GUIDELINES 5TH EDITION CASH
GLASS MULLEN 9780826135834
ALL CHAPTERS WITH ANSWERS
AND RATIONALS VERIFIED
ANSWERS ACTUAL UPDATED
PRACTICE QUESTIONS HIGH YIELD
STUDY GUIDE FAMILY PRACTICE
EXAM PREPARATION GRADED A+
STUDENT SUCCESS REVIEW
Family Practice Guidelines Fifth Edition Test Bank
d d d d d d
Chapterd1.d HealthdMaintenancedGuidelinesdMult
ipledChoice
Identifydthedchoicedthatdbestdcompletesdthedstatementdordanswersdthedquestion.
1.dAdpatientdwhodisdadJehovahsdWitnessdhasdseveredgastrointestinaldbleedingdanddaddangerousl
ydlowdhemoglobindlevel.dThedpatientdisdfullydalertdanddcompetentdanddrefusesdtodacceptdthedblooddtra
, , ,,
,nsfusiondordereddbydthedphysician.dWhichdactiondbydthednursedisdmostdappropriate?da.dObtaindadcour
tdorderdtodgivedthedblood.
b. Administerdthedblooddwhiledthedpatientdisdsleeping.
c. Havedthedpatientsdspousedsigndthedconsentdtodhavedthedblooddadministered.
d. Ensuredthedpatientdunderstandsdpossibledconsequencesdanddthendrespectdthedpatientsdwishes.
2.dAdpatientdofdMexicanddescentdseesdadcuranderodfordasthma;dthedcuranderodhasdpres
cribeddadspecialdteadtodbedtakendfourdtimesdaddaydtodopendthedairways.dHowdshoulddthednurse
dresponddtodthisdsituation?
a. Encouragedthedpatientdtodcontinueddrinkingdthedtea.
b. Encouragedthedpatientdtoddrinkdonlydonedcupdofdthedteadeachdday.
c. Askdthedpatientdtodbringdindthedteadpackagedanddhavedthedpharmacistdcheckdthedingredients.
d. Advisedthedpatientdtodstopddrinkingdthedteadbecausedofdpotentialdinteractionsdwithdotherd
medications.
3.dThednursedisdcaringdfordadyoungdadultdmaledpatientdwhodrefusesdpersonaldcaredfromdadf
emalednursingdassistant.dWhichdapproachdbydthednursedisdbest?
a. Encouragedthedpatientsdfamilydtodtalkdwithdhimdaboutdhisdcare.
b. Havedadregistereddnursed(RN)dhelpdwithdhisdpersonaldcare.
c. Assigndadmaledassistantdtodhelpdwithdhisdpersonaldcaredifdonedisdavailable.
d. Explaindtodhimdthatdmalesdanddfemalesdtakedcaredofdbothdgendersdindthisdhospital.
4.dThednursedisdprovidingdmedicationdinstructionsdtodad45-year-
olddpatientdwhoddoesdnotdmaintaindeyedcontact.dWhatdshoulddthisdpatientsdbehaviordindicatedto
d thednurse?da.dThed patientdisdnotdinterested. b. Thednursedthreatensdthedpatientsdego.
,
c. Thednursedisdindadhierarchicaldposition.
d. Thedpatientddoesdnotdintenddtodfollowdthedinstructions.
ddd 5.dThednursedisdcaringdfordadpatientdofdSpanishddescentdwhodisdexperiencingdpain,dbutddoesdnot
dspeakdEnglish.dAndinterpreterdisdlocateddtodhelpdwithdthedassessment.dWhatdshoulddthednurseddodt
odfacilitatedcommunicationdwithdthisdpatient?
a. Usedhanddsignalsdtoddeterminedthedcausedofdthedpain.
b. Ensuredthedinterpreterdisdnotdleftdalonedwithdthedpatient.
c. Maintaindeyedcontactdwithdthedpatientdanddthedinterpreter.
, , ,,
,d. Usedonlydphysicaldexaminationddata;ddodnotdrelydondverbaldcommunication.
6.dAdnewdmotherdofdGuatemalanddescentdbringsdherd10-
dayolddinfantdtodadclinicdfordadwellbabydcheckup.dTodpromotedhealing,dshedhasdadcoindtapeddtodthed
infantsdumbilicus.dWhatdshoulddthednurseddodaboutdthisdsituation? a.
Teachdthedmotherdhowdtodcleandthedcoinddailydanddreapplydit.
b. Explaindtodthedmotherdthatdthedcoindisdnotdnecessarydfordhealing.
c. Telldthedmotherdtodremovedthedcoin,dbecauseditdcoulddcausedandinfection.
d. Teachdthedmotherdhowdtodapplydaddrydsterileddressingdindplacedofdthedcoin.
