Family Practice Guidelines Fifth Edition Test Bank
n n n n n n
Chaptern1.n HealthnMaintenancenGuidelinesn Mult
iplen Choice
Identifynthen choicen that n best n completesn then statement n orn answersn then question.
1.n A n patient n whonisn anJehovahsn Witnessn hasn severen gastrointestinaln bleedingn andnan dangerousl
yn low n hemoglobinn level.n Then patient n isn fullyn alert n and ncompetent nandn refusesntonaccept nthenblood ntra
nsfusionn ordered n bynthenphysician.n Whichn actionn bynthen nursenisn most n appropriate?n a.nObtainn an cour
t n ordern ton given then blood.
b. Administern then blood n whilen then patient n isn sleeping.
c. Haven then patientsn spousen signn then consent n ton haven then blood n administered.
d. Ensuren then patient n understandsn possiblen consequencesn and n thenn respect n then patientsn wishes.
2.n An patient n ofn Mexicann descent nseesn an curanderon fornasthma;n then curanderon hasn pres
cribed n an specialn tean ton bentakenn fourn timesn an dayntonopenn thenairways.n How nshouldn then nurse
n respond n ton thisn situation?
a. Encouragen then patient n ton continuen drinkingn then tea.
b. Encouragen then patient n ton drinkn onlyn onen cupn of n then tean eachn day.
c. Askn then patient n ton bringn inn then tean packagen and n haven then pharmacist n checkn then ingredients.
d. Advisen then patient ntonstopndrinkingn thenteanbecausen of n potentialn interactionsn withn othern
medications.
3.n Then nursen isn caringn forn an youngnadult nmalen patient nwhonrefusesn personaln caren fromn an f
emalen nursingn assistant.n Whichn approachn byn then nursen isn best?
a. Encouragen then patientsn familynton talkn withn himn about n hisn care.
b. Haven an registered n nursen (RN)n helpn withn hisn personaln care.
c. Assignn an malen assistant n ton helpn withn hisn personaln caren if n onen isn available.
d. Explainn ton himn that n malesn and n femalesn taken caren of n bothn gendersn inn thisn hospital.
4.n Then nursen isn providingn medicationn instructionsn ton an 45-year-
old n patient n whondoesn notn maintainn eyencontact.nWhat nshould nthisn patientsn behaviorn indicaten ton
then nurse?n a.n Then patient n isn not n interested.
b. Then nursen threatensn then patientsn ego.
,c. Then nursen isn inn an hierarchicaln position.
d. Then patient n doesn not n intend n ton follow n then instructions.
n n n 5.n Then nursen isn caringn forn an patient n ofn Spanishndescent nwhon isn experiencingn pain,n butndoesn not
n speaknEnglish.n Ann interpretern isn locatedn ton helpnwithn then assessment.n Whatn shouldnthen nursendont
on facilitaten communicationn withn thisn patient?
a. Usen hand n signalsn ton determinen then causen of n then pain.
b. Ensuren then interpretern isn not n left n alonen withn then patient.
c. Maintainn eyen contact n withn then patient n and n then interpreter.
d. Usen onlyn physicaln examinationn data;n don not n relyn onn verbaln communication.
6.n A n new n mothern of n Guatemalann descent n bringsn hern 10-day-
old n infant n tonan clinicn forn anwellbabyncheckup.n Ton promotenhealing,n shen hasnan coinntapedntonthen
infantsn umbilicus.n What n should n then nursen don about n thisn situation?
a. Teachn then mothern hown ton cleann then coinn dailyn and n reapplyn it.
b. Explainn ton then mothern that n then coinn isn not n necessaryn forn healing.
c. Telln then mothern ton removen then coin,n becausen it n could n causen ann infection.
d. Teachn then mothern hown ton applyn an dryn sterilen dressingn inn placen of n then coin.
7.n Ann oldern patient nwhonfollowsn then Muslimn religionn isn approachingn death.n Then familyn say
sn then patientsn bednshould nbenturnedntoward nthen oppositenwall,n sonit ncannfacen Meccan ton ensuren ann e
asiern passagen inton then next n life.n Then walln theynwantn then bedntonfacen hasn walln suctionn andn oxygen,n
whichn then patient n isn using.n Whichn actionn bynthennursen isn appropriate?n a.n Get npermissionn fromn the
n physiciann ton moven then bed.
b. Rearrangen then furnituren ton accommodaten then request.
c. Telln themn youn willn moven then bed n whenn then patient n isn closern ton death.
d. Telln themn it n isn impossiblen becausen of n then short n tubingn onn then oxygenn and n suction.
