Family Practice Guidelines Fifth Edition Test Ban
m m m m m m
k
Chapterm1.m HealthmMaintenancemGuidelinesmMu
ltiplemChoice
Identifymthemchoicemthat mbest mcompletesmthemstatement mormanswersmthemquestion.
1.mA mpatient mwhomismamJehovahsmWitnessmhasmseveremgastrointestinalmbleedingmand mamdanger
ouslymlow mhemoglobinmlevel.mThempatient mismfullymalert mand mcompetent mand mrefusesmtomaccept mthem
blood mtransfusionmordered mbymthemphysician.mWhichmactionmbymthemnursemismmost mappropriate?ma.m
Obtainmamcourt mordermtomgivemthemblood.
b. Administermthemblood mwhilemthempatient mismsleeping.
c. Havemthempatientsmspousemsignmthemconsent mtomhavemthemblood madministered.
d. Ensuremthempatient munderstandsmpossiblemconsequencesmand mthenmrespect mthempatientsmwishes.
2.mA mpatient mof mMexicanmdescent mseesmamcuranderomformasthma;mthemcuranderomhasm
prescribed mamspecialmteamtombemtakenmfourmtimesmamdaymtomopenmthemairways.mHow mshould m
themnursemrespond mtomthismsituation?
a. Encouragemthempatient mtomcontinuemdrinkingmthemtea.
b. Encouragemthempatient mtomdrinkmonlymonemcupmof mthemteameachmday.
c. Askmthempatient mtombringminmthemteampackagemand mhavemthempharmacist mcheckmthemingredients.
d. Advisemthempatient mtomstopmdrinkingmthemteambecausemof mpotentialminteractionsmwithmot
hermmedications.
3.mThemnursemismcaringmformamyoungmadult mmalempatient mwhomrefusesmpersonalmcaremfro
mmamfemalemnursingmassistant.mWhichmapproachmbymthemnurse mis mbest?
a. Encouragemthempatientsmfamilymtomtalkmwithmhimmabout mhismcare.
b. Havemamregistered mnursem(RN)mhelpmwithmhismpersonalmcare.
c. Assignmammalemassistant mtomhelpmwithmhismpersonalmcarem if monemismavailable.
d. Explainmtomhimmthat mmalesmand mfemalesmtakemcaremof mbothmgendersminmthismhospital.
4.mThemnursemismprovidingmmedicationminstructionsmtomam45-year-
old mpatient mwhomdoesmnot mmaintainmeyemcontact.mWhat mshould mthismpatientsmbehaviormindicat
emtomthemnurse?ma.mThem patient mismnot minterested.
b. Themnursemthreatensmthempatientsmego.
,c. Themnursemisminmamhierarchicalmposition.
d. Thempatient mdoesmnot mintend mtomfollow mtheminstructions.
m m m 5.m Themnursem ismcaringmformampatient mof mSpanishmdescent mwhomismexperiencingmpain,mbut mdo
esmnot mspeakmEnglish.mAnminterpretermism located mtomhelpmwithmthemassessment.mWhat mshould mthem
nursemdomtomfacilitatemcommunicationmwithmthismpatient?
a. Usemhand msignalsmtomdeterminemthemcausemof mthempain.
b. Ensuremtheminterpretermismnot mleft malonemwithmthempatient.
c. Maintainmeyemcontact mwithmthempatient mand mtheminterpreter.
d. Usemonlymphysicalmexaminationmdata;mdomnot mrelymonmverbalmcommunication.
6.mA mnew mmothermof mGuatemalanmdescent mbringsmherm10-day-
old minfant mtomamclinicmformamwellbabymcheckup.mTompromotemhealing,mshemhasma mcoinmtaped mt
omtheminfantsmumbilicus.mWhat mshould mthemnursemdomabout mthismsituation?
a. Teachmthemmothermhow mtomcleanmthemcoinmdailymand mreapplymit.
b. Explainmtomthemmothermthat mthemcoinmismnot mnecessarymformhealing.
c. Tellmthemmothermtomremovemthemcoin,mbecausemit mcould mcausemanminfection.
d. Teachmthemmothermhow mtomapplymamdrymsterilemdressingminmplacemof mthemcoin.
