, Family .Practice .Guidelines .Fifth .Edition .Test .Bank
Chapter .1. .Health .Maintenance .Guidelines
.Multiple .Choice
Identify .the .choice .that .best .completes .the .statement .or .answers .the .question.
1. .The .nurse .is .preparing .to .teach .a .patient .of .the .Asian .culture .to .perform
.postoperative .dressing .changes .at .home .after .discharge. .Which .statement .made .by .the .nurse
.indicates .cultural .competence?
a. Tell .me .how .you .feel .about .your .surgery.
b. Asian .people .are .smart, .so .this .should .be .easy .for .you .to .understand.
c. American .surgeons .are .highly .qualified; .Im .sure .you .will .heal .quickly.
d. Will .you .tell .me .about .any .traditional .healing .practices .that .you .would .like .to .use?
2. .An .unconscious .victim .of .a .house .fire .is .brought .to .the .emergency .department .by
.the .paramedics. .Tied .to .the .right .wrist .is .an .emblem .that .appears .be .a .religious .talisman.
.Which .action .should .the .nurse .take?
a. Tape .it .in .place.
b. Do .nothing .with .it.
c. Remove .it .and .lock .it .up .for .safekeeping.
d. Place .it .in .a .clothing .bag .with .the .rest .of .the .patients .belongings.
3. .A .43-year-old .patient .of .Arab .descent .is .admitted .to .the .hospital. .To .comply .with
.the .state .laws .of .the .organization, .the .nurse .offers .the .patient .a .Papanicolaou .smear,
.which .she .refuses. .Which .action .should .the .nurse .take .first?
a. Notify .the .physician.
b. Report .the .refusal .to .the .supervisor.
c. Explain .the .rationale .for .and .benefits .of .the .test.
d. Tell .her .it .is .state .law .and .that .she .does .not .have .a .choice.
4. .A .patient .who .is .a .Jehovahs .Witness .has .severe .gastrointestinal .bleeding .and .a
.dangerously .low .hemoglobin .level. .The .patient .is .fully .alert .and .competent .and .refuses .to
.accept .the .blood .transfusion .ordered .by .the .physician. .Which .action .by .the .nurse .is .most
.appropriate?
a. Obtain .a .court .order .to .give .the .blood.
b. Administer .the .blood .while .the .patient .is .sleeping.
c. Have .the .patients .spouse .sign .the .consent .to .have .the .blood .administered.
,d. Ensure .the .patient .understands .possible .consequences .and .then .respect .the .patients .wishes.
5. .A .patient .of .Mexican .descent .sees .a .curandero .for .asthma; .the .curandero .has
.prescribed .a .special .tea .to .be .taken .four .times .a .day .to .open .the .airways. .How .should .the
.nurse .respond .to .this .situation?
a. Encourage .the .patient .to .continue .drinking .the .tea.
b. Encourage .the .patient .to .drink .only .one .cup .of .the .tea .each .day.
c. Ask .the .patient .to .bring .in .the .tea .package .and .have .the .pharmacist .check .the .ingredients.
d. Advise .the .patient .to .stop .drinking .the .tea .because .of .potential .interactions .with
.other .medications.
6. .The .nurse .is .caring .for .a .young .adult .male .patient .who .refuses .personal .care
.from .a .female .nursing .assistant. .Which .approach .by .the .nurse .is .best?
a. Encourage .the .patients .family .to .talk .with .him .about .his .care.
b. Have .a .registered .nurse .(RN) .help .with .his .personal .care.
c. Assign .a .male .assistant .to .help .with .his .personal .care .if .one .is .available.
d. Explain .to .him .that .males .and .females .take .care .of .both .genders .in .this .hospital.
7. .The .nurse .is .providing .medication .instructions .to .a .45-year-old .patient .who .does
.not .maintain .eye .contact. .What .should .this .patients .behavior .indicate .to .the .nurse?
a. The .patient .is .not .interested.
b. The .nurse .threatens .the .patients .ego.
c. The .nurse .is .in .a .hierarchical .position.
d. The .patient .does .not .intend .to .follow .the .instructions.
