Family Practice Guidelines Fifth Edition TestB
r r r r r r
ank
Chapterr1.r HealthrMaintenancerGuidelinesr
MultiplerChoice
Identifyrtherchoicerthatrbestrcompletesrtherstatementrorranswersrtherquestion.
r
1.rArpatientrwhorisrarJehovahsrWitnessrhasrseverergastrointestinalrbleedingrandrardangerouslyrl
owrhemoglobinrlevel.rTherpatientrisrfullyralertrandrcompetentrandrrefusesrtoracceptrtherbloodrtransfus
ionrorderedrbyrtherphysician.rWhichractionrbyrthernurserisrmostrappropriate?ra.rObtainrarcourtrorderrt
orgivertherblood.
b. Administerrtherbloodrwhilertherpatientrisrsleeping.
c. Havertherpatientsrspousersignrtherconsentrtorhavertherbloodradministered.
d. Ensurertherpatientrunderstandsrpossiblerconsequencesrandrthenrrespectrtherpatientsrwishes.
r
2.rArpatientrofrMexicanrdescentrseesrarcuranderorforrasthma;rthercuranderorhasrprescri
bedrarspecialrteartorbertakenrfourrtimesrardayrtoropenrtherairways.rHowrshouldrthernurserrespo
ndrtorthisrsituation?
a. Encouragertherpatientrtorcontinuerdrinkingrthertea.
b. Encouragertherpatientrtordrinkronlyronercuprofrtherteareachrday.
c. Askrtherpatientrtorbringrinrthertearpackagerandrhavertherpharmacistrcheckrtheringredients.
d. Advisertherpatientrtorstoprdrinkingrthertearbecauserofrpotentialrinteractionsrwithrotherrme
dications.
r
3.rThernurserisrcaringrforraryoungradultrmalerpatientrwhorrefusesrpersonalrcarerfromrarfem
alernursingrassistant.rWhichrapproachrbyrthernurserisrbest?
a. Encouragertherpatientsrfamilyrtortalkrwithrhimraboutrhisrcare.
b. Haverarregisteredrnurser(RN)rhelprwithrhisrpersonalrcare.
c. Assignrarmalerassistantrtorhelprwithrhisrpersonalrcarerifronerisravailable.
d. Explainrtorhimrthatrmalesrandrfemalesrtakercarerofrbothrgendersrinrthisrhospital.
r 4.rThernurserisrprovidingrmedicationrinstructionsrtorar45-year-
oldrpatientrwhordoesrnotrmaintainreyercontact.rWhatrshouldrthisrpatientsrbehaviorrindicatertorthe
r nurse?r a.rTherpatientrisrnotrinterested.
b. Thernurserthreatensrtherpatientsrego.
,c. Thernurserisrinrarhierarchicalrposition.
d. Therpatientrdoesrnotrintendrtorfollowrtherinstructions.
5.rThernurserisrcaringrforrarpatientrofrSpanishrdescentrwhorisrexperiencingrpain,rbutrdoesrnotrspe
rrrrrrrrr
akrEnglish.rAnrinterpreterrisrlocatedrtorhelprwithrtherassessment.rWhatrshouldrthernurserdortorfacilit
atercommunicationrwithrthisrpatient?
a. Userhandrsignalsrtordeterminerthercauserofrtherpain.
b. Ensurertherinterpreterrisrnotrleftralonerwithrtherpatient.
c. Maintainreyercontactrwithrtherpatientrandrtherinterpreter.
d. Useronlyrphysicalrexaminationrdata;rdornotrrelyronrverbalrcommunication.
r 6.rArnewrmotherrofrGuatemalanrdescentrbringsrherr10-day-
oldrinfantrtorarclinicrforrarwellbabyrcheckup.rTorpromoterhealing,rsherhasrarcoinrtapedrtortherinf
antsrumbilicus.rWhatrshouldrthernurserdoraboutrthisrsituation?
a. Teachrthermotherrhowrtorcleanrthercoinrdailyrandrreapplyrit.
