TEST BANKS For Family Practice Guidelines 6th
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bb Edition by Jill C. Cash; Cheryl A. Glass; Jenny
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Mullen||Chapters1-23 b b b
,
,Chapter 1. Health Maintenance Guidelines
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Multiple 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 perform postoperative
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dressing changes at home after discharge. Which statement made by the nurse indicates cultural
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competence?
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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. bb bb bb bb bb bb bb bb bb bb
d. Will you tell me about any traditional healing practices that you would like to use?
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b 2. An unconscious victim of a house fire is brought to the emergency department by the
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paramedics. Tied to the right wrist is an emblem that appears be a religious talisman. Which
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action should the nurse take?
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a. Tape it in place. bb bb bb
b. Do nothing with it.
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c. Remove it and lock it up for safekeeping. bb bb bb bb bb bb bb
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. To comply with the
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state laws of the organization, the nurse offers the patient a Papanicolaou smear, which she
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refuses. Which action should the nurse take first?
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a. Notify the physician. bb bb
b. Report the refusal to the supervisor. bb bb bb bb bb
c. Explain the rationale for and benefits of the test. bb bb bb bb bb bb bb bb
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 bleeding and a
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dangerously low hemoglobin level. The patient is fully alert and competent and refuses to accept the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
blood transfusion ordered by the physician. Which action by the nurse is most appropriate?
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a. Obtain a court order to give the blood. bb bb bb bb bb bb bb
b. Administer the blood while the patient is sleeping. bb bb bb bb bb bb bb
c. Have the patients spouse sign the consent to have the blood administered.
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, d. Ensurej thej patientj understandsj possiblej consequencesj andj thenj respectj thej patientsj wishes.
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j b b 5.j Aj patientj ofj Mexicanj descentj seesj aj curanderoj forj asthma;j thej curanderoj hasj prescr
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ibedj aj specialj teaj toj bej takenj fourj timesj aj dayj toj openj thej airways.j Howj shouldj thej nursej resp
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ondj toj thisj situation?
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a. Encouragej thej patientj toj continuej drinkingj thej tea. bb bb bb bb bb bb bb
b. Encouragej thej patientj toj drinkj onlyj onej cupj ofj thej teaj eachj day. bb bb bb bb bb bb bb bb bb bb bb bb
c. Askj thej patientj toj bringj inj thej teaj packagej andj havej thej pharmacistj checkj thej ingredients.
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d. Advisej thej patientj toj stopj drinkingjthej teajbecausej ofj potentialj interactionsj withj otherj
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medications.
6.j Thej nursej isj caringj forj aj youngj adultj malej patientj whoj refusesj personalj carej fromj aj
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femalej nursingj assistant.j Whichj approachj byj thej nursej isj best?
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a. Encouragej thej patientsj familyj toj talkj withj himj aboutj hisj care. bb bb bb bb bb bb bb bb bb bb
b. Havej aj registeredj nursej (RN)j helpj withj hisj personalj care.
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c. Assignj aj malej assistantj toj helpj withj hisj personalj carej ifj onej isj available.
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d. Explainj toj himj thatj malesj andj femalesj takej carej ofj bothj gendersj inj thisj hospital.
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7.j Thej nursej isj providingj medicationj instructionsj toj aj 45-year-
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oldj patientj whoj doesj notj maintainj eyej contact.j Whatj shouldj thisj patientsj behaviorj indicatej t
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oj thej nurse?
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a. Thej patientj isj notj interested. bb bb bb bb
b. Thej nursej threatensj thej patientsj ego.
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c. Thej nursej isj inj aj hierarchicalj position.
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d. Thej patientj doesj notj intendj toj followj thej instructions.
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j b 8.j Thej nursej isj caringj forj aj patientj ofj Spanishj descentj whoj isj experiencingj pain,j butj d
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oesj notj speakj English.j Anj interpreterj isj locatedj toj helpj withj thej assessment.j Whatj shouldj thej n
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ursej doj toj facilitatej communicationj withj thisj patient?
