FamilygPracticegGuidelinesgFifthgEditiongTestgBank
Chapterg1.gHealthgMaintenancegGuidelinesgMult
iplegChoice
Identifygthegchoicegthatgbestgcompletesgthegstatementgorganswersgthegquestion.
g
1.gThegnursegisgpreparinggtogteachgagpatientgofgthegAsiangculturegtogperformgpostoperativegdr
essinggchangesgatghomegaftergdischarge.gWhichgstatementgmadegbygthegnursegindicatesgculturalgco
mpetence?
a. Tellgmeghowgyougfeelgaboutgyourgsurgery.
b. Asiangpeoplegaregsmart,gsogthisgshouldgbegeasygforgyougtogunderstand.
c. Americangsurgeonsgareghighlygqualified;gImgsuregyougwillghealgquickly.
d. Willgyougtellgmegaboutganygtraditionalghealinggpracticesgthatgyougwouldglikegtoguse?
g
2.gAngunconsciousgvictimgofgaghousegfiregisgbroughtgtogthegemergencygdepartmentgbygthegp
aramedics.gTiedgtogthegrightgwristgisgangemblemgthatgappearsgbegagreligiousgtalisman.gWhichgact
iongshouldgthegnursegtake?
a. Tapegitgingplace.
b. Dognothinggwithgit.
c. Removegitgandglockgitgupgforgsafekeeping.
d. Placegitgingagclothinggbaggwithgthegrestgofgthegpatientsgbelongings.
g 3.gAg43-year-
oldgpatientgofgArabgdescentgisgadmittedgtogtheghospital.gTogcomplygwithgthegstateglawsgofgthegorg
anization,gthegnursegoffersgthegpatientgagPapanicolaougsmear,gwhichgshegrefuses.gWhichgactiongs
houldgthegnursegtakegfirst?
a. Notifygthegphysician.
b. Reportgthegrefusalgtogthegsupervisor.
c. Explaingthegrationalegforgandgbenefitsgofgthegtest.
d. Tellghergitgisgstateglawgandgthatgshegdoesgnotghavegagchoice.
g
4.gAgpatientgwhogisgagJehovahsgWitnessghasgsevereggastrointestinalgbleedinggandgagdangerous
lyglowghemoglobinglevel.gThegpatientgisgfullygalertgandgcompetentgandgrefusesgtogacceptgthegbloodgtr
ansfusiongorderedgbygthegphysician.gWhichgactiongbygthegnursegisgmostgappropriate?
a. Obtaingagcourtgordergtoggivegthegblood.
b. Administergthegbloodgwhilegthegpatientgisgsleeping.
c. Havegthegpatientsgspousegsigngthegconsentgtoghavegthegbloodgadministered.
,d. Ensuregthegpatientgunderstandsgpossiblegconsequencesgandgthengrespectgthegpatientsgwishes.
g
5.gAgpatientgofgMexicangdescentgseesgagcuranderogforgasthma;gthegcuranderoghasgprescribedga
g specialgteagtogbegtakengfourgtimesgagdaygtogopengthegairways.gHowgshouldgthegnursegrespondgtogthi
sgsituation?
a. Encouragegthegpatientgtogcontinuegdrinkinggthegtea.
b. Encouragegthegpatientgtogdrinkgonlygonegcupgofgthegteageachgday.
c. Askgthegpatientgtogbringgingthegteagpackagegandghavegthegpharmacistgcheckgthegingredients.
d. Advisegthegpatientgtogstopgdrinkinggthegteagbecausegofgpotentialginteractionsgwithgotherg
medications.
g
6.gThegnursegisgcaringgforgagyounggadultgmalegpatientgwhogrefusesgpersonalgcaregfromgagf
emalegnursinggassistant.gWhichgapproachgbygthegnursegisgbest?
a. Encouragegthegpatientsgfamilygtogtalkgwithghimgaboutghisgcare.
b. Havegagregisteredgnurseg(RN)ghelpgwithghisgpersonalgcare.
