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s Mullen Test Bank complete 554 pages with verifi
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, FamilymPracticemGuidelinesmFifthmEditionmTestmBank
Chapterm1.mHealthmMaintenancemGuidelinesmMul
tiplemChoice
Identifymthemchoicemthat mbest mcompletesmthemstatement mormanswersmthemquestion.
1.mThemnursemismpreparingmtomteachmampatient mof mthemAsianmculturemtomperformmpostoperativ
emdressingmchangesmat mhomemaftermdischarge.mWhichmstatement mmadembymthemnursemindicatesmcult
uralmcompetence?
a. Tellmmemhowmyoumfeelmabout myourmsurgery.
b. Asianmpeoplemaremsmart,msomthismshould mbemeasymformyoumtomunderstand.
c. Americanmsurgeonsmaremhighlymqualified;mImmsuremyoumwill mhealmquickly.
d. Willmyoumtellmmemabout manymtraditionalmhealingmpracticesmthat myoumwould mlikemtomuse?
2.mAnmunconsciousmvictimmof mamhousemfiremismbrought mtomthememergencymdepartment mbymt
hemparamedics.mTied mtomthemright mwrist mismanmemblemmthat mappearsmbema mreligiousmtalisman.m
Whichmactionmshould mthemnursemtake?
a. Tapemit minmplace.
b. Domnothingmwithmit.
c. Removemit mand mlockmit mupmformsafekeeping.
d. Placemit minmamclothingmbagmwithmthemrest mof mthempatientsmbelongings.
3.mAm43-year-
old mpatient mof mArabmdescent mismadmitted mtomthemhospital.mTomcomplymwithmthemstatemlawsmof mth
emorganization,mthemnursemoffersmthempatient mamPapanicolaoumsmear,mwhichmshemrefuses.mWhic
hmactionmshould mthemnursemtakemfirst?
a. Notifymthemphysician.
b. Report mthemrefusalmtomthemsupervisor.
c. Explainmthemrationalemformand mbenefitsmof mthemtest.
d. Tellmhermit mismstatemlaw mand mthat mshemdoesmnot mhavemamchoice.
4.mAmpatient mwhomismamJehovahsmWitnessmhasmseveremgastrointestinalmbleedingmand mamdange
rouslymlow mhemoglobinmlevel.mThempatient mismfully malert mand mcompetent mand mrefusesmtomaccept mth
emblood mtransfusionmordered mbymthemphysician.mWhichmactionmbymthemnursemismmost mappropriate?
a. Obtainmamcourt mordermtomgivemthemblood.
b. Administermthemblood mwhilemthempatient mismsleeping.
c. Havemthempatientsmspousemsignmthemconsent mtomhavemthemblood madministered.
,d. Ensuremthempatient munderstandsmpossiblemconsequencesmand mthenmrespect mthempatientsmwishes.
5.mAmpatient mof mMexicanmdescent mseesmamcuranderomformasthma;mthemcuranderomhasmprescrib
ed mamspecialmteamtombemtakenmfourmtimesmamdaymtomopenmthemairways.mHow mshould mthemnursemresp
ond mtomthismsituation?
a. Encouragemthempatient mtomcontinuemdrinkingmthemtea.
b. Encouragemthempatient mtomdrinkmonlymonemcupmof mthemteameachmday.
c. Askmthempatient mtombringminmthemteampackagemand mhavemthempharmacist mcheckmthemingredients.
d. Advisemthempatient mtomstopmdrinkingmthemteambecausemof mpotentialminteractionsmwithmoth
ermmedications.
6.mThemnursemismcaringmformamyoungmadult mmalempatient mwhomrefusesmpersonalmcaremfro
mmamfemalemnursingmassistant.mWhichmapproachmbymthemnurse mismbest?
a. Encouragemthempatientsmfamilymtomtalkmwithmhimmabout mhismcare.
b. Havemamregistered mnursem(RN)mhelpmwithmhismpersonalmcare.
c. Assignmammalemassistant mtomhelpmwithmhismpersonalmcaremif monemis mavailable.
d. Explainmtomhimmthat mmalesmand mfemalesmtakemcaremof mbothmgendersminmthismhospital.
