TEST BANK
All Chapters Included
,TABLE OF CONTENTS
,ANSWERS ARE LOCATED AT THE
END OF EACH CHAPTER
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 culturalcompetence?
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 theparamedics. 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 lock it up for safekeeping.
d. Place it in a clothing bag with the rest of the patients belongings.
3. A 43-year-old patient of Arab descent is admitted to the hospital. To
comply with thestate laws of the organization, the nurse offers the patient a
Papanicolaou smear, which she refuses. Which action should the 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 patient who is a Jehovahs Witness has severe gastrointestinal bleeding
and a dangerously low hemoglobin level. The patient is fully alert and competent
, and refuses to acceptthe blood transfusion ordered by the physician. Which action
by the nurse is most appropriate?
a. Obtain a court order to give the blood.
b. Administer the blood while the patient is sleeping.
c. Have the patients spouse sign the consent to have the blood administered.
d. Ensure the patient understands possible consequences and then respect the
patients wishes.
5. A patient of Mexican descent sees a curandero for asthma; the curandero
has prescribeda special tea to be taken four times a day to open the airways.
How should the nurse respond to this situation?
a. Encourage the patient to continue drinking the tea.
b. Encourage the patient to drink only one cup of the tea each day.
c. Ask the patient to bring in the tea package and have the pharmacist check the
ingredients.
d. Advise the patient to stop drinking the tea because of potential
interactions with othermedications.
6. The nurse is caring for a young adult male patient who refuses
personal care from afemale nursing assistant. Which approach by the nurse is
best?
a. Encourage the patients family to talk with him about his care.
b. Have a 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 nurse is providing medication instructions to a 45-year-old patient
who does notmaintain eye contact. What should this patients behavior
indicate to the nurse?
a. The patient is not interested.
b. The nurse threatens the patients ego.
c. The nurse is in a hierarchical position.
d. The patient does not intend to follow the instructions.
8. The nurse is caring for a patient of Spanish descent who is experiencing
pain, but does not speak English. An interpreter is located to help with the
All Chapters Included
,TABLE OF CONTENTS
,ANSWERS ARE LOCATED AT THE
END OF EACH CHAPTER
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 culturalcompetence?
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 theparamedics. 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 lock it up for safekeeping.
d. Place it in a clothing bag with the rest of the patients belongings.
3. A 43-year-old patient of Arab descent is admitted to the hospital. To
comply with thestate laws of the organization, the nurse offers the patient a
Papanicolaou smear, which she refuses. Which action should the 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 patient who is a Jehovahs Witness has severe gastrointestinal bleeding
and a dangerously low hemoglobin level. The patient is fully alert and competent
, and refuses to acceptthe blood transfusion ordered by the physician. Which action
by the nurse is most appropriate?
a. Obtain a court order to give the blood.
b. Administer the blood while the patient is sleeping.
c. Have the patients spouse sign the consent to have the blood administered.
d. Ensure the patient understands possible consequences and then respect the
patients wishes.
5. A patient of Mexican descent sees a curandero for asthma; the curandero
has prescribeda special tea to be taken four times a day to open the airways.
How should the nurse respond to this situation?
a. Encourage the patient to continue drinking the tea.
b. Encourage the patient to drink only one cup of the tea each day.
c. Ask the patient to bring in the tea package and have the pharmacist check the
ingredients.
d. Advise the patient to stop drinking the tea because of potential
interactions with othermedications.
6. The nurse is caring for a young adult male patient who refuses
personal care from afemale nursing assistant. Which approach by the nurse is
best?
a. Encourage the patients family to talk with him about his care.
b. Have a 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 nurse is providing medication instructions to a 45-year-old patient
who does notmaintain eye contact. What should this patients behavior
indicate to the nurse?
a. The patient is not interested.
b. The nurse threatens the patients ego.
c. The nurse is in a hierarchical position.
d. The patient does not intend to follow the instructions.
8. The nurse is caring for a patient of Spanish descent who is experiencing
pain, but does not speak English. An interpreter is located to help with the