c. Assigngagmalegassistantgtoghelpgwithghisgpersonalgcaregifgonegisgavailable.
d. Explaingtoghimgthatgmalesgandgfemalesgtakegcaregofgbothggendersgingthisghospital.
g 7.gThegnursegisgprovidinggmedicationginstructionsgtogag45-year-
oldgpatientgwhogdoesgnotgmaintaingeyegcontact.gWhatgshouldgthisgpatientsgbehaviorgindicategtogt
hegnurse?
a. Thegpatientgisgnotginterested.
b. Thegnursegthreatensgthegpatientsgego.
c. Thegnursegisgingaghierarchicalgposition.
d. Thegpatientgdoesgnotgintendgtogfollowgtheginstructions.
8.gThegnursegisgcaringgforgagpatientgofgSpanishgdescentgwhogisgexperiencinggpain,gbutgdoesgno
ggggggggg
tgspeakgEnglish.gAnginterpretergisglocatedgtoghelpgwithgthegassessment.gWhatgshouldgthegnursegdogt
ogfacilitategcommunicationgwithgthisgpatient?
a. Useghandgsignalsgtogdeterminegthegcausegofgthegpain.
b. Ensuregtheginterpretergisgnotgleftgalonegwithgthegpatient.
c. Maintaingeyegcontactgwithgthegpatientgandgtheginterpreter.
d. Usegonlygphysicalgexaminationgdata;gdognotgrelygongverbalgcommunication.
g 9.gAgnewgmothergofgGuatemalangdescentgbringsgherg10-day-oldginfantgtogagclinicgforgagwell-
babygcheckup.gTogpromoteghealing,gsheghasgagcoingtapedgtogtheginfantsgumbilicus.gWhatgshouldgthe
g
g nursegdogaboutgthisgsituation?
a. Teachgthegmotherghowgtogcleangthegcoingdailygandgreapplygit.
b. Explaingtogthegmothergthatgthegcoingisgnotgnecessarygforghealing.
,c. Tellgthegmothergtogremovegthegcoin,gbecausegitgcouldgcauseganginfection.
d. Teachgthegmotherghowgtogapplygagdrygsterilegdressinggingplacegofgthegcoin.
g
10.gAngoldergpatientgwhogfollowsgthegMuslimgreligiongisgapproachinggdeath.gThegfamilygsa
ysgthegpatientsgbedgshouldgbegturnedgtowardgthegoppositegwall,gsogitgcangfacegMeccagtogensuregang
easiergpassagegintogthegnextglife.gThegwallgtheygwantgthegbedgtogfaceghasgwallgsuctiongandgoxygen
,gwhichgthegpatientgisgusing.gWhichgactiongbygthegnursegisgappropriate?
a. Getgpermissiongfromgthegphysiciangtogmovegthegbed.
b. Rearrangegthegfurnituregtogaccommodategthegrequest.
c. Tellgthemgyougwillgmovegthegbedgwhengthegpatientgisgclosergtogdeath.
d. Tellgthemgitgisgimpossiblegbecausegofgthegshortgtubinggongthegoxygengandgsuction.
11.gAgpatientgofgnortherngEuropeangdescentgrecoveringgfromgsurgerygdeniesgpostoperativegp
ggggggggg
ain;ghowever,gvitalgsignsgindicategangelevatedgpulsegandgbloodgpressure.gThegpatientgrefusesgtogm
ovegingbed.gWhichgnursinggactiongwouldgbestgensuregcomfortgandgtimelygdischarge?
a. Givegthegpaingmedicinegasgprescribed.
b. Askgthegphysiciangtogprescribegtheganalgesicsgaroundgthegclock.
c. Explaingthatgthegpaingmedicinegwillghelpgpreventgcomplications.
d. Respectgthegpatientsgdenialgofgpain,gandgdognotgencouragegthegpaingmedicine.
