TEST BANKS For Family Practice Guidelines 6th
nbb nbb nbb nbb nbb nbb nbb
nbb Edition by Jill C. Cash; Cheryl A. Glass; Jenny
nbb nbb nbb nbb nbb nbb nbb nbb n b b
Mullen||Chapters1-23 nb nb nb
,
,Chapter 1. Health Maintenance Guidelines nbb nbb nbb nbb
Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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1. The nurse is preparing to teach a patient of the Asian culture to perform
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
postoperative dressing changes at home after discharge. Which statement made by the nurse
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
indicates cultural competence?
nbb nbb nbb
a. Tell me how you feel about your surgery.
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b. Asian people are smart, so this should be easy for you to understand.
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
c. American surgeons are highly qualified; Im sure you will heal quickly. nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
d. Will you tell me about any traditional healing practices that you would like to use?
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
n 2. An unconscious victim of a house fire is brought to the emergency department by
b b n b b nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
the paramedics. Tied to the right wrist is an emblem that appears be a religious talisman.
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
Which action should the nurse take?
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a. Tape it in place. nbb nbb nbb
b. Do nothing with it. nbb nbb nbb
c. Remove it and lock it up for safekeeping. nbb nbb nbb nbb nbb nbb nbb
d. Place it in a clothing bag with the rest of the patients belongings.
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3. A 43-year-old patient of Arab descent is admitted to the hospital. To comply with the
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
state laws of the organization, the nurse offers the patient a Papanicolaou smear, which
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
she refuses. Which action should the nurse take first?
nbb nbb nbb nbb nbb nbb nbb nbb nbb
a. Notify the physician. nbb nbb
b. Report the refusal to the supervisor. nbb nbb nbb nbb nbb
c. Explain the rationale for and benefits of the test. nbb nbb nbb nbb nbb nbb nbb nbb
d. Tell her it is state law and that she does not have a choice.
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
dangerously low hemoglobin level. The patient is fully alert and competent and refuses to accept
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
the blood transfusion ordered by the physician. Which action by the nurse is most
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
appropriate?
nbb
a. Obtain a court order to give the blood. nbb nbb nbb nbb nbb nbb nbb
b. Administer the blood while the patient is sleeping. nbb nbb nbb nbb nbb nbb nbb
c. Have the patients spouse sign the consent to have the blood administered.
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
, d. Ensure the patient understands possible consequences and then respect the patients wishes.
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
n b 5. A patient of Mexican descent sees a curandero for asthma; the curandero has
b n b b n b b nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
prescribed a special tea to be taken four times a day to open the airways. How should the
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
nurse respond to this situation?
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a. Encourage the patient to continue drinking the tea. nbb nbb nbb nbb nbb nbb nbb
b. Encourage the patient to drink only one cup of the tea each day. nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
c. Ask the patient to bring in the tea package and have the pharmacist check the ingredients.
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
d. Advise the patient to stop drinking the tea because of potential interactions with other
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
medications.
nbb
6. The nurse is caring for a young adult male patient who refuses personal care from a
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
female nursing assistant. Which approach by the nurse is best?
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
a. Encourage the patients family to talk with him about his care. nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
b. Have a registered nurse (RN) help with his personal care.
nbb nbb nbb nbb nbb nbb nbb nbb nbb
c. Assign a male assistant to help with his personal care if one is available.
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
d. Explain to him that males and females take care of both genders in this hospital.
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
7. The nurse is providing medication instructions to a 45-year-old patient who does not
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
maintain eye contact. What should this patients behavior indicate to the nurse?
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a. The patient is not interested.
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b. The nurse threatens the patients ego.
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c. The nurse is in a hierarchical position.
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d. The patient does not intend to follow the instructions.
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n 8. The nurse is caring for a patient of Spanish descent who is experiencing pain, but
b b n b b nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
does not speak English. An interpreter is located to help with the assessment. What should the
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
nurse do to facilitate communication with this patient?
nbb nbb nbb nbb nbb nbb nbb nbb
a. Use hand signals to determine the cause of the pain.
nbb nbb nbb nbb nbb nbb nbb nbb nbb
b. Ensure the interpreter is not left alone with the patient.
nbb nbb nbb nbb nbb nbb nbb nbb nbb
c. Maintain eye contact with the patient and the interpreter. nbb nbb nbb nbb nbb nbb nbb nbb
d. Use only physical examination data; do not rely on verbal communication.
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
9. A new mother of Guatemalan descent brings her 10-day-old infant to a clinic for a well-
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
baby checkup. To promote healing, she has a coin taped to the infants umbilicus. What
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
should the nurse do about this situation?
nbb nbb nbb nbb nbb nbb nbb
a. Teach the mother how to clean the coin daily and reapply it.
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
b. Explain to the mother that the coin is not necessary for healing.