8.n A n patient n ofn northernnEuropeann descent nrecoveringn fromn surgeryn deniesn postoperativen p
ain;n however,n vitaln signsn indicaten ann elevatedn pulsenandn bloodnpressure.n Then patient nrefusesn ton m
oven inn bed.n Whichn nursingn actionn would nbest nensuren comfort nandn timelyn discharge?n a.n Given then
painn medicinen asn prescribed.
b. Askn then physiciann ton prescriben then analgesicsn around n then clock.
c. Explainn that n then painn medicinen willn helpn prevent n complications.
d. Respect n then patientsn denialn of n pain,n and n don not n encouragen then painn medicine.
9. Then nursen isn preparingn ton teachn an patient n ofn then Asiann culturen ton performn postoperativen dressin
gn changesn at n homen aftern discharge.n Whichn statement n maden bynthen nursen indicatesn cultural
,competence?
a. Telln men how n youn feeln about n yourn surgery.
b. Asiann peoplen aren smart,n son thisn should n ben easyn forn youn ton understand.
c. Americann surgeonsn aren highlyn qualified;n Imn suren youn willn healn quickly.
d. Willn youn telln men about n anyn traditionaln healingn practicesn that n youn would n liken ton use?
10. Ann unconsciousn victimn of n an housen firen isn brought ntonthen emergencyn department n byn then par
amedics.n Tied n ton then right n wrist n isn ann emblemn that n appearsn ben an religiousn talisman.n Whichn acti
onn should n then nursen take?n a.n Tapen it n inn place.
b. Don nothingn withn it.
c. Removen it n and n lockn it n upn forn safekeeping.
d. Placen it n inn an clothingn bagn withn then rest n of n then patientsn belongings.
n n n 11.n An 43-year-
old n patientn ofn Arabndescentn isn admitted nton then hospital.n Ton complynwithn then staten lawsn ofnthen o
rganization,n then nursen offersn then patientn an Papanicolaoun smear,n whichn shen refuses.n Whichn act
ionn should n then nursen taken first?n a.n Notifyn then physician.
b. Report n then refusaln ton then supervisor.
c. Explainn then rationalen forn and n benefitsn of n then test.
Bn Telln hern it n isn staten law n and n that n shen doesn not n haven an choice
12.n A n nursen whonemigrated nfromn Chinan beginsn workingnonn anmedicaln unit.n Then preceptorn explainsn t
hen unit n routines,n includingn then medicationn administrationn system.n Whenn then preceptornasksn if n then n
ursen understands,n then answernisn always:n Yes,n In understand.nWhat nshould nthenpreceptorn dontonmeasur
en then nursesn comprehension?n a.n Given then nursen an medicationn quiz.
b. Haven then nursen repeat n then instructions.
c. Haven then nursen demonstraten then procedures.
d. Askn then nursen whichn informationn isn hard n ton understand.
13.n An 52-year-
old n fromn Haitin isn hospitalized nwithnheart nfailuren andnwantsnton havenan voodoon practitionern visit n ton s
ayn prayers.n How n should n thennursen respond ntonthisn request?na.n Report n thenrequest n ton then physiciann i
mmediately.
b. Telln then patient n that n thisn isn not n permitted n duringn hospitalization.
c. Telln then patient n it n isn okayn forn then voodoon practitionern ton sayn prayers.
d. Haven then patient n meet n withn then voodoon practitionern inn then hospitaln lobby.
14.n Then nursen isn caringn forn an patient n fromn an non-
Englishn speakingn culture.n Whilen providingn care,n then nursen showsn ann appreciationn forn and n attentio
nn ton arts,n music,n crafts,n clothing,n and n foods
, belongingn ton then patientsn culture.n What n did n then nursen demonstraten whilen caringn forn thisn patient?n a.
