Family Practice Guidelines 5th Edition Cash Glass Mullen Test Bank COMPLETE QUESTIONS AND ANSWERS 100% CORRECT| GRADED A+ 2025!!!!!

, Family Practice Guidelines Fifth Edition Test Bank v v v v v v




Chapter 1. Health Maintenance Guidelines
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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 postoperative
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dressing changes at home after discharge. Which statement made by the nurse indicates cultural
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competence?
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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.
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c. American surgeons are highly qualified; Im sure you will heal quickly.
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d. Will you tell me about any traditional healing practices that you would like to use?
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2. An unconscious victim of a house fire is brought to the emergency department by the
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paramedics. Tied to the right wrist is an emblem that appears be a religious talisman. Which
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action should the nurse take?
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a. Tape it in place.v v v



b. Do nothing with it.
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c. Remove it and lock it up for safekeeping. v v v v v v v



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
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state laws of the organization, the nurse offers the patient a Papanicolaou smear, which she
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refuses. Which action should the nurse take first?
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a. Notify the physician. v v



b. Report the refusal to the supervisor.v v v v v



c. Explain the rationale for and benefits of the test.
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d. Tell her it is state law and that she does not have a choice.
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4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a
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dangerously low hemoglobin level. The patient is fully alert and competent and refuses to accept
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the blood transfusion ordered by the physician. Which action by the nurse is most appropriate?
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a. Obtain a court order to give the blood.
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b. Administer the blood while the patient is sleeping. v v v v v v v



c. Have the patients spouse sign the consent to have the blood administered.
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,d. Ensure the patient understands possible consequences and then respect the patients wishes.
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5. A patient of Mexican descent sees a curandero for asthma; the curandero has prescribed
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a special tea to be taken four times a day to open the airways. How should the nurse respond to
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this situation?
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a. Encourage the patient to continue drinking the tea. v v v v v v v



b. Encourage the patient to drink only one cup of the tea each day. v v v v v v v v v v v v



c. Ask the patient to bring in the tea package and have the pharmacist check the ingredients.
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d. Advise the patient to stop drinking the tea because of potential interactions with other
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medications.
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6. The nurse is caring for a young adult male patient who refuses personal care from a
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female nursing assistant. Which approach by the nurse is best?
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a. Encourage the patients family to talk with him about his care. v v v v v v v v v v



b. Have a registered nurse (RN) help with his personal care.
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c. Assign a male assistant to help with his personal care if one is available.
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d. Explain to him that males and females take care of both genders in this hospital.
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7. The nurse is providing medication instructions to a 45-year-old patient who does not
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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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v v v 8. The nurse is caring for a patient of Spanish descent who is experiencing pain, but
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does not speak English. An interpreter is located to help with the assessment. What should the
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nurse do to facilitate communication with this patient?
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a. Use hand signals to determine the cause of the pain.
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b. Ensure the interpreter is not left alone with the patient.
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c. Maintain eye contact with the patient and the interpreter.
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d. Use only physical examination data; do not rely on verbal communication.
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9. A new mother of Guatemalan descent brings her 10-day-old infant to a clinic for a well-
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baby checkup. To promote healing, she has a coin taped to the infants umbilicus. What should
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the nurse do about this situation?
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a. Teach the mother how to clean the coin daily and reapply it.
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b. Explain to the mother that the coin is not necessary for healing.
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, c. Tell the mother to remove the coin, because it could cause an infection.
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d. Teach the mother how to apply a dry sterile dressing in place of the coin.
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10. An older patient who follows the Muslim religion is approaching death. The family
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says the patients bed should be turned toward the opposite wall, so it can face Mecca to ensure
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an easier passage into the next life. The wall they want the bed to face has wall suction and
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oxygen, which the patient is using. Which action by the nurse is appropriate?
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a. Get permission from the physician to move the bed.
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b. Rearrange the furniture to accommodate the request. v v v v v v



c. Tell them you will move the bed when the patient is closer to death.
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d. Tell them it is impossible because of the short tubing on the oxygen and suction.
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v v 11. A patient of northern European descent recovering from surgery denies postoperative
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pain; however, vital signs indicate an elevated pulse and blood pressure. The patient refuses to
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move in bed. Which nursing action would best ensure comfort and timely discharge?
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a. Give the pain medicine as prescribed.
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b. Ask the physician to prescribe the analgesics around the clock.
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c. Explain that the pain medicine will help prevent complications.
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d. Respect the patients denial of pain, and do not encourage the pain medicine.
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12. A nurse who emigrated from China begins working on a medical unit. The preceptor
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explains the unit routines, including the medication administration system. When the preceptor
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asks if the nurse understands, the answer is always: Yes, I understand. What should the preceptor
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do to measure the nurses comprehension?
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a. Give the nurse a medication quiz.
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b. Have the nurse repeat the instructions.
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c. Have the nurse demonstrate the procedures.
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d. Ask the nurse which information is hard to understand.
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13. A 52-year-old from Haiti is hospitalized with heart failure and wants to have a voodoo
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practitioner visit to say prayers. How should the nurse respond to this request?
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a. Report the request to the physician immediately.
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b. Tell the patient that this is not permitted during hospitalization.
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c. Tell the patient it is okay for the voodoo practitioner to say prayers.
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d. Have the patient meet with the voodoo practitioner in the hospital lobby.
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14. The nurse is caring for a patient from a non-English speaking culture. While providing
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care, the nurse shows an appreciation for and attention to arts, music, crafts, clothing, and foods
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