TESTBANKS For Family Practice Guidelines 6th
d d d d d d
dEdition byJillC.Cash;CherylA.Glass;Jenny
d d d d d d d d
Mullen||Chapters1-23
d d d d
,
,Chapter1.Health MaintenanceGuidelines d d d d
Multiple Choice
d d
Identifythe choice that best completes the statement or answers the question.
d d d d d d d d d d d
d 1. The nurse is preparing to teach a patient of the Asian culture to perform postoperative dressing
d d d d d d d d d d d d d d d d
changes at home after discharge. Which statement made bythe nurse indicates culturalcompetence?
d d d d d d d d d d d d d d
a. Tell me how you feel about your surgery.
d d d d d d d
b. Asian people are smart, so this should be easyfor you to understand.
d d d d d d d d d d d d
c. Americansurgeons are highlyqualified; Im sure you will heal quickly. d d d d d d d d d d
d. Will you tell me about anytraditional healingpractices that you would like to use?
d d d d d d d d d d d d d d
d 2. An unconscious victim of a house fire is brought to the emergencydepartment bythe
d d d d d d d d d d d d d d d
paramedics. Tied to the right wrist is an emblem that appears be a religious talisman. Which action
d d d d d d d d d d d d d d d d d
should the nurse take?
d d d d
a. Tape it in place. d d d
b. Do nothing with it.
d d d
c. Remove it and lock it upfor safekeeping. d d d d d d d
d. Place it in a clothing bag with the rest of the patients belongings.
d d d d d d d d d d d d
d 3. A 43-year-old patient of Arab descent is admitted to the hospital. To complywith thestate
d d d d d d d d d d d d d d d d
laws of the organization, the nurse offers the patient a Papanicolaou smear, which she refuses.
d d d d d d d d d d d d d d d
Which action should the nurse take first?
d d d d d d d
a. Notifythe physician. d d
b. Report the refusal to thesupervisor. d d d d d
c. Explainthe rationale for and benefits of the test. d d d d d d d d
d. Tell her it is statelaw and that shedoes not have a choice.
d d d d d d d d d d d d d
d 4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a dangerously
d d d d d d d d d d d d d d
low hemoglobin level. The patient is fullyalert and competent and refuses to acceptthe blood
d d d d d d d d d d d d d d d d
transfusion ordered bythe physician. Which action bythe nurse is most appropriate?
d d d d d d d d d d d d d
a. Obtain a court order to give the blood. d d d d d d d
b. Administerthe blood while thepatient is sleeping. d d d d d d d
c. Have thepatients spouse sign the consent to have the blood administered.
d d d d d d d d d d d
, d. Ensurethe patient understands possible consequences and then respect the patients wishes.
d d d d d d d d d d d
d 5. A patient of Mexican descent sees a curandero for asthma; the curandero has prescribeda
d d d d d d d d d d d d d d d
special tea to be taken four times a day to open the airways. How should the nurse respond to this
d d d d d d d d d d d d d d d d d d d d
situation?
d
a. Encourage the patient to continue drinkingthe tea. d d d d d d d
b. Encourage the patient to drink onlyone cup of the tea each day. d d d d d d d d d d d d
c. Ask the patient to bring in the teapackage and have the pharmacist check the ingredients.
d d d d d d d d d d d d d d d
d. Advise the patient to stop drinkingthe tea because of potential interactions with other
d d d d d d d d d d d d d
medications.
d
d 6. The nurse is caring for a young adult male patient who refuses personal care from afemale
d d d d d d d d d d d d d d d d d
nursing assistant. Which approach bythe nurse is best?
d d d d d d d d d
a. Encourage the patients familyto talk with him about his care. d d d d d d d d d d
b. Have a registered nurse (RN) help with his personal care.
d d d d d d d d d
c. Assign amale assistant to help with his personal care if one is available.
d d d d d d d d d d d d d
d. Explainto him that males and females take care ofboth genders in this hospital.
d d d d d d d d d d d d d d
d 7. The nurse is providing medication instructions to a 45-year-old patient who does not
d d d d d d d d d d d d d
maintain eye contact. What should this patients behavior indicate to thenurse?
d d d d d d d d d d d d
a. Thepatient is notinterested.
d d d d
b. The nurse threatensthe patients ego.
d d d d d
c. The nurse is in a hierarchical position.
d d d d d d
d. Thepatient does not intend to follow the instructions.
d d d d d d d d
8. The nurse is caring for a patient of Spanish descent who is experiencing pain, but does not speak
d d d d d d d d d d d d d d d d d d d d d d d d d d d
English. An interpreter is located to help with the assessment. What should the nurse do to facilitate
d d d d d d d d d d d d d d d d d
communication with this patient?
d d d d
a. Use hand signals to determine the cause of thepain.
d d d d d d d d d
b. Ensurethe interpreter is not left alone with the patient. d d d d d d d d d
c. Maintaineye contact with the patient and the interpreter. d d d d d d d d
d. Use onlyphysical examination data; do not relyon verbal communication.
d d d d d d d d d d
d 9. A new mother of Guatemalan descent brings her 10-day-old infant to a clinic for a well-baby
d d d d d d d d d d d d d d d d d
checkup. To promote healing, she has a coin taped to the infants umbilicus. What should the nurse do
d d d d d d d d d d d d d d d d d d
about this situation?
d d d
a. Teach the mother how to clean the coin daily and reapplyit.
