Family Practice Guidelines Fifth Edition TestB
j j j j j j
ank
Chapterj1.j HealthjMaintenancejGuidelinesj
MultiplejChoice
Identifyjthejchoicejthatjbestjcompletesjthejstatementjorjanswersjthejquestion.
j
1.jAjpatientjwhojisjajJehovahsjWitnessjhasjseverejgastrointestinaljbleedingjandjajdangerouslyjlo
wjhemoglobinjlevel.jThejpatientjisjfullyjalertjandjcompetentjandjrefusesjtojacceptjthejbloodjtransfusio
njorderedjbyjthejphysician.jWhichjactionjbyjthejnursejisjmostjappropriate?ja.jObtainjajcourtjorderjtojgi
vejthejblood.
b. Administerjthejbloodjwhilejthejpatientjisjsleeping.
c. Havejthejpatientsjspousejsignjthejconsentjtojhavejthejbloodjadministered.
d. Ensurejthejpatientjunderstandsjpossiblejconsequencesjandjthenjrespectjthejpatientsjwishes.
j
2.jAjpatientjofjMexicanjdescentjseesjajcuranderojforjasthma;jthejcuranderojhasjprescrib
edjajspecialjteajtojbejtakenjfourjtimesjajdayjtojopenjthejairways.jHowjshouldjthejnursejrespond
tojthisjsituation?
j
a. Encouragejthejpatientjtojcontinuejdrinkingjthejtea.
b. Encouragejthejpatientjtojdrinkjonlyjonejcupjofjthejteajeachjday.
c. Askjthejpatientjtojbringjinjthejteajpackagejandjhavejthejpharmacistjcheckjthejingredients.
d. Advisejthejpatientjtojstopjdrinkingjthejteajbecausejofjpotentialjinteractionsjwithjotherjmed
ications.
j
3.jThejnursejisjcaringjforjajyoungjadultjmalejpatientjwhojrefusesjpersonaljcarejfromjajfema
lejnursingjassistant.jWhichjapproachjbyjthejnursejisjbest?
a. Encouragejthejpatientsjfamilyjtojtalkjwithjhimjaboutjhisjcare.
b. Havejajregisteredjnursej(RN)jhelpjwithjhisjpersonaljcare.
c. Assignjajmalejassistantjtojhelpjwithjhisjpersonaljcarejifjonejisjavailable.
d. Explainjtojhimjthatjmalesjandjfemalesjtakejcarejofjbothjgendersjinjthisjhospital.
j 4.jThejnursejisjprovidingjmedicationjinstructionsjtojaj45-year-
oldjpatientjwhojdoesjnotjmaintainjeyejcontact.jWhatjshouldjthisjpatientsjbehaviorjindicatejtojthej
nurse?ja.jThejpatientjisjnotjinterested.
b. Thejnursejthreatensjthejpatientsjego.
,c. Thejnursejisjinjajhierarchicaljposition.
d. Thejpatientjdoesjnotjintendjtojfollowjthejinstructions.
5.jThejnursejisjcaringjforjajpatientjofjSpanishjdescentjwhojisjexperiencingjpain,jbutjdoesjnotjspea
jjjjjjjjj
kjEnglish.jAnjinterpreterjisjlocatedjtojhelpjwithjthejassessment.jWhatjshouldjthejnursejdojtojfacilitat
ejcommunicationjwithjthisjpatient?
a. Usejhandjsignalsjtojdeterminejthejcausejofjthejpain.
b. Ensurejthejinterpreterjisjnotjleftjalonejwithjthejpatient.
c. Maintainjeyejcontactjwithjthejpatientjandjthejinterpreter.
d. Usejonlyjphysicaljexaminationjdata;jdojnotjrelyjonjverbaljcommunication.
j 6.jAjnewjmotherjofjGuatemalanjdescentjbringsjherj10-day-
oldjinfantjtojajclinicjforjajwellbabyjcheckup.jTojpromotejhealing,jshejhasjajcoinjtapedjtojthejinfa
ntsjumbilicus.jWhatjshouldjthejnursejdojaboutjthisjsituation?
a. Teachjthejmotherjhowjtojcleanjthejcoinjdailyjandjreapplyjit.
