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Mullen Test Bank complete 554 pages withverified
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Q&A 2023-2024
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, FamilynPracticenGuidelinesnFifthnEditionnTestnBank
Chaptern1.nHealthnMaintenancenGuidelinesn
MultiplenChoice
Identifynthenchoicenthatnbestncompletesnthenstatementnornanswersnthenquestion.
n
1.nThennursenisnpreparingntonteachnanpatientnofnthenAsiannculturentonperformnpostoperativendr
essingnchangesnatnhomenafterndischarge.nWhichnstatementnmadenbynthennursenindicatesnculturalnco
mpetence?
a. Tellnmenhownyounfeelnaboutnyournsurgery.
b. Asiannpeoplenarensmart,nsonthisnshouldnbeneasynfornyountonunderstand.
c. Americannsurgeonsnarenhighlynqualified;nImnsurenyounwillnhealnquickly.
d. Willnyountellnmenaboutnanyntraditionalnhealingnpracticesnthatnyounwouldnlikentonuse?
n
2.nAnnunconsciousnvictimnofnanhousenfirenisnbroughtntonthenemergencyndepartmentnbynthenp
aramedics.nTiedntonthenrightnwristnisnannemblemnthatnappearsnbenanreligiousntalisman.nWhichnact
ionnshouldnthennursentake?
a. Tapenitninnplace.
b. Donnothingnwithnit.
c. Removenitnandnlocknitnupnfornsafekeeping.
d. Placenitninnanclothingnbagnwithnthenrestnofnthenpatientsnbelongings.
n 3.nAn43-year-
oldnpatientnofnArabndescentnisnadmittedntonthenhospital.nToncomplynwithnthenstatenlawsnofnthenorg
anization,nthennursenoffersnthenpatientnanPapanicolaounsmear,nwhichnshenrefuses.nWhichnactionns
houldnthennursentakenfirst?
a. Notifynthenphysician.
b. Reportnthenrefusalntonthensupervisor.
c. Explainnthenrationalenfornandnbenefitsnofnthentest.
d. Tellnhernitnisnstatenlawnandnthatnshendoesnnotnhavenanchoice.
n
4.nAnpatientnwhonisnanJehovahsnWitnessnhasnseverengastrointestinalnbleedingnandnandangerous
lynlownhemoglobinnlevel.nThenpatientnisnfullynalertnandncompetentnandnrefusesntonacceptnthenbloodntr
ansfusionnorderednbynthenphysician.nWhichnactionnbynthennursenisnmostnappropriate?
a. Obtainnancourtnorderntongiventhenblood.
b. Administernthenbloodnwhilenthenpatientnisnsleeping.
c. Haventhenpatientsnspousensignnthenconsentntonhaventhenbloodnadministered.
,d. Ensurenthenpatientnunderstandsnpossiblenconsequencesnandnthennrespectnthenpatientsnwishes.
n
5.nAnpatientnofnMexicanndescentnseesnancuranderonfornasthma;nthencuranderonhasnprescribedna
n specialnteantonbentakennfourntimesnandayntonopennthenairways.nHownshouldnthennursenrespondntonthi
snsituation?
a. Encouragenthenpatientntoncontinuendrinkingnthentea.
b. Encouragenthenpatientntondrinknonlynonencupnofnthenteaneachnday.
c. Asknthenpatientntonbringninnthenteanpackagenandnhaventhenpharmacistncheckntheningredients.
d. Advisenthenpatientntonstopndrinkingnthenteanbecausenofnpotentialninteractionsnwithnothern
medications.
n
6.nThennursenisncaringnfornanyoungnadultnmalenpatientnwhonrefusesnpersonalncarenfromnanf
emalennursingnassistant.nWhichnapproachnbynthennursenisnbest?
a. Encouragenthenpatientsnfamilyntontalknwithnhimnaboutnhisncare.
b. Havenanregisterednnursen(RN)nhelpnwithnhisnpersonalncare.
c. Assignnanmalenassistantntonhelpnwithnhisnpersonalncarenifnonenisnavailable.
d. Explainntonhimnthatnmalesnandnfemalesntakencarenofnbothngendersninnthisnhospital.
n 7.nThennursenisnprovidingnmedicationninstructionsntonan45-year-
oldnpatientnwhondoesnnotnmaintainneyencontact.nWhatnshouldnthisnpatientsnbehaviornindicatentont
hennurse?
a. Thenpatientnisnnotninterested.
b. Thennursenthreatensnthenpatientsnego.
c. Thennursenisninnanhierarchicalnposition.
d. Thenpatientndoesnnotnintendntonfollowntheninstructions.
