Family Practice Guidelines Fifth Edition Test Bank
d d d d d d
Chapterd1.d HealthdMaintenancedGuidelinesdMult
ipledChoice
Identifydthedchoicedthatdbestdcompletesdthedstatementdordanswersdthedquestion.
1.dAdpatientdwhodisdadJehovahsdWitnessdhasdseveredgastrointestinaldbleedingdanddaddangerousl
ydlowdhemoglobindlevel.dThedpatientdisdfullydalertdanddcompetentdanddrefusesdtodacceptdthedblooddtra
nsfusiondordereddbydthedphysician.dWhichdactiondbydthednursedisdmostdappropriate?da.dObtaindadcour
tdorderdtodgivedthedblood.
b. Administerdthedblooddwhiledthedpatientdisdsleeping.
c. Havedthedpatientsdspousedsigndthedconsentdtodhavedthedblooddadministered.
d. Ensuredthedpatientdunderstandsdpossibledconsequencesdanddthendrespectdthedpatientsdwishes.
2.dAdpatientdofdMexicanddescentdseesdadcuranderodfordasthma;dthedcuranderodhasdpres
cribeddadspecialdteadtodbedtakendfourdtimesdaddaydtodopendthedairways.dHowdshoulddthednurse
d responddtodthisdsituation?
a. Encouragedthedpatientdtodcontinueddrinkingdthedtea.
b. Encouragedthedpatientdtoddrinkdonlydonedcupdofdthedteadeachdday.
c. Askdthedpatientdtodbringdindthedteadpackagedanddhavedthedpharmacistdcheckdthedingredients.
d. Advisedthedpatientdtodstopddrinkingdthedteadbecausedofdpotentialdinteractionsdwithdotherd
medications.
3.dThednursedisdcaringdfordadyoungdadultdmaledpatientdwhodrefusesdpersonaldcaredfromdadf
emalednursingdassistant.dWhichdapproachdbydthednursedisdbest?
a. Encouragedthedpatientsdfamilydtodtalkdwithdhimdaboutdhisdcare.
b. Havedadregistereddnursed(RN)dhelpdwithdhisdpersonaldcare.
c. Assigndadmaledassistantdtodhelpdwithdhisdpersonaldcaredifdonedisdavailable.
d. Explaindtodhimdthatdmalesdanddfemalesdtakedcaredofdbothdgendersdindthisdhospital.
4.dThednursedisdprovidingdmedicationdinstructionsdtodad45-year-
olddpatientdwhoddoesdnotdmaintaindeyedcontact.dWhatdshoulddthisdpatientsdbehaviordindicatedtod
thednurse?da.dThed patientdisdnotdinterested.
b. Thednursedthreatensdthedpatientsdego.
,c. Thednursedisdindadhierarchicaldposition.
d. Thedpatientddoesdnotdintenddtodfollowdthedinstructions.
d d d 5.dThednursedisdcaringdfordadpatientdofdSpanishddescentdwhodisdexperiencingdpain,dbutddoesdnot
speakdEnglish.dAndinterpreterdisdlocateddtodhelpdwithdthedassessment.dWhatdshoulddthednurseddodt
d
odfacilitatedcommunicationdwithdthisdpatient?
a. Usedhanddsignalsdtoddeterminedthedcausedofdthedpain.
b. Ensuredthedinterpreterdisdnotdleftdalonedwithdthedpatient.
c. Maintaindeyedcontactdwithdthedpatientdanddthedinterpreter.
d. Usedonlydphysicaldexaminationddata;ddodnotdrelydondverbaldcommunication.
6.dAdnewdmotherdofdGuatemalanddescentdbringsdherd10-day-
olddinfantdtodadclinicdfordadwellbabydcheckup.dTodpromotedhealing,dshedhasdadcoindtapeddtodthed
infantsdumbilicus.dWhatdshoulddthednurseddodaboutdthisdsituation?
a. Teachdthedmotherdhowdtodcleandthedcoinddailydanddreapplydit.
b. Explaindtodthedmotherdthatdthedcoindisdnotdnecessarydfordhealing.
c. Telldthedmotherdtodremovedthedcoin,dbecauseditdcoulddcausedandinfection.
d. Teachdthedmotherdhowdtodapplydaddrydsterileddressingdindplacedofdthedcoin.