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
nbb nbb nbb nbb nbb nbb nbb
nbb Edition by Jill C. Cash; Cheryl A. Glass; Jenny
nbb nbb nbb nbb nbb nbb nbb nbb n b b
Mullen||Chapters1-23 nb nb nb
,
,Chapter 1. Health Maintenance Guidelines nbb nbb nbb nbb
Multiple Choice
nbb nbb
Identify the choice that best completes the statement or answers the question.
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
1. The nurse is preparing to teach a patient of the Asian culture to perform
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
postoperative dressing changes at home after discharge. Which statement made by the nurse
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
indicates cultural competence?
nbb nbb nbb
a. Tell me how you feel about your surgery.
nbb nbb nbb nbb nbb nbb nbb
b. Asian people are smart, so this should be easy for you to understand.
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
c. American surgeons are highly qualified; Im sure you will heal quickly. nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
d. Will you tell me about any traditional healing practices that you would like to use?
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
n 2. An unconscious victim of a house fire is brought to the emergency department by
b b n b b nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
the paramedics. Tied to the right wrist is an emblem that appears be a religious talisman.
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
Which action should the nurse take?
nbb nbb nbb nbb nbb nbb
a. Tape it in place. nbb nbb nbb
b. Do nothing with it. nbb nbb nbb
c. Remove it and lock it up for safekeeping. nbb nbb nbb nbb nbb nbb nbb
d. Place it in a clothing bag with the rest of the patients belongings.
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
3. A 43-year-old patient of Arab descent is admitted to the hospital. To comply with the
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
state laws of the organization, the nurse offers the patient a Papanicolaou smear, which
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
she refuses. Which action should the nurse take first?
nbb nbb nbb nbb nbb nbb nbb nbb nbb
a. Notify the physician. nbb nbb
b. Report the refusal to the supervisor. nbb nbb nbb nbb nbb
c. Explain the rationale for and benefits of the test. nbb nbb nbb nbb nbb nbb nbb nbb
d. Tell her it is state law and that she does not have a choice.
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
dangerously low hemoglobin level. The patient is fully alert and competent and refuses to accept
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
the blood transfusion ordered by the physician. Which action by the nurse is most
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
appropriate?
nbb
a. Obtain a court order to give the blood. nbb nbb nbb nbb nbb nbb nbb
b. Administer the blood while the patient is sleeping. nbb nbb nbb nbb nbb nbb nbb
c. Have the patients spouse sign the consent to have the blood administered.
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
, d. Ensure the patient understands possible consequences and then respect the patients wishes.
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
n b 5. A patient of Mexican descent sees a curandero for asthma; the curandero has
b n b b n b b nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
prescribed a special tea to be taken four times a day to open the airways. How should the
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
nurse respond to this situation?
nbb nbb nbb nbb nbb
a. Encourage the patient to continue drinking the tea. nbb nbb nbb nbb nbb nbb nbb
b. Encourage the patient to drink only one cup of the tea each day. nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
c. Ask the patient to bring in the tea package and have the pharmacist check the ingredients.
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
d. Advise the patient to stop drinking the tea because of potential interactions with other
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
medications.
nbb
6. The nurse is caring for a young adult male patient who refuses personal care from a
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
female nursing assistant. Which approach by the nurse is best?
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
a. Encourage the patients family to talk with him about his care. nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
b. Have a registered nurse (RN) help with his personal care.
nbb nbb nbb nbb nbb nbb nbb nbb nbb
c. Assign a male assistant to help with his personal care if one is available.
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
d. Explain to him that males and females take care of both genders in this hospital.
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
7. The nurse is providing medication instructions to a 45-year-old patient who does not
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
maintain eye contact. What should this patients behavior indicate to the nurse?
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
a. The patient is not interested.
nbb nbb nbb nbb
b. The nurse threatens the patients ego.
nbb nbb nbb nbb nbb
c. The nurse is in a hierarchical position.
nbb nbb nbb nbb nbb nbb
d. The patient does not intend to follow the instructions.
nbb nbb nbb nbb nbb nbb nbb nbb
n 8. The nurse is caring for a patient of Spanish descent who is experiencing pain, but
b b n b b nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
does not speak English. An interpreter is located to help with the assessment. What should the
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
nurse do to facilitate communication with this patient?
nbb nbb nbb nbb nbb nbb nbb nbb
a. Use hand signals to determine the cause of the pain.
nbb nbb nbb nbb nbb nbb nbb nbb nbb
b. Ensure the interpreter is not left alone with the patient.
nbb nbb nbb nbb nbb nbb nbb nbb nbb
c. Maintain eye contact with the patient and the interpreter. nbb nbb nbb nbb nbb nbb nbb nbb
d. Use only physical examination data; do not rely on verbal communication.
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
9. A new mother of Guatemalan descent brings her 10-day-old infant to a clinic for a well-
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
baby checkup. To promote healing, she has a coin taped to the infants umbilicus. What
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
should the nurse do about this situation?
nbb nbb nbb nbb nbb nbb nbb
a. Teach the mother how to clean the coin daily and reapply it.
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
b. Explain to the mother that the coin is not necessary for healing.
nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb nbb
