5th Edition by Jill C. Cash; Cheryl A.
Glass; Jenny Mullen||Chapters 1 - 23
,
,Chapter 1. Health Maintenance Guidelines
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nurse is preparing to teach a patient of the Asian culture to perform postoperative
dressing changes at home after discharge. Which statement made by the 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 nurse take?
a. Tape it in place.
b. Do nothing with it.
c. Remove it and slock sit sup sfor ssafekeeping.
d. Place sit sin sa sclothing sbag swith sthe srest sof sthe spatients sbelongings.
s 3. sA s43-year-old spatient sof sArab sdescent sis sadmitted sto sthe shospital. sTo scomply
swith sthesstate slaws sof sthe sorganization, sthe snurse soffers sthe spatient sa sPapanicolaou
ssmear, swhich sshe srefuses. sWhich saction sshould sthe snurse stake sfirst?
a. Notify sthe sphysician.
b. Report sthe srefusal sto sthe ssupervisor.
c. Explain sthe srationale sfor sand sbenefits sof sthe stest.
d. Tell sher sit sis sstate slaw sand sthat sshe sdoes snot shave sa schoice.
s 4. sA spatient swho sis sa sJehovahs sWitness shas ssevere sgastrointestinal sbleeding sand sa
sdangerously slow shemoglobin slevel. sThe spatient sis sfully salert sand scompetent sand srefuses sto
sacceptsthe sblood stransfusion sordered sby sthe sphysician. sWhich saction sby sthe snurse sis smost
sappropriate?
a. Obtain sa scourt sorder sto sgive sthe sblood.
b. Administer sthe sblood swhile sthe spatient sis ssleeping.
c. Have sthe spatients sspouse ssign sthe sconsent sto shave sthe sblood sadministered.
, d. Ensure sthe spatient sunderstands spossible sconsequences sand sthen srespect sthe spatients swishes.
s 5. sA spatient sof sMexican sdescent ssees sa scurandero sfor sasthma; sthe scurandero shas
sprescribedsa sspecial stea sto sbe staken sfour stimes sa sday sto sopen sthe sairways. sHow sshould
sthe snurse srespond sto sthis ssituation?
a. Encourage sthe spatient sto scontinue sdrinking sthe stea.
b. Encourage sthe spatient sto sdrink sonly sone scup sof sthe stea seach sday.
c. Ask sthe spatient sto sbring sin sthe stea spackage sand shave sthe spharmacist scheck sthe singredients.
d. Advise sthe spatient sto sstop sdrinking sthe stea sbecause sof spotential sinteractions swith
sothersmedications.
s 6. sThe snurse sis scaring sfor sa syoung sadult smale spatient swho srefuses spersonal scare
sfrom sasfemale snursing sassistant. sWhich sapproach sby sthe snurse sis sbest?
a. Encourage sthe spatients sfamily sto stalk swith shim sabout shis scare.
b. Have sa sregistered snurse s(RN) shelp swith shis spersonal scare.
c. Assign sa smale sassistant sto shelp swith shis spersonal scare sif sone sis savailable.
d. Explain sto shim sthat smales sand sfemales stake scare sof sboth sgenders sin sthis shospital.
s 7. sThe snurse sis sproviding smedication sinstructions sto sa s45-year-old spatient swho
sdoes snotsmaintain seye scontact. sWhat sshould sthis spatients sbehavior sindicate sto sthe
snurse?
a. The spatient sis snot sinterested.
b. The snurse sthreatens sthe spatients sego.
c. The snurse sis sin sa shierarchical sposition.
d. The spatient sdoes snot sintend sto sfollow sthe sinstructions.
s s s s s s s s s8. sThe snurse sis scaring sfor sa spatient sof sSpanish sdescent swho sis sexperiencing
spain, sbut sdoes snot sspeak sEnglish. sAn sinterpreter sis slocated sto shelp swith sthe sassessment.
sWhat sshould sthe snursesdo sto sfacilitate scommunication swith sthis spatient?
a. Use shand ssignals sto sdetermine sthe scause sof sthe spain.
b. Ensure sthe sinterpreter sis snot sleft salone swith sthe spatient.
c. Maintain seye scontact swith sthe spatient sand sthe sinterpreter.
d. Use sonly sphysical sexamination sdata; sdo snot srely son sverbal scommunication.
s 9. sA snew smother sof sGuatemalan sdescent sbrings sher s10-day-old sinfant sto sa sclinic sfor
sa swell-sbaby scheckup. sTo spromote shealing, sshe shas sa scoin staped sto sthe sinfants sumbilicus.
sWhat sshould sthe snurse sdo sabout sthis ssituation?
a. Teach sthe smother show sto sclean sthe scoin sdaily sand sreapply sit.