b. Explainrtorthermotherrthatrthercoinrisrnotrnecessaryrforrhealing.
c. Tellrthermotherrtorremoverthercoin,rbecauseritrcouldrcauseranrinfection.
d. Teachrthermotherrhowrtorapplyrardryrsterilerdressingrinrplacerofrthercoin.
r
7.rAnrolderrpatientrwhorfollowsrtherMuslimrreligionrisrapproachingrdeath.rTherfamilyrsaysrt
herpatientsrbedrshouldrberturnedrtowardrtheroppositerwall,rsoritrcanrfacerMeccartorensureranreasierrp
assagerintorthernextrlife.rTherwallrtheyrwantrtherbedrtorfacerhasrwallrsuctionrandroxygen,rwhichrther
patientrisrusing.rWhichractionrbyrthernurserisrappropriate?ra.rGetrpermissionrfromrtherphysicianrtor
movertherbed.
b. Rearrangertherfurniturertoraccommodatertherrequest.
c. Tellrthemryourwillrmovertherbedrwhenrtherpatientrisrcloserrtordeath.
d. Tellrthemritrisrimpossiblerbecauserofrthershortrtubingronrtheroxygenrandrsuction.
r
8.rArpatientrofrnorthernrEuropeanrdescentrrecoveringrfromrsurgeryrdeniesrpostoperativerpai
n;rhowever,rvitalrsignsrindicateranrelevatedrpulserandrbloodrpressure.rTherpatientrrefusesrtormoveri
nrbed.rWhichrnursingractionrwouldrbestrensurercomfortrandrtimelyrdischarge?ra.rGivertherpainrme
dicinerasrprescribed.
b. Askrtherphysicianrtorprescribertheranalgesicsraroundrtherclock.
c. Explainrthatrtherpainrmedicinerwillrhelprpreventrcomplications.
d. Respectrtherpatientsrdenialrofrpain,randrdornotrencouragertherpainrmedicine.
9. ThernurserisrpreparingrtorteachrarpatientrofrtherAsianrculturertorperformrpostoperativerdressingrc
hangesratrhomerafterrdischarge.rWhichrstatementrmaderbyrthernurserindicatesrcultural
,competence?
a. Tellrmerhowryourfeelraboutryourrsurgery.
b. Asianrpeoplerarersmart,rsorthisrshouldrbereasyrforryourtorunderstand.
c. Americanrsurgeonsrarerhighlyrqualified;rImrsurer yourwillrhealrquickly.
d. Willryourtellrmeraboutranyrtraditionalrhealingrpracticesrthatryourwouldrlikertoruse?r
10. Anrunconsciousrvictimrofrarhouserfirerisrbroughtrtortheremergencyrdepartmentrbyrtherparam
edics.rTiedrtortherrightrwristrisranremblemrthatrappearsrberarreligiousrtalisman.rWhichractionrsho
uldrthernursertake?ra.rTaperitrinrplace.
b. Dornothingrwithrit.
c. Removeritrandrlockritruprforrsafekeeping.
d. Placeritrinrarclothingrbagrwithrtherrestrofrtherpatientsrbelongings.
11.rAr43-year-
rrrrrrrrr
oldrpatientrofrArabrdescentrisradmittedrtortherhospital.rTorcomplyrwithrtherstaterlawsrofrtherorg
anization,rthernurseroffersrtherpatientrarPapanicolaoursmear,rwhichrsherrefuses.rWhichractionrs
houldrthernursertakerfirst?ra.rNotifyrtherphysician.
b.rReportrtherrefusalrtorthersupervisor.
c.r Explainrtherrationalerforrandrbenefitsrofrthertest.