7.mAnmoldermpatient mwhomfollowsmthemMuslimmreligionmismapproaching mdeath.mThemfamily
msaysmthempatientsmbed mshould mbemturned mtoward mthemoppositemwall,msomit mcanmfacemMeccamtomen
suremanmeasiermpassagemintomthemnext mlife.mThemwall mtheymwant mthembed mtomfacemhasmwallmsuctio
nmand moxygen,mwhichmthempatient mismusing.mWhichmactionmbymthemnursemismappropriate?ma.mGet m
permissionmfrommthemphysicianmtommovemthembed.
b. Rearrangemthemfurnituremtomaccommodatemthemrequest.
c. Tellmthemmyoumwillmmovemthembed mwhenmthempatient mismclosermtomdeath.
d. Tellmthemmit mismimpossible mbecausemof mthemshort mtubingmonmthemoxygenmand msuction.
8.mA mpatient mof mnorthernmEuropeanmdescent mrecoveringmfrommsurgerymdeniesmpostoperativ
empain;mhowever,mvitalmsignsmindicatemanmelevated mpulsemand mblood mpressure.mThempatient mrefus
esmtommoveminmbed.mWhichmnursingmactionmwould mbest mensuremcomfort mand mtimelymdischarge?m
a.mGivemthempainmmedicinemasmprescribed.
b. Askmthemphysicianmtomprescribemthemanalgesicsmaround mthemclock.
c. Explainmthat mthempainmmedicinemwillmhelpmprevent mcomplications.
d. Respect mthempatientsmdenialmof mpain,mand mdomnot mencouragemthempainmmedicine.
9. Themnursemismpreparingmtomteachmampatient mof mthemAsianmculturemtomperformmpostoperativemdre
ssingmchangesmat mhomemaftermdischarge.mWhichmstatement mmadembymthemnursemindicatesmcultural
,competence?
a. Tellmmemhow myoumfeelmabout myourmsurgery.
b. Asianmpeoplemaremsmart,msomthismshould mbemeasymformyoumtomunderstand.
c. Americanmsurgeonsmaremhighlymqualified;mImmsuremyoumwillmhealmquickly.
d. Willmyoumtellmmemabout manymtraditionalmhealingmpracticesmthat myoumwould mlikemtomuse?
10. Anmunconsciousmvictimmof mamhousemfiremismbrought mtomthememergencymdepartment mbymthe
mparamedics.mTied mtomthemright mwrist mismanmemblemmthat mappearsmbemamreligiousmtalisman.mW
hichmactionmshould mthemnursemtake?ma.mTapemit minmplace.
b. Domnothingmwithmit.
c. Removemit mand mlockmit mupmformsafekeeping.
d. Placemit minmamclothingmbagmwithmthemrest mof mthempatientsmbelongings.
m m m 11.mAm43-year-
old mpatient mof mArabmdescent mismadmitted mtomthemhospital.mTomcomplymwithmthemstatemlawsmof
mthemorganization,mthemnursemoffersmthempatient mamPapanicolaoumsmear,mwhich mshem refuses.m
Whichmactionmshould mthemnursemtakemfirst?ma.mNotifymthemphysician.
b. Report mthemrefusalmtomthemsupervisor.
c. Explainmthemrationalemformand mbenefitsmof mthemtest.