7.dAndolderdpatientdwhodfollowsdthedMuslimdreligiondisdapproachingddeath.dThedfamilydsay
sdthedpatientsdbeddshoulddbedturneddtowarddthedoppositedwall,dsoditdcandfacedMeccadtodensuredande
asierdpassagedintodthednextdlife.dThedwalldtheydwantdthedbeddtodfacedhasdwalldsuctiondanddoxygen,d
whichdthedpatientdisdusing.dWhichdactiondbydthednursedisdappropriate?da.dGetdpermissiondfromdthe
dphysiciandtodmovedthedbed.
b. Rearrangedthedfurnituredtodaccommodatedthedrequest.
c. Telldthemdyoudwilldmovedthedbeddwhendthedpatientdisdcloserdtoddeath.
d. Telldthemditdisdimpossibledbecausedofdthedshortdtubingdondthedoxygendanddsuction.
8.dAdpatientdofdnortherndEuropeanddescentdrecoveringdfromdsurgeryddeniesdpostoperativedp
ain;dhowever,dvitaldsignsdindicatedandelevateddpulsedanddblooddpressure.dThedpatientdrefusesdtodm
ovedindbed.dWhichdnursingdactiondwoulddbestdensuredcomfortdanddtimelyddischarge?da.dGivedthed
paindmedicinedasdprescribed.
b. Askdthedphysiciandtodprescribedthedanalgesicsdarounddthedclock.
c. Explaindthatdthedpaindmedicinedwilldhelpdpreventdcomplications.
d. Respectdthedpatientsddenialdofdpain,dandddodnotdencouragedthedpaindmedicine.
9. ThednursedisdpreparingdtodteachdadpatientdofdthedAsiandculturedtodperformdpostoperativeddressin
gdchangesdatdhomedafterddischarge.dWhichdstatementdmadedbydthednursedindicatesdcultural
,competence?
a. Telldmedhowdyoudfeeldaboutdyourdsurgery.
b. Asiandpeopledaredsmart,dsodthisdshoulddbedeasydfordyoudtodunderstand.
c. Americandsurgeonsdaredhighlydqualified;dImdsured youdwilldhealdquickly.
d. Willdyoudtelldmedaboutdanydtraditionaldhealingdpracticesdthatdyoudwoulddlikedtoduse?
10. Andunconsciousdvictimdofdadhousedfiredisdbroughtdtodthedemergencyddepartmentdbydthedpar
amedics.dTieddtodthedrightdwristdisdandemblemdthatdappearsdbedadreligiousdtalisman.dWhichdacti
ondshoulddthednursedtake?da.dTapeditdindplace.
b. Dodnothingdwithdit.
c. Removeditdanddlockditdupdfordsafekeeping.
d. Placeditdindadclothingdbagdwithdthedrestdofdthedpatientsdbelongings.
d d d 11.dAd43-year-
olddpatientdofdArabddescentdisdadmitteddtodthedhospital.dTodcomplydwithdthedstatedlawsdofdthedo
rganization,dthednursedoffersdthedpatientdadPapanicolaoudsmear,dwhichdshedrefuses.dWhichdact
iondshoulddthednursedtakedfirst?da.dNotifydthedphysician.
b. Reportdthedrefusaldtodthedsupervisor.
c. Explaindthedrationaledfordanddbenefitsdofdthedtest.
BdTelldherditdisdstatedlawdanddthatdsheddoesdnotdhavedadchoice
12.dAdnursedwhodemigrateddfromdChinadbeginsdworkingdondadmedicaldunit.dThedpreceptordexplainsdt
hedunitdroutines,dincludingdthedmedicationdadministrationdsystem.dWhendthedpreceptordasksdifdthedn
ursedunderstands,dthedanswerdisdalways:dYes,dIdunderstand.dWhatdshoulddthedpreceptorddodtodmeasur
edthednursesdcomprehension?da.dGivedthednursedadmedicationdquiz.
b. Havedthednursedrepeatdthedinstructions.
c. Havedthednurseddemonstratedthedprocedures.
d. Askdthednursedwhichdinformationdisdharddtodunderstand.
