Family Practice Guidelines Fifth Edition Test Bank
b b b b b b
Chapterb1.b HealthbMaintenancebGuidelinesbMult
iplebChoice
Identifybthebchoicebthatbbestbcompletesbthebstatementborbanswersbthebquestion.
1.bAbpatientbwhobisbabJehovahsbWitnessbhasbseverebgastrointestinalbbleedingbandbabdangerousl
yblowbhemoglobinblevel.bThebpatientbisbfullybalertbandbcompetentbandbrefusesbtobacceptbthebbloodbtra
nsfusionborderedbbybthebphysician.bWhichbactionbbybthebnursebisbmostbappropriate?ba.bObtainbabcour
tborderbtobgivebthebblood.
b. Administerbthebbloodbwhilebthebpatientbisbsleeping.
c. Havebthebpatientsbspousebsignbthebconsentbtobhavebthebbloodbadministered.
d. Ensurebthebpatientbunderstandsbpossiblebconsequencesbandbthenbrespectbthebpatientsbwishes.
2.bAbpatientbofbMexicanbdescentbseesbabcuranderobforbasthma;bthebcuranderobhasbpres
cribedbabspecialbteabtobbebtakenbfourbtimesbabdaybtobopenbthebairways.bHowbshouldbthebnurse
brespondbtobthisbsituation?
a. Encouragebthebpatientbtobcontinuebdrinkingbthebtea.
b. Encouragebthebpatientbtobdrinkbonlybonebcupbofbthebteabeachbday.
c. Askbthebpatientbtobbringbinbthebteabpackagebandbhavebthebpharmacistbcheckbthebingredients.
d. Advisebthebpatientbtobstopbdrinkingbthebteabbecausebofbpotentialbinteractionsbwithbotherb
medications.
3.bThebnursebisbcaringbforbabyoungbadultbmalebpatientbwhobrefusesbpersonalbcarebfrombabf
emalebnursingbassistant.bWhichbapproachbbybthebnursebisbbest?
a. Encouragebthebpatientsbfamilybtobtalkbwithbhimbaboutbhisbcare.
b. Havebabregisteredbnurseb(RN)bhelpbwithbhisbpersonalbcare.
c. Assignbabmalebassistantbtobhelpbwithbhisbpersonalbcarebifbonebisbavailable.
d. Explainbtobhimbthatbmalesbandbfemalesbtakebcarebofbbothbgendersbinbthisbhospital.
4.bThebnursebisbprovidingbmedicationbinstructionsbtobab45-year-
oldbpatientbwhobdoesbnotbmaintainbeyebcontact.bWhatbshouldbthisbpatientsbbehaviorbindicatebtob
thebnurse?ba.bTheb patientbisbnotbinterested.
b. Thebnursebthreatensbthebpatientsbego.
,c. Thebnursebisbinbabhierarchicalbposition.
d. Thebpatientbdoesbnotbintendbtobfollowbthebinstructions.
b b b 5.bThebnursebisbcaringbforbabpatientbofbSpanishbdescentbwhobisbexperiencingbpain,bbutbdoesbnot
speakbEnglish.bAnbinterpreterbisblocatedbtobhelpbwithbthebassessment.bWhatbshouldbthebnursebdobt
b
obfacilitatebcommunicationbwithbthisbpatient?
a. Usebhandbsignalsbtobdeterminebthebcausebofbthebpain.
b. Ensurebthebinterpreterbisbnotbleftbalonebwithbthebpatient.
c. Maintainbeyebcontactbwithbthebpatientbandbthebinterpreter.
d. Usebonlybphysicalbexaminationbdata;bdobnotbrelybonbverbalbcommunication.
6.bAbnewbmotherbofbGuatemalanbdescentbbringsbherb10-day-
oldbinfantbtobabclinicbforbabwellbabybcheckup.bTobpromotebhealing,bshebhasbabcoinbtapedbtobtheb
infantsbumbilicus.bWhatbshouldbthebnursebdobaboutbthisbsituation?
a. Teachbthebmotherbhowbtobcleanbthebcoinbdailybandbreapplybit.
b. Explainbtobthebmotherbthatbthebcoinbisbnotbnecessarybforbhealing.
c. Tellbthebmotherbtobremovebthebcoin,bbecausebitbcouldbcausebanbinfection.
d. Teachbthebmotherbhowbtobapplybabdrybsterilebdressingbinbplacebofbthebcoin.