. . . 8. .The .nurse .is .caring .for .a .patient .of .Spanish .descent .who .is .experiencing .pain, .but
.does .not .speak .English. .An .interpreter .is .located .to .help .with .the .assessment. .What .should
.the .nurse .do .to .facilitate .communication .with .this .patient?
a. Use .hand .signals .to .determine .the .cause .of .the .pain.
b. Ensure .the .interpreter .is .not .left .alone .with .the .patient.
c. Maintain .eye .contact .with .the .patient .and .the .interpreter.
d. Use .only .physical .examination .data; .do .not .rely .on .verbal .communication.
9. .A .new .mother .of .Guatemalan .descent .brings .her .10-day-old .infant .to .a .clinic .for .a
.well- .baby .checkup. .To .promote .healing, .she .has .a .coin .taped .to .the .infants .umbilicus. .What
.should .the .nurse .do .about .this .situation?
a. Teach .the .mother .how .to .clean .the .coin .daily .and .reapply .it.
b. Explain .to .the .mother .that .the .coin .is .not .necessary .for .healing.
, c. Tell .the .mother .to .remove .the .coin, .because .it .could .cause .an .infection.
d. Teach .the .mother .how .to .apply .a .dry .sterile .dressing .in .place .of .the .coin.
10. .An .older .patient .who .follows .the .Muslim .religion .is .approaching .death. .The
.family .says .the .patients .bed .should .be .turned .toward .the .opposite .wall, .so .it .can .face
.Mecca .to .ensure .an .easier .passage .into .the .next .life. .The .wall .they .want .the .bed .to .face
.has .wall .suction .and .oxygen, .which .the .patient .is .using. .Which .action .by .the .nurse .is
.appropriate?
a. Get .permission .from .the .physician .to .move .the .bed.
b. Rearrange .the .furniture .to .accommodate .the .request.
c. Tell .them .you .will .move .the .bed .when .the .patient .is .closer .to .death.
d. Tell .them .it .is .impossible .because .of .the .short .tubing .on .the .oxygen .and .suction.
. . 11. .A .patient .of .northern .European .descent .recovering .from .surgery .denies
.postoperative .pain; .however, .vital .signs .indicate .an .elevated .pulse .and .blood .pressure. .The
.patient .refuses .to .move .in .bed. .Which .nursing .action .would .best .ensure .comfort .and .timely
.discharge?
a. Give .the .pain .medicine .as .prescribed.
b. Ask .the .physician .to .prescribe .the .analgesics .around .the .clock.
c. Explain .that .the .pain .medicine .will .help .prevent .complications.
d. Respect .the .patients .denial .of .pain, .and .do .not .encourage .the .pain .medicine.
12. .A .nurse .who .emigrated .from .China .begins .working .on .a .medical .unit. .The .preceptor
.explains .the .unit .routines, .including .the .medication .administration .system. .When .the
.preceptor .asks .if .the .nurse .understands, .the .answer .is .always: .Yes, .I .understand. .What .should
.the .preceptor .do .to .measure .the .nurses .comprehension?
a. Give .the .nurse .a .medication .quiz.
b. Have .the .nurse .repeat .the .instructions.
c. Have .the .nurse .demonstrate .the .procedures.
d. Ask .the .nurse .which .information .is .hard .to .understand.
13. .A .52-year-old .from .Haiti .is .hospitalized .with .heart .failure .and .wants .to .have .a
.voodoo .practitioner .visit .to .say .prayers. .How .should .the .nurse .respond .to .this .request?
a. Report .the .request .to .the .physician .immediately.
b. Tell .the .patient .that .this .is .not .permitted .during .hospitalization.
c. Tell .the .patient .it .is .okay .for .the .voodoo .practitioner .to .say .prayers.
d. Have .the .patient .meet .with .the .voodoo .practitioner .in .the .hospital .lobby.
