TEST BANKS For Family Practice Guidelines 5th
Edition by Jill C. Cash; Cheryl A. Glass; Jenny
Mullen||Chapters 1 - 23
,
,Chapter 1. Health Maintenance
F F F
GuidelinesMultiple Choice
F F F
Identify the choice that best completes the statement or answers the question.
F F F F F F F F F F F
F 1. The nurse is preparing to teach a patient of the Asian culture to perform
F F F F F F F F F F F F F F
postoperative dressing changes at home after discharge. Which statement made by the nurse
F F F F F F F F F F F F F
indicates culturalcompetence?
F F F
a. Tell me how you feel about your surgery.
F F F F F F F
b. Asian people are smart, so this should be easy for you to understand.
F F F F F F F F F F F F
c. American surgeons are highly qualified; Im sure you will heal quickly.
F F F F F F F F F F
d. Will you tell me about any traditional healing practices that you would like to use?
F F F F F F F F F F F F F F
F 2. An unconscious victim of a house fire is brought to the emergency department by
F F F F F F F F F F F F F F
theparamedics. Tied to the right wrist is an emblem that appears be a religious talisman.
F F F F F F F F F F F F F F F F
Which action should the nurse take?
F F F F F F
a. Tape it in place. F F F
b. Do nothing with it.
F F F
c. Remove it and lock it up for safekeeping. F F F F F F F
d. Place it in a clothing bag with the rest of the patients belongings.
F F F F F F F F F F F F
F 3. A 43-year-old patient of Arab descent is admitted to the hospital. To comply with
F F F F F F F F F F F F F F
thestate laws of the organization, the nurse offers the patient a Papanicolaou smear, which
F F F F F F F F F F F F F F F
she refuses. Which action should the nurse take first?
F F F F F F F F F
a. Notify the physician. F F
b. Report the refusal to the supervisor.
F F F F F
c. Explain the rationale for and benefits of the test.
F F F F F F F F
d. Tell her it is state law and that she does not have a choice.
F F F F F F F F F F F F F
F 4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a
F F F F F F F F F F F F F
dangerously low hemoglobin level. The patient is fully alert and competent and refuses to
F F F F F F F F F F F F F F
acceptthe blood transfusion ordered by the physician. Which action by the nurse is most
F F F F F F F F F F F F F F F
appropriate?
F
a. Obtain a court order to give the blood.
F F F F F F F
b. Administer the blood while the patient is sleeping. F F F F F F F
, c. Have the patients spouse sign the consent to have the blood administered.
F F F F F F F F F F F
d. Ensure the patient understands possible consequences and then respect the patients wishes.
F F F F F F F F F F F
F 5. A patient of Mexican descent sees a curandero for asthma; the curandero has
F F F F F F F F F F F F F
prescribeda special tea to be taken four times a day to open the airways. How should the
F F F F F F F F F F F F F F F F F F
nurse respond to this situation?
F F F F F
a. Encourage the patient to continue drinking the tea. F F F F F F F
b. Encourage the patient to drink only one cup of the tea each day.
F F F F F F F F F F F F
c. Ask the patient to bring in the tea package and have the pharmacist check the ingredients.
F F F F F F F F F F F F F F F
d. Advise the patient to stop drinking the tea because of potential interactions with
F F F F F F F F F F F F
othermedications.
F F
F 6. The nurse is caring for a young adult male patient who refuses personal care from
F F F F F F F F F F F F F F F
afemale nursing assistant. Which approach by the nurse is best?
F F F F F F F F F F F
a. Encourage the patients family to talk with him about his care.F F F F F F F F F F
b. Have a registered nurse (RN) help with his personal care.
F F F F F F F F F
c. Assign a male assistant to help with his personal care if one is available.
F F F F F F F F F F F F F
d. Explain to him that males and females take care of both genders in this hospital.
F F F F F F F F F F F F F F
F 7. The nurse is providing medication instructions to a 45-year-old patient who does
F F F F F F F F F F F F
notmaintain eye contact. What should this patients behavior indicate to the nurse?
F F F F F F F F F F F F F
a. The patient is not interested.
F F F F
b. The nurse threatens the patients ego.
F F F F F
c. The nurse is in a hierarchical position.
F F F F F F
d. The patient does not intend to follow the instructions.
F F F F F F F F
8. The nurse is caring for a patient of Spanish descent who is experiencing pain, but
F F F F F F F F F F F F F F F F F F F F F F F F
does not speak English. An interpreter is located to help with the assessment. What should
F F F F F F F F F F F F F F F
the nursedo to facilitate communication with this patient?
F F F F F F F F F
a. Use hand signals to determine the cause of the pain.
F F F F F F F F F
b. Ensure the interpreter is not left alone with the patient.
F F F F F F F F F
c. Maintain eye contact with the patient and the interpreter.
F F F F F F F F
d. Use only physical examination data; do not rely on verbal communication.