d d d d d d d d d d d
b. Explainto the mother that the coin is not necessary for healing. d d d d d d d d d d d
d d d d d d
dEdition byJillC.Cash;CherylA.Glass;Jenny
d d d d d d d d
Mullen||Chapters1-23
d d d d
,
,Chapter1.Health MaintenanceGuidelines d d d d
Multiple Choice
d d
Identifythe choice that best completes the statement or answers the question.
d d d d d d d d d d d
d 1. The nurse is preparing to teach a patient of the Asian culture to perform postoperative dressing
d d d d d d d d d d d d d d d d
changes at home after discharge. Which statement made bythe nurse indicates culturalcompetence?
d d d d d d d d d d d d d d
a. Tell me how you feel about your surgery.
d d d d d d d
b. Asian people are smart, so this should be easyfor you to understand.
d d d d d d d d d d d d
c. Americansurgeons are highlyqualified; Im sure you will heal quickly. d d d d d d d d d d
d. Will you tell me about anytraditional healingpractices that you would like to use?
d d d d d d d d d d d d d d
d 2. An unconscious victim of a house fire is brought to the emergencydepartment bythe
d d d d d d d d d d d d d d d
paramedics. Tied to the right wrist is an emblem that appears be a religious talisman. Which action
d d d d d d d d d d d d d d d d d
should the nurse take?
d d d d
a. Tape it in place. d d d
b. Do nothing with it.
d d d
c. Remove it and lock it upfor safekeeping. d d d d d d d
d. Place it in a clothing bag with the rest of the patients belongings.
d d d d d d d d d d d d
d 3. A 43-year-old patient of Arab descent is admitted to the hospital. To complywith thestate
d d d d d d d d d d d d d d d d
laws of the organization, the nurse offers the patient a Papanicolaou smear, which she refuses.
d d d d d d d d d d d d d d d
Which action should the nurse take first?
d d d d d d d
a. Notifythe physician. d d
b. Report the refusal to thesupervisor. d d d d d
c. Explainthe rationale for and benefits of the test. d d d d d d d d
d. Tell her it is statelaw and that shedoes not have a choice.
d d d d d d d d d d d d d
d 4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a dangerously
d d d d d d d d d d d d d d
low hemoglobin level. The patient is fullyalert and competent and refuses to acceptthe blood
d d d d d d d d d d d d d d d d
transfusion ordered bythe physician. Which action bythe nurse is most appropriate?
d d d d d d d d d d d d d
a. Obtain a court order to give the blood. d d d d d d d
b. Administerthe blood while thepatient is sleeping. d d d d d d d
c. Have thepatients spouse sign the consent to have the blood administered.
d d d d d d d d d d d
, d. Ensurethe patient understands possible consequences and then respect the patients wishes.
d d d d d d d d d d d
d 5. A patient of Mexican descent sees a curandero for asthma; the curandero has prescribeda
d d d d d d d d d d d d d d d
special tea to be taken four times a day to open the airways. How should the nurse respond to this
d d d d d d d d d d d d d d d d d d d d
situation?
d
a. Encourage the patient to continue drinkingthe tea. d d d d d d d
b. Encourage the patient to drink onlyone cup of the tea each day. d d d d d d d d d d d d
c. Ask the patient to bring in the teapackage and have the pharmacist check the ingredients.
d d d d d d d d d d d d d d d
d. Advise the patient to stop drinkingthe tea because of potential interactions with other
d d d d d d d d d d d d d
medications.
d
d 6. The nurse is caring for a young adult male patient who refuses personal care from afemale
d d d d d d d d d d d d d d d d d
nursing assistant. Which approach bythe nurse is best?
d d d d d d d d d
a. Encourage the patients familyto talk with him about his care. d d d d d d d d d d
b. Have a registered nurse (RN) help with his personal care.
d d d d d d d d d
c. Assign amale assistant to help with his personal care if one is available.
d d d d d d d d d d d d d
d. Explainto him that males and females take care ofboth genders in this hospital.
d d d d d d d d d d d d d d
d 7. The nurse is providing medication instructions to a 45-year-old patient who does not
d d d d d d d d d d d d d
maintain eye contact. What should this patients behavior indicate to thenurse?
d d d d d d d d d d d d
a. Thepatient is notinterested.
d d d d
b. The nurse threatensthe patients ego.
d d d d d
c. The nurse is in a hierarchical position.
d d d d d d
d. Thepatient does not intend to follow the instructions.
d d d d d d d d
8. The nurse is caring for a patient of Spanish descent who is experiencing pain, but does not speak
d d d d d d d d d d d d d d d d d d d d d d d d d d d
English. An interpreter is located to help with the assessment. What should the nurse do to facilitate
d d d d d d d d d d d d d d d d d
communication with this patient?
d d d d
a. Use hand signals to determine the cause of thepain.
d d d d d d d d d
b. Ensurethe interpreter is not left alone with the patient. d d d d d d d d d
c. Maintaineye contact with the patient and the interpreter. d d d d d d d d
d. Use onlyphysical examination data; do not relyon verbal communication.
d d d d d d d d d d
d 9. A new mother of Guatemalan descent brings her 10-day-old infant to a clinic for a well-baby
d d d d d d d d d d d d d d d d d
checkup. To promote healing, she has a coin taped to the infants umbilicus. What should the nurse do
d d d d d d d d d d d d d d d d d d
about this situation?
d d d
a. Teach the mother how to clean the coin daily and reapplyit.
d d d d d d d d d d d
b. Explainto the mother that the coin is not necessary for healing. d d d d d d d d d d d