Culturaln beliefs
b. Culturaln awareness
c. Culturaln sensitivity
d. Culturaln competence
15.n An femalen Caucasiann nurse,n overhead n discussingn an patient n fromn anothernculture,n asksn wh
ynthen patient n wantsn tonseen anpractitionern fromn hisn ownnculture,nsincen everyonen seesn physiciansn whe
nn theyn aren ill.n What n characteristicn isn then nursen exhibiting?
a. Stereotyping
b. Ethnocentrism
c. Culturaln sensitivity
d. Culturaln generalization
16.n Duringn ann assessment,n then nursen determinesn that n an patient n fromn an non-
Englishn speakingn culturen practicesn activitiesn that n aren past-
oriented.n What n behaviorn did n then nursen assessn inn thisn patient?
a. Investingn timen and n money
b. Enjoyingn eachn dayn asn it n comes
c. Worshippingn ancestorsn and n maintainingn traditions
d. Learningn fromn then past n ton avoid n makingn then samen mistakesn inn then future
17.n Then nursen notesn that nanpatient nof nArabn descent n isn not n eatingn anythingn onn then mealn trays.n
What n should n then nursen don about n thisn situation?
a. Wait n forn then patient n ton askn forn specificn foods.
b. Askn if n then patient n hasn specialn food n preferences.
c. Consult n withn an physiciann of n Arabn descent n onn staff.
d. Contact n then dietitiann ton find n out n what n patientsn of n Arabn descent n patientsn liken ton eat.n
18.n T
hen mothern of n an 6-year-
old n Vietnamesen child n admittednwithnpneumonian isn rubbingn an coinn onnthenchildsn back.nThen coinnl
eavesn red n marks.n What n should n then nursen don about n thisn observation?
a. Report n then possibilitynof n child n abuse.
b. Don not n allow n then mothern ton ben alonen withn hern child.
c. Explainn ton then mothern that n shen cannot n don thisn inn then hospital.
d. Add n an statement n ton then caren plann that n then familyn practicesn coining.
19.n Then familyn of n ann oldern Arab-
Americann patient n doesn not n want nthenpatient nton beninformed nof nandiagnosisn of n cancer.n What n should n t
hen nursen do?n a.n Calln an religiousn counselor.
n n n n n n
Chaptern1.n HealthnMaintenancenGuidelinesn Mult
iplen Choice
Identifynthen choicen that n best n completesn then statement n orn answersn then question.
1.n A n patient n whonisn anJehovahsn Witnessn hasn severen gastrointestinaln bleedingn andnan dangerousl
yn low n hemoglobinn level.n Then patient n isn fullyn alert n and ncompetent nandn refusesntonaccept nthenblood ntra
nsfusionn ordered n bynthenphysician.n Whichn actionn bynthen nursenisn most n appropriate?n a.nObtainn an cour
t n ordern ton given then blood.
b. Administern then blood n whilen then patient n isn sleeping.
c. Haven then patientsn spousen signn then consent n ton haven then blood n administered.
d. Ensuren then patient n understandsn possiblen consequencesn and n thenn respect n then patientsn wishes.
2.n An patient n ofn Mexicann descent nseesn an curanderon fornasthma;n then curanderon hasn pres
cribed n an specialn tean ton bentakenn fourn timesn an dayntonopenn thenairways.n How nshouldn then nurse
n respond n ton thisn situation?
a. Encouragen then patient n ton continuen drinkingn then tea.
b. Encouragen then patient n ton drinkn onlyn onen cupn of n then tean eachn day.
c. Askn then patient n ton bringn inn then tean packagen and n haven then pharmacist n checkn then ingredients.
d. Advisen then patient ntonstopndrinkingn thenteanbecausen of n potentialn interactionsn withn othern
medications.
3.n Then nursen isn caringn forn an youngnadult nmalen patient nwhonrefusesn personaln caren fromn an f
emalen nursingn assistant.n Whichn approachn byn then nursen isn best?
a. Encouragen then patientsn familynton talkn withn himn about n hisn care.
b. Haven an registered n nursen (RN)n helpn withn hisn personaln care.
c. Assignn an malen assistant n ton helpn withn hisn personaln caren if n onen isn available.
d. Explainn ton himn that n malesn and n femalesn taken caren of n bothn gendersn inn thisn hospital.
