,
,Chapter 1. Health Maintenance Guidelines
c c c c
Multiple Choice
c c
Identify the choice that best completes the statement or answers the question.
c c c c c c c c c c c
1. The nurse is preparing to teach a patient of the Asian culture to perform postoperative
c c c c c c c c c c c c c c c
dressing changes at home after discharge. Which statement made by the nurse indicates cultural
c c c c c c c c c c c c c c
competence?
c
a. Tell me how you feel about your surgery.
c c c c c c c
b. Asian people are smart, so this should be easy for you to understand.
c c c c c c c c c c c c
c. American surgeons are highly qualified; Im sure you will heal quickly.
c c c c c c c c c c
d. Will you tell me about any traditional healing practices that you would like to use?
c c c c c c c c c c c c c c
2. An unconscious victim of a house fire is brought to the emergency department by the
c c c c c c c c c c c c c c c
paramedics. Tied to the right wrist is an emblem that appears be a religious talisman. Which
c c c c c c c c c c c c c c c c
action should the nurse take?
c c c c c
a. Tape it in place.c c c
b. Do nothing with it.
c c c
c. Remove it and lock it up for safekeeping. c c c c c c c
d. Place it in a clothing bag with the rest of the patients belongings.
c c c c c c c c c c c c
3. A 43-year-old patient of Arab descent is admitted to the hospital. To comply with the
c c c c c c c c c c c c c c c
state laws of the organization, the nurse offers the patient a Papanicolaou smear, which she
c c c c c c c c c c c c c c c
refuses. Which action should the nurse take first?
c c c c c c c c
a. Notify the physician. c c
b. Report the refusal to the supervisor.c c c c c
c. Explain the rationale for and benefits of the test.
c c c c c c c c
d. Tell her it is state law and that she does not have a choice.
c c c c c c c c c c c c c
4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a
c c c c c c c c c c c c c
dangerously low hemoglobin level. The patient is fully alert and competent and refuses to accept
c c c c c c c c c c c c c c c
the blood transfusion ordered by the physician. Which action by the nurse is most appropriate?
c c c c c c c c c c c c c c c
a. Obtain a court order to give the blood.
c c c c c c c
b. Administer the blood while the patient is sleeping. c c c c c c c
c. Have the patients spouse sign the consent to have the blood administered.
c c c c c c c c c c c
, d. Ensure the patient understands possible consequences and then respect the patients wishes.
c c c c c c c c c c c
5. A patient of Mexican descent sees a curandero for asthma; the curandero has prescribed a
c c c c c c c c c c c c c c c
special tea to be taken four times a day to open the airways. How should the nurse respond to
c c c c c c c c c c c c c c c c c c c
this situation?
c c
a. Encourage the patient to continue drinking the tea. c c c c c c c
b. Encourage the patient to drink only one cup of the tea each day. c c c c c c c c c c c c
c. Ask the patient to bring in the tea package and have the pharmacist check the ingredients.
c c c c c c c c c c c c c c c
d. Advise the patient to stop drinking the tea because of potential interactions with other
c c c c c c c c c c c c c
medications.
c
6. The nurse is caring for a young adult male patient who refuses personal care from a
c c c c c c c c c c c c c c c c
female nursing assistant. Which approach by the nurse is best?
c c c c c c c c c c
a. Encourage the patients family to talk with him about his care. c c c c c c c c c c
b. Have a registered nurse (RN) help with his personal care.
c c c c c c c c c
c. Assign a male assistant to help with his personal care if one is available.
c c c c c c c c c c c c c
d. Explain to him that males and females take care of both genders in this hospital.
c c c c c c c c c c c c c c
7. The nurse is providing medication instructions to a 45-year-old patient who does not
c c c c c c c c c c c c c
maintain eye contact. What should this patients behavior indicate to the nurse?
c c c c c c c c c c c c
a. The patient is not interested.
c c c c
b. The nurse threatens the patients ego.
c c c c c
c. The nurse is in a hierarchical position.
c c c c c c
d. The patient does not intend to follow the instructions.
c c c c c c c c
c 8. The nurse is caring for a patient of Spanish descent who is experiencing pain, but does
c c c c c c c c c c c c c c c c c c
not speak English. An interpreter is located to help with the assessment. What should the nurse
c c c c c c c c c c c c c c c c
do to facilitate communication with this patient?
c c c c c c c
a. Use hand signals to determine the cause of the pain.
c c c c c c c c c
b. Ensure the interpreter is not left alone with the patient.
c c c c c c c c c
c. Maintain eye contact with the patient and the interpreter.
c c c c c c c c
d. Use only physical examination data; do not rely on verbal communication.
c c c c c c c c c c
9. A new mother of Guatemalan descent brings her 10-day-old infant to a clinic for a well-
c c c c c c c c c c c c c c c c
baby checkup. To promote healing, she has a coin taped to the infants umbilicus. What should
c c c c c c c c c c c c c c c c
the nurse do about this situation?
c c c c c c
a. Teach the mother how to clean the coin daily and reapply it.
c c c c c c c c c c c
b. Explain to the mother that the coin is not necessary for healing.