g
12.gAgnursegwhogemigratedgfromgChinagbeginsgworkinggongagmedicalgunit.gThegpreceptorgexp
lainsgthegunitgroutines,gincludinggthegmedicationgadministrationgsystem.gWhengthegpreceptorgasksgif
g thegnursegunderstands,gtheganswergisgalways:gYes,gIgunderstand.gWhatgshouldgthegpreceptorgdogtogm
easuregthegnursesgcomprehension?
a. Givegthegnursegagmedicationgquiz.
b. Havegthegnursegrepeatgtheginstructions.
c. Havegthegnursegdemonstrategthegprocedures.
d. Askgthegnursegwhichginformationgisghardgtogunderstand.
g 13.gAg52-year-
oldgfromgHaitigisghospitalizedgwithgheartgfailuregandgwantsgtoghavegagvoodoogpractitionergvisitgtogsa
ygprayers.gHowgshouldgthegnursegrespondgtogthisgrequest?
a. Reportgthegrequestgtogthegphysiciangimmediately.
b. Tellgthegpatientgthatgthisgisgnotgpermittedgduringghospitalization.
c. Tellgthegpatientgitgisgokaygforgthegvoodoogpractitionergtogsaygprayers.
d. Havegthegpatientgmeetgwithgthegvoodoogpractitionergingtheghospitalglobby.
g 14.gThegnursegisgcaringgforgagpatientgfromgagnon-
Englishgspeakinggculture.gWhilegprovidinggcare,gthegnursegshowsgangappreciationgforgandgattention
g togarts,gmusic,gcrafts,gclothing,gandgfoods
, belonginggtogthegpatientsgculture.gWhatgdidgthegnursegdemonstrategwhilegcaringgforgthisgpatient?
a. Culturalgbeliefs
b. Culturalgawareness
c. Culturalgsensitivity
d. Culturalgcompetence
g
15.gAgfemalegCaucasiangnurse,goverheadgdiscussinggagpatientgfromganothergculture,gasksgwh
ygthegpatientgwantsgtogseegagpractitionergfromghisgowngculture,gsincegeveryonegseesgphysiciansgwhe
ngtheygaregill.gWhatgcharacteristicgisgthegnursegexhibiting?
a. Stereotyping
b. Ethnocentrism
c. Culturalgsensitivity
d. Culturalggeneralization
g 16.gDuringgangassessment,gthegnursegdeterminesgthatgagpatientgfromgagnon-
Englishgspeakinggculturegpracticesgactivitiesgthatgaregpast-
oriented.gWhatgbehaviorgdidgthegnursegassessgingthisgpatient?
a. Investinggtimegandgmoney
b. Enjoyinggeachgdaygasgitgcomes
c. Worshippinggancestorsgandgmaintaininggtraditions
d. Learninggfromgthegpastgtogavoidgmakinggthegsamegmistakesgingthegfuture
g
17.gThegnursegnotesgthatgagpatientgofgArabgdescentgisgnotgeatingganythinggongthegmealgtrays.g
Whatgshouldgthegnursegdogaboutgthisgsituation?
a. Waitgforgthegpatientgtogaskgforgspecificgfoods.
b. Askgifgthegpatientghasgspecialgfoodgpreferences.
c. ConsultgwithgagphysiciangofgArabgdescentgongstaff.
d. ContactgthegdietitiangtogfindgoutgwhatgpatientsgofgArabgdescentgpatientsglikegtogeat.
g 18.gThegmothergofgag6-year-
oldgVietnamesegchildgadmittedgwithgpneumoniagisgrubbinggagcoingongthegchildsgback.gThegcoingl
eavesgredgmarks.gWhatgshouldgthegnursegdogaboutgthisgobservation?
a. Reportgthegpossibilitygofgchildgabuse.
b. Dognotgallowgthegmothergtogbegalonegwithghergchild.
c. Explaingtogthegmothergthatgshegcannotgdogthisgingtheghospital.
d. Addgagstatementgtogthegcaregplangthatgthegfamilygpracticesgcoining.