BrTellrherritrisrstaterlawrandrthatrsherdoesrnotrhaverarchoice
12.rArnurserwhoremigratedrfromrChinarbeginsrworkingronrarmedicalrunit.rTherpreceptorrexplainsrther
unitrroutines,rincludingrthermedicationradministrationrsystem.rWhenrtherpreceptorrasksrifrthernurseru
nderstands,rtheranswerrisralways:rYes,rIrunderstand.rWhatrshouldrtherpreceptorrdortormeasurerthernur
sesrcomprehension?ra.rGiverthernurserarmedicationrquiz.
b. Haverthernurserrepeatrtherinstructions.
c. Haverthernurserdemonstratertherprocedures.
d. Askrthernurserwhichrinformationrisrhardrtorunderstand.
r 13.rAr52-year-
oldrfromrHaitirisrhospitalizedrwithrheartrfailurerandrwantsrtorhaverarvoodoorpractitionerrvisitrtorsayrp
rayers.rHowrshouldrthernurserrespondrtorthisrrequest?ra.rReportrtherrequestrtortherphysicianrimmedi
ately.
b. Tellrtherpatientrthatrthisrisrnotrpermittedrduringrhospitalization.
c. Tellrtherpatientritrisrokayrforrthervoodoorpractitionerrtorsayrprayers.
d. Havertherpatientrmeetrwithrthervoodoorpractitionerrinrtherhospitalrlobby.
r 14.rThernurserisrcaringrforrarpatientrfromrarnon-
Englishrspeakingrculture.rWhilerprovidingrcare,rthernursershowsranrappreciationrforrandrattentionrto
r arts,rmusic,rcrafts,rclothing,randrfoods
, belongingrtortherpatientsrculture.rWhatrdidrthernurserdemonstraterwhilercaringrforrthisrpatient?ra.
Culturalrbeliefs
b. Culturalrawareness
c. Culturalrsensitivity
d. Culturalrcompetence
r
15.rArfemalerCaucasianrnurse,roverheadrdiscussingrarpatientrfromranotherrculture,rasksrwhyrt
herpatientrwantsrtorseerarpractitionerrfromrhisrownrculture,rsincereveryonerseesrphysiciansrwhenrthe
yrarerill.rWhatrcharacteristicrisrthernurserexhibiting?
a. Stereotyping
b. Ethnocentrism
c. Culturalrsensitivity
d. Culturalrgeneralization
r 16.rDuringranrassessment,rthernurserdeterminesrthatrarpatientrfromrarnon-
Englishrspeakingrculturerpracticesractivitiesrthatrarerpast-
oriented.rWhatrbehaviorrdidrthernurserassessrinrthisrpatient?
a. Investingrtimerandrmoney
b. Enjoyingreachrdayrasritrcomes
c. Worshippingrancestorsrandrmaintainingrtraditions
d. Learningrfromrtherpastrtoravoidrmakingrthersamermistakesrinrtherfuture
r
17.rThernursernotesrthatrarpatientrofrArabrdescentrisrnotreatingranythingronrthermealrtrays.rWha
trshouldrthernurserdoraboutrthisrsituation?
a. Waitrforrtherpatientrtoraskrforrspecificrfoods.
b. Askrifrtherpatientrhasrspecialrfoodrpreferences.
c. ConsultrwithrarphysicianrofrArabrdescentronrstaff.
d. ContactrtherdietitianrtorfindroutrwhatrpatientsrofrArabrdescentrpatientsrlikertoreat.
18.rThermotherrofrar6-year-
oldrVietnameserchildradmittedrwithrpneumoniarisrrubbingrarcoinronrtherchildsrback.rThercoinrlea
vesrredrmarks.rWhatrshouldrthernurserdoraboutrthisrobservation?
a. Reportrtherpossibilityrofrchildrabuse.
b. Dornotrallowrthermotherrtorberalonerwithrherrchild.
c. Explainrtorthermotherrthatrshercannotrdorthisrinrtherhospital.
d. Addrarstatementrtorthercarerplanrthatrtherfamilyrpracticesrcoining.
r 19.r Ther familyrofr anr olderrArab-
Americanr patientr doesr notr wantr ther patientr tor ber informedrofrardiagnosisrofrcancer.rWhatrshouldrthern
urserdo?ra.rCallrarreligiousrcounselor.