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a. Usej handj signalsj toj determinej thej causej ofj thej pain.
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b. Ensurej thej interpreterj isj notj leftj alonej withj thej patient.
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c. Maintainj eyej contactj withj thej patientj andj thej interpreter. bb bb bb bb bb bb bb bb
d. Usej onlyj physicalj examinationj data;j doj notj relyj onj verbalj communication.
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9.j Aj newj motherj ofj Guatemalanj descentj bringsj herj 10-day-oldj infantj toj aj clinicj forj aj well-
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j babyj checkup.j Toj promotej healing,j shej hasj aj coinj tapedj toj thej infantsj umbilicus.j Whatj shoul
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dj thej nursej doj aboutj thisj situation?
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a. Teachj thej motherj howj toj cleanj thej coinj dailyj andj reapplyj it.
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b. Explainj toj thej motherj thatj thej coinj isj notj necessaryj forj healing.
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bb bb bb bb bb bb bb
bb Edition by Jill C. Cash; Cheryl A. Glass; Jenny
bb bb bb bb bb bb bb bb b b
Mullen||Chapters1-23 b b b
,
,Chapter 1. Health Maintenance Guidelines
bb bb bb bb
Multiple Choice
bb bb
Identify the choice that best completes the statement or answers the question.
bb bb bb bb bb bb bb bb bb bb bb
1. The nurse is preparing to teach a patient of the Asian culture to perform postoperative
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
dressing changes at home after discharge. Which statement made by the nurse indicates cultural
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
competence?
bb
a. Tell me how you feel about your surgery.
bb bb bb bb bb bb bb
b. Asian people are smart, so this should be easy for you to understand.
bb bb bb bb bb bb bb bb bb bb bb bb
c. American surgeons are highly qualified; Im sure you will heal quickly. bb bb bb bb bb bb bb bb bb bb
d. Will you tell me about any traditional healing practices that you would like to use?
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
b 2. An unconscious victim of a house fire is brought to the emergency department by the
b b b bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
paramedics. Tied to the right wrist is an emblem that appears be a religious talisman. Which
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
action should the nurse take?
bb bb bb bb bb
a. Tape it in place. bb bb bb
b. Do nothing with it.
bb bb bb
c. Remove it and lock it up for safekeeping. bb bb bb bb bb bb bb
d. Place it in a clothing bag with the rest of the patients belongings.
bb bb bb bb bb bb bb bb bb bb bb bb
3. A 43-year-old patient of Arab descent is admitted to the hospital. To comply with the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
state laws of the organization, the nurse offers the patient a Papanicolaou smear, which she
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
refuses. Which action should the nurse take first?
bb bb bb bb bb bb bb bb
a. Notify the physician. bb bb
b. Report the refusal to the supervisor. bb bb bb bb bb
c. Explain the rationale for and benefits of the test. bb bb bb bb bb bb bb bb
d. Tell her it is state law and that she does not have a choice.
bb bb bb bb bb bb bb bb bb bb bb bb bb
4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a
bb bb bb bb bb bb bb bb bb bb bb bb bb
dangerously low hemoglobin level. The patient is fully alert and competent and refuses to accept the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
blood transfusion ordered by the physician. Which action by the nurse is most appropriate?