g 19.gThegfamilygofgangoldergArab-Americangpatientgdoesgnotgwantgthegpatientgtogbeginformed
Chapterg1.gHealthgMaintenancegGuidelinesgMult
iplegChoice
Identifygthegchoicegthatgbestgcompletesgthegstatementgorganswersgthegquestion.
g
1.gThegnursegisgpreparinggtogteachgagpatientgofgthegAsiangculturegtogperformgpostoperativegdr
essinggchangesgatghomegaftergdischarge.gWhichgstatementgmadegbygthegnursegindicatesgculturalgco
mpetence?
a. Tellgmeghowgyougfeelgaboutgyourgsurgery.
b. Asiangpeoplegaregsmart,gsogthisgshouldgbegeasygforgyougtogunderstand.
c. Americangsurgeonsgareghighlygqualified;gImgsuregyougwillghealgquickly.
d. Willgyougtellgmegaboutganygtraditionalghealinggpracticesgthatgyougwouldglikegtoguse?
g
2.gAngunconsciousgvictimgofgaghousegfiregisgbroughtgtogthegemergencygdepartmentgbygthegp
aramedics.gTiedgtogthegrightgwristgisgangemblemgthatgappearsgbegagreligiousgtalisman.gWhichgact
iongshouldgthegnursegtake?
a. Tapegitgingplace.
b. Dognothinggwithgit.
c. Removegitgandglockgitgupgforgsafekeeping.
d. Placegitgingagclothinggbaggwithgthegrestgofgthegpatientsgbelongings.
g 3.gAg43-year-
oldgpatientgofgArabgdescentgisgadmittedgtogtheghospital.gTogcomplygwithgthegstateglawsgofgthegorg
anization,gthegnursegoffersgthegpatientgagPapanicolaougsmear,gwhichgshegrefuses.gWhichgactiongs
houldgthegnursegtakegfirst?
a. Notifygthegphysician.
b. Reportgthegrefusalgtogthegsupervisor.
c. Explaingthegrationalegforgandgbenefitsgofgthegtest.
d. Tellghergitgisgstateglawgandgthatgshegdoesgnotghavegagchoice.
g
4.gAgpatientgwhogisgagJehovahsgWitnessghasgsevereggastrointestinalgbleedinggandgagdangerous
lyglowghemoglobinglevel.gThegpatientgisgfullygalertgandgcompetentgandgrefusesgtogacceptgthegbloodgtr
ansfusiongorderedgbygthegphysician.gWhichgactiongbygthegnursegisgmostgappropriate?
a. Obtaingagcourtgordergtoggivegthegblood.
b. Administergthegbloodgwhilegthegpatientgisgsleeping.
c. Havegthegpatientsgspousegsigngthegconsentgtoghavegthegbloodgadministered.
,d. Ensuregthegpatientgunderstandsgpossiblegconsequencesgandgthengrespectgthegpatientsgwishes.
g
5.gAgpatientgofgMexicangdescentgseesgagcuranderogforgasthma;gthegcuranderoghasgprescribedga
g specialgteagtogbegtakengfourgtimesgagdaygtogopengthegairways.gHowgshouldgthegnursegrespondgtogthi
sgsituation?
a. Encouragegthegpatientgtogcontinuegdrinkinggthegtea.
b. Encouragegthegpatientgtogdrinkgonlygonegcupgofgthegteageachgday.
c. Askgthegpatientgtogbringgingthegteagpackagegandghavegthegpharmacistgcheckgthegingredients.
d. Advisegthegpatientgtogstopgdrinkinggthegteagbecausegofgpotentialginteractionsgwithgotherg
medications.
g
6.gThegnursegisgcaringgforgagyounggadultgmalegpatientgwhogrefusesgpersonalgcaregfromgagf
emalegnursinggassistant.gWhichgapproachgbygthegnursegisgbest?
a. Encouragegthegpatientsgfamilygtogtalkgwithghimgaboutghisgcare.
b. Havegagregisteredgnurseg(RN)ghelpgwithghisgpersonalgcare.
