TEST BANK Family Practice Guidelines (6TH ED) by Jill C. Cash

Test Bank
Family Practice Guidelines 6th Edition Chapter 1-23
JILL CASH




TEST BANK

,
, Chapteri1.iHealthiMaintenanceiGuidelinesi

MultipleiChoice
Identifyitheichoiceithatibesticompletesitheistatementiorianswersitheiquestion.

i
1.iTheinurseiisipreparingitoiteachiaipatientiofitheiAsianicultureitoiperformipostoperativeidres
singichangesiatihomeiafteridischarge.iWhichistatementimadeibyitheinurseiindicatesiculturalicompe
tence?
a. Tellimeihowiyouifeeliaboutiyourisurgery.
b. Asianipeopleiareismart,isoithisishouldibeieasyiforiyouitoiunderstand.
c. Americanisurgeonsiareihighlyiqualified;iImisureiyouiwillihealiquickly.
d. Williyouitellimeiaboutianyitraditionalihealingipracticesithatiyouiwouldilikeitoiuse?


i
2.iAniunconsciousivictimiofiaihouseifireiisibroughtitoitheiemergencyidepartmentibyitheipar
amedics.iTieditoitheirightiwristiisianiemblemithatiappearsibeiaireligiousitalisman.iWhichiactioni
shoulditheinurseitake?
a. Tapeiitiiniplace.
b. Doinothingiwithiit.
c. Removeiitiandilockiitiupiforisafekeeping.
d. Placeiitiiniaiclothingibagiwithitheirestiofitheipatientsibelongings.


3.iAi43-year-
i
oldipatientiofiArabidescentiisiadmitteditoitheihospital.iToicomplyiwithitheistateilawsiofitheiorgan
ization,itheinurseioffersitheipatientiaiPapanicolaouismear,iwhichisheirefuses.iWhichiactionishou
lditheinurseitakeifirst?
a. Notifyitheiphysician.
b. Reportitheirefusalitoitheisupervisor.
c. Explainitheirationaleiforiandibenefitsiofitheitest.
d. Telliheriitiisistateilawiandithatisheidoesinotihaveiaichoice.


i
4.iAipatientiwhoiisiaiJehovahsiWitnessihasisevereigastrointestinalibleedingiandiaidangerously
ilowihemoglobinilevel.iTheipatientiisifullyialertiandicompetentiandirefusesitoiacceptitheiblooditransf

usioniorderedibyitheiphysician.iWhichiactionibyitheinurseiisimostiappropriate?
a. Obtainiaicourtiorderitoigiveitheiblood.
b. Administeritheibloodiwhileitheipatientiisisleeping.
c. Haveitheipatientsispouseisignitheiconsentitoihaveitheibloodiadministered.
d. Ensureitheipatientiunderstandsipossibleiconsequencesiandithenirespectitheipatientsiwishes.

,i
5.iAipatientiofiMexicanidescentiseesiaicuranderoiforiasthma;itheicuranderoihasiprescribediais
pecialiteaitoibeitakenifouritimesiaidayitoiopenitheiairways.iHowishoulditheinurseiresponditoithisisit
uation?
a. Encourageitheipatientitoicontinueidrinkingitheitea.
b. Encourageitheipatientitoidrinkionlyioneicupiofitheiteaieachiday.
c. Askitheipatientitoibringiinitheiteaipackageiandihaveitheipharmacisticheckitheiingredients.
d. Adviseitheipatientitoistopidrinkingitheiteaibecauseiofipotentialiinteractionsiwithiotherim
edications.

i
6.iTheinurseiisicaringiforiaiyoungiadultimaleipatientiwhoirefusesipersonalicareifromiaife
maleinursingiassistant.iWhichiapproachibyitheinurseiisibest?
a. Encourageitheipatientsifamilyitoitalkiwithihimiaboutihisicare.
b. Haveiairegisteredinursei(RN)ihelpiwithihisipersonalicare.
c. Assigniaimaleiassistantitoihelpiwithihisipersonalicareiifioneiisiavailable.
d. Explainitoihimithatimalesiandifemalesitakeicareiofibothigendersiinithisihospital.


i 7.iTheinurseiisiprovidingimedicationiinstructionsitoiai45-year-
oldipatientiwhoidoesinotimaintainieyeicontact.iWhatishouldithisipatientsibehavioriindicateitoith
einurse?
a. Theipatientiisinotiinterested.
b. Theinurseithreatensitheipatientsiego.
c. Theinurseiisiiniaihierarchicaliposition.
d. Theipatientidoesinotiintenditoifollowitheiinstructions.


8.iTheinurseiisicaringiforiaipatientiofiSpanishidescentiwhoiisiexperiencingipain,ibutidoesinotisp
iiiiiiiii

eakiEnglish.iAniinterpreteriisilocateditoihelpiwithitheiassessment.iWhatishoulditheinurseidoitoifaci
litateicommunicationiwithithisipatient?
a. Useihandisignalsitoidetermineitheicauseiofitheipain.
b. Ensureitheiinterpreteriisinotileftialoneiwithitheipatient.
c. Maintainieyeicontactiwithitheipatientianditheiinterpreter.
d. Useionlyiphysicaliexaminationidata;idoinotirelyioniverbalicommunication.


i 9.iAinewimotheriofiGuatemalanidescentibringsiheri10-day-oldiinfantitoiaicliniciforiaiwell-
ibabyicheckup.iToipromoteihealing,isheihasiaicoinitapeditoitheiinfantsiumbilicus.iWhatishouldithein

urseidoiaboutithisisituation?
a. Teachitheimotherihowitoicleanitheicoinidailyiandireapplyiit.