7.bAnbolderbpatientbwhobfollowsbthebMuslimbreligionbisbapproachingbdeath.bThebfamilybsay
sbthebpatientsbbedbshouldbbebturnedbtowardbtheboppositebwall,bsobitbcanbfacebMeccabtobensurebanbe
asierbpassagebintobthebnextblife.bThebwallbtheybwantbthebbedbtobfacebhasbwallbsuctionbandboxygen,b
whichbthebpatientbisbusing.bWhichbactionbbybthebnursebisbappropriate?ba.bGetbpermissionbfrombthe
physicianbtobmovebthebbed.
b
b. Rearrangebthebfurniturebtobaccommodatebthebrequest.
c. Tellbthembyoubwillbmovebthebbedbwhenbthebpatientbisbcloserbtobdeath.
d. Tellbthembitbisbimpossiblebbecausebofbthebshortbtubingbonbtheboxygenbandbsuction.
8.bAbpatientbofbnorthernbEuropeanbdescentbrecoveringbfrombsurgerybdeniesbpostoperativebp
ain;bhowever,bvitalbsignsbindicatebanbelevatedbpulsebandbbloodbpressure.bThebpatientbrefusesbtobm
ovebinbbed.bWhichbnursingbactionbwouldbbestbensurebcomfortbandbtimelybdischarge?ba.bGivebtheb
painbmedicinebasbprescribed.
b. Askbthebphysicianbtobprescribebthebanalgesicsbaroundbthebclock.
c. Explainbthatbthebpainbmedicinebwillbhelpbpreventbcomplications.
d. Respectbthebpatientsbdenialbofbpain,bandbdobnotbencouragebthebpainbmedicine.
9. ThebnursebisbpreparingbtobteachbabpatientbofbthebAsianbculturebtobperformbpostoperativebdressin
gbchangesbatbhomebafterbdischarge.bWhichbstatementbmadebbybthebnursebindicatesbcultural
,competence?
a. Tellbmebhowbyoubfeelbaboutbyourbsurgery.
b. Asianbpeoplebarebsmart,bsobthisbshouldbbebeasybforbyoubtobunderstand.
c. Americanbsurgeonsbarebhighlybqualified;bImbsurebyoubwillbhealbquickly.
d. Willbyoubtellbmebaboutbanybtraditionalbhealingbpracticesbthatbyoubwouldblikebtobuse?
10. Anbunconsciousbvictimbofbabhousebfirebisbbroughtbtobthebemergencybdepartmentbbybthebpar
amedics.bTiedbtobthebrightbwristbisbanbemblembthatbappearsbbebabreligiousbtalisman.bWhichbacti
onbshouldbthebnursebtake?ba.bTapebitbinbplace.
b. Dobnothingbwithbit.
c. Removebitbandblockbitbupbforbsafekeeping.
d. Placebitbinbabclothingbbagbwithbthebrestbofbthebpatientsbbelongings.
b b b 11.bAb43-year-
oldbpatientbofbArabbdescentbisbadmittedbtobthebhospital.bTobcomplybwithbthebstateblawsbofbthebo
rganization,bthebnurseboffersbthebpatientbabPapanicolaoubsmear,bwhichbshebrefuses.bWhichbact
ionbshouldbthebnursebtakebfirst?ba.bNotifybthebphysician.
b. Reportbthebrefusalbtobthebsupervisor.
c. Explainbthebrationalebforbandbbenefitsbofbthebtest.