8.nThennursenisncaringnfornanpatientnofnSpanishndescentnwhonisnexperiencingnpain,nbutndoesnno
nnnnnnnnn
tnspeaknEnglish.nAnninterpreternisnlocatedntonhelpnwithnthenassessment.nWhatnshouldnthennursendont
onfacilitatencommunicationnwithnthisnpatient?
a. Usenhandnsignalsntondeterminenthencausenofnthenpain.
b. Ensurentheninterpreternisnnotnleftnalonenwithnthenpatient.
c. Maintainneyencontactnwithnthenpatientnandntheninterpreter.
d. Usenonlynphysicalnexaminationndata;ndonnotnrelynonnverbalncommunication.
n 9.nAnnewnmothernofnGuatemalanndescentnbringsnhern10-day-oldninfantntonanclinicnfornanwell-
babyncheckup.nTonpromotenhealing,nshenhasnancoinntapedntontheninfantsnumbilicus.nWhatnshouldnthe
n
n nursendonaboutnthisnsituation?
a. Teachnthenmothernhowntoncleannthencoinndailynandnreapplynit.
b. Explainntonthenmothernthatnthencoinnisnnotnnecessarynfornhealing.
, c. Tellnthenmotherntonremoventhencoin,nbecausenitncouldncausenanninfection.
d. Teachnthenmothernhowntonapplynandrynsterilendressingninnplacenofnthencoin.
n
10.nAnnoldernpatientnwhonfollowsnthenMuslimnreligionnisnapproachingndeath.nThenfamilynsa
ysnthenpatientsnbednshouldnbenturnedntowardnthenoppositenwall,nsonitncannfacenMeccantonensurenanne
asiernpassagenintonthennextnlife.nThenwallntheynwantnthenbedntonfacenhasnwallnsuctionnandnoxygen,n
whichnthenpatientnisnusing.nWhichnactionnbynthennursenisnappropriate?
a. Getnpermissionnfromnthenphysicianntonmoventhenbed.
b. Rearrangenthenfurniturentonaccommodatenthenrequest.
c. Tellnthemnyounwillnmoventhenbednwhennthenpatientnisncloserntondeath.
d. Tellnthemnitnisnimpossiblenbecausenofnthenshortntubingnonnthenoxygennandnsuction.
11.nAnpatientnofnnorthernnEuropeanndescentnrecoveringnfromnsurgeryndeniesnpostoperativenp
nnnnnnnnn
ain;nhowever,nvitalnsignsnindicatenannelevatednpulsenandnbloodnpressure.nThenpatientnrefusesntonm
oveninnbed.nWhichnnursingnactionnwouldnbestnensurencomfortnandntimelyndischarge?
a. Giventhenpainnmedicinenasnprescribed.
b. Asknthenphysicianntonprescribenthenanalgesicsnaroundnthenclock.
c. Explainnthatnthenpainnmedicinenwillnhelpnpreventncomplications.
d. Respectnthenpatientsndenialnofnpain,nandndonnotnencouragenthenpainnmedicine.
n
12.nAnnursenwhonemigratednfromnChinanbeginsnworkingnonnanmedicalnunit.nThenpreceptornexp
lainsnthenunitnroutines,nincludingnthenmedicationnadministrationnsystem.nWhennthenpreceptornasksnif
n thennursenunderstands,nthenanswernisnalways:nYes,nInunderstand.nWhatnshouldnthenpreceptorndontonm
easurenthennursesncomprehension?
a. Giventhennursenanmedicationnquiz.
b. Haventhennursenrepeatntheninstructions.
c. Haventhennursendemonstratenthenprocedures.
d. Asknthennursenwhichninformationnisnhardntonunderstand.
n 13.nAn52-year-
oldnfromnHaitinisnhospitalizednwithnheartnfailurenandnwantsntonhavenanvoodoonpractitionernvisitntonsa
ynprayers.nHownshouldnthennursenrespondntonthisnrequest?
a. Reportnthenrequestntonthenphysiciannimmediately.
b. Tellnthenpatientnthatnthisnisnnotnpermittednduringnhospitalization.
c. Tellnthenpatientnitnisnokaynfornthenvoodoonpractitionerntonsaynprayers.
d. Haventhenpatientnmeetnwithnthenvoodoonpractitionerninnthenhospitalnlobby.
n 14.nThennursenisncaringnfornanpatientnfromnannon-
Englishnspeakingnculture.nWhilenprovidingncare,nthennursenshowsnannappreciationnfornandnattention
n tonarts,nmusic,ncrafts,nclothing,nandnfoods