BmTellmhermit mismstatemlaw mand mthat mshemdoesmnot mhavemamchoice
12.mA mnursemwhomemigrated mfrommChinambeginsmworkingmonmammedicalmunit.mThempreceptormexpla
insmthemunit mroutines,mincludingmthemmedicationmadministrationmsystem.mWhenmthempreceptormasks
mif mthemnursemunderstands,mthemanswermismalways:mYes,mI munderstand.mWhat mshould mthempreceptorm
domtommeasuremthemnursesmcomprehension?ma.mGivemthemnursemammedicationmquiz.
b. Havemthemnursemrepeat mtheminstructions.
c. Havemthemnursemdemonstratemthemprocedures.
d. Askmthemnursemwhichminformationmismhard mtomunderstand.
13.mAm52-year-
old mfrommHaitimismhospitalized mwithmheart mfailuremand mwantsmtomhavemamvoodoompractitionermvisit
mtomsaymprayers.mHow mshould mthemnursemrespond mtomthismrequest?ma.mReport mthemrequest mtomthemp
hysicianmimmediately.
b. Tellmthempatient mthat mthismismnot mpermitted mduringmhospitalization.
c. Tellmthempatient mit mismokaymformthemvoodoompractitionermtomsaymprayers.
d. Havemthempatient mmeet mwithmthemvoodoompractitionerminmthemhospitalmlobby.
14.mThemnursemismcaringmformampatient mfrommamnon-
Englishmspeakingmculture.mWhilemprovidingmcare,mthemnursemshowsmanm appreciationmformand matten
tionmtomarts,mmusic,mcrafts,mclothing,mand mfoods
, belongingmtomthempatientsmculture.mWhat mdid mthemnursemdemonstratemwhilemcaringmformthismpatient?ma.
Culturalmbeliefs
b. Culturalmawareness
c. Culturalmsensitivity
d. Culturalmcompetence
15.mAmfemalemCaucasianmnurse,moverhead mdiscussingmampatient mfrommanothermculture,masks
whymthempatient mwantsmtomseemampractitionermfrommhismownmculture,msincemeveryonemseesmphysici
m
ansmwhenmtheymaremill.mWhat mcharacteristicmismthemnursemexhibiting?
a. Stereotyping
b. Ethnocentrism
c. Culturalmsensitivity
d. Culturalmgeneralization
16.mDuringmanmassessment,mthemnursemdeterminesmthat mampatient mfrommamnon-
Englishmspeakingmculturempracticesmactivitiesmthat marempast-
oriented.mWhat mbehaviormdid mthemnursemassessminmthismpatient?
a. Investingmtimemand mmoney
b. Enjoyingmeachmdaymasmit mcomes
c. Worshippingmancestorsmand mmaintainingmtraditions
d. Learningmfrommthempast mtomavoid mmakingmthemsamemmistakesminmthemfuture
17.mThemnursemnotesmthat mampatient mof mArabmdescent mismnot meatingmanythingmonmthemmealmtra
ys.mWhat mshould mthemnursemdomabout mthismsituation?
a. Wait mformthempatient mtomaskmformspecificmfoods.
b. Askmif mthempatient mhasmspecialmfood mpreferences.
c. Consult mwithmamphysicianmof mArabmdescent monmstaff.
d. Contact mthemdietitianmtomfind mout mwhat mpatientsmof mArabmdescent mpatientsmlikemtomeat.m
18.mT
hemmothermof mam6-year-
old mVietnamesemchild madmitted mwithmpneumoniamismrubbingmamcoinmonmthemchildsmback.mThemc
oinmleavesmred mmarks.mWhat mshould mthemnursemdomabout mthismobservation?
a. Report mthempossibilitymof mchild mabuse.
b. Domnot mallow mthemmothermtombemalonemwithmhermchild.
c. Explainmtomthemmothermthat mshemcannot mdomthisminmthemhospital.
d. Add mamstatement mtomthemcaremplanmthat mthemfamilympracticesmcoining.