c. Assigngagmalegassistantgtoghelpgwithghisgpersonalgcaregifgonegisgavailable.
d. Explaingtoghimgthatgmalesgandgfemalesgtakegcaregofgbothggendersgingthisghospital.
g 7.gThegnursegisgprovidinggmedicationginstructionsgtogag45-year-
oldgpatientgwhogdoesgnotgmaintaingeyegcontact.gWhatgshouldgthisgpatientsgbehaviorgindicategtogt
hegnurse?
a. Thegpatientgisgnotginterested.
b. Thegnursegthreatensgthegpatientsgego.
c. Thegnursegisgingaghierarchicalgposition.
d. Thegpatientgdoesgnotgintendgtogfollowgtheginstructions.
8.gThegnursegisgcaringgforgagpatientgofgSpanishgdescentgwhogisgexperiencinggpain,gbutgdoesgno
ggggggggg
tgspeakgEnglish.gAnginterpretergisglocatedgtoghelpgwithgthegassessment.gWhatgshouldgthegnursegdogt
ogfacilitategcommunicationgwithgthisgpatient?
a. Useghandgsignalsgtogdeterminegthegcausegofgthegpain.
b. Ensuregtheginterpretergisgnotgleftgalonegwithgthegpatient.
c. Maintaingeyegcontactgwithgthegpatientgandgtheginterpreter.
d. Usegonlygphysicalgexaminationgdata;gdognotgrelygongverbalgcommunication.
g 9.gAgnewgmothergofgGuatemalangdescentgbringsgherg10-day-oldginfantgtogagclinicgforgagwell-
babygcheckup.gTogpromoteghealing,gsheghasgagcoingtapedgtogtheginfantsgumbilicus.gWhatgshouldgthe
g
g nursegdogaboutgthisgsituation?
a. Teachgthegmotherghowgtogcleangthegcoingdailygandgreapplygit.
b. Explaingtogthegmothergthatgthegcoingisgnotgnecessarygforghealing.
,c. Tellgthegmothergtogremovegthegcoin,gbecausegitgcouldgcauseganginfection.
d. Teachgthegmotherghowgtogapplygagdrygsterilegdressinggingplacegofgthegcoin.
g
10.gAngoldergpatientgwhogfollowsgthegMuslimgreligiongisgapproachinggdeath.gThegfamilygsa
ysgthegpatientsgbedgshouldgbegturnedgtowardgthegoppositegwall,gsogitgcangfacegMeccagtogensuregang
easiergpassagegintogthegnextglife.gThegwallgtheygwantgthegbedgtogfaceghasgwallgsuctiongandgoxygen
,gwhichgthegpatientgisgusing.gWhichgactiongbygthegnursegisgappropriate?
a. Getgpermissiongfromgthegphysiciangtogmovegthegbed.
b. Rearrangegthegfurnituregtogaccommodategthegrequest.
c. Tellgthemgyougwillgmovegthegbedgwhengthegpatientgisgclosergtogdeath.
d. Tellgthemgitgisgimpossiblegbecausegofgthegshortgtubinggongthegoxygengandgsuction.
11.gAgpatientgofgnortherngEuropeangdescentgrecoveringgfromgsurgerygdeniesgpostoperativegp
ggggggggg
ain;ghowever,gvitalgsignsgindicategangelevatedgpulsegandgbloodgpressure.gThegpatientgrefusesgtogm
ovegingbed.gWhichgnursinggactiongwouldgbestgensuregcomfortgandgtimelygdischarge?
a. Givegthegpaingmedicinegasgprescribed.
b. Askgthegphysiciangtogprescribegtheganalgesicsgaroundgthegclock.
c. Explaingthatgthegpaingmedicinegwillghelpgpreventgcomplications.
d. Respectgthegpatientsgdenialgofgpain,gandgdognotgencouragegthegpaingmedicine.