b. Explainjtojthejmotherjthatjthejcoinjisjnotjnecessaryjforjhealing.
c. Telljthejmotherjtojremovejthejcoin,jbecausejitjcouldjcausejanjinfection.
d. Teachjthejmotherjhowjtojapplyjajdryjsterilejdressingjinjplacejofjthejcoin.
j
7.jAnjolderjpatientjwhojfollowsjthejMuslimjreligionjisjapproachingjdeath.jThejfamilyjsaysjth
ejpatientsjbedjshouldjbejturnedjtowardjthejoppositejwall,jsojitjcanjfacejMeccajtojensurejanjeasierjpas
sagejintojthejnextjlife.jThejwalljtheyjwantjthejbedjtojfacejhasjwalljsuctionjandjoxygen,jwhichjthejpat
ientjisjusing.jWhichjactionjbyjthejnursejisjappropriate?ja.jGetjpermissionjfromjthejphysicianjtojmov
ejthejbed.
b. Rearrangejthejfurniturejtojaccommodatejthejrequest.
c. Telljthemjyoujwilljmovejthejbedjwhenjthejpatientjisjcloserjtojdeath.
d. Telljthemjitjisjimpossiblejbecausejofjthejshortjtubingjonjthejoxygenjandjsuction.
j
8.jAjpatientjofjnorthernjEuropeanjdescentjrecoveringjfromjsurgeryjdeniesjpostoperativejpain
;jhowever,jvitaljsignsjindicatejanjelevatedjpulsejandjbloodjpressure.jThejpatientjrefusesjtojmovejinj
bed.jWhichjnursingjactionjwouldjbestjensurejcomfortjandjtimelyjdischarge?ja.jGivejthejpainjmedic
inejasjprescribed.
b. Askjthejphysicianjtojprescribejthejanalgesicsjaroundjthejclock.
c. Explainjthatjthejpainjmedicinejwilljhelpjpreventjcomplications.
d. Respectjthejpatientsjdenialjofjpain,jandjdojnotjencouragejthejpainjmedicine.
9. ThejnursejisjpreparingjtojteachjajpatientjofjthejAsianjculturejtojperformjpostoperativejdressingjch
angesjatjhomejafterjdischarge.jWhichjstatementjmadejbyjthejnursejindicatesjcultural
,competence?
a. Telljmejhowjyoujfeeljaboutjyourjsurgery.
b. Asianjpeoplejarejsmart,jsojthisjshouldjbejeasyjforjyoujtojunderstand.
c. Americanjsurgeonsjarejhighlyjqualified;jImjsurejyoujwilljhealjquickly.
d. Willjyoujtelljmejaboutjanyjtraditionaljhealingjpracticesjthatjyoujwouldjlikejtojuse?j
10. Anjunconsciousjvictimjofjajhousejfirejisjbroughtjtojthejemergencyjdepartmentjbyjthejparame
dics.jTiedjtojthejrightjwristjisjanjemblemjthatjappearsjbejajreligiousjtalisman.jWhichjactionjshoul
djthejnursejtake?ja.jTapejitjinjplace.
b. Dojnothingjwithjit.
c. Removejitjandjlockjitjupjforjsafekeeping.
d. Placejitjinjajclothingjbagjwithjthejrestjofjthejpatientsjbelongings.
11.jAj43-year-
jjjjjjjjj
oldjpatientjofjArabjdescentjisjadmittedjtojthejhospital.jTojcomplyjwithjthejstatejlawsjofjthejorga
nization,jthejnursejoffersjthejpatientjajPapanicolaoujsmear,jwhichjshejrefuses.jWhichjactionjsh
ouldjthejnursejtakejfirst?ja.jNotifyjthejphysician.
b.jReportjthejrefusaljtojthejsupervisor.
c.j Explainjthejrationalejforjandjbenefitsjofjthejtest.