19.mThemfamilymof manmoldermArab-
Americanmpatient mdoesmnot mwant mthempatient mtombeminformed mof mamdiagnosismof mcancer.mWhat msho
uld mthemnursemdo?ma.mCallmamreligiousmcounselor.
m m m m m m
k
Chapterm1.m HealthmMaintenancemGuidelinesmMu
ltiplemChoice
Identifymthemchoicemthat mbest mcompletesmthemstatement mormanswersmthemquestion.
1.mA mpatient mwhomismamJehovahsmWitnessmhasmseveremgastrointestinalmbleedingmand mamdanger
ouslymlow mhemoglobinmlevel.mThempatient mismfullymalert mand mcompetent mand mrefusesmtomaccept mthem
blood mtransfusionmordered mbymthemphysician.mWhichmactionmbymthemnursemismmost mappropriate?ma.m
Obtainmamcourt mordermtomgivemthemblood.
b. Administermthemblood mwhilemthempatient mismsleeping.
c. Havemthempatientsmspousemsignmthemconsent mtomhavemthemblood madministered.
d. Ensuremthempatient munderstandsmpossiblemconsequencesmand mthenmrespect mthempatientsmwishes.
2.mA mpatient mof mMexicanmdescent mseesmamcuranderomformasthma;mthemcuranderomhasm
prescribed mamspecialmteamtombemtakenmfourmtimesmamdaymtomopenmthemairways.mHow mshould m
themnursemrespond mtomthismsituation?
a. Encouragemthempatient mtomcontinuemdrinkingmthemtea.
b. Encouragemthempatient mtomdrinkmonlymonemcupmof mthemteameachmday.
c. Askmthempatient mtombringminmthemteampackagemand mhavemthempharmacist mcheckmthemingredients.
d. Advisemthempatient mtomstopmdrinkingmthemteambecausemof mpotentialminteractionsmwithmot
hermmedications.
3.mThemnursemismcaringmformamyoungmadult mmalempatient mwhomrefusesmpersonalmcaremfro
mmamfemalemnursingmassistant.mWhichmapproachmbymthemnurse mis mbest?
a. Encouragemthempatientsmfamilymtomtalkmwithmhimmabout mhismcare.
b. Havemamregistered mnursem(RN)mhelpmwithmhismpersonalmcare.
c. Assignmammalemassistant mtomhelpmwithmhismpersonalmcarem if monemismavailable.
d. Explainmtomhimmthat mmalesmand mfemalesmtakemcaremof mbothmgendersminmthismhospital.
4.mThemnursemismprovidingmmedicationminstructionsmtomam45-year-
old mpatient mwhomdoesmnot mmaintainmeyemcontact.mWhat mshould mthismpatientsmbehaviormindicat
emtomthemnurse?ma.mThem patient mismnot minterested.
b. Themnursemthreatensmthempatientsmego.
,c. Themnursemisminmamhierarchicalmposition.
d. Thempatient mdoesmnot mintend mtomfollow mtheminstructions.
m m m 5.m Themnursem ismcaringmformampatient mof mSpanishmdescent mwhomismexperiencingmpain,mbut mdo
esmnot mspeakmEnglish.mAnminterpretermism located mtomhelpmwithmthemassessment.mWhat mshould mthem
nursemdomtomfacilitatemcommunicationmwithmthismpatient?
a. Usemhand msignalsmtomdeterminemthemcausemof mthempain.
b. Ensuremtheminterpretermismnot mleft malonemwithmthempatient.
c. Maintainmeyemcontact mwithmthempatient mand mtheminterpreter.
d. Usemonlymphysicalmexaminationmdata;mdomnot mrelymonmverbalmcommunication.
6.mA mnew mmothermof mGuatemalanmdescent mbringsmherm10-day-
old minfant mtomamclinicmformamwellbabymcheckup.mTompromotemhealing,mshemhasma mcoinmtaped mt
omtheminfantsmumbilicus.mWhat mshould mthemnursemdomabout mthismsituation?
a. Teachmthemmothermhow mtomcleanmthemcoinmdailymand mreapplymit.
b. Explainmtomthemmothermthat mthemcoinmismnot mnecessarymformhealing.
c. Tellmthemmothermtomremovemthemcoin,mbecausemit mcould mcausemanminfection.
d. Teachmthemmothermhow mtomapplymamdrymsterilemdressingminmplacemof mthemcoin.
