,
,Chapter 1. Health Maintenance Guidelines M
ultiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nurse is preparing to teach a patient of the Asian culture to perform postoperativ
e dressing changes at home after discharge. Which statement made by the nurse indicates cult
ural competence?
a. Tell me how you feel about your surgery.
b. Asian people are smart, so this should be easy for you to understand.
c. American surgeons are highly qualified; Im sure you will heal quickly.
d. Will you tell me about any traditional healing practices that you would like to use?
2. An unconscious victim of a house fire is brought to the emergency department by t
he paramedics. Tied to the right wrist is an emblem that appears be a religious talisman. W
hich action should the nurse take?
a. Tape it in place.
b. Do nothing with it.
c. Remove it and lock it up for safekeeping.
d. Place it in a clothing bag with the rest of the patients belongings.
3. A 43-year-
old patient of Arab descent is admitted to the hospital. To comply with the state laws of the
organization, the nurse offers the patient a Papanicolaou smear, which she refuses. Which
action should the nurse take first?
a. Notify the physician.
b. Report the refusal to the supervisor.
c. Explain the rationale for and benefits of the test.
d. Tell her it is state law and that she does not have a choice.
4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a danger
ously low hemoglobin level. The patient is fully alert and competent and refuses to accept the
blood transfusion ordered by the physician. Which action by the nurse is most appropriate?
a. Obtain a court order to give the blood.
b. Administer the blood while the patient is sleeping.
c. Have the patients spouse sign the consent to have the blood administered.
, d. Ensure dthe dpatient d understands d possible d consequences d and d then d respect d the d patients d wishes.
d d d5. dA dpatient dof dMexican ddescent dsees da dcurandero dfor dasthma; dthe dcurandero dhas
dprescrib ded da dspecial dtea dto dbe dtaken dfour dtimes da dday dto dopen dthe dairways. dHow dshould dthe
dnurse drespo dnd dto dthis dsituation?
a. Encourage dthe d patient dto d continue ddrinking dthe d tea.
b. Encourage dthe d patient d to ddrink d only done d cup d of dthe d tea d each d day.
c. Ask dthe dpatient d to d bring din d the dtea dpackage d and d have d the d pharmacist d check d the d ingredients.
d. Advise dthe dpatient dto dstop ddrinking dthe dtea dbecause dof dpotential dinteractions dwith
doth der dmedications.
6. dThe dnurse dis dcaring dfor da dyoung dadult dmale dpatient dwho drefuses dpersonal dcare
dfrom da dfemale dnursing dassistant. dWhich dapproach dby dthe dnurse dis dbest?
a. Encourage dthe d patients d family dto d talk d with d him d about d his d care.
b. Have da dregistered d nurse d (RN) dhelp d with d his d personal d care.
c. Assign da dmale dassistant d to d help d with d his d personal d care d if done d is d available.
d. Explain dto d him d that d males d and d females d take d care dof dboth d genders d in d this d hospital.
7. dThe dnurse dis d providing d medication d instructions d to d a d 45-year-
old dpatient dwho ddoes dnot dmaintain deye dcontact. dWhat dshould dthis dpatients dbehavior
dindicate dto dthe dnurse?
a. The dpatient d is d not dinterested.
b. The dnurse d threatens dthe d patients d ego.
c. The dnurse dis d in d a dhierarchical d position.
d. The dpatient d does d not d intend d to d follow d the d instructions.
8. dThe dnurse dis dcaring dfor da dpatient dof dSpanish d descent dwho dis dexperiencing d pain, dbut
ddoe d s dnot dspeak dEnglish. dAn dinterpreter dis dlocated dto dhelp dwith dthe dassessment. dWhat
dshould dthe dn durse ddo dto dfacilitate dcommunication dwith dthis dpatient?
a. Use dhand d signals d to d determine d the dcause d of d the dpain.
b. Ensure dthe dinterpreter d is d not d left d alone d with d the dpatient.
c. Maintain deye d contact d with dthe dpatient d and d the d interpreter.
d. Use donly dphysical d examination d data; d do d not d rely don d verbal d communication.
9. dA dnew dmother dof dGuatemalan ddescent dbrings dher d10-
day- dold dinfant dto da dclinic dfor da dwell-
baby dcheckup. dTo dpromote dhealing, dshe dhas da dcoin dtaped dto dthe dinfants dumbilicus. dWhat
dshoul d d dthe dnurse ddo dabout dthis dsituation?
a. Teach dthe d mother d how d to d clean d the d coin d daily dand d reapply dit.