b. Respectrtherfamilysrwishes.
r r r r r r
ank
Chapterr1.r HealthrMaintenancerGuidelinesr
MultiplerChoice
Identifyrtherchoicerthatrbestrcompletesrtherstatementrorranswersrtherquestion.
r
1.rArpatientrwhorisrarJehovahsrWitnessrhasrseverergastrointestinalrbleedingrandrardangerouslyrl
owrhemoglobinrlevel.rTherpatientrisrfullyralertrandrcompetentrandrrefusesrtoracceptrtherbloodrtransfus
ionrorderedrbyrtherphysician.rWhichractionrbyrthernurserisrmostrappropriate?ra.rObtainrarcourtrorderrt
orgivertherblood.
b. Administerrtherbloodrwhilertherpatientrisrsleeping.
c. Havertherpatientsrspousersignrtherconsentrtorhavertherbloodradministered.
d. Ensurertherpatientrunderstandsrpossiblerconsequencesrandrthenrrespectrtherpatientsrwishes.
r
2.rArpatientrofrMexicanrdescentrseesrarcuranderorforrasthma;rthercuranderorhasrprescri
bedrarspecialrteartorbertakenrfourrtimesrardayrtoropenrtherairways.rHowrshouldrthernurserrespo
ndrtorthisrsituation?
a. Encouragertherpatientrtorcontinuerdrinkingrthertea.
b. Encouragertherpatientrtordrinkronlyronercuprofrtherteareachrday.
c. Askrtherpatientrtorbringrinrthertearpackagerandrhavertherpharmacistrcheckrtheringredients.
d. Advisertherpatientrtorstoprdrinkingrthertearbecauserofrpotentialrinteractionsrwithrotherrme
dications.
r
3.rThernurserisrcaringrforraryoungradultrmalerpatientrwhorrefusesrpersonalrcarerfromrarfem
alernursingrassistant.rWhichrapproachrbyrthernurserisrbest?
a. Encouragertherpatientsrfamilyrtortalkrwithrhimraboutrhisrcare.
b. Haverarregisteredrnurser(RN)rhelprwithrhisrpersonalrcare.
c. Assignrarmalerassistantrtorhelprwithrhisrpersonalrcarerifronerisravailable.
d. Explainrtorhimrthatrmalesrandrfemalesrtakercarerofrbothrgendersrinrthisrhospital.
r 4.rThernurserisrprovidingrmedicationrinstructionsrtorar45-year-
oldrpatientrwhordoesrnotrmaintainreyercontact.rWhatrshouldrthisrpatientsrbehaviorrindicatertorthe
r nurse?r a.rTherpatientrisrnotrinterested.
b. Thernurserthreatensrtherpatientsrego.
,c. Thernurserisrinrarhierarchicalrposition.
d. Therpatientrdoesrnotrintendrtorfollowrtherinstructions.
5.rThernurserisrcaringrforrarpatientrofrSpanishrdescentrwhorisrexperiencingrpain,rbutrdoesrnotrspe
rrrrrrrrr
akrEnglish.rAnrinterpreterrisrlocatedrtorhelprwithrtherassessment.rWhatrshouldrthernurserdortorfacilit
atercommunicationrwithrthisrpatient?
a. Userhandrsignalsrtordeterminerthercauserofrtherpain.
b. Ensurertherinterpreterrisrnotrleftralonerwithrtherpatient.
c. Maintainreyercontactrwithrtherpatientrandrtherinterpreter.
d. Useronlyrphysicalrexaminationrdata;rdornotrrelyronrverbalrcommunication.
r 6.rArnewrmotherrofrGuatemalanrdescentrbringsrherr10-day-
oldrinfantrtorarclinicrforrarwellbabyrcheckup.rTorpromoterhealing,rsherhasrarcoinrtapedrtortherinf
antsrumbilicus.rWhatrshouldrthernurserdoraboutrthisrsituation?
a. Teachrthermotherrhowrtorcleanrthercoinrdailyrandrreapplyrit.