BbTellbherbitbisbstateblawbandbthatbshebdoesbnotbhavebabchoice
12.bAbnursebwhobemigratedbfrombChinabbeginsbworkingbonbabmedicalbunit.bThebpreceptorbexplainsbt
hebunitbroutines,bincludingbthebmedicationbadministrationbsystem.bWhenbthebpreceptorbasksbifbthebn
ursebunderstands,bthebanswerbisbalways:bYes,bIbunderstand.bWhatbshouldbthebpreceptorbdobtobmeasur
ebthebnursesbcomprehension?ba.bGivebthebnursebabmedicationbquiz.
b. Havebthebnursebrepeatbthebinstructions.
c. Havebthebnursebdemonstratebthebprocedures.
d. Askbthebnursebwhichbinformationbisbhardbtobunderstand.
13.bAb52-year-
oldbfrombHaitibisbhospitalizedbwithbheartbfailurebandbwantsbtobhavebabvoodoobpractitionerbvisitbtobs
aybprayers.bHowbshouldbthebnursebrespondbtobthisbrequest?ba.bReportbthebrequestbtobthebphysicianbi
mmediately.
b. Tellbthebpatientbthatbthisbisbnotbpermittedbduringbhospitalization.
c. Tellbthebpatientbitbisbokaybforbthebvoodoobpractitionerbtobsaybprayers.
d. Havebthebpatientbmeetbwithbthebvoodoobpractitionerbinbthebhospitalblobby.
14.bThebnursebisbcaringbforbabpatientbfrombabnon-
Englishbspeakingbculture.bWhilebprovidingbcare,bthebnursebshowsbanbappreciationbforbandbattentio
nbtobarts,bmusic,bcrafts,bclothing,bandbfoods
, belongingbtobthebpatientsbculture.bWhatbdidbthebnursebdemonstratebwhilebcaringbforbthisbpatient?ba.
Culturalbbeliefs
b. Culturalbawareness
c. Culturalbsensitivity
d. Culturalbcompetence
15.bAbfemalebCaucasianbnurse,boverheadbdiscussingbabpatientbfrombanotherbculture,basksbwh
ybthebpatientbwantsbtobseebabpractitionerbfrombhisbownbculture,bsincebeveryonebseesbphysiciansbwhe
nbtheybarebill.bWhatbcharacteristicbisbthebnursebexhibiting?
a. Stereotyping
b. Ethnocentrism
c. Culturalbsensitivity
d. Culturalbgeneralization
16.bDuringbanbassessment,bthebnursebdeterminesbthatbabpatientbfrombabnon-
Englishbspeakingbculturebpracticesbactivitiesbthatbarebpast-
oriented.bWhatbbehaviorbdidbthebnursebassessbinbthisbpatient?
a. Investingbtimebandbmoney
b. Enjoyingbeachbdaybasbitbcomes
c. Worshippingbancestorsbandbmaintainingbtraditions
d. Learningbfrombthebpastbtobavoidbmakingbthebsamebmistakesbinbthebfuture
17.bThebnursebnotesbthatbabpatientbofbArabbdescentbisbnotbeatingbanythingbonbthebmealbtrays.b
Whatbshouldbthebnursebdobaboutbthisbsituation?
a. Waitbforbthebpatientbtobaskbforbspecificbfoods.
b. Askbifbthebpatientbhasbspecialbfoodbpreferences.
c. ConsultbwithbabphysicianbofbArabbdescentbonbstaff.
d. ContactbthebdietitianbtobfindboutbwhatbpatientsbofbArabbdescentbpatientsblikebtobeat.b
18.bT
hebmotherbofbab6-year-
oldbVietnamesebchildbadmittedbwithbpneumoniabisbrubbingbabcoinbonbthebchildsbback.bThebcoinbl
eavesbredbmarks.bWhatbshouldbthebnursebdobaboutbthisbobservation?
a. Reportbthebpossibilitybofbchildbabuse.
b. Dobnotballowbthebmotherbtobbebalonebwithbherbchild.
c. Explainbtobthebmotherbthatbshebcannotbdobthisbinbthebhospital.
d. Addbabstatementbtobthebcarebplanbthatbthebfamilybpracticesbcoining.
19.bThebfamilybofbanbolderbArab-
Americanbpatientbdoesbnotbwantbthebpatientbtobbebinformedbofbabdiagnosisbofbcancer.bWhatbshouldbt
hebnursebdo?ba.bCallbabreligiousbcounselor.
b b b b b b
Chapterb1.b HealthbMaintenancebGuidelinesbMult
iplebChoice
Identifybthebchoicebthatbbestbcompletesbthebstatementborbanswersbthebquestion.