BjTelljherjitjisjstatejlawjandjthatjshejdoesjnotjhavejajchoice
12.jAjnursejwhojemigratedjfromjChinajbeginsjworkingjonjajmedicaljunit.jThejpreceptorjexplainsjtheju
nitjroutines,jincludingjthejmedicationjadministrationjsystem.jWhenjthejpreceptorjasksjifjthejnursejund
erstands,jthejanswerjisjalways:jYes,jIjunderstand.jWhatjshouldjthejpreceptorjdojtojmeasurejthejnursesj
comprehension?ja.jGivejthejnursejajmedicationjquiz.
b. Havejthejnursejrepeatjthejinstructions.
c. Havejthejnursejdemonstratejthejprocedures.
d. Askjthejnursejwhichjinformationjisjhardjtojunderstand.
j 13.jAj52-year-
oldjfromjHaitijisjhospitalizedjwithjheartjfailurejandjwantsjtojhavejajvoodoojpractitionerjvisitjtojsayjpr
ayers.jHowjshouldjthejnursejrespondjtojthisjrequest?ja.jReportjthejrequestjtojthejphysicianjimmediat
ely.
b. Telljthejpatientjthatjthisjisjnotjpermittedjduringjhospitalization.
c. Telljthejpatientjitjisjokayjforjthejvoodoojpractitionerjtojsayjprayers.
d. Havejthejpatientjmeetjwithjthejvoodoojpractitionerjinjthejhospitaljlobby.
j 14.jThejnursejisjcaringjforjajpatientjfromjajnon-
Englishjspeakingjculture.jWhilejprovidingjcare,jthejnursejshowsjanjappreciationjforjandjattentionjtoj
arts,jmusic,jcrafts,jclothing,jandjfoods
, belongingjtojthejpatientsjculture.jWhatjdidjthejnursejdemonstratejwhilejcaringjforjthisjpatient?ja.
Culturaljbeliefs
b. Culturaljawareness
c. Culturaljsensitivity
d. Culturaljcompetence
j
15.jAjfemalejCaucasianjnurse,joverheadjdiscussingjajpatientjfromjanotherjculture,jasksjwhyjth
ejpatientjwantsjtojseejajpractitionerjfromjhisjownjculture,jsincejeveryonejseesjphysiciansjwhenjtheyja
rejill.jWhatjcharacteristicjisjthejnursejexhibiting?
a. Stereotyping
b. Ethnocentrism
c. Culturaljsensitivity
d. Culturaljgeneralization
j 16.jDuringjanjassessment,jthejnursejdeterminesjthatjajpatientjfromjajnon-
Englishjspeakingjculturejpracticesjactivitiesjthatjarejpast-
oriented.jWhatjbehaviorjdidjthejnursejassessjinjthisjpatient?
a. Investingjtimejandjmoney
b. Enjoyingjeachjdayjasjitjcomes
c. Worshippingjancestorsjandjmaintainingjtraditions
d. Learningjfromjthejpastjtojavoidjmakingjthejsamejmistakesjinjthejfuture
j
17.jThejnursejnotesjthatjajpatientjofjArabjdescentjisjnotjeatingjanythingjonjthejmealjtrays.jWhatj
shouldjthejnursejdojaboutjthisjsituation?
a. Waitjforjthejpatientjtojaskjforjspecificjfoods.
b. Askjifjthejpatientjhasjspecialjfoodjpreferences.
c. ConsultjwithjajphysicianjofjArabjdescentjonjstaff.
d. ContactjthejdietitianjtojfindjoutjwhatjpatientsjofjArabjdescentjpatientsjlikejtojeat.
18.jThejmotherjofjaj6-year-
oldjVietnamesejchildjadmittedjwithjpneumoniajisjrubbingjajcoinjonjthejchildsjback.jThejcoinjleav
esjredjmarks.jWhatjshouldjthejnursejdojaboutjthisjobservation?
a. Reportjthejpossibilityjofjchildjabuse.
b. Dojnotjallowjthejmotherjtojbejalonejwithjherjchild.
c. Explainjtojthejmotherjthatjshejcannotjdojthisjinjthejhospital.
d. Addjajstatementjtojthejcarejplanjthatjthejfamilyjpracticesjcoining.
j 19.jThejfamilyjofj anjolderjArab-
Americanjpatientjdoesjnotjwantjthejpatientjtojbejinformedjofjajdiagnosisjofjcancer.jWhatjshouldjthejn
ursejdo?ja.jCalljajreligiousjcounselor.