b. Explainrtorthermotherrthatrthercoinrisrnotrnecessaryrforrhealing.
c. Tellrthermotherrtorremoverthercoin,rbecauseritrcouldrcauseranrinfection.
d. Teachrthermotherrhowrtorapplyrardryrsterilerdressingrinrplacerofrthercoin.
r
7.rAnrolderrpatientrwhorfollowsrtherMuslimrreligionrisrapproachingrdeath.rTherfamilyrsaysrt
herpatientsrbedrshouldrberturnedrtowardrtheroppositerwall,rsoritrcanrfacerMeccartorensureranreasierrp
assagerintorthernextrlife.rTherwallrtheyrwantrtherbedrtorfacerhasrwallrsuctionrandroxygen,rwhichrther
patientrisrusing.rWhichractionrbyrthernurserisrappropriate?ra.rGetrpermissionrfromrtherphysicianrtor
movertherbed.
b. Rearrangertherfurniturertoraccommodatertherrequest.
c. Tellrthemryourwillrmovertherbedrwhenrtherpatientrisrcloserrtordeath.
d. Tellrthemritrisrimpossiblerbecauserofrthershortrtubingronrtheroxygenrandrsuction.
r
8.rArpatientrofrnorthernrEuropeanrdescentrrecoveringrfromrsurgeryrdeniesrpostoperativerpai
n;rhowever,rvitalrsignsrindicateranrelevatedrpulserandrbloodrpressure.rTherpatientrrefusesrtormoveri
nrbed.rWhichrnursingractionrwouldrbestrensurercomfortrandrtimelyrdischarge?ra.rGivertherpainrme
dicinerasrprescribed.
b. Askrtherphysicianrtorprescribertheranalgesicsraroundrtherclock.
c. Explainrthatrtherpainrmedicinerwillrhelprpreventrcomplications.
d. Respectrtherpatientsrdenialrofrpain,randrdornotrencouragertherpainrmedicine.
9. ThernurserisrpreparingrtorteachrarpatientrofrtherAsianrculturertorperformrpostoperativerdressingrc
hangesratrhomerafterrdischarge.rWhichrstatementrmaderbyrthernurserindicatesrcultural
,competence?
a. Tellrmerhowryourfeelraboutryourrsurgery.
b. Asianrpeoplerarersmart,rsorthisrshouldrbereasyrforryourtorunderstand.
c. Americanrsurgeonsrarerhighlyrqualified;rImrsurer yourwillrhealrquickly.
d. Willryourtellrmeraboutranyrtraditionalrhealingrpracticesrthatryourwouldrlikertoruse?r
10. Anrunconsciousrvictimrofrarhouserfirerisrbroughtrtortheremergencyrdepartmentrbyrtherparam
edics.rTiedrtortherrightrwristrisranremblemrthatrappearsrberarreligiousrtalisman.rWhichractionrsho
uldrthernursertake?ra.rTaperitrinrplace.
b. Dornothingrwithrit.
c. Removeritrandrlockritruprforrsafekeeping.
d. Placeritrinrarclothingrbagrwithrtherrestrofrtherpatientsrbelongings.
11.rAr43-year-
rrrrrrrrr
oldrpatientrofrArabrdescentrisradmittedrtortherhospital.rTorcomplyrwithrtherstaterlawsrofrtherorg
anization,rthernurseroffersrtherpatientrarPapanicolaoursmear,rwhichrsherrefuses.rWhichractionrs
houldrthernursertakerfirst?ra.rNotifyrtherphysician.
b.rReportrtherrefusalrtorthersupervisor.
c.r Explainrtherrationalerforrandrbenefitsrofrthertest.