g
12.gAgnursegwhogemigratedgfromgChinagbeginsgworkinggongagmedicalgunit.gThegpreceptorgexp
lainsgthegunitgroutines,gincludinggthegmedicationgadministrationgsystem.gWhengthegpreceptorgasksgif
g thegnursegunderstands,gtheganswergisgalways:gYes,gIgunderstand.gWhatgshouldgthegpreceptorgdogtogm
easuregthegnursesgcomprehension?
a. Givegthegnursegagmedicationgquiz.
b. Havegthegnursegrepeatgtheginstructions.
c. Havegthegnursegdemonstrategthegprocedures.
d. Askgthegnursegwhichginformationgisghardgtogunderstand.
g 13.gAg52-year-
oldgfromgHaitigisghospitalizedgwithgheartgfailuregandgwantsgtoghavegagvoodoogpractitionergvisitgtogsa
ygprayers.gHowgshouldgthegnursegrespondgtogthisgrequest?
a. Reportgthegrequestgtogthegphysiciangimmediately.
b. Tellgthegpatientgthatgthisgisgnotgpermittedgduringghospitalization.
c. Tellgthegpatientgitgisgokaygforgthegvoodoogpractitionergtogsaygprayers.
d. Havegthegpatientgmeetgwithgthegvoodoogpractitionergingtheghospitalglobby.
g 14.gThegnursegisgcaringgforgagpatientgfromgagnon-
Englishgspeakinggculture.gWhilegprovidinggcare,gthegnursegshowsgangappreciationgforgandgattention
g togarts,gmusic,gcrafts,gclothing,gandgfoods
, belonginggtogthegpatientsgculture.gWhatgdidgthegnursegdemonstrategwhilegcaringgforgthisgpatient?
a. Culturalgbeliefs
b. Culturalgawareness
c. Culturalgsensitivity
d. Culturalgcompetence
g
15.gAgfemalegCaucasiangnurse,goverheadgdiscussinggagpatientgfromganothergculture,gasksgwh
ygthegpatientgwantsgtogseegagpractitionergfromghisgowngculture,gsincegeveryonegseesgphysiciansgwhe
ngtheygaregill.gWhatgcharacteristicgisgthegnursegexhibiting?
a. Stereotyping
b. Ethnocentrism
c. Culturalgsensitivity
d. Culturalggeneralization
g 16.gDuringgangassessment,gthegnursegdeterminesgthatgagpatientgfromgagnon-
Englishgspeakinggculturegpracticesgactivitiesgthatgaregpast-
oriented.gWhatgbehaviorgdidgthegnursegassessgingthisgpatient?
a. Investinggtimegandgmoney
b. Enjoyinggeachgdaygasgitgcomes
c. Worshippinggancestorsgandgmaintaininggtraditions
d. Learninggfromgthegpastgtogavoidgmakinggthegsamegmistakesgingthegfuture
g
17.gThegnursegnotesgthatgagpatientgofgArabgdescentgisgnotgeatingganythinggongthegmealgtrays.g
Whatgshouldgthegnursegdogaboutgthisgsituation?
a. Waitgforgthegpatientgtogaskgforgspecificgfoods.
b. Askgifgthegpatientghasgspecialgfoodgpreferences.
c. ConsultgwithgagphysiciangofgArabgdescentgongstaff.
d. ContactgthegdietitiangtogfindgoutgwhatgpatientsgofgArabgdescentgpatientsglikegtogeat.
g 18.gThegmothergofgag6-year-
oldgVietnamesegchildgadmittedgwithgpneumoniagisgrubbinggagcoingongthegchildsgback.gThegcoingl
eavesgredgmarks.gWhatgshouldgthegnursegdogaboutgthisgobservation?
a. Reportgthegpossibilitygofgchildgabuse.
b. Dognotgallowgthegmothergtogbegalonegwithghergchild.
c. Explaingtogthegmothergthatgshegcannotgdogthisgingtheghospital.
d. Addgagstatementgtogthegcaregplangthatgthegfamilygpracticesgcoining.
g 19.gThegfamilygofgangoldergArab-Americangpatientgdoesgnotgwantgthegpatientgtogbeginformed