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
a. Obtain a court order to give the blood. bb bb bb bb bb bb bb
b. Administer the blood while the patient is sleeping. bb bb bb bb bb bb bb
c. Have the patients spouse sign the consent to have the blood administered.
bb bb bb bb bb bb bb bb bb bb bb
, d. Ensurej thej patientj understandsj possiblej consequencesj andj thenj respectj thej patientsj wishes.
bb bb bb bb bb bb bb bb bb bb bb
j b b 5.j Aj patientj ofj Mexicanj descentj seesj aj curanderoj forj asthma;j thej curanderoj hasj prescr
j b b j b b bb bb bb bb bb bb bb bb bb bb bb bb bb bb
ibedj aj specialj teaj toj bej takenj fourj timesj aj dayj toj openj thej airways.j Howj shouldj thej nursej resp
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
ondj toj thisj situation?
bb bb bb
a. Encouragej thej patientj toj continuej drinkingj thej tea. bb bb bb bb bb bb bb
b. Encouragej thej patientj toj drinkj onlyj onej cupj ofj thej teaj eachj day. bb bb bb bb bb bb bb bb bb bb bb bb
c. Askj thej patientj toj bringj inj thej teaj packagej andj havej thej pharmacistj checkj thej ingredients.
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
d. Advisej thej patientj toj stopj drinkingjthej teajbecausej ofj potentialj interactionsj withj otherj
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
medications.
6.j Thej nursej isj caringj forj aj youngj adultj malej patientj whoj refusesj personalj carej fromj aj
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
femalej nursingj assistant.j Whichj approachj byj thej nursej isj best?
bb bb bb bb bb bb bb bb bb
a. Encouragej thej patientsj familyj toj talkj withj himj aboutj hisj care. bb bb bb bb bb bb bb bb bb bb
b. Havej aj registeredj nursej (RN)j helpj withj hisj personalj care.
bb bb bb bb bb bb bb bb bb
c. Assignj aj malej assistantj toj helpj withj hisj personalj carej ifj onej isj available.
bb bb bb bb bb bb bb bb bb bb bb bb bb
d. Explainj toj himj thatj malesj andj femalesj takej carej ofj bothj gendersj inj thisj hospital.
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
7.j Thej nursej isj providingj medicationj instructionsj toj aj 45-year-
bb bb bb bb bb bb bb bb bb
oldj patientj whoj doesj notj maintainj eyej contact.j Whatj shouldj thisj patientsj behaviorj indicatej t
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
oj thej nurse?
bb bb
a. Thej patientj isj notj interested. bb bb bb bb
b. Thej nursej threatensj thej patientsj ego.
bb bb bb bb bb
c. Thej nursej isj inj aj hierarchicalj position.
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d. Thej patientj doesj notj intendj toj followj thej instructions.
bb bb bb bb bb bb bb bb
j b 8.j Thej nursej isj caringj forj aj patientj ofj Spanishj descentj whoj isj experiencingj pain,j butj d
b j b b bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
oesj notj speakj English.j Anj interpreterj isj locatedj toj helpj withj thej assessment.j Whatj shouldj thej n
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
ursej doj toj facilitatej communicationj withj thisj patient?
bb bb bb bb bb bb bb
a. Usej handj signalsj toj determinej thej causej ofj thej pain.
bb bb bb bb bb bb bb bb bb
b. Ensurej thej interpreterj isj notj leftj alonej withj thej patient.
bb bb bb bb bb bb bb bb bb
c. Maintainj eyej contactj withj thej patientj andj thej interpreter. bb bb bb bb bb bb bb bb
d. Usej onlyj physicalj examinationj data;j doj notj relyj onj verbalj communication.
bb bb bb bb bb bb bb bb bb bb
9.j Aj newj motherj ofj Guatemalanj descentj bringsj herj 10-day-oldj infantj toj aj clinicj forj aj well-
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
j babyj checkup.j Toj promotej healing,j shej hasj aj coinj tapedj toj thej infantsj umbilicus.j Whatj shoul
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
dj thej nursej doj aboutj thisj situation?
bb bb bb bb bb bb
a. Teachj thej motherj howj toj cleanj thej coinj dailyj andj reapplyj it.
bb bb bb bb bb bb bb bb bb bb bb
b. Explainj toj thej motherj thatj thej coinj isj notj necessaryj forj healing.
bb bb bb bb bb bb bb bb bb bb bb