1.bAbpatientbwhobisbabJehovahsbWitnessbhasbseverebgastrointestinalbbleedingbandbabdangerousl
yblowbhemoglobinblevel.bThebpatientbisbfullybalertbandbcompetentbandbrefusesbtobacceptbthebbloodbtra
nsfusionborderedbbybthebphysician.bWhichbactionbbybthebnursebisbmostbappropriate?ba.bObtainbabcour
tborderbtobgivebthebblood.
b. Administerbthebbloodbwhilebthebpatientbisbsleeping.
c. Havebthebpatientsbspousebsignbthebconsentbtobhavebthebbloodbadministered.
d. Ensurebthebpatientbunderstandsbpossiblebconsequencesbandbthenbrespectbthebpatientsbwishes.
2.bAbpatientbofbMexicanbdescentbseesbabcuranderobforbasthma;bthebcuranderobhasbpres
cribedbabspecialbteabtobbebtakenbfourbtimesbabdaybtobopenbthebairways.bHowbshouldbthebnurse
brespondbtobthisbsituation?
a. Encouragebthebpatientbtobcontinuebdrinkingbthebtea.
b. Encouragebthebpatientbtobdrinkbonlybonebcupbofbthebteabeachbday.
c. Askbthebpatientbtobbringbinbthebteabpackagebandbhavebthebpharmacistbcheckbthebingredients.
d. Advisebthebpatientbtobstopbdrinkingbthebteabbecausebofbpotentialbinteractionsbwithbotherb
medications.
3.bThebnursebisbcaringbforbabyoungbadultbmalebpatientbwhobrefusesbpersonalbcarebfrombabf
emalebnursingbassistant.bWhichbapproachbbybthebnursebisbbest?
a. Encouragebthebpatientsbfamilybtobtalkbwithbhimbaboutbhisbcare.
b. Havebabregisteredbnurseb(RN)bhelpbwithbhisbpersonalbcare.
c. Assignbabmalebassistantbtobhelpbwithbhisbpersonalbcarebifbonebisbavailable.
d. Explainbtobhimbthatbmalesbandbfemalesbtakebcarebofbbothbgendersbinbthisbhospital.
4.bThebnursebisbprovidingbmedicationbinstructionsbtobab45-year-
oldbpatientbwhobdoesbnotbmaintainbeyebcontact.bWhatbshouldbthisbpatientsbbehaviorbindicatebtob
thebnurse?ba.bTheb patientbisbnotbinterested.
b. Thebnursebthreatensbthebpatientsbego.
,c. Thebnursebisbinbabhierarchicalbposition.
d. Thebpatientbdoesbnotbintendbtobfollowbthebinstructions.
b b b 5.bThebnursebisbcaringbforbabpatientbofbSpanishbdescentbwhobisbexperiencingbpain,bbutbdoesbnot
speakbEnglish.bAnbinterpreterbisblocatedbtobhelpbwithbthebassessment.bWhatbshouldbthebnursebdobt
b
obfacilitatebcommunicationbwithbthisbpatient?
a. Usebhandbsignalsbtobdeterminebthebcausebofbthebpain.
b. Ensurebthebinterpreterbisbnotbleftbalonebwithbthebpatient.
c. Maintainbeyebcontactbwithbthebpatientbandbthebinterpreter.
d. Usebonlybphysicalbexaminationbdata;bdobnotbrelybonbverbalbcommunication.
6.bAbnewbmotherbofbGuatemalanbdescentbbringsbherb10-day-
oldbinfantbtobabclinicbforbabwellbabybcheckup.bTobpromotebhealing,bshebhasbabcoinbtapedbtobtheb
infantsbumbilicus.bWhatbshouldbthebnursebdobaboutbthisbsituation?
a. Teachbthebmotherbhowbtobcleanbthebcoinbdailybandbreapplybit.
b. Explainbtobthebmotherbthatbthebcoinbisbnotbnecessarybforbhealing.
c. Tellbthebmotherbtobremovebthebcoin,bbecausebitbcouldbcausebanbinfection.
d. Teachbthebmotherbhowbtobapplybabdrybsterilebdressingbinbplacebofbthebcoin.