7.mAnmoldermpatient mwhomfollowsmthemMuslimmreligionmismapproaching mdeath.mThemfamily
msaysmthempatientsmbed mshould mbemturned mtoward mthemoppositemwall,msomit mcanmfacemMeccamtomen
suremanmeasiermpassagemintomthemnext mlife.mThemwall mtheymwant mthembed mtomfacemhasmwallmsuctio
nmand moxygen,mwhichmthempatient mismusing.mWhichmactionmbymthemnursemismappropriate?ma.mGet m
permissionmfrommthemphysicianmtommovemthembed.
b. Rearrangemthemfurnituremtomaccommodatemthemrequest.
c. Tellmthemmyoumwillmmovemthembed mwhenmthempatient mismclosermtomdeath.
d. Tellmthemmit mismimpossible mbecausemof mthemshort mtubingmonmthemoxygenmand msuction.
8.mA mpatient mof mnorthernmEuropeanmdescent mrecoveringmfrommsurgerymdeniesmpostoperativ
empain;mhowever,mvitalmsignsmindicatemanmelevated mpulsemand mblood mpressure.mThempatient mrefus
esmtommoveminmbed.mWhichmnursingmactionmwould mbest mensuremcomfort mand mtimelymdischarge?m
a.mGivemthempainmmedicinemasmprescribed.
b. Askmthemphysicianmtomprescribemthemanalgesicsmaround mthemclock.
c. Explainmthat mthempainmmedicinemwillmhelpmprevent mcomplications.
d. Respect mthempatientsmdenialmof mpain,mand mdomnot mencouragemthempainmmedicine.
9. Themnursemismpreparingmtomteachmampatient mof mthemAsianmculturemtomperformmpostoperativemdre
ssingmchangesmat mhomemaftermdischarge.mWhichmstatement mmadembymthemnursemindicatesmcultural
,competence?
a. Tellmmemhow myoumfeelmabout myourmsurgery.
b. Asianmpeoplemaremsmart,msomthismshould mbemeasymformyoumtomunderstand.
c. Americanmsurgeonsmaremhighlymqualified;mImmsuremyoumwillmhealmquickly.
d. Willmyoumtellmmemabout manymtraditionalmhealingmpracticesmthat myoumwould mlikemtomuse?
10. Anmunconsciousmvictimmof mamhousemfiremismbrought mtomthememergencymdepartment mbymthe
mparamedics.mTied mtomthemright mwrist mismanmemblemmthat mappearsmbemamreligiousmtalisman.mW
hichmactionmshould mthemnursemtake?ma.mTapemit minmplace.
b. Domnothingmwithmit.
c. Removemit mand mlockmit mupmformsafekeeping.
d. Placemit minmamclothingmbagmwithmthemrest mof mthempatientsmbelongings.
m m m 11.mAm43-year-
old mpatient mof mArabmdescent mismadmitted mtomthemhospital.mTomcomplymwithmthemstatemlawsmof
mthemorganization,mthemnursemoffersmthempatient mamPapanicolaoumsmear,mwhich mshem refuses.m
Whichmactionmshould mthemnursemtakemfirst?ma.mNotifymthemphysician.
b. Report mthemrefusalmtomthemsupervisor.
c. Explainmthemrationalemformand mbenefitsmof mthemtest.