b. Respectjthejfamilysjwishes.
j j j j j j
ank
Chapterj1.j HealthjMaintenancejGuidelinesj
MultiplejChoice
Identifyjthejchoicejthatjbestjcompletesjthejstatementjorjanswersjthejquestion.
j
1.jAjpatientjwhojisjajJehovahsjWitnessjhasjseverejgastrointestinaljbleedingjandjajdangerouslyjlo
wjhemoglobinjlevel.jThejpatientjisjfullyjalertjandjcompetentjandjrefusesjtojacceptjthejbloodjtransfusio
njorderedjbyjthejphysician.jWhichjactionjbyjthejnursejisjmostjappropriate?ja.jObtainjajcourtjorderjtojgi
vejthejblood.
b. Administerjthejbloodjwhilejthejpatientjisjsleeping.
c. Havejthejpatientsjspousejsignjthejconsentjtojhavejthejbloodjadministered.
d. Ensurejthejpatientjunderstandsjpossiblejconsequencesjandjthenjrespectjthejpatientsjwishes.
j
2.jAjpatientjofjMexicanjdescentjseesjajcuranderojforjasthma;jthejcuranderojhasjprescrib
edjajspecialjteajtojbejtakenjfourjtimesjajdayjtojopenjthejairways.jHowjshouldjthejnursejrespond
tojthisjsituation?
j
a. Encouragejthejpatientjtojcontinuejdrinkingjthejtea.
b. Encouragejthejpatientjtojdrinkjonlyjonejcupjofjthejteajeachjday.
c. Askjthejpatientjtojbringjinjthejteajpackagejandjhavejthejpharmacistjcheckjthejingredients.
d. Advisejthejpatientjtojstopjdrinkingjthejteajbecausejofjpotentialjinteractionsjwithjotherjmed
ications.
j
3.jThejnursejisjcaringjforjajyoungjadultjmalejpatientjwhojrefusesjpersonaljcarejfromjajfema
lejnursingjassistant.jWhichjapproachjbyjthejnursejisjbest?
a. Encouragejthejpatientsjfamilyjtojtalkjwithjhimjaboutjhisjcare.
b. Havejajregisteredjnursej(RN)jhelpjwithjhisjpersonaljcare.
c. Assignjajmalejassistantjtojhelpjwithjhisjpersonaljcarejifjonejisjavailable.
d. Explainjtojhimjthatjmalesjandjfemalesjtakejcarejofjbothjgendersjinjthisjhospital.
j 4.jThejnursejisjprovidingjmedicationjinstructionsjtojaj45-year-
oldjpatientjwhojdoesjnotjmaintainjeyejcontact.jWhatjshouldjthisjpatientsjbehaviorjindicatejtojthej
nurse?ja.jThejpatientjisjnotjinterested.
b. Thejnursejthreatensjthejpatientsjego.
,c. Thejnursejisjinjajhierarchicaljposition.
d. Thejpatientjdoesjnotjintendjtojfollowjthejinstructions.
5.jThejnursejisjcaringjforjajpatientjofjSpanishjdescentjwhojisjexperiencingjpain,jbutjdoesjnotjspea
jjjjjjjjj
kjEnglish.jAnjinterpreterjisjlocatedjtojhelpjwithjthejassessment.jWhatjshouldjthejnursejdojtojfacilitat
ejcommunicationjwithjthisjpatient?
a. Usejhandjsignalsjtojdeterminejthejcausejofjthejpain.
b. Ensurejthejinterpreterjisjnotjleftjalonejwithjthejpatient.
c. Maintainjeyejcontactjwithjthejpatientjandjthejinterpreter.
d. Usejonlyjphysicaljexaminationjdata;jdojnotjrelyjonjverbaljcommunication.
j 6.jAjnewjmotherjofjGuatemalanjdescentjbringsjherj10-day-
oldjinfantjtojajclinicjforjajwellbabyjcheckup.jTojpromotejhealing,jshejhasjajcoinjtapedjtojthejinfa
ntsjumbilicus.jWhatjshouldjthejnursejdojaboutjthisjsituation?
a. Teachjthejmotherjhowjtojcleanjthejcoinjdailyjandjreapplyjit.