13.dAd52-year-
olddfromdHaitidisdhospitalizeddwithdheartdfailuredanddwantsdtodhavedadvoodoodpractitionerdvisitdtods
aydprayers.dHowdshoulddthednursedresponddtodthisdrequest?da.dReportdthedrequestdtodthedphysiciandi
mmediately.
b. Telldthedpatientdthatdthisdisdnotdpermitteddduringdhospitalization.
c. Telldthedpatientditdisdokaydfordthedvoodoodpractitionerdtodsaydprayers.
d. Havedthedpatientdmeetdwithdthedvoodoodpractitionerdindthedhospitaldlobby.
14.dThednursedisdcaringdfordadpatientdfromdadnon-
Englishdspeakingdculture.dWhiledprovidingdcare,dthednursedshowsdandappreciationdfordanddattentio
ndtodarts,dmusic,dcrafts,dclothing,danddfoods
, belongingdtodthedpatientsdculture.dWhatddiddthednurseddemonstratedwhiledcaringdfordthisdpatient?da.
Culturaldbeliefs
b. Culturaldawareness
c. Culturaldsensitivity
d. Culturaldcompetence
15.dAdfemaledCaucasiandnurse,doverheadddiscussingdadpatientdfromdanotherdculture,dasksdwh
ydthedpatientdwantsdtodseedadpractitionerdfromdhisdowndculture,dsincedeveryonedseesdphysiciansdwhe
ndtheydaredill.dWhatdcharacteristicdisdthednursedexhibiting?
a. Stereotyping
b. Ethnocentrism
c. Culturaldsensitivity
d. Culturaldgeneralization
16.dDuringdandassessment,dthednurseddeterminesdthatdadpatientdfromdadnon-
Englishdspeakingdculturedpracticesdactivitiesdthatdaredpast-
oriented.dWhatdbehaviorddiddthednursedassessdindthisdpatient?
a. Investingdtimedanddmoney
b. Enjoyingdeachddaydasditdcomes
c. Worshippingdancestorsdanddmaintainingdtraditions
d. Learningdfromdthedpastdtodavoiddmakingdthedsamedmistakesdindthedfuture
17.dThednursednotesdthatdadpatientdofdArabddescentdisdnotdeatingdanythingdondthedmealdtrays.d
Whatdshoulddthednurseddodaboutdthisdsituation?
a. Waitdfordthedpatientdtodaskdfordspecificdfoods.
b. Askdifdthedpatientdhasdspecialdfooddpreferences.
c. ConsultdwithdadphysiciandofdArabddescentdondstaff.
d. ContactdtheddietitiandtodfinddoutdwhatdpatientsdofdArabddescentdpatientsdlikedtodeat.d
18.dT
hedmotherdofdad6-year-
olddVietnamesedchilddadmitteddwithdpneumoniadisdrubbingdadcoindondthedchildsdback.dThedcoindl
eavesdreddmarks.dWhatdshoulddthednurseddodaboutdthisdobservation?
a. Reportdthedpossibilitydofdchilddabuse.
b. Dodnotdallowdthedmotherdtodbedalonedwithdherdchild.
c. Explaindtodthedmotherdthatdshedcannotddodthisdindthedhospital.
d. Adddadstatementdtodthedcaredplandthatdthedfamilydpracticesdcoining.
19.dThedfamilydofdandolderdArab-
Americandpatientddoesdnotdwantdthedpatientdtodbedinformeddofdaddiagnosisdofdcancer.dWhatdshoulddt
hednurseddo?da.dCalldadreligiousdcounselor.
d d d d d d
Chapterd1.d HealthdMaintenancedGuidelinesdMult
ipledChoice
Identifydthedchoicedthatdbestdcompletesdthedstatementdordanswersdthedquestion.