F F F F F F F F F F
F 9. A new mother of Guatemalan descent brings her 10-day-old infant to a clinic for a
F F F F F F F F F F F F F F F
well-baby checkup. To promote healing, she has a coin taped to the infants umbilicus. What
F F F F F F F F F F F F F F F F
Edition by Jill C. Cash; Cheryl A. Glass; Jenny
Mullen||Chapters 1 - 23
,
,Chapter 1. Health Maintenance
F F F
GuidelinesMultiple Choice
F F F
Identify the choice that best completes the statement or answers the question.
F F F F F F F F F F F
F 1. The nurse is preparing to teach a patient of the Asian culture to perform
F F F F F F F F F F F F F F
postoperative dressing changes at home after discharge. Which statement made by the nurse
F F F F F F F F F F F F F
indicates culturalcompetence?
F F F
a. Tell me how you feel about your surgery.
F F F F F F F
b. Asian people are smart, so this should be easy for you to understand.
F F F F F F F F F F F F
c. American surgeons are highly qualified; Im sure you will heal quickly.
F F F F F F F F F F
d. Will you tell me about any traditional healing practices that you would like to use?
F F F F F F F F F F F F F F
F 2. An unconscious victim of a house fire is brought to the emergency department by
F F F F F F F F F F F F F F
theparamedics. Tied to the right wrist is an emblem that appears be a religious talisman.
F F F F F F F F F F F F F F F F
Which action should the nurse take?
F F F F F F
a. Tape it in place. F F F
b. Do nothing with it.
F F F
c. Remove it and lock it up for safekeeping. F F F F F F F
d. Place it in a clothing bag with the rest of the patients belongings.
F F F F F F F F F F F F
F 3. A 43-year-old patient of Arab descent is admitted to the hospital. To comply with
F F F F F F F F F F F F F F
thestate laws of the organization, the nurse offers the patient a Papanicolaou smear, which
F F F F F F F F F F F F F F F
she refuses. Which action should the nurse take first?
F F F F F F F F F
a. Notify the physician. F F
b. Report the refusal to the supervisor.
F F F F F
c. Explain the rationale for and benefits of the test.
F F F F F F F F
d. Tell her it is state law and that she does not have a choice.
F F F F F F F F F F F F F
F 4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a
F F F F F F F F F F F F F
dangerously low hemoglobin level. The patient is fully alert and competent and refuses to
F F F F F F F F F F F F F F
acceptthe blood transfusion ordered by the physician. Which action by the nurse is most
F F F F F F F F F F F F F F F
appropriate?
F
a. Obtain a court order to give the blood.
F F F F F F F
b. Administer the blood while the patient is sleeping. F F F F F F F
, c. Have the patients spouse sign the consent to have the blood administered.
F F F F F F F F F F F
d. Ensure the patient understands possible consequences and then respect the patients wishes.
F F F F F F F F F F F
F 5. A patient of Mexican descent sees a curandero for asthma; the curandero has
F F F F F F F F F F F F F
prescribeda special tea to be taken four times a day to open the airways. How should the
F F F F F F F F F F F F F F F F F F
nurse respond to this situation?
F F F F F
a. Encourage the patient to continue drinking the tea. F F F F F F F
b. Encourage the patient to drink only one cup of the tea each day.
F F F F F F F F F F F F
c. Ask the patient to bring in the tea package and have the pharmacist check the ingredients.
F F F F F F F F F F F F F F F
d. Advise the patient to stop drinking the tea because of potential interactions with
F F F F F F F F F F F F
othermedications.
F F
F 6. The nurse is caring for a young adult male patient who refuses personal care from
F F F F F F F F F F F F F F F
afemale nursing assistant. Which approach by the nurse is best?
F F F F F F F F F F F
a. Encourage the patients family to talk with him about his care.F F F F F F F F F F
b. Have a registered nurse (RN) help with his personal care.
F F F F F F F F F
c. Assign a male assistant to help with his personal care if one is available.
F F F F F F F F F F F F F
d. Explain to him that males and females take care of both genders in this hospital.
F F F F F F F F F F F F F F
F 7. The nurse is providing medication instructions to a 45-year-old patient who does
F F F F F F F F F F F F
notmaintain eye contact. What should this patients behavior indicate to the nurse?
F F F F F F F F F F F F F
a. The patient is not interested.
F F F F
b. The nurse threatens the patients ego.
F F F F F
c. The nurse is in a hierarchical position.
F F F F F F
d. The patient does not intend to follow the instructions.
F F F F F F F F
8. The nurse is caring for a patient of Spanish descent who is experiencing pain, but
F F F F F F F F F F F F F F F F F F F F F F F F
does not speak English. An interpreter is located to help with the assessment. What should
F F F F F F F F F F F F F F F
the nursedo to facilitate communication with this patient?
F F F F F F F F F
a. Use hand signals to determine the cause of the pain.
F F F F F F F F F
b. Ensure the interpreter is not left alone with the patient.
F F F F F F F F F
c. Maintain eye contact with the patient and the interpreter.
F F F F F F F F
d. Use only physical examination data; do not rely on verbal communication.
F F F F F F F F F F
F 9. A new mother of Guatemalan descent brings her 10-day-old infant to a clinic for a
F F F F F F F F F F F F F F F
well-baby checkup. To promote healing, she has a coin taped to the infants umbilicus. What
F F F F F F F F F F F F F F F F