7.bAnbolderbpatientbwhobfollowsbthebMuslimbreligionbisbapproachingbdeath.bThebfamilybsay
sbthebpatientsbbedbshouldbbebturnedbtowardbtheboppositebwall,bsobitbcanbfacebMeccabtobensurebanbe
asierbpassagebintobthebnextblife.bThebwallbtheybwantbthebbedbtobfacebhasbwallbsuctionbandboxygen,b
whichbthebpatientbisbusing.bWhichbactionbbybthebnursebisbappropriate?ba.bGetbpermissionbfrombthe
physicianbtobmovebthebbed.
b
b. Rearrangebthebfurniturebtobaccommodatebthebrequest.
c. Tellbthembyoubwillbmovebthebbedbwhenbthebpatientbisbcloserbtobdeath.
d. Tellbthembitbisbimpossiblebbecausebofbthebshortbtubingbonbtheboxygenbandbsuction.
8.bAbpatientbofbnorthernbEuropeanbdescentbrecoveringbfrombsurgerybdeniesbpostoperativebp
ain;bhowever,bvitalbsignsbindicatebanbelevatedbpulsebandbbloodbpressure.bThebpatientbrefusesbtobm
ovebinbbed.bWhichbnursingbactionbwouldbbestbensurebcomfortbandbtimelybdischarge?ba.bGivebtheb
painbmedicinebasbprescribed.
b. Askbthebphysicianbtobprescribebthebanalgesicsbaroundbthebclock.
c. Explainbthatbthebpainbmedicinebwillbhelpbpreventbcomplications.
d. Respectbthebpatientsbdenialbofbpain,bandbdobnotbencouragebthebpainbmedicine.
9. ThebnursebisbpreparingbtobteachbabpatientbofbthebAsianbculturebtobperformbpostoperativebdressin
gbchangesbatbhomebafterbdischarge.bWhichbstatementbmadebbybthebnursebindicatesbcultural
,competence?
a. Tellbmebhowbyoubfeelbaboutbyourbsurgery.
b. Asianbpeoplebarebsmart,bsobthisbshouldbbebeasybforbyoubtobunderstand.
c. Americanbsurgeonsbarebhighlybqualified;bImbsurebyoubwillbhealbquickly.
d. Willbyoubtellbmebaboutbanybtraditionalbhealingbpracticesbthatbyoubwouldblikebtobuse?
10. Anbunconsciousbvictimbofbabhousebfirebisbbroughtbtobthebemergencybdepartmentbbybthebpar
amedics.bTiedbtobthebrightbwristbisbanbemblembthatbappearsbbebabreligiousbtalisman.bWhichbacti
onbshouldbthebnursebtake?ba.bTapebitbinbplace.
b. Dobnothingbwithbit.
c. Removebitbandblockbitbupbforbsafekeeping.
d. Placebitbinbabclothingbbagbwithbthebrestbofbthebpatientsbbelongings.
b b b 11.bAb43-year-
oldbpatientbofbArabbdescentbisbadmittedbtobthebhospital.bTobcomplybwithbthebstateblawsbofbthebo
rganization,bthebnurseboffersbthebpatientbabPapanicolaoubsmear,bwhichbshebrefuses.bWhichbact
ionbshouldbthebnursebtakebfirst?ba.bNotifybthebphysician.
b. Reportbthebrefusalbtobthebsupervisor.
c. Explainbthebrationalebforbandbbenefitsbofbthebtest.