14. .The .nurse .is .caring .for .a .patient .from .a .non-English .speaking .culture. .While
.providing .care, .the .nurse .shows .an .appreciation .for .and .attention .to .arts, .music, .crafts,
.clothing, .and .foods
Chapter .1. .Health .Maintenance .Guidelines
.Multiple .Choice
Identify .the .choice .that .best .completes .the .statement .or .answers .the .question.
1. .The .nurse .is .preparing .to .teach .a .patient .of .the .Asian .culture .to .perform
.postoperative .dressing .changes .at .home .after .discharge. .Which .statement .made .by .the .nurse
.indicates .cultural .competence?
a. Tell .me .how .you .feel .about .your .surgery.
b. Asian .people .are .smart, .so .this .should .be .easy .for .you .to .understand.
c. American .surgeons .are .highly .qualified; .Im .sure .you .will .heal .quickly.
d. Will .you .tell .me .about .any .traditional .healing .practices .that .you .would .like .to .use?
2. .An .unconscious .victim .of .a .house .fire .is .brought .to .the .emergency .department .by
.the .paramedics. .Tied .to .the .right .wrist .is .an .emblem .that .appears .be .a .religious .talisman.
.Which .action .should .the .nurse .take?
a. Tape .it .in .place.
b. Do .nothing .with .it.
c. Remove .it .and .lock .it .up .for .safekeeping.
d. Place .it .in .a .clothing .bag .with .the .rest .of .the .patients .belongings.
3. .A .43-year-old .patient .of .Arab .descent .is .admitted .to .the .hospital. .To .comply .with
.the .state .laws .of .the .organization, .the .nurse .offers .the .patient .a .Papanicolaou .smear,
.which .she .refuses. .Which .action .should .the .nurse .take .first?
a. Notify .the .physician.
b. Report .the .refusal .to .the .supervisor.
c. Explain .the .rationale .for .and .benefits .of .the .test.
d. Tell .her .it .is .state .law .and .that .she .does .not .have .a .choice.
4. .A .patient .who .is .a .Jehovahs .Witness .has .severe .gastrointestinal .bleeding .and .a
.dangerously .low .hemoglobin .level. .The .patient .is .fully .alert .and .competent .and .refuses .to
.accept .the .blood .transfusion .ordered .by .the .physician. .Which .action .by .the .nurse .is .most
.appropriate?
a. Obtain .a .court .order .to .give .the .blood.
b. Administer .the .blood .while .the .patient .is .sleeping.
c. Have .the .patients .spouse .sign .the .consent .to .have .the .blood .administered.
,d. Ensure .the .patient .understands .possible .consequences .and .then .respect .the .patients .wishes.
5. .A .patient .of .Mexican .descent .sees .a .curandero .for .asthma; .the .curandero .has
.prescribed .a .special .tea .to .be .taken .four .times .a .day .to .open .the .airways. .How .should .the
.nurse .respond .to .this .situation?
a. Encourage .the .patient .to .continue .drinking .the .tea.
b. Encourage .the .patient .to .drink .only .one .cup .of .the .tea .each .day.
c. Ask .the .patient .to .bring .in .the .tea .package .and .have .the .pharmacist .check .the .ingredients.
d. Advise .the .patient .to .stop .drinking .the .tea .because .of .potential .interactions .with
.other .medications.
6. .The .nurse .is .caring .for .a .young .adult .male .patient .who .refuses .personal .care
.from .a .female .nursing .assistant. .Which .approach .by .the .nurse .is .best?
a. Encourage .the .patients .family .to .talk .with .him .about .his .care.
b. Have .a .registered .nurse .(RN) .help .with .his .personal .care.
c. Assign .a .male .assistant .to .help .with .his .personal .care .if .one .is .available.
d. Explain .to .him .that .males .and .females .take .care .of .both .genders .in .this .hospital.
7. .The .nurse .is .providing .medication .instructions .to .a .45-year-old .patient .who .does
.not .maintain .eye .contact. .What .should .this .patients .behavior .indicate .to .the .nurse?
a. The .patient .is .not .interested.
b. The .nurse .threatens .the .patients .ego.
c. The .nurse .is .in .a .hierarchical .position.
d. The .patient .does .not .intend .to .follow .the .instructions.