b. Explainjtojthejmotherjthatjthejcoinjisjnotjnecessaryjforjhealing.
c. Telljthejmotherjtojremovejthejcoin,jbecausejitjcouldjcausejanjinfection.
d. Teachjthejmotherjhowjtojapplyjajdryjsterilejdressingjinjplacejofjthejcoin.
j
7.jAnjolderjpatientjwhojfollowsjthejMuslimjreligionjisjapproachingjdeath.jThejfamilyjsaysjth
ejpatientsjbedjshouldjbejturnedjtowardjthejoppositejwall,jsojitjcanjfacejMeccajtojensurejanjeasierjpas
sagejintojthejnextjlife.jThejwalljtheyjwantjthejbedjtojfacejhasjwalljsuctionjandjoxygen,jwhichjthejpat
ientjisjusing.jWhichjactionjbyjthejnursejisjappropriate?ja.jGetjpermissionjfromjthejphysicianjtojmov
ejthejbed.
b. Rearrangejthejfurniturejtojaccommodatejthejrequest.
c. Telljthemjyoujwilljmovejthejbedjwhenjthejpatientjisjcloserjtojdeath.
d. Telljthemjitjisjimpossiblejbecausejofjthejshortjtubingjonjthejoxygenjandjsuction.
j
8.jAjpatientjofjnorthernjEuropeanjdescentjrecoveringjfromjsurgeryjdeniesjpostoperativejpain
;jhowever,jvitaljsignsjindicatejanjelevatedjpulsejandjbloodjpressure.jThejpatientjrefusesjtojmovejinj
bed.jWhichjnursingjactionjwouldjbestjensurejcomfortjandjtimelyjdischarge?ja.jGivejthejpainjmedic
inejasjprescribed.
b. Askjthejphysicianjtojprescribejthejanalgesicsjaroundjthejclock.
c. Explainjthatjthejpainjmedicinejwilljhelpjpreventjcomplications.
d. Respectjthejpatientsjdenialjofjpain,jandjdojnotjencouragejthejpainjmedicine.
9. ThejnursejisjpreparingjtojteachjajpatientjofjthejAsianjculturejtojperformjpostoperativejdressingjch
angesjatjhomejafterjdischarge.jWhichjstatementjmadejbyjthejnursejindicatesjcultural
,competence?
a. Telljmejhowjyoujfeeljaboutjyourjsurgery.
b. Asianjpeoplejarejsmart,jsojthisjshouldjbejeasyjforjyoujtojunderstand.
c. Americanjsurgeonsjarejhighlyjqualified;jImjsurejyoujwilljhealjquickly.
d. Willjyoujtelljmejaboutjanyjtraditionaljhealingjpracticesjthatjyoujwouldjlikejtojuse?j
10. Anjunconsciousjvictimjofjajhousejfirejisjbroughtjtojthejemergencyjdepartmentjbyjthejparame
dics.jTiedjtojthejrightjwristjisjanjemblemjthatjappearsjbejajreligiousjtalisman.jWhichjactionjshoul
djthejnursejtake?ja.jTapejitjinjplace.
b. Dojnothingjwithjit.
c. Removejitjandjlockjitjupjforjsafekeeping.
d. Placejitjinjajclothingjbagjwithjthejrestjofjthejpatientsjbelongings.
11.jAj43-year-
jjjjjjjjj
oldjpatientjofjArabjdescentjisjadmittedjtojthejhospital.jTojcomplyjwithjthejstatejlawsjofjthejorga
nization,jthejnursejoffersjthejpatientjajPapanicolaoujsmear,jwhichjshejrefuses.jWhichjactionjsh
ouldjthejnursejtakejfirst?ja.jNotifyjthejphysician.
b.jReportjthejrefusaljtojthejsupervisor.
c.j Explainjthejrationalejforjandjbenefitsjofjthejtest.