7.mThemnursemismprovidingmmedicationminstructionsmtomam45-year-
old mpatient mwhomdoesmnot mmaintainmeyemcontact.mWhat mshould mthismpatientsmbehaviormindicate
tomthemnurse?
m
a. Thempatient mismnot minterested.
b. Themnursemthreatensmthempatientsmego.
c. Themnursemisminmamhierarchicalmposition.
d. Thempatient mdoesmnot mintend mtomfollow mtheminstructions.
m m m 8.m Themnursem ismcaringmformampatient mof mSpanishmdescent mwhomismexperiencingmpain,mbut mdo
esmnot mspeakmEnglish.mAnminterpretermism located mtomhelpmwithmthemassessment.mWhat mshould mthem
nursemdomtomfacilitatemcommunicationmwithmthismpatient?
a. Usemhand msignalsmtomdeterminemthemcausemof mthempain.
b. Ensuremtheminterpretermismnot mleft malonemwithmthempatient.
c. Maintainmeyemcontact mwithmthempatient mand mtheminterpreter.
d. Usemonlymphysicalmexaminationmdata;mdomnot mrelymonmverbalmcommunication.
9.mAmnew mmothermof mGuatemalanmdescent mbringsmherm10-day-
old minfant mtomamclinicmformamwell-
babymcheckup.mTompromotemhealing,mshemhasmamcoinmtaped mtomtheminfantsmumbilicus.mWhat mshou
m
ld mthemnursemdomabout mthismsituation?
a. Teachmthemmothermhow mtomcleanmthemcoinmdailymand mreapplymit.
b. Explainmtomthemmothermthat mthemcoinmismnot mnecessarymformhealing.
, c. Tellmthemmothermtomremovemthemcoin,mbecausemit mcould mcausemanminfection.
d. Teachmthemmothermhow mtomapplymamdrymsterilemdressingminmplacemof mthemcoin.
10.mAnmoldermpatient mwhomfollowsmthemMuslimmreligionmismapproaching mdeath.mThemfamil
ymsaysmthempatientsmbed mshould mbemturned mtoward mthemoppositemwall,msomit mcanmfacemMeccamtome
nsuremanmeasiermpassagemintomthemnext mlife.mThemwall mtheymwant mthembed mtomfacemhasmwallmsucti
onmand moxygen,mwhichmthempatient mismusing.mWhichmactionmbymthemnursemismappropriate?
a. Get mpermissionmfrommthemphysicianmtommovemthembed.
b. Rearrangemthemfurnituremtomaccommodatemthemrequest.
c. Tellmthemmyoumwillmmovemthembed mwhenmthempatient mismclosermtomdeath.
d. Tellmthemmit mismimpossiblembecausemof mthemshort mtubingmonmthemoxygenmand msuction.
m m 11.mA mpatient mof mnorthernmEuropeanmdescent mrecoveringmfrommsurgerymdeniesmpostoperative
pain;mhowever,mvitalmsignsm indicatemanmelevated mpulsemand mblood mpressure.mThempatient mrefuse
m
smtommoveminmbed.mWhichmnursingmactionmwould mbest mensuremcomfort mand mtimelymdischarge?
a. Givemthempainmmedicinemasmprescribed.
b. Askmthemphysicianmtomprescribemthemanalgesicsmaround mthemclock.
c. Explainmthat mthempainmmedicinemwillmhelpmprevent mcomplications.
d. Respect mthempatientsmdenialmof mpain,mand mdomnot mencouragemthempainmmedicine.
12.mAmnursemwhomemigrated mfrommChinambeginsmworkingmonmammedicalmunit.mThe mpreceptor
explainsmthemunit mroutines,mincludingmthemmedicationmadministrationmsystem.mWhenmthemprecepto
m
rmasksmif mthemnursemunderstands,mthemanswermismalways:mYes,mI munderstand.mWhat mshould mthemprece
ptormdomtommeasuremthemnursesmcomprehension?
a. Givemthemnursemammedicationmquiz.
b. Havemthemnursemrepeat mtheminstructions.
c. Havemthemnursemdemonstratemthemprocedures.
d. Askmthemnursemwhichminformationmismhard mtomunderstand.
13.mAm52-year-
old mfrommHaitimismhospitalized mwithmheart mfailuremand mwantsmtomhavemamvoodoompractitionermvisit
tomsaymprayers.mHow mshould mthemnursemrespond mtomthismrequest?
m
a. Report mthemrequest mtomthemphysicianmimmediately.
b. Tellmthempatient mthat mthismismnot mpermitted mduringmhospitalization.
c. Tellmthempatient mit mismokaymformthemvoodoompractitionermtomsaymprayers.
d. Havemthempatient mmeet mwithmthemvoodoompractitionerminmthemhospitalmlobby.
14.mThemnursemismcaringmformampatient mfrommamnon-
Englishmspeakingmculture.mWhilemprovidingmcare,mthemnursemshowsmanmappreciationmformand matten
tionmtomarts,mmusic,mcrafts,mclothing,mand mfoods