. . . 8. .The .nurse .is .caring .for .a .patient .of .Spanish .descent .who .is .experiencing .pain, .but
.does .not .speak .English. .An .interpreter .is .located .to .help .with .the .assessment. .What .should
.the .nurse .do .to .facilitate .communication .with .this .patient?
a. Use .hand .signals .to .determine .the .cause .of .the .pain.
b. Ensure .the .interpreter .is .not .left .alone .with .the .patient.
c. Maintain .eye .contact .with .the .patient .and .the .interpreter.
d. Use .only .physical .examination .data; .do .not .rely .on .verbal .communication.
9. .A .new .mother .of .Guatemalan .descent .brings .her .10-day-old .infant .to .a .clinic .for .a
.well- .baby .checkup. .To .promote .healing, .she .has .a .coin .taped .to .the .infants .umbilicus. .What
.should .the .nurse .do .about .this .situation?
a. Teach .the .mother .how .to .clean .the .coin .daily .and .reapply .it.
b. Explain .to .the .mother .that .the .coin .is .not .necessary .for .healing.
, c. Tell .the .mother .to .remove .the .coin, .because .it .could .cause .an .infection.
d. Teach .the .mother .how .to .apply .a .dry .sterile .dressing .in .place .of .the .coin.
10. .An .older .patient .who .follows .the .Muslim .religion .is .approaching .death. .The
.family .says .the .patients .bed .should .be .turned .toward .the .opposite .wall, .so .it .can .face
.Mecca .to .ensure .an .easier .passage .into .the .next .life. .The .wall .they .want .the .bed .to .face
.has .wall .suction .and .oxygen, .which .the .patient .is .using. .Which .action .by .the .nurse .is
.appropriate?
a. Get .permission .from .the .physician .to .move .the .bed.
b. Rearrange .the .furniture .to .accommodate .the .request.
c. Tell .them .you .will .move .the .bed .when .the .patient .is .closer .to .death.
d. Tell .them .it .is .impossible .because .of .the .short .tubing .on .the .oxygen .and .suction.
. . 11. .A .patient .of .northern .European .descent .recovering .from .surgery .denies
.postoperative .pain; .however, .vital .signs .indicate .an .elevated .pulse .and .blood .pressure. .The
.patient .refuses .to .move .in .bed. .Which .nursing .action .would .best .ensure .comfort .and .timely
.discharge?
a. Give .the .pain .medicine .as .prescribed.
b. Ask .the .physician .to .prescribe .the .analgesics .around .the .clock.
c. Explain .that .the .pain .medicine .will .help .prevent .complications.
d. Respect .the .patients .denial .of .pain, .and .do .not .encourage .the .pain .medicine.
12. .A .nurse .who .emigrated .from .China .begins .working .on .a .medical .unit. .The .preceptor
.explains .the .unit .routines, .including .the .medication .administration .system. .When .the
.preceptor .asks .if .the .nurse .understands, .the .answer .is .always: .Yes, .I .understand. .What .should
.the .preceptor .do .to .measure .the .nurses .comprehension?
a. Give .the .nurse .a .medication .quiz.
b. Have .the .nurse .repeat .the .instructions.
c. Have .the .nurse .demonstrate .the .procedures.
d. Ask .the .nurse .which .information .is .hard .to .understand.
13. .A .52-year-old .from .Haiti .is .hospitalized .with .heart .failure .and .wants .to .have .a
.voodoo .practitioner .visit .to .say .prayers. .How .should .the .nurse .respond .to .this .request?
a. Report .the .request .to .the .physician .immediately.
b. Tell .the .patient .that .this .is .not .permitted .during .hospitalization.
c. Tell .the .patient .it .is .okay .for .the .voodoo .practitioner .to .say .prayers.
d. Have .the .patient .meet .with .the .voodoo .practitioner .in .the .hospital .lobby.
14. .The .nurse .is .caring .for .a .patient .from .a .non-English .speaking .culture. .While
.providing .care, .the .nurse .shows .an .appreciation .for .and .attention .to .arts, .music, .crafts,
.clothing, .and .foods