BjTelljherjitjisjstatejlawjandjthatjshejdoesjnotjhavejajchoice
12.jAjnursejwhojemigratedjfromjChinajbeginsjworkingjonjajmedicaljunit.jThejpreceptorjexplainsjtheju
nitjroutines,jincludingjthejmedicationjadministrationjsystem.jWhenjthejpreceptorjasksjifjthejnursejund
erstands,jthejanswerjisjalways:jYes,jIjunderstand.jWhatjshouldjthejpreceptorjdojtojmeasurejthejnursesj
comprehension?ja.jGivejthejnursejajmedicationjquiz.
b. Havejthejnursejrepeatjthejinstructions.
c. Havejthejnursejdemonstratejthejprocedures.
d. Askjthejnursejwhichjinformationjisjhardjtojunderstand.
j 13.jAj52-year-
oldjfromjHaitijisjhospitalizedjwithjheartjfailurejandjwantsjtojhavejajvoodoojpractitionerjvisitjtojsayjpr
ayers.jHowjshouldjthejnursejrespondjtojthisjrequest?ja.jReportjthejrequestjtojthejphysicianjimmediat
ely.
b. Telljthejpatientjthatjthisjisjnotjpermittedjduringjhospitalization.
c. Telljthejpatientjitjisjokayjforjthejvoodoojpractitionerjtojsayjprayers.
d. Havejthejpatientjmeetjwithjthejvoodoojpractitionerjinjthejhospitaljlobby.
j 14.jThejnursejisjcaringjforjajpatientjfromjajnon-
Englishjspeakingjculture.jWhilejprovidingjcare,jthejnursejshowsjanjappreciationjforjandjattentionjtoj
arts,jmusic,jcrafts,jclothing,jandjfoods
, belongingjtojthejpatientsjculture.jWhatjdidjthejnursejdemonstratejwhilejcaringjforjthisjpatient?ja.
Culturaljbeliefs
b. Culturaljawareness
c. Culturaljsensitivity
d. Culturaljcompetence
j
15.jAjfemalejCaucasianjnurse,joverheadjdiscussingjajpatientjfromjanotherjculture,jasksjwhyjth
ejpatientjwantsjtojseejajpractitionerjfromjhisjownjculture,jsincejeveryonejseesjphysiciansjwhenjtheyja
rejill.jWhatjcharacteristicjisjthejnursejexhibiting?
a. Stereotyping
b. Ethnocentrism
c. Culturaljsensitivity
d. Culturaljgeneralization
j 16.jDuringjanjassessment,jthejnursejdeterminesjthatjajpatientjfromjajnon-
Englishjspeakingjculturejpracticesjactivitiesjthatjarejpast-
oriented.jWhatjbehaviorjdidjthejnursejassessjinjthisjpatient?
a. Investingjtimejandjmoney
b. Enjoyingjeachjdayjasjitjcomes
c. Worshippingjancestorsjandjmaintainingjtraditions
d. Learningjfromjthejpastjtojavoidjmakingjthejsamejmistakesjinjthejfuture
j
17.jThejnursejnotesjthatjajpatientjofjArabjdescentjisjnotjeatingjanythingjonjthejmealjtrays.jWhatj
shouldjthejnursejdojaboutjthisjsituation?
a. Waitjforjthejpatientjtojaskjforjspecificjfoods.
b. Askjifjthejpatientjhasjspecialjfoodjpreferences.
c. ConsultjwithjajphysicianjofjArabjdescentjonjstaff.
d. ContactjthejdietitianjtojfindjoutjwhatjpatientsjofjArabjdescentjpatientsjlikejtojeat.
18.jThejmotherjofjaj6-year-
oldjVietnamesejchildjadmittedjwithjpneumoniajisjrubbingjajcoinjonjthejchildsjback.jThejcoinjleav
esjredjmarks.jWhatjshouldjthejnursejdojaboutjthisjobservation?
a. Reportjthejpossibilityjofjchildjabuse.
b. Dojnotjallowjthejmotherjtojbejalonejwithjherjchild.
c. Explainjtojthejmotherjthatjshejcannotjdojthisjinjthejhospital.
d. Addjajstatementjtojthejcarejplanjthatjthejfamilyjpracticesjcoining.
j 19.jThejfamilyjofj anjolderjArab-
Americanjpatientjdoesjnotjwantjthejpatientjtojbejinformedjofjajdiagnosisjofjcancer.jWhatjshouldjthejn
ursejdo?ja.jCalljajreligiousjcounselor.
b. Respectjthejfamilysjwishes.