BrTellrherritrisrstaterlawrandrthatrsherdoesrnotrhaverarchoice
12.rArnurserwhoremigratedrfromrChinarbeginsrworkingronrarmedicalrunit.rTherpreceptorrexplainsrther
unitrroutines,rincludingrthermedicationradministrationrsystem.rWhenrtherpreceptorrasksrifrthernurseru
nderstands,rtheranswerrisralways:rYes,rIrunderstand.rWhatrshouldrtherpreceptorrdortormeasurerthernur
sesrcomprehension?ra.rGiverthernurserarmedicationrquiz.
b. Haverthernurserrepeatrtherinstructions.
c. Haverthernurserdemonstratertherprocedures.
d. Askrthernurserwhichrinformationrisrhardrtorunderstand.
r 13.rAr52-year-
oldrfromrHaitirisrhospitalizedrwithrheartrfailurerandrwantsrtorhaverarvoodoorpractitionerrvisitrtorsayrp
rayers.rHowrshouldrthernurserrespondrtorthisrrequest?ra.rReportrtherrequestrtortherphysicianrimmedi
ately.
b. Tellrtherpatientrthatrthisrisrnotrpermittedrduringrhospitalization.
c. Tellrtherpatientritrisrokayrforrthervoodoorpractitionerrtorsayrprayers.
d. Havertherpatientrmeetrwithrthervoodoorpractitionerrinrtherhospitalrlobby.
r 14.rThernurserisrcaringrforrarpatientrfromrarnon-
Englishrspeakingrculture.rWhilerprovidingrcare,rthernursershowsranrappreciationrforrandrattentionrto
r arts,rmusic,rcrafts,rclothing,randrfoods
, belongingrtortherpatientsrculture.rWhatrdidrthernurserdemonstraterwhilercaringrforrthisrpatient?ra.
Culturalrbeliefs
b. Culturalrawareness
c. Culturalrsensitivity
d. Culturalrcompetence
r
15.rArfemalerCaucasianrnurse,roverheadrdiscussingrarpatientrfromranotherrculture,rasksrwhyrt
herpatientrwantsrtorseerarpractitionerrfromrhisrownrculture,rsincereveryonerseesrphysiciansrwhenrthe
yrarerill.rWhatrcharacteristicrisrthernurserexhibiting?
a. Stereotyping
b. Ethnocentrism
c. Culturalrsensitivity
d. Culturalrgeneralization
r 16.rDuringranrassessment,rthernurserdeterminesrthatrarpatientrfromrarnon-
Englishrspeakingrculturerpracticesractivitiesrthatrarerpast-
oriented.rWhatrbehaviorrdidrthernurserassessrinrthisrpatient?
a. Investingrtimerandrmoney
b. Enjoyingreachrdayrasritrcomes
c. Worshippingrancestorsrandrmaintainingrtraditions
d. Learningrfromrtherpastrtoravoidrmakingrthersamermistakesrinrtherfuture
r
17.rThernursernotesrthatrarpatientrofrArabrdescentrisrnotreatingranythingronrthermealrtrays.rWha
trshouldrthernurserdoraboutrthisrsituation?
a. Waitrforrtherpatientrtoraskrforrspecificrfoods.
b. Askrifrtherpatientrhasrspecialrfoodrpreferences.
c. ConsultrwithrarphysicianrofrArabrdescentronrstaff.
d. ContactrtherdietitianrtorfindroutrwhatrpatientsrofrArabrdescentrpatientsrlikertoreat.
18.rThermotherrofrar6-year-
oldrVietnameserchildradmittedrwithrpneumoniarisrrubbingrarcoinronrtherchildsrback.rThercoinrlea
vesrredrmarks.rWhatrshouldrthernurserdoraboutrthisrobservation?
a. Reportrtherpossibilityrofrchildrabuse.
b. Dornotrallowrthermotherrtorberalonerwithrherrchild.
c. Explainrtorthermotherrthatrshercannotrdorthisrinrtherhospital.
d. Addrarstatementrtorthercarerplanrthatrtherfamilyrpracticesrcoining.
r 19.r Ther familyrofr anr olderrArab-
Americanr patientr doesr notr wantr ther patientr tor ber informedrofrardiagnosisrofrcancer.rWhatrshouldrthern
urserdo?ra.rCallrarreligiousrcounselor.
b. Respectrtherfamilysrwishes.