BmTellmhermit mismstatemlaw mand mthat mshemdoesmnot mhavemamchoice
12.mA mnursemwhomemigrated mfrommChinambeginsmworkingmonmammedicalmunit.mThempreceptormexpla
insmthemunit mroutines,mincludingmthemmedicationmadministrationmsystem.mWhenmthempreceptormasks
mif mthemnursemunderstands,mthemanswermismalways:mYes,mI munderstand.mWhat mshould mthempreceptorm
domtommeasuremthemnursesmcomprehension?ma.mGivemthemnursemammedicationmquiz.
b. Havemthemnursemrepeat mtheminstructions.
c. Havemthemnursemdemonstratemthemprocedures.
d. Askmthemnursemwhichminformationmismhard mtomunderstand.
13.mAm52-year-
old mfrommHaitimismhospitalized mwithmheart mfailuremand mwantsmtomhavemamvoodoompractitionermvisit
mtomsaymprayers.mHow mshould mthemnursemrespond mtomthismrequest?ma.mReport mthemrequest mtomthemp
hysicianmimmediately.
b. Tellmthempatient mthat mthismismnot mpermitted mduringmhospitalization.
c. Tellmthempatient mit mismokaymformthemvoodoompractitionermtomsaymprayers.
d. Havemthempatient mmeet mwithmthemvoodoompractitionerminmthemhospitalmlobby.
14.mThemnursemismcaringmformampatient mfrommamnon-
Englishmspeakingmculture.mWhilemprovidingmcare,mthemnursemshowsmanm appreciationmformand matten
tionmtomarts,mmusic,mcrafts,mclothing,mand mfoods
, belongingmtomthempatientsmculture.mWhat mdid mthemnursemdemonstratemwhilemcaringmformthismpatient?ma.
Culturalmbeliefs
b. Culturalmawareness
c. Culturalmsensitivity
d. Culturalmcompetence
15.mAmfemalemCaucasianmnurse,moverhead mdiscussingmampatient mfrommanothermculture,masks
whymthempatient mwantsmtomseemampractitionermfrommhismownmculture,msincemeveryonemseesmphysici
m
ansmwhenmtheymaremill.mWhat mcharacteristicmismthemnursemexhibiting?
a. Stereotyping
b. Ethnocentrism
c. Culturalmsensitivity
d. Culturalmgeneralization
16.mDuringmanmassessment,mthemnursemdeterminesmthat mampatient mfrommamnon-
Englishmspeakingmculturempracticesmactivitiesmthat marempast-
oriented.mWhat mbehaviormdid mthemnursemassessminmthismpatient?
a. Investingmtimemand mmoney
b. Enjoyingmeachmdaymasmit mcomes
c. Worshippingmancestorsmand mmaintainingmtraditions
d. Learningmfrommthempast mtomavoid mmakingmthemsamemmistakesminmthemfuture
17.mThemnursemnotesmthat mampatient mof mArabmdescent mismnot meatingmanythingmonmthemmealmtra
ys.mWhat mshould mthemnursemdomabout mthismsituation?
a. Wait mformthempatient mtomaskmformspecificmfoods.
b. Askmif mthempatient mhasmspecialmfood mpreferences.
c. Consult mwithmamphysicianmof mArabmdescent monmstaff.
d. Contact mthemdietitianmtomfind mout mwhat mpatientsmof mArabmdescent mpatientsmlikemtomeat.m
18.mT
hemmothermof mam6-year-
old mVietnamesemchild madmitted mwithmpneumoniamismrubbingmamcoinmonmthemchildsmback.mThemc
oinmleavesmred mmarks.mWhat mshould mthemnursemdomabout mthismobservation?
a. Report mthempossibilitymof mchild mabuse.
b. Domnot mallow mthemmothermtombemalonemwithmhermchild.
c. Explainmtomthemmothermthat mshemcannot mdomthisminmthemhospital.
d. Add mamstatement mtomthemcaremplanmthat mthemfamilympracticesmcoining.
19.mThemfamilymof manmoldermArab-
Americanmpatient mdoesmnot mwant mthempatient mtombeminformed mof mamdiagnosismof mcancer.mWhat msho
uld mthemnursemdo?ma.mCallmamreligiousmcounselor.
