Family Practice Guidelines
Jill C. Cash
7th Edition (NEW)
Chapters 1-23 (Questions with Rationalized Answers)
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,Chapter 1. Health Maintenance Guidelines
Multiple Choice
(ANSWERS AT THE END OF EVERY CHAPTER)
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 postoperativ
e dressing changes at home after discharge. Which statement made by the nurse indicates cult
ural competence?
a. Tell me how you feel about your surgery.
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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?
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2. An unconscious victim of a house fire is brought to the emergency department by t
he paramedics. Tied to the right wrist is an emblem that appears be a religious talisman. W
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hich action should the nurse take?
a. Tape it in place.
b. Do nothing with it.
c. Remove it and lock it up for safekeeping.
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d. Place it in a clothing bag with the rest of the patients belongings.
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3. A 43-year-
old patient of Arab descent is admitted to the hospital. To comply with the state 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 danger
ously low hemoglobin level. The patient is fully alert and competent and refuses to accept the
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.
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