4.n Then nursen isn providingn medicationn instructionsn ton an 45-year-
old n patient n whondoesn notn maintainn eyencontact.nWhat nshould nthisn patientsn behaviorn indicaten ton
then nurse?n a.n Then patient n isn not n interested.
b. Then nursen threatensn then patientsn ego.
,c. Then nursen isn inn an hierarchicaln position.
d. Then patient n doesn not n intend n ton follow n then instructions.
n n n 5.n Then nursen isn caringn forn an patient n ofn Spanishndescent nwhon isn experiencingn pain,n butndoesn not
n speaknEnglish.n Ann interpretern isn locatedn ton helpnwithn then assessment.n Whatn shouldnthen nursendont
on facilitaten communicationn withn thisn patient?
a. Usen hand n signalsn ton determinen then causen of n then pain.
b. Ensuren then interpretern isn not n left n alonen withn then patient.
c. Maintainn eyen contact n withn then patient n and n then interpreter.
d. Usen onlyn physicaln examinationn data;n don not n relyn onn verbaln communication.
6.n A n new n mothern of n Guatemalann descent n bringsn hern 10-day-
old n infant n tonan clinicn forn anwellbabyncheckup.n Ton promotenhealing,n shen hasnan coinntapedntonthen
infantsn umbilicus.n What n should n then nursen don about n thisn situation?
a. Teachn then mothern hown ton cleann then coinn dailyn and n reapplyn it.
b. Explainn ton then mothern that n then coinn isn not n necessaryn forn healing.
c. Telln then mothern ton removen then coin,n becausen it n could n causen ann infection.
d. Teachn then mothern hown ton applyn an dryn sterilen dressingn inn placen of n then coin.
7.n Ann oldern patient nwhonfollowsn then Muslimn religionn isn approachingn death.n Then familyn say
sn then patientsn bednshould nbenturnedntoward nthen oppositenwall,n sonit ncannfacen Meccan ton ensuren ann e
asiern passagen inton then next n life.n Then walln theynwantn then bedntonfacen hasn walln suctionn andn oxygen,n
whichn then patient n isn using.n Whichn actionn bynthennursen isn appropriate?n a.n Get npermissionn fromn the
n physiciann ton moven then bed.
b. Rearrangen then furnituren ton accommodaten then request.
c. Telln themn youn willn moven then bed n whenn then patient n isn closern ton death.
d. Telln themn it n isn impossiblen becausen of n then short n tubingn onn then oxygenn and n suction.
8.n A n patient n ofn northernnEuropeann descent nrecoveringn fromn surgeryn deniesn postoperativen p
ain;n however,n vitaln signsn indicaten ann elevatedn pulsenandn bloodnpressure.n Then patient nrefusesn ton m
oven inn bed.n Whichn nursingn actionn would nbest nensuren comfort nandn timelyn discharge?n a.n Given then
painn medicinen asn prescribed.
b. Askn then physiciann ton prescriben then analgesicsn around n then clock.
c. Explainn that n then painn medicinen willn helpn prevent n complications.
d. Respect n then patientsn denialn of n pain,n and n don not n encouragen then painn medicine.
9. Then nursen isn preparingn ton teachn an patient n ofn then Asiann culturen ton performn postoperativen dressin
gn changesn at n homen aftern discharge.n Whichn statement n maden bynthen nursen indicatesn cultural
,competence?
a. Telln men how n youn feeln about n yourn surgery.
b. Asiann peoplen aren smart,n son thisn should n ben easyn forn youn ton understand.
c. Americann surgeonsn aren highlyn qualified;n Imn suren youn willn healn quickly.
d. Willn youn telln men about n anyn traditionaln healingn practicesn that n youn would n liken ton use?
10. Ann unconsciousn victimn of n an housen firen isn brought ntonthen emergencyn department n byn then par
amedics.n Tied n ton then right n wrist n isn ann emblemn that n appearsn ben an religiousn talisman.n Whichn acti
onn should n then nursen take?n a.n Tapen it n inn place.
b. Don nothingn withn it.
c. Removen it n and n lockn it n upn forn safekeeping.
d. Placen it n inn an clothingn bagn withn then rest n of n then patientsn belongings.
n n n 11.n An 43-year-
old n patientn ofn Arabndescentn isn admitted nton then hospital.n Ton complynwithn then staten lawsn ofnthen o
rganization,n then nursen offersn then patientn an Papanicolaoun smear,n whichn shen refuses.n Whichn act
ionn should n then nursen taken first?n a.n Notifyn then physician.
b. Report n then refusaln ton then supervisor.
c. Explainn then rationalen forn and n benefitsn of n then test.