,b. Explainitoitheimotherithatitheicoiniisinotinecessaryiforihealing.
c. Tellitheimotheritoiremoveitheicoin,ibecauseiiticouldicauseianiinfection.
d. Teachitheimotherihowitoiapplyiaidryisterileidressingiiniplaceiofitheicoin.
i
10.iAniolderipatientiwhoifollowsitheiMuslimireligioniisiapproachingideath.iTheifamilyisay
sitheipatientsibedishouldibeiturneditowarditheioppositeiwall,isoiiticanifaceiMeccaitoiensureianieasi
eripassageiintoitheinextilife.iTheiwallitheyiwantitheibeditoifaceihasiwallisuctioniandioxygen,iwhic
hitheipatientiisiusing.iWhichiactionibyitheinurseiisiappropriate?
a. Getipermissionifromitheiphysicianitoimoveitheibed.
b. Rearrangeitheifurnitureitoiaccommodateitheirequest.
c. Tellithemiyouiwillimoveitheibediwhenitheipatientiisicloseritoideath.


d. Tellithemiitiisiimpossibleibecauseiofitheishortitubingionitheioxygeniandisuction.
11.iAipatientiofinortherniEuropeanidescentirecoveringifromisurgeryideniesipostoperativeipain
iiiiiiiii

;ihowever,ivitalisignsiindicateianielevatedipulseiandibloodipressure.iTheipatientirefusesitoimoveii
nibed.iWhichinursingiactioniwouldibestiensureicomfortianditimelyidischarge?
a. Giveitheipainimedicineiasiprescribed.
b. Askitheiphysicianitoiprescribeitheianalgesicsiarounditheiclock.
c. Explainithatitheipainimedicineiwillihelpipreventicomplications.
d. Respectitheipatientsidenialiofipain,iandidoinotiencourageitheipainimedicine.
i
12.iAinurseiwhoiemigratedifromiChinaibeginsiworkingioniaimedicaliunit.iTheipreceptoriexpla
insitheiunitiroutines,iincludingitheimedicationiadministrationisystem.iWhenitheipreceptoriasksiifith
einurseiunderstands,itheiansweriisialways:iYes,iIiunderstand.iWhatishoulditheipreceptoridoitoimeasu
reitheinursesicomprehension?
a. Giveitheinurseiaimedicationiquiz.
b. Haveitheinurseirepeatitheiinstructions.
c. Haveitheinurseidemonstrateitheiprocedures.
d. Askitheinurseiwhichiinformationiisiharditoiunderstand.
i 13.iAi52-year-
oldifromiHaitiiisihospitalizediwithiheartifailureiandiwantsitoihaveiaivoodooipractitionerivisititoisayi
prayers.iHowishoulditheinurseiresponditoithisirequest?
a. Reportitheirequestitoitheiphysicianiimmediately.
b. Tellitheipatientithatithisiisinotipermittediduringihospitalization.
c. Tellitheipatientiitiisiokayiforitheivoodooipractitioneritoisayiprayers.
d. Haveitheipatientimeetiwithitheivoodooipractitioneriinitheihospitalilobby.
i 14.iTheinurseiisicaringiforiaipatientifromiainon-
Englishispeakingiculture.iWhileiprovidingicare,itheinurseishowsianiappreciationiforiandiattentionit

, oiarts,imusic,icrafts,iclothing,iandifoods
belongingitoitheipatientsiculture.iWhatididitheinurseidemonstrateiwhileicaringiforithisipatient?
a. Culturalibeliefs
b. Culturaliawareness
c. Culturalisensitivity
d. Culturalicompetence
i
15.iAifemaleiCaucasianinurse,ioverheadidiscussingiaipatientifromianothericulture,iasksiwhyi
theipatientiwantsitoiseeiaipractitionerifromihisiowniculture,isinceieveryoneiseesiphysiciansiwhenith
eyiareiill.iWhaticharacteristiciisitheinurseiexhibiting?
a. Stereotyping
b. Ethnocentrism
c. Culturalisensitivity
d. Culturaligeneralization
i 16.iDuringianiassessment,itheinurseideterminesithatiaipatientifromiainon-
Englishispeakingicultureipracticesiactivitiesithatiareipast-
oriented.iWhatibehaviorididitheinurseiassessiinithisipatient?
a. Investingitimeiandimoney
b. Enjoyingieachidayiasiiticomes
c. Worshippingiancestorsiandimaintainingitraditions
d. Learningifromitheipastitoiavoidimakingitheisameimistakesiinitheifuture
i
17.iTheinurseinotesithatiaipatientiofiArabidescentiisinotieatingianythingionitheimealitrays.iWh
atishoulditheinurseidoiaboutithisisituation?
a. Waitiforitheipatientitoiaskiforispecificifoods.
b. Askiifitheipatientihasispecialifoodipreferences.
c. ConsultiwithiaiphysicianiofiArabidescentionistaff.
d. ContactitheidietitianitoifindioutiwhatipatientsiofiArabidescentipatientsilikeitoieat.
i 18.iTheimotheriofiai6-year-
oldiVietnameseichildiadmittediwithipneumoniaiisirubbingiaicoinionitheichildsiback.iTheicoinile
avesiredimarks.iWhatishoulditheinurseidoiaboutithisiobservation?
a. Reportitheipossibilityiofichildiabuse.
b. Doinotiallowitheimotheritoibeialoneiwithiherichild.
c. Explainitoitheimotherithatisheicannotidoithisiinitheihospital.
d. Addiaistatementitoitheicareiplanithatitheifamilyipracticesicoining.
i 19.iTheifamilyiofianiolderiArab-Americanipatientidoesinotiwantitheipatientitoibeiinformed
ofiaidiagnosisioficancer.iWhatishoulditheinurseido?