1.dAdpatientdwhodisdadJehovahsdWitnessdhasdseveredgastrointestinaldbleedingdanddaddangerousl
ydlowdhemoglobindlevel.dThedpatientdisdfullydalertdanddcompetentdanddrefusesdtodacceptdthedblooddtra
nsfusiondordereddbydthedphysician.dWhichdactiondbydthednursedisdmostdappropriate?da.dObtaindadcour
tdorderdtodgivedthedblood.
b. Administerdthedblooddwhiledthedpatientdisdsleeping.
c. Havedthedpatientsdspousedsigndthedconsentdtodhavedthedblooddadministered.
d. Ensuredthedpatientdunderstandsdpossibledconsequencesdanddthendrespectdthedpatientsdwishes.
2.dAdpatientdofdMexicanddescentdseesdadcuranderodfordasthma;dthedcuranderodhasdpres
cribeddadspecialdteadtodbedtakendfourdtimesdaddaydtodopendthedairways.dHowdshoulddthednurse
d responddtodthisdsituation?
a. Encouragedthedpatientdtodcontinueddrinkingdthedtea.
b. Encouragedthedpatientdtoddrinkdonlydonedcupdofdthedteadeachdday.
c. Askdthedpatientdtodbringdindthedteadpackagedanddhavedthedpharmacistdcheckdthedingredients.
d. Advisedthedpatientdtodstopddrinkingdthedteadbecausedofdpotentialdinteractionsdwithdotherd
medications.
3.dThednursedisdcaringdfordadyoungdadultdmaledpatientdwhodrefusesdpersonaldcaredfromdadf
emalednursingdassistant.dWhichdapproachdbydthednursedisdbest?
a. Encouragedthedpatientsdfamilydtodtalkdwithdhimdaboutdhisdcare.
b. Havedadregistereddnursed(RN)dhelpdwithdhisdpersonaldcare.
c. Assigndadmaledassistantdtodhelpdwithdhisdpersonaldcaredifdonedisdavailable.
d. Explaindtodhimdthatdmalesdanddfemalesdtakedcaredofdbothdgendersdindthisdhospital.
4.dThednursedisdprovidingdmedicationdinstructionsdtodad45-year-
olddpatientdwhoddoesdnotdmaintaindeyedcontact.dWhatdshoulddthisdpatientsdbehaviordindicatedtod
thednurse?da.dThed patientdisdnotdinterested.
b. Thednursedthreatensdthedpatientsdego.
,c. Thednursedisdindadhierarchicaldposition.
d. Thedpatientddoesdnotdintenddtodfollowdthedinstructions.
d d d 5.dThednursedisdcaringdfordadpatientdofdSpanishddescentdwhodisdexperiencingdpain,dbutddoesdnot
speakdEnglish.dAndinterpreterdisdlocateddtodhelpdwithdthedassessment.dWhatdshoulddthednurseddodt
d
odfacilitatedcommunicationdwithdthisdpatient?
a. Usedhanddsignalsdtoddeterminedthedcausedofdthedpain.
b. Ensuredthedinterpreterdisdnotdleftdalonedwithdthedpatient.
c. Maintaindeyedcontactdwithdthedpatientdanddthedinterpreter.
d. Usedonlydphysicaldexaminationddata;ddodnotdrelydondverbaldcommunication.
6.dAdnewdmotherdofdGuatemalanddescentdbringsdherd10-day-
olddinfantdtodadclinicdfordadwellbabydcheckup.dTodpromotedhealing,dshedhasdadcoindtapeddtodthed
infantsdumbilicus.dWhatdshoulddthednurseddodaboutdthisdsituation?
a. Teachdthedmotherdhowdtodcleandthedcoinddailydanddreapplydit.
b. Explaindtodthedmotherdthatdthedcoindisdnotdnecessarydfordhealing.
c. Telldthedmotherdtodremovedthedcoin,dbecauseditdcoulddcausedandinfection.
d. Teachdthedmotherdhowdtodapplydaddrydsterileddressingdindplacedofdthedcoin.