Bn Telln hern it n isn staten law n and n that n shen doesn not n haven an choice
12.n A n nursen whonemigrated nfromn Chinan beginsn workingnonn anmedicaln unit.n Then preceptorn explainsn t
hen unit n routines,n includingn then medicationn administrationn system.n Whenn then preceptornasksn if n then n
ursen understands,n then answernisn always:n Yes,n In understand.nWhat nshould nthenpreceptorn dontonmeasur
en then nursesn comprehension?n a.n Given then nursen an medicationn quiz.
b. Haven then nursen repeat n then instructions.
c. Haven then nursen demonstraten then procedures.
d. Askn then nursen whichn informationn isn hard n ton understand.
13.n An 52-year-
old n fromn Haitin isn hospitalized nwithnheart nfailuren andnwantsnton havenan voodoon practitionern visit n ton s
ayn prayers.n How n should n thennursen respond ntonthisn request?na.n Report n thenrequest n ton then physiciann i
mmediately.
b. Telln then patient n that n thisn isn not n permitted n duringn hospitalization.
c. Telln then patient n it n isn okayn forn then voodoon practitionern ton sayn prayers.
d. Haven then patient n meet n withn then voodoon practitionern inn then hospitaln lobby.
14.n Then nursen isn caringn forn an patient n fromn an non-
Englishn speakingn culture.n Whilen providingn care,n then nursen showsn ann appreciationn forn and n attentio
nn ton arts,n music,n crafts,n clothing,n and n foods
, belongingn ton then patientsn culture.n What n did n then nursen demonstraten whilen caringn forn thisn patient?n a.
Culturaln beliefs
b. Culturaln awareness
c. Culturaln sensitivity
d. Culturaln competence
15.n An femalen Caucasiann nurse,n overhead n discussingn an patient n fromn anothernculture,n asksn wh
ynthen patient n wantsn tonseen anpractitionern fromn hisn ownnculture,nsincen everyonen seesn physiciansn whe
nn theyn aren ill.n What n characteristicn isn then nursen exhibiting?
a. Stereotyping
b. Ethnocentrism
c. Culturaln sensitivity
d. Culturaln generalization
16.n Duringn ann assessment,n then nursen determinesn that n an patient n fromn an non-
Englishn speakingn culturen practicesn activitiesn that n aren past-
oriented.n What n behaviorn did n then nursen assessn inn thisn patient?
a. Investingn timen and n money
b. Enjoyingn eachn dayn asn it n comes
c. Worshippingn ancestorsn and n maintainingn traditions
d. Learningn fromn then past n ton avoid n makingn then samen mistakesn inn then future
17.n Then nursen notesn that nanpatient nof nArabn descent n isn not n eatingn anythingn onn then mealn trays.n
What n should n then nursen don about n thisn situation?
a. Wait n forn then patient n ton askn forn specificn foods.
b. Askn if n then patient n hasn specialn food n preferences.
c. Consult n withn an physiciann of n Arabn descent n onn staff.
d. Contact n then dietitiann ton find n out n what n patientsn of n Arabn descent n patientsn liken ton eat.n
18.n T
hen mothern of n an 6-year-
old n Vietnamesen child n admittednwithnpneumonian isn rubbingn an coinn onnthenchildsn back.nThen coinnl
eavesn red n marks.n What n should n then nursen don about n thisn observation?
a. Report n then possibilitynof n child n abuse.
b. Don not n allow n then mothern ton ben alonen withn hern child.
c. Explainn ton then mothern that n shen cannot n don thisn inn then hospital.
d. Add n an statement n ton then caren plann that n then familyn practicesn coining.
19.n Then familyn of n ann oldern Arab-
Americann patient n doesn not n want nthenpatient nton beninformed nof nandiagnosisn of n cancer.n What n should n t
hen nursen do?n a.n Calln an religiousn counselor.