,Chapter 1. Health Maintenance Guidelines M
ultiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nurse is preparing to teach a patient of the Asian culture to perform postoperativ
e dressing changes at home after discharge. Which statement made by the nurse indicates cult
ural competence?
a. Tell me how you feel about your surgery.
b. Asian people are smart, so this should be easy for you to understand.
c. American surgeons are highly qualified; Im sure you will heal quickly.
d. Will you tell me about any traditional healing practices that you would like to use?
2. An unconscious victim of a house fire is brought to the emergency department by t
he paramedics. Tied to the right wrist is an emblem that appears be a religious talisman. W
hich action should the nurse take?
a. Tape it in place.
b. Do nothing with it.
c. Remove it and lock it up for safekeeping.
d. Place it in a clothing bag with the rest of the patients belongings.
3. A 43-year-
old patient of Arab descent is admitted to the hospital. To comply with the state laws of the
organization, the nurse offers the patient a Papanicolaou smear, which she refuses. Which
action should the nurse take first?
a. Notify the physician.
b. Report the refusal to the supervisor.
c. Explain the rationale for and benefits of the test.
d. Tell her it is state law and that she does not have a choice.
4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a danger
ously low hemoglobin level. The patient is fully alert and competent and refuses to accept the
blood transfusion ordered by the physician. Which action by the nurse is most appropriate?
a. Obtain a court order to give the blood.
b. Administer the blood while the patient is sleeping.
c. Have the patients spouse sign the consent to have the blood administered.
, d. Ensure dthe dpatient d understands d possible d consequences d and d then d respect d the d patients d wishes.
d d d5. dA dpatient dof dMexican ddescent dsees da dcurandero dfor dasthma; dthe dcurandero dhas
dprescrib ded da dspecial dtea dto dbe dtaken dfour dtimes da dday dto dopen dthe dairways. dHow dshould dthe
dnurse drespo dnd dto dthis dsituation?
a. Encourage dthe d patient dto d continue ddrinking dthe d tea.
b. Encourage dthe d patient d to ddrink d only done d cup d of dthe d tea d each d day.
c. Ask dthe dpatient d to d bring din d the dtea dpackage d and d have d the d pharmacist d check d the d ingredients.
d. Advise dthe dpatient dto dstop ddrinking dthe dtea dbecause dof dpotential dinteractions dwith
doth der dmedications.
6. dThe dnurse dis dcaring dfor da dyoung dadult dmale dpatient dwho drefuses dpersonal dcare
dfrom da dfemale dnursing dassistant. dWhich dapproach dby dthe dnurse dis dbest?
a. Encourage dthe d patients d family dto d talk d with d him d about d his d care.
b. Have da dregistered d nurse d (RN) dhelp d with d his d personal d care.
c. Assign da dmale dassistant d to d help d with d his d personal d care d if done d is d available.
d. Explain dto d him d that d males d and d females d take d care dof dboth d genders d in d this d hospital.
7. dThe dnurse dis d providing d medication d instructions d to d a d 45-year-
old dpatient dwho ddoes dnot dmaintain deye dcontact. dWhat dshould dthis dpatients dbehavior
dindicate dto dthe dnurse?
a. The dpatient d is d not dinterested.
b. The dnurse d threatens dthe d patients d ego.
c. The dnurse dis d in d a dhierarchical d position.
d. The dpatient d does d not d intend d to d follow d the d instructions.
8. dThe dnurse dis dcaring dfor da dpatient dof dSpanish d descent dwho dis dexperiencing d pain, dbut
ddoe d s dnot dspeak dEnglish. dAn dinterpreter dis dlocated dto dhelp dwith dthe dassessment. dWhat
dshould dthe dn durse ddo dto dfacilitate dcommunication dwith dthis dpatient?
a. Use dhand d signals d to d determine d the dcause d of d the dpain.
b. Ensure dthe dinterpreter d is d not d left d alone d with d the dpatient.
c. Maintain deye d contact d with dthe dpatient d and d the d interpreter.
d. Use donly dphysical d examination d data; d do d not d rely don d verbal d communication.
9. dA dnew dmother dof dGuatemalan ddescent dbrings dher d10-
day- dold dinfant dto da dclinic dfor da dwell-
baby dcheckup. dTo dpromote dhealing, dshe dhas da dcoin dtaped dto dthe dinfants dumbilicus. dWhat
dshoul d d dthe dnurse ddo dabout dthis dsituation?
a. Teach dthe d mother d how d to d clean d the d coin d daily dand d reapply dit.
