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6th Edition by Jill C. Cash; Cheryl A. Glass;
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Jenny Mullen||Chapters 1 - 23
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,Chapter 1. Health Maintenance s s s s s s
Guidelines Multiple Choice
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Identify the s s s s choice s s that s s best s s completes s s the s s statement s s or s s answers s s the s s question.
1. The nurse is preparing to teach a patient of the Asian
s s s s s s s s s s s s s s s s s s s s s s
s culture to perform postoperative dressing changes at home after discharge.
s s s s s ss s s s s s s s s s s s s
s Which statement made by the nurse indicates culturalcompetence?
s s s s s s s s s ss s s s s
a. Tell me how you feel about your surgery.
s s s s s s s s s s s s s s
b. Asian s s people s s are s s smart, s s so s s this s s should s s be s s easy for s s s s you s s to s s understand.
c. American surgeons s s s s are s s highly qualified; s s s s Im s s sure s s you s s will s s heal s s quickly.
d. Will you tell me s s s s s s s s about s s any traditional s s s s healing practices s s s s that s s you s s would
like to use?
s s s s s s
2. An unconscious victim of a house fire is brought to the
s s s s s s s s s s s s s s s s s s s s s s
s emergency department by the p aramedics. Tied to the right wrist is an
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s emblem that appears be a religious talisman. Which action should the
s s s s s s s ss s s s s s s s s s s s s
s nurse take?
s s s
a. Tape it in place. s s s s s s
b. Do s s nothing s s with s s it.
c. Remove s s it s s and s s lock s s it s s up s s for s s safekeeping.
d. Place s s it s s in s s a s s clothing s s bag s s with s s the s s rest s s of s s the s s patients s s belongings.
3. A 43-year-old patient of Arab descent is admitted to the
s s s s s s s s s s s s s s s s s s s s
s hospital. To comply with the state laws of the organization, the
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M s s s s s s s s s s
s nurse offers the patient a Papanicolaou smear, which she refuses.
s s s s s s s s s ss s s s s s s s s
s Which action should the nurse take first?
s s s s s s s s s s s s s
a. Notify the physician. s s s s
b. Report s s the s s refusal s s to s s the supervisor. s s
c. Explain the s s s s rationale s s for s s and s s benefits s s of s s the s s test.
d. Tell s s her s s it s s is s s state law s s s s and s s that s s she s s does s s not s s have s s a s s choice.
4. A patient who is a Jehovahs Witness has severe gastrointestinal
s s s s s s s s s s s s s s s s s s s s
s bleeding and a dangerously low hemoglobin level. The patient is fully
s s s ss s s s s s s s s s s s s s s s s
alert and competent and refuses to acceptthe blood transfusion ordered
s s s s s s s s ss s s s s s s s s s s
s by the physician. Which action by the nurse is most appropriate?
s s s s s s s s s s s s s ss s s s s s s
a. Obtain a court order to give the blood. s s s s s s s s s s s s s s
, b. Administer the s s s s blood s s while s s the s s patient s s is s s sleeping.
c. Have s s the s s patients s s spouse s s sign s s the s s consent s s to s s have s s the s s blood s s administered.