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Edition by Jill C. Cash; Cheryl A. Glass; Jenny
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Mullen||Chapters 1 - 23
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,Chapter 1. Health Maintenance
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GuidelinesMultiple Choice
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Identify the choice that best completes the statement or answers the question.
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1. The nurse is preparing to teach a patient of the Asian culture to
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s sperform postoperative dressing changes at home after discharge. Which
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statement made by the nurse indicates culturalcompetence?
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a. Tell me how you feel about your surgery.
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b. Asian people are smart, so this should be easy for you to understand.
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c. American surgeons are highly qualified; Im sure you will heal quickly.
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d. Will you tell me about any traditional healing practices that you would like to use?
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2. An unconscious victim of a house fire is brought to the emergency
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department by theparamedics. Tied to the right wrist is an emblem that
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s sappears be a religious talisman. Which action should the nurse take?
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a. Tape it in place. s s s s s s
b. Do nothing with it.
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c. Remove it and lock it up for safekeeping. s s s s s s s s s s ss s s
d. Place it in a clothing bag with the rest of the patients belongings.
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3. A 43-year-old patient of Arab descent is admitted to the hospital.
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To comply with thestate laws of the organization, the nurse offers the
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patient a Papanicolaou smear, which she refuses. Which action should the
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nurse take first?
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a. Notify the physician. ss s s
b. Report the refusal to the supervisor.
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c. Explain the rationale for and benefits of the test.
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d. Tell her it is state law and that she does not have a choice.
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4. A patient who is a Jehovahs Witness has severe gastrointestinal
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s sbleeding and a dangerously low hemoglobin level. The patient is fully alert and
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competent and refuses to acceptthe blood transfusion ordered by the physician.
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s sWhich action by the nurse is most appropriate?
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a. Obtain a court order to give the blood.
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b. Administer the blood while the patient is sleeping. ss s s s s s s ss s s s s
, c. Have the patients spouse sign the consent to have the blood administered.
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