7.dAndolderdpatientdwhodfollowsdthedMuslimdreligiondisdapproachingddeath.dThedfamilydsay
sdthedpatientsdbeddshoulddbedturneddtowarddthedoppositedwall,dsoditdcandfacedMeccadtodensuredande
asierdpassagedintodthednextdlife.dThedwalldtheydwantdthedbeddtodfacedhasdwalldsuctiondanddoxygen,d
whichdthedpatientdisdusing.dWhichdactiondbydthednursedisdappropriate?da.dGetdpermissiondfromdthe
dphysiciandtodmovedthedbed.
b. Rearrangedthedfurnituredtodaccommodatedthedrequest.
c. Telldthemdyoudwilldmovedthedbeddwhendthedpatientdisdcloserdtoddeath.
d. Telldthemditdisdimpossibledbecausedofdthedshortdtubingdondthedoxygendanddsuction.
8.dAdpatientdofdnortherndEuropeanddescentdrecoveringdfromdsurgeryddeniesdpostoperativedp
ain;dhowever,dvitaldsignsdindicatedandelevateddpulsedanddblooddpressure.dThedpatientdrefusesdtodm
ovedindbed.dWhichdnursingdactiondwoulddbestdensuredcomfortdanddtimelyddischarge?da.dGivedthed
paindmedicinedasdprescribed.
b. Askdthedphysiciandtodprescribedthedanalgesicsdarounddthedclock.
c. Explaindthatdthedpaindmedicinedwilldhelpdpreventdcomplications.
d. Respectdthedpatientsddenialdofdpain,dandddodnotdencouragedthedpaindmedicine.
9. ThednursedisdpreparingdtodteachdadpatientdofdthedAsiandculturedtodperformdpostoperativeddressin
gdchangesdatdhomedafterddischarge.dWhichdstatementdmadedbydthednursedindicatesdcultural
,competence?
a. Telldmedhowdyoudfeeldaboutdyourdsurgery.
b. Asiandpeopledaredsmart,dsodthisdshoulddbedeasydfordyoudtodunderstand.
c. Americandsurgeonsdaredhighlydqualified;dImdsured youdwilldhealdquickly.
d. Willdyoudtelldmedaboutdanydtraditionaldhealingdpracticesdthatdyoudwoulddlikedtoduse?
10. Andunconsciousdvictimdofdadhousedfiredisdbroughtdtodthedemergencyddepartmentdbydthedpar
amedics.dTieddtodthedrightdwristdisdandemblemdthatdappearsdbedadreligiousdtalisman.dWhichdacti
ondshoulddthednursedtake?da.dTapeditdindplace.
b. Dodnothingdwithdit.
c. Removeditdanddlockditdupdfordsafekeeping.
d. Placeditdindadclothingdbagdwithdthedrestdofdthedpatientsdbelongings.
d d d 11.dAd43-year-
olddpatientdofdArabddescentdisdadmitteddtodthedhospital.dTodcomplydwithdthedstatedlawsdofdthedo
rganization,dthednursedoffersdthedpatientdadPapanicolaoudsmear,dwhichdshedrefuses.dWhichdact
iondshoulddthednursedtakedfirst?da.dNotifydthedphysician.
b. Reportdthedrefusaldtodthedsupervisor.
c. Explaindthedrationaledfordanddbenefitsdofdthedtest.
BdTelldherditdisdstatedlawdanddthatdsheddoesdnotdhavedadchoice
12.dAdnursedwhodemigrateddfromdChinadbeginsdworkingdondadmedicaldunit.dThedpreceptordexplainsdt
hedunitdroutines,dincludingdthedmedicationdadministrationdsystem.dWhendthedpreceptordasksdifdthedn
ursedunderstands,dthedanswerdisdalways:dYes,dIdunderstand.dWhatdshoulddthedpreceptorddodtodmeasur
edthednursesdcomprehension?