7.dAndolderdpatientdwhodfollowsdthedMuslimdreligiondisdapproachingddeath.dThedfamilydsay
sdthedpatientsdbeddshoulddbedturneddtowarddthedoppositedwall,dsoditdcandfacedMeccadtodensuredande
asierdpassagedintodthednextdlife.dThedwalldtheydwantdthedbeddtodfacedhasdwalldsuctiondanddoxygen,d
whichdthedpatientdisdusing.dWhichdactiondbydthednursedisdappropriate?da.dGetdpermissiondfromdthe
dphysiciandtodmovedthedbed.
b. Rearrangedthedfurnituredtodaccommodatedthedrequest.
c. Telldthemdyoudwilldmovedthedbeddwhendthedpatientdisdcloserdtoddeath.
d. Telldthemditdisdimpossibledbecausedofdthedshortdtubingdondthedoxygendanddsuction.
8.dAdpatientdofdnortherndEuropeanddescentdrecoveringdfromdsurgeryddeniesdpostoperativedp
ain;dhowever,dvitaldsignsdindicatedandelevateddpulsedanddblooddpressure.dThedpatientdrefusesdtodm
ovedindbed.dWhichdnursingdactiondwoulddbestdensuredcomfortdanddtimelyddischarge?da.dGivedthed
paindmedicinedasdprescribed.
b. Askdthedphysiciandtodprescribedthedanalgesicsdarounddthedclock.
c. Explaindthatdthedpaindmedicinedwilldhelpdpreventdcomplications.
d. Respectdthedpatientsddenialdofdpain,dandddodnotdencouragedthedpaindmedicine.
9. ThednursedisdpreparingdtodteachdadpatientdofdthedAsiandculturedtodperformdpostoperativeddressin
gdchangesdatdhomedafterddischarge.dWhichdstatementdmadedbydthednursedindicatesdcultural
, , ,,
, ,
competence?
a. Telldmedhowdyoudfeeldaboutdyourdsurgery.
b. Asiandpeopledaredsmart,dsodthisdshoulddbedeasydfordyoudtodunderstand.
c. Americandsurgeonsdaredhighlydqualified;dImdsuredyoudwilldhealdquickly.
d. Willdyoudtelldmedaboutdanydtraditionaldhealingdpracticesdthatdyoudwoulddlikedtoduse? 10.
Andunconsciousdvictimdofdadhousedfiredisdbroughtdtodthedemergencyddepartmentdbydthedpar
amedics.dTieddtodthedrightdwristdisdandemblemdthatdappearsdbedadreligiousdtalisman.dWhichdacti
ondshoulddthednursedtake?da.dTapeditdindplace. b. Dodnothingdwithdit.
c. Removeditdanddlockditdupdfordsafekeeping.
d. Placeditdindadclothingdbagdwithdthedrestdofdthedpatientsdbelongings.
ddd 11.dAd43-year-
olddpatientdofdArabddescentdisdadmitteddtodthedhospital.dTodcomplydwithdthedstatedlawsdofdthed
o
rganization,dthednursedoffersdthedpatientdadPapanicolaoudsmear,dwhichdshedrefuses.dWhichdact
iondshoulddthednursedtakedfirst?da.dNotifydthedphysician. b.
Reportdthedrefusaldtodthedsupervisor.
c. Explaindthedrationaledfordanddbenefitsdofdthedtest.
BdTelldherditdisdstatedlawdanddthatdsheddoesdnotdhavedadchoice
12.dAdnursedwhodemigrateddfromdChinadbeginsdworkingdondadmedicaldunit.dThedpreceptordexplainsd
t
hedunitdroutines,dincludingdthedmedicationdadministrationdsystem.dWhendthedpreceptordasksdifdthedn
ursedunderstands,dthedanswerdisdalways:dYes,dIdunderstand.dWhatdshoulddthedpreceptorddodtodmeasur
edthednursesdcomprehension?da.dGivedthednursedadmedicationdquiz. b.
Havedthednursedrepeatdthedinstructions.
c. Havedthednurseddemonstratedthedprocedures.
d. Askdthednursedwhichdinformationdisdharddtodunderstand.
13.dAd52-year-
olddfromdHaitidisdhospitalizeddwithdheartdfailuredanddwantsdtodhavedadvoodoodpractitionerdvisitdtods
aydprayers.dHowdshoulddthednursedresponddtodthisdrequest?da.dReportdthedrequestdtodthedphysiciandi
mmediately.
b. Telldthedpatientdthatdthisdisdnotdpermitteddduringdhospitalization.
c. Telldthedpatientditdisdokaydfordthedvoodoodpractitionerdtodsaydprayers.
d. Havedthedpatientdmeetdwithdthedvoodoodpractitionerdindthedhospitaldlobby.
14.dThednursedisdcaringdfordadpatientdfromdadnon-
Englishdspeakingdculture.dWhiledprovidingdcare,dthednursedshowsdandappreciationdfordanddattentio
ndtodarts,dmusic,dcrafts,dclothing,danddfoods
,
, , ,,