Family Practice Guidelines Fifth Edition Test Bank
g g g g g g
Chapterg1.g HealthgMaintenancegGuidelinesgMul
tiplegChoice
Identifygthegchoicegthatgbestgcompletesgthegstatementgorganswersgthegquestion.
1.gAgpatientgwhogisgagJehovahsgWitnessghasgsevereggastrointestinalgbleedinggandgagdangero
uslyglowghemoglobinglevel.gThegpatientgisgfullygalertgandgcompetentgandgrefusesgtogacceptgthegbl
oodgtransfusiongorderedgbygthegphysician.gWhichgactiongbygthegnursegisgmostgappropriate?ga.gObt
aingagcourtgordergtoggivegthegblood.
b. Administergthegbloodgwhilegthegpatientgisgsleeping.
c. Havegthegpatientsgspousegsigngthegconsentgtoghavegthegbloodgadministered.
d. Ensuregthegpatientgunderstandsgpossiblegconsequencesgandgthengrespectgthegpatientsgwishes.
2.gAgpatientgofgMexicangdescentgseesgagcuranderogforgasthma;gthegcuranderoghasgp
rescribedgagspecialgteagtogbegtakengfourgtimesgagdaygtogopengthegairways.gHowgshouldgth
egnursegrespondgtogthisgsituation?
a. Encouragegthegpatientgtogcontinuegdrinkinggthegtea.
b. Encouragegthegpatientgtogdrinkgonlygonegcupgofgthegteageachgday.
c. Askgthegpatientgtogbringgingthegteagpackagegandghavegthegpharmacistgcheckgthegingredients.
d. Advisegthegpatientgtogstopgdrinkinggthegteagbecausegofgpotentialginteractionsgwithgoth
ergmedications.
3.gThegnursegisgcaringgforgagyounggadultgmalegpatientgwhogrefusesgpersonalgcaregfrom
a femalegnursinggassistant.gWhichgapproachgbygthegnursegisgbest?
g g
a. Encouragegthegpatientsgfamilygtogtalkgwithghimgaboutghisgcare.
b. Havegagregisteredgnurseg(RN)ghelpgwithghisgpersonalgcare.
c. Assigngagmalegassistantgtoghelpgwithghisgpersonalgcaregifgonegisgavailable.
d. Explaingtoghimgthatgmalesgandgfemalesgtakegcaregofgbothggendersgingthisghospital.
4.gThegnursegisgprovidinggmedicationginstructionsgtogag45-year-
oldgpatientgwhogdoesgnotgmaintaingeyegcontact.gWhatgshouldgthisgpatientsgbehaviorgindicateg
togthegnurse?ga.gTheg patientgisgnotginterested.
b. Thegnursegthreatensgthegpatientsgego.
,c. Thegnursegisgingaghierarchicalgposition.
d. Thegpatientgdoesgnotgintendgtogfollowgtheginstructions.
g g g 5.gThegnursegisgcaringgforgagpatientgofgSpanishgdescentgwhogisgexperiencinggpain,gbutgdoe
sgnotgspeakgEnglish.gAnginterpretergisglocatedgtoghelpgwithgthegassessment.gWhatgshouldgthegnu
rsegdogtogfacilitategcommunicationgwithgthisgpatient?
a. Useghandgsignalsgtogdeterminegthegcausegofgthegpain.
b. Ensuregtheginterpretergisgnotgleftgalonegwithgthegpatient.
c. Maintaingeyegcontactgwithgthegpatientgandgtheginterpreter.
d. Usegonlygphysicalgexaminationgdata;gdognotgrelygongverbalgcommunication.
6.gAgnewgmothergofgGuatemalangdescentgbringsgherg10-day-
oldginfantgtogagclinicgforgagwellbabygcheckup.gTogpromoteghealing,gsheghasgagcoingtapedgtog
theginfantsgumbilicus.gWhatgshouldgthegnursegdogaboutgthisgsituation?
a. Teachgthegmotherghowgtogcleangthegcoingdailygandgreapplygit.
b. Explaingtogthegmothergthatgthegcoingisgnotgnecessarygforghealing.
c. Tellgthegmothergtogremovegthegcoin,gbecausegitgcouldgcauseganginfection.
d. Teachgthegmotherghowgtogapplygagdrygsterilegdressinggingplacegofgthegcoin.
7.gAngoldergpatientgwhogfollowsgthegMuslimgreligiongisgapproachinggdeath.gThegfamilygs
aysgthegpatientsgbedgshouldgbegturnedgtowardgthegoppositegwall,gsogitgcangfacegMeccagtogensur
egangeasiergpassagegintogthegnextglife.gThegwallgtheygwantgthegbedgtogfaceghasgwallgsuctiongan
dgoxygen,gwhichgthegpatientgisgusing.gWhichgactiongbygthegnursegisgappropriate?ga.gGetgpermi
ssiongfromgthegphysiciangtogmovegthegbed.
b. Rearrangegthegfurnituregtogaccommodategthegrequest.
c. Tellgthemgyougwillgmovegthegbedgwhengthegpatientgisgclosergtogdeath.
d. Tellgthemgitgisgimpossiblegbecausegofgthegshortgtubinggongthegoxygengandgsuction.
8.gAgpatientgofgnortherngEuropeangdescentgrecoveringgfromgsurgerygdeniesgpostoperativ
egpain;ghowever,gvitalgsignsgindicategangelevatedgpulsegandgbloodgpressure.gThegpatientgrefuse
sgtogmovegingbed.gWhichgnursinggactiongwouldgbestgensuregcomfortgandgtimelygdischarge?ga.g
Givegthegpaingmedicinegasgprescribed.
b. Askgthegphysiciangtogprescribegtheganalgesicsgaroundgthegclock.
c. Explaingthatgthegpaingmedicinegwillghelpgpreventgcomplications.
d. Respectgthegpatientsgdenialgofgpain,gandgdognotgencouragegthegpaingmedicine.
9. ThegnursegisgpreparinggtogteachgagpatientgofgthegAsiangculturegtogperformgpostoperativegdres
singgchangesgatghomegaftergdischarge.gWhichgstatementgmadegbygthegnursegindicatesgcultural
,competence?
a. Tellgmeghowgyougfeelgaboutgyourgsurgery.
b. Asiangpeoplegaregsmart,gsogthisgshouldgbegeasygforgyougtogunderstand.
c. Americangsurgeonsgareghighlygqualified;gImgsuregyougwillghealgquickly.
d. Willgyougtellgmegaboutganygtraditionalghealinggpracticesgthatgyougwouldglikegtoguse?
10. Angunconsciousgvictimgofgaghousegfiregisgbroughtgtogthegemergencygdepartmentgbygtheg
paramedics.gTiedgtogthegrightgwristgisgangemblemgthatgappearsgbegagreligiousgtalisman.gWhic
hgactiongshouldgthegnursegtake?ga.gTapegitgingplace.
b. Dognothinggwithgit.
c. Removegitgandglockgitgupgforgsafekeeping.
d. Placegitgingagclothinggbaggwithgthegrestgofgthegpatientsgbelongings.
g g g 11.gAg43-year-
oldgpatientgofgArabgdescentgisgadmittedgtogtheghospital.gTogcomplygwithgthegstateglawsgofgt
hegorganization,gthegnursegoffersgthegpatientgagPapanicolaougsmear,gwhichgshegrefuses.gWh
ichgactiongshouldgthegnursegtakegfirst?ga.gNotifygthegphysician.
b. Reportgthegrefusalgtogthegsupervisor.
c. Explaingthegrationalegforgandgbenefitsgofgthegtest.
BgTellghergitgisgstateglawgandgthatgshegdoesgnotghavegagchoice
12.gAgnursegwhogemigratedgfromgChinagbeginsgworkinggongagmedicalgunit.gThegpreceptorgexplai
nsgthegunitgroutines,gincludinggthegmedicationgadministrationgsystem.gWhengthegpreceptorgasksgif
gthegnursegunderstands,gtheganswergisgalways:gYes,gIgunderstand.gWhatgshouldgthegpreceptorgdogt
ogmeasuregthegnursesgcomprehension?ga.gGivegthegnursegagmedicationgquiz.
b. Havegthegnursegrepeatgtheginstructions.
c. Havegthegnursegdemonstrategthegprocedures.
d. Askgthegnursegwhichginformationgisghardgtogunderstand.
13.gAg52-year-
oldgfromgHaitigisghospitalizedgwithgheartgfailuregandgwantsgtoghavegagvoodoogpractitionergvisitgt
ogsaygprayers.gHowgshouldgthegnursegrespondgtogthisgrequest?ga.gReportgthegrequestgtogthegphys
iciangimmediately.
b. Tellgthegpatientgthatgthisgisgnotgpermittedgduringghospitalization.
c. Tellgthegpatientgitgisgokaygforgthegvoodoogpractitionergtogsaygprayers.
d. Havegthegpatientgmeetgwithgthegvoodoogpractitionergingtheghospitalglobby.
14.gThegnursegisgcaringgforgagpatientgfromgagnon-
Englishgspeakinggculture.gWhilegprovidinggcare,gthegnursegshowsgangappreciationgforgandgattent
iongtogarts,gmusic,gcrafts,gclothing,gandgfoods
, belonginggtogthegpatientsgculture.gWhatgdidgthegnursegdemonstrategwhilegcaringgforgthisgpatient?ga.
Culturalgbeliefs
b. Culturalgawareness
c. Culturalgsensitivity
d. Culturalgcompetence
15.gAgfemalegCaucasiangnurse,goverheadgdiscussinggagpatientgfromganothergculture,gasksg
whygthegpatientgwantsgtogseegagpractitionergfromghisgowngculture,gsincegeveryonegseesgphysicia
nsgwhengtheygaregill.gWhatgcharacteristicgisgthegnursegexhibiting?
a. Stereotyping
b. Ethnocentrism
c. Culturalgsensitivity
d. Culturalggeneralization
16.gDuringgangassessment,gthegnursegdeterminesgthatgagpatientgfromgagnon-
Englishgspeakinggculturegpracticesgactivitiesgthatgaregpast-
oriented.gWhatgbehaviorgdidgthegnursegassessgingthisgpatient?
a. Investinggtimegandgmoney
b. Enjoyinggeachgdaygasgitgcomes
c. Worshippinggancestorsgandgmaintaininggtraditions
d. Learninggfromgthegpastgtogavoidgmakinggthegsamegmistakesgingthegfuture
17.gThegnursegnotesgthatgagpatientgofgArabgdescentgisgnotgeatingganythinggongthegmealgtray
s.gWhatgshouldgthegnursegdogaboutgthisgsituation?
a. Waitgforgthegpatientgtogaskgforgspecificgfoods.
b. Askgifgthegpatientghasgspecialgfoodgpreferences.
c. ConsultgwithgagphysiciangofgArabgdescentgongstaff.
d. ContactgthegdietitiangtogfindgoutgwhatgpatientsgofgArabgdescentgpatientsglikegtogeat.g
18.gT
hegmothergofgag6-year-
oldgVietnamesegchildgadmittedgwithgpneumoniagisgrubbinggagcoingongthegchildsgback.gThegco
ingleavesgredgmarks.gWhatgshouldgthegnursegdogaboutgthisgobservation?
a. Reportgthegpossibilitygofgchildgabuse.
b. Dognotgallowgthegmothergtogbegalonegwithghergchild.
c. Explaingtogthegmothergthatgshegcannotgdogthisgingtheghospital.
d. Addgagstatementgtogthegcaregplangthatgthegfamilygpracticesgcoining.
19.gThegfamilygofgangoldergArab-
Americangpatientgdoesgnotgwantgthegpatientgtogbeginformedgofgagdiagnosisgofgcancer.gWhatgshoul
dgthegnursegdo?ga.gCallgagreligiousgcounselor.
g g g g g g
Chapterg1.g HealthgMaintenancegGuidelinesgMul
tiplegChoice
Identifygthegchoicegthatgbestgcompletesgthegstatementgorganswersgthegquestion.
1.gAgpatientgwhogisgagJehovahsgWitnessghasgsevereggastrointestinalgbleedinggandgagdangero
uslyglowghemoglobinglevel.gThegpatientgisgfullygalertgandgcompetentgandgrefusesgtogacceptgthegbl
oodgtransfusiongorderedgbygthegphysician.gWhichgactiongbygthegnursegisgmostgappropriate?ga.gObt
aingagcourtgordergtoggivegthegblood.
b. Administergthegbloodgwhilegthegpatientgisgsleeping.
c. Havegthegpatientsgspousegsigngthegconsentgtoghavegthegbloodgadministered.
d. Ensuregthegpatientgunderstandsgpossiblegconsequencesgandgthengrespectgthegpatientsgwishes.
2.gAgpatientgofgMexicangdescentgseesgagcuranderogforgasthma;gthegcuranderoghasgp
rescribedgagspecialgteagtogbegtakengfourgtimesgagdaygtogopengthegairways.gHowgshouldgth
egnursegrespondgtogthisgsituation?
a. Encouragegthegpatientgtogcontinuegdrinkinggthegtea.
b. Encouragegthegpatientgtogdrinkgonlygonegcupgofgthegteageachgday.
c. Askgthegpatientgtogbringgingthegteagpackagegandghavegthegpharmacistgcheckgthegingredients.
d. Advisegthegpatientgtogstopgdrinkinggthegteagbecausegofgpotentialginteractionsgwithgoth
ergmedications.
3.gThegnursegisgcaringgforgagyounggadultgmalegpatientgwhogrefusesgpersonalgcaregfrom
a femalegnursinggassistant.gWhichgapproachgbygthegnursegisgbest?
g g
a. Encouragegthegpatientsgfamilygtogtalkgwithghimgaboutghisgcare.
b. Havegagregisteredgnurseg(RN)ghelpgwithghisgpersonalgcare.
c. Assigngagmalegassistantgtoghelpgwithghisgpersonalgcaregifgonegisgavailable.
d. Explaingtoghimgthatgmalesgandgfemalesgtakegcaregofgbothggendersgingthisghospital.
4.gThegnursegisgprovidinggmedicationginstructionsgtogag45-year-
oldgpatientgwhogdoesgnotgmaintaingeyegcontact.gWhatgshouldgthisgpatientsgbehaviorgindicateg
togthegnurse?ga.gTheg patientgisgnotginterested.
b. Thegnursegthreatensgthegpatientsgego.
,c. Thegnursegisgingaghierarchicalgposition.
d. Thegpatientgdoesgnotgintendgtogfollowgtheginstructions.
g g g 5.gThegnursegisgcaringgforgagpatientgofgSpanishgdescentgwhogisgexperiencinggpain,gbutgdoe
sgnotgspeakgEnglish.gAnginterpretergisglocatedgtoghelpgwithgthegassessment.gWhatgshouldgthegnu
rsegdogtogfacilitategcommunicationgwithgthisgpatient?
a. Useghandgsignalsgtogdeterminegthegcausegofgthegpain.
b. Ensuregtheginterpretergisgnotgleftgalonegwithgthegpatient.
c. Maintaingeyegcontactgwithgthegpatientgandgtheginterpreter.
d. Usegonlygphysicalgexaminationgdata;gdognotgrelygongverbalgcommunication.
6.gAgnewgmothergofgGuatemalangdescentgbringsgherg10-day-
oldginfantgtogagclinicgforgagwellbabygcheckup.gTogpromoteghealing,gsheghasgagcoingtapedgtog
theginfantsgumbilicus.gWhatgshouldgthegnursegdogaboutgthisgsituation?
a. Teachgthegmotherghowgtogcleangthegcoingdailygandgreapplygit.
b. Explaingtogthegmothergthatgthegcoingisgnotgnecessarygforghealing.
c. Tellgthegmothergtogremovegthegcoin,gbecausegitgcouldgcauseganginfection.
d. Teachgthegmotherghowgtogapplygagdrygsterilegdressinggingplacegofgthegcoin.
7.gAngoldergpatientgwhogfollowsgthegMuslimgreligiongisgapproachinggdeath.gThegfamilygs
aysgthegpatientsgbedgshouldgbegturnedgtowardgthegoppositegwall,gsogitgcangfacegMeccagtogensur
egangeasiergpassagegintogthegnextglife.gThegwallgtheygwantgthegbedgtogfaceghasgwallgsuctiongan
dgoxygen,gwhichgthegpatientgisgusing.gWhichgactiongbygthegnursegisgappropriate?ga.gGetgpermi
ssiongfromgthegphysiciangtogmovegthegbed.
b. Rearrangegthegfurnituregtogaccommodategthegrequest.
c. Tellgthemgyougwillgmovegthegbedgwhengthegpatientgisgclosergtogdeath.
d. Tellgthemgitgisgimpossiblegbecausegofgthegshortgtubinggongthegoxygengandgsuction.
8.gAgpatientgofgnortherngEuropeangdescentgrecoveringgfromgsurgerygdeniesgpostoperativ
egpain;ghowever,gvitalgsignsgindicategangelevatedgpulsegandgbloodgpressure.gThegpatientgrefuse
sgtogmovegingbed.gWhichgnursinggactiongwouldgbestgensuregcomfortgandgtimelygdischarge?ga.g
Givegthegpaingmedicinegasgprescribed.
b. Askgthegphysiciangtogprescribegtheganalgesicsgaroundgthegclock.
c. Explaingthatgthegpaingmedicinegwillghelpgpreventgcomplications.
d. Respectgthegpatientsgdenialgofgpain,gandgdognotgencouragegthegpaingmedicine.
9. ThegnursegisgpreparinggtogteachgagpatientgofgthegAsiangculturegtogperformgpostoperativegdres
singgchangesgatghomegaftergdischarge.gWhichgstatementgmadegbygthegnursegindicatesgcultural
,competence?
a. Tellgmeghowgyougfeelgaboutgyourgsurgery.
b. Asiangpeoplegaregsmart,gsogthisgshouldgbegeasygforgyougtogunderstand.
c. Americangsurgeonsgareghighlygqualified;gImgsuregyougwillghealgquickly.
d. Willgyougtellgmegaboutganygtraditionalghealinggpracticesgthatgyougwouldglikegtoguse?
10. Angunconsciousgvictimgofgaghousegfiregisgbroughtgtogthegemergencygdepartmentgbygtheg
paramedics.gTiedgtogthegrightgwristgisgangemblemgthatgappearsgbegagreligiousgtalisman.gWhic
hgactiongshouldgthegnursegtake?ga.gTapegitgingplace.
b. Dognothinggwithgit.
c. Removegitgandglockgitgupgforgsafekeeping.
d. Placegitgingagclothinggbaggwithgthegrestgofgthegpatientsgbelongings.
g g g 11.gAg43-year-
oldgpatientgofgArabgdescentgisgadmittedgtogtheghospital.gTogcomplygwithgthegstateglawsgofgt
hegorganization,gthegnursegoffersgthegpatientgagPapanicolaougsmear,gwhichgshegrefuses.gWh
ichgactiongshouldgthegnursegtakegfirst?ga.gNotifygthegphysician.
b. Reportgthegrefusalgtogthegsupervisor.
c. Explaingthegrationalegforgandgbenefitsgofgthegtest.
BgTellghergitgisgstateglawgandgthatgshegdoesgnotghavegagchoice
12.gAgnursegwhogemigratedgfromgChinagbeginsgworkinggongagmedicalgunit.gThegpreceptorgexplai
nsgthegunitgroutines,gincludinggthegmedicationgadministrationgsystem.gWhengthegpreceptorgasksgif
gthegnursegunderstands,gtheganswergisgalways:gYes,gIgunderstand.gWhatgshouldgthegpreceptorgdogt
ogmeasuregthegnursesgcomprehension?ga.gGivegthegnursegagmedicationgquiz.
b. Havegthegnursegrepeatgtheginstructions.
c. Havegthegnursegdemonstrategthegprocedures.
d. Askgthegnursegwhichginformationgisghardgtogunderstand.
13.gAg52-year-
oldgfromgHaitigisghospitalizedgwithgheartgfailuregandgwantsgtoghavegagvoodoogpractitionergvisitgt
ogsaygprayers.gHowgshouldgthegnursegrespondgtogthisgrequest?ga.gReportgthegrequestgtogthegphys
iciangimmediately.
b. Tellgthegpatientgthatgthisgisgnotgpermittedgduringghospitalization.
c. Tellgthegpatientgitgisgokaygforgthegvoodoogpractitionergtogsaygprayers.
d. Havegthegpatientgmeetgwithgthegvoodoogpractitionergingtheghospitalglobby.
14.gThegnursegisgcaringgforgagpatientgfromgagnon-
Englishgspeakinggculture.gWhilegprovidinggcare,gthegnursegshowsgangappreciationgforgandgattent
iongtogarts,gmusic,gcrafts,gclothing,gandgfoods
, belonginggtogthegpatientsgculture.gWhatgdidgthegnursegdemonstrategwhilegcaringgforgthisgpatient?ga.
Culturalgbeliefs
b. Culturalgawareness
c. Culturalgsensitivity
d. Culturalgcompetence
15.gAgfemalegCaucasiangnurse,goverheadgdiscussinggagpatientgfromganothergculture,gasksg
whygthegpatientgwantsgtogseegagpractitionergfromghisgowngculture,gsincegeveryonegseesgphysicia
nsgwhengtheygaregill.gWhatgcharacteristicgisgthegnursegexhibiting?
a. Stereotyping
b. Ethnocentrism
c. Culturalgsensitivity
d. Culturalggeneralization
16.gDuringgangassessment,gthegnursegdeterminesgthatgagpatientgfromgagnon-
Englishgspeakinggculturegpracticesgactivitiesgthatgaregpast-
oriented.gWhatgbehaviorgdidgthegnursegassessgingthisgpatient?
a. Investinggtimegandgmoney
b. Enjoyinggeachgdaygasgitgcomes
c. Worshippinggancestorsgandgmaintaininggtraditions
d. Learninggfromgthegpastgtogavoidgmakinggthegsamegmistakesgingthegfuture
17.gThegnursegnotesgthatgagpatientgofgArabgdescentgisgnotgeatingganythinggongthegmealgtray
s.gWhatgshouldgthegnursegdogaboutgthisgsituation?
a. Waitgforgthegpatientgtogaskgforgspecificgfoods.
b. Askgifgthegpatientghasgspecialgfoodgpreferences.
c. ConsultgwithgagphysiciangofgArabgdescentgongstaff.
d. ContactgthegdietitiangtogfindgoutgwhatgpatientsgofgArabgdescentgpatientsglikegtogeat.g
18.gT
hegmothergofgag6-year-
oldgVietnamesegchildgadmittedgwithgpneumoniagisgrubbinggagcoingongthegchildsgback.gThegco
ingleavesgredgmarks.gWhatgshouldgthegnursegdogaboutgthisgobservation?
a. Reportgthegpossibilitygofgchildgabuse.
b. Dognotgallowgthegmothergtogbegalonegwithghergchild.
c. Explaingtogthegmothergthatgshegcannotgdogthisgingtheghospital.
d. Addgagstatementgtogthegcaregplangthatgthegfamilygpracticesgcoining.
19.gThegfamilygofgangoldergArab-
Americangpatientgdoesgnotgwantgthegpatientgtogbeginformedgofgagdiagnosisgofgcancer.gWhatgshoul
dgthegnursegdo?ga.gCallgagreligiousgcounselor.