c c c c c c c c c c c
,Chapter 1. Health Maintenance Guidelines
c c c c
Multiple Choice
c c
Identify the choice that best completes the statement or answers the question.
c c c c c c c c c c c
1. The nurse is preparing to teach a patient of the Asian culture to perform postoperative
c c c c c c c c c c c c c c c
dressing changes at home after discharge. Which statement made by the nurse indicates cultural
c c c c c c c c c c c c c c
competence?
c
a. Tell me how you feel about your surgery.
c c c c c c c
b. Asian people are smart, so this should be easy for you to understand.
c c c c c c c c c c c c
c. American surgeons are highly qualified; Im sure you will heal quickly.
c c c c c c c c c c
d. Will you tell me about any traditional healing practices that you would like to use?
c c c c c c c c c c c c c c
2. An unconscious victim of a house fire is brought to the emergency department by the
c c c c c c c c c c c c c c c
paramedics. Tied to the right wrist is an emblem that appears be a religious talisman. Which
c c c c c c c c c c c c c c c c
action should the nurse take?
c c c c c
a. Tape it in place.c c c
b. Do nothing with it.
c c c
c. Remove it and lock it up for safekeeping. c c c c c c c
d. Place it in a clothing bag with the rest of the patients belongings.
c c c c c c c c c c c c
3. A 43-year-old patient of Arab descent is admitted to the hospital. To comply with the
c c c c c c c c c c c c c c c
state laws of the organization, the nurse offers the patient a Papanicolaou smear, which she
c c c c c c c c c c c c c c c
refuses. Which action should the nurse take first?
c c c c c c c c
a. Notify the physician. c c
b. Report the refusal to the supervisor.c c c c c
c. Explain the rationale for and benefits of the test.
c c c c c c c c
d. Tell her it is state law and that she does not have a choice.
c c c c c c c c c c c c c
4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a
c c c c c c c c c c c c c
dangerously low hemoglobin level. The patient is fully alert and competent and refuses to accept
c c c c c c c c c c c c c c c
the blood transfusion ordered by the physician. Which action by the nurse is most appropriate?
c c c c c c c c c c c c c c c
a. Obtain a court order to give the blood.
c c c c c c c
b. Administer the blood while the patient is sleeping. c c c c c c c
c. Have the patients spouse sign the consent to have the blood administered.
c c c c c c c c c c c
, d. Ensure the patient understands possible consequences and then respect the patients wishes.
c c c c c c c c c c c
5. A patient of Mexican descent sees a curandero for asthma; the curandero has prescribed a
c c c c c c c c c c c c c c c
special tea to be taken four times a day to open the airways. How should the nurse respond to
c c c c c c c c c c c c c c c c c c c
this situation?
c c
a. Encourage the patient to continue drinking the tea. c c c c c c c
b. Encourage the patient to drink only one cup of the tea each day. c c c c c c c c c c c c
c. Ask the patient to bring in the tea package and have the pharmacist check the ingredients.
c c c c c c c c c c c c c c c
d. Advise the patient to stop drinking the tea because of potential interactions with other
c c c c c c c c c c c c c
medications.
c
6. The nurse is caring for a young adult male patient who refuses personal care from a
c c c c c c c c c c c c c c c c
female nursing assistant. Which approach by the nurse is best?
c c c c c c c c c c
a. Encourage the patients family to talk with him about his care. c c c c c c c c c c
b. Have a registered nurse (RN) help with his personal care.
c c c c c c c c c
c. Assign a male assistant to help with his personal care if one is available.
c c c c c c c c c c c c c
d. Explain to him that males and females take care of both genders in this hospital.
c c c c c c c c c c c c c c
7. The nurse is providing medication instructions to a 45-year-old patient who does not
c c c c c c c c c c c c c
maintain eye contact. What should this patients behavior indicate to the nurse?
c c c c c c c c c c c c
a. The patient is not interested.
c c c c
b. The nurse threatens the patients ego.
c c c c c
c. The nurse is in a hierarchical position.
c c c c c c
d. The patient does not intend to follow the instructions.
c c c c c c c c
c 8. The nurse is caring for a patient of Spanish descent who is experiencing pain, but does
c c c c c c c c c c c c c c c c c c
not speak English. An interpreter is located to help with the assessment. What should the nurse
c c c c c c c c c c c c c c c c
do to facilitate communication with this patient?
c c c c c c c
a. Use hand signals to determine the cause of the pain.
c c c c c c c c c
b. Ensure the interpreter is not left alone with the patient.
c c c c c c c c c
c. Maintain eye contact with the patient and the interpreter.
c c c c c c c c
d. Use only physical examination data; do not rely on verbal communication.
c c c c c c c c c c
9. A new mother of Guatemalan descent brings her 10-day-old infant to a clinic for a well-
c c c c c c c c c c c c c c c c
baby checkup. To promote healing, she has a coin taped to the infants umbilicus. What should
c c c c c c c c c c c c c c c c
the nurse do about this situation?
c c c c c c
a. Teach the mother how to clean the coin daily and reapply it.
c c c c c c c c c c c
b. Explain to the mother that the coin is not necessary for healing.
c c c c c c c c c c c