BbTellbherbitbisbstateblawbandbthatbshebdoesbnotbhavebabchoice
12.bAbnursebwhobemigratedbfrombChinabbeginsbworkingbonbabmedicalbunit.bThebpreceptorbexplainsbt
hebunitbroutines,bincludingbthebmedicationbadministrationbsystem.bWhenbthebpreceptorbasksbifbthebn
ursebunderstands,bthebanswerbisbalways:bYes,bIbunderstand.bWhatbshouldbthebpreceptorbdobtobmeasur
ebthebnursesbcomprehension?ba.bGivebthebnursebabmedicationbquiz.
b. Havebthebnursebrepeatbthebinstructions.
c. Havebthebnursebdemonstratebthebprocedures.
d. Askbthebnursebwhichbinformationbisbhardbtobunderstand.
13.bAb52-year-
oldbfrombHaitibisbhospitalizedbwithbheartbfailurebandbwantsbtobhavebabvoodoobpractitionerbvisitbtobs
aybprayers.bHowbshouldbthebnursebrespondbtobthisbrequest?ba.bReportbthebrequestbtobthebphysicianbi
mmediately.
b. Tellbthebpatientbthatbthisbisbnotbpermittedbduringbhospitalization.
c. Tellbthebpatientbitbisbokaybforbthebvoodoobpractitionerbtobsaybprayers.
d. Havebthebpatientbmeetbwithbthebvoodoobpractitionerbinbthebhospitalblobby.
14.bThebnursebisbcaringbforbabpatientbfrombabnon-
Englishbspeakingbculture.bWhilebprovidingbcare,bthebnursebshowsbanbappreciationbforbandbattentio
nbtobarts,bmusic,bcrafts,bclothing,bandbfoods
, belongingbtobthebpatientsbculture.bWhatbdidbthebnursebdemonstratebwhilebcaringbforbthisbpatient?ba.
Culturalbbeliefs
b. Culturalbawareness
c. Culturalbsensitivity
d. Culturalbcompetence
15.bAbfemalebCaucasianbnurse,boverheadbdiscussingbabpatientbfrombanotherbculture,basksbwh
ybthebpatientbwantsbtobseebabpractitionerbfrombhisbownbculture,bsincebeveryonebseesbphysiciansbwhe
nbtheybarebill.bWhatbcharacteristicbisbthebnursebexhibiting?
a. Stereotyping
b. Ethnocentrism
c. Culturalbsensitivity
d. Culturalbgeneralization
16.bDuringbanbassessment,bthebnursebdeterminesbthatbabpatientbfrombabnon-
Englishbspeakingbculturebpracticesbactivitiesbthatbarebpast-
oriented.bWhatbbehaviorbdidbthebnursebassessbinbthisbpatient?
a. Investingbtimebandbmoney
b. Enjoyingbeachbdaybasbitbcomes
c. Worshippingbancestorsbandbmaintainingbtraditions
d. Learningbfrombthebpastbtobavoidbmakingbthebsamebmistakesbinbthebfuture
17.bThebnursebnotesbthatbabpatientbofbArabbdescentbisbnotbeatingbanythingbonbthebmealbtrays.b
Whatbshouldbthebnursebdobaboutbthisbsituation?
a. Waitbforbthebpatientbtobaskbforbspecificbfoods.
b. Askbifbthebpatientbhasbspecialbfoodbpreferences.
c. ConsultbwithbabphysicianbofbArabbdescentbonbstaff.
d. ContactbthebdietitianbtobfindboutbwhatbpatientsbofbArabbdescentbpatientsblikebtobeat.b
18.bT
hebmotherbofbab6-year-
oldbVietnamesebchildbadmittedbwithbpneumoniabisbrubbingbabcoinbonbthebchildsbback.bThebcoinbl
eavesbredbmarks.bWhatbshouldbthebnursebdobaboutbthisbobservation?
a. Reportbthebpossibilitybofbchildbabuse.
b. Dobnotballowbthebmotherbtobbebalonebwithbherbchild.
c. Explainbtobthebmotherbthatbshebcannotbdobthisbinbthebhospital.
d. Addbabstatementbtobthebcarebplanbthatbthebfamilybpracticesbcoining.
19.bThebfamilybofbanbolderbArab-
Americanbpatientbdoesbnotbwantbthebpatientbtobbebinformedbofbabdiagnosisbofbcancer.bWhatbshouldbt
hebnursebdo?ba.bCallbabreligiousbcounselor.
