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