lteach la lpatient lof lthe lAsian lculture lto lperform
l postoperative ldressing lchanges lat lhome lafter ldischarge. lWhich lstatement lmade lby lthe lnurse
indicates lcultural lcompetence?
l
a. Tell lme lhow lyou lfeel labout lyour lsurgery.
b. Asian lpeople lare lsmart, lso lthis lshould lbe leasy lfor lyou lto lunderstand.
c. American lsurgeons lare lhighly lqualified; lIm lsure lyou lwill lheal lquickly.
d. Will lyou ltell lme labout lany ltraditional lhealing lpractices lthat lyou lwould llike lto luse?
2. lAn lunconscious lvictim lof la lhouse lfire lis lbrought lto lthe lemergency ldepartment lby
the lparamedics. lTied lto lthe lright lwrist lis lan lemblem lthat lappears lbe la lreligious ltalisman.
l
l Which laction lshould lthe lnurse ltake?
a. Tape lit lin lplace.
b. Do lnothing lwith lit.
c. Remove lit land llock lit lup lfor lsafekeeping.
d. Place lit lin la lclothing lbag lwith lthe lrest lof lthe lpatients lbelongings.
3. lA l43-year-old lpatient lof lArab ldescent lis ladmitted lto lthe lhospital. lTo lcomply lwith
the lstate llaws lof lthe lorganization, lthe lnurse loffers lthe lpatient la lPapanicolaou lsmear,
l
l which lshe lrefuses. lWhich laction lshould lthe lnurse ltake lfirst?
a. Notify lthe lphysician.
b. Report lthe lrefusal lto lthe lsupervisor.
c. Explain lthe lrationale lfor land lbenefits lof lthe ltest.
d. Tell lher lit lis lstate llaw land lthat lshe ldoes lnot lhave la lchoice.
4. lA lpatient lwho lis la lJehovahs lWitness lhas lsevere lgastrointestinal lbleeding land la
l dangerously llow lhemoglobin llevel. lThe lpatient lis lfully lalert land lcompetent land lrefuses lto
accept lthe lblood ltransfusion lordered lby lthe lphysician. lWhich laction lby lthe lnurse lis lmost
l
l appropriate?
a. Obtain la lcourt lorder lto lgive lthe lblood.
b. Administer lthe lblood lwhile lthe lpatient lis lsleeping.
c. Have lthe lpatients lspouse lsign lthe lconsent lto lhave lthe lblood ladministered.
,d. Ensure lthe lpatient lunderstands lpossible lconsequences land lthen lrespect lthe lpatients lwishes.
5. lA lpatient lof lMexican ldescent lsees la lcurandero lfor lasthma; lthe lcurandero lhas
prescribed la lspecial ltea lto lbe ltaken lfour ltimes la lday lto lopen lthe lairways. lHow lshould lthe
l
l nurse lrespond lto lthis lsituation?
a. Encourage lthe lpatient lto lcontinue ldrinking lthe ltea.
b. Encourage lthe lpatient lto ldrink lonly lone lcup lof lthe ltea leach lday.
c. Ask lthe lpatient lto lbring lin lthe ltea lpackage land lhave lthe lpharmacist lcheck lthe lingredients.
d. Advise lthe lpatient lto lstop ldrinking lthe ltea lbecause lof lpotential linteractions lwith
l other lmedications.
6. lThe lnurse lis lcaring lfor la lyoung ladult lmale lpatient lwho lrefuses lpersonal lcare lfrom
a lfemale lnursing lassistant. lWhich lapproach lby lthe lnurse lis lbest?
l
a. Encourage lthe lpatients lfamily lto ltalk lwith lhim labout lhis lcare.
b. Have la lregistered lnurse l(RN) lhelp lwith lhis lpersonal lcare.
c. Assign la lmale lassistant lto lhelp lwith lhis lpersonal lcare lif lone lis lavailable.
d. Explain lto lhim lthat lmales land lfemales ltake lcare lof lboth lgenders lin lthis lhospital.
7. lThe lnurse lis lproviding lmedication linstructions lto la l45-year-old lpatient lwho ldoes
not lmaintain leye lcontact. lWhat lshould lthis lpatients lbehavior lindicate lto lthe lnurse?
l
a. The lpatient lis lnot linterested.
b. The lnurse lthreatens lthe lpatients lego.
c. The lnurse lis lin la lhierarchical lposition.
d. The lpatient ldoes lnot lintend lto lfollow lthe linstructions.
l l l 8. lThe lnurse lis lcaring lfor la lpatient lof lSpanish ldescent lwho lis lexperiencing lpain,
l but ldoes lnot lspeak lEnglish. lAn linterpreter lis llocated lto lhelp lwith lthe lassessment. lWhat
should lthe lnurse ldo lto lfacilitate lcommunication lwith lthis lpatient?
l
a. Use lhand lsignals lto ldetermine lthe lcause lof lthe lpain.
b. Ensure lthe linterpreter lis lnot lleft lalone lwith lthe lpatient.
c. Maintain leye lcontact lwith lthe lpatient land lthe linterpreter.
d. Use lonly lphysical lexamination ldata; ldo lnot lrely lon lverbal lcommunication.
l l 9. lA lnew lmother lof lGuatemalan ldescent lbrings lher l10-day-old linfant lto la lclinic lfor la
well- lbaby lcheckup. lTo lpromote lhealing, lshe lhas la lcoin ltaped lto lthe linfants lumbilicus. lWhat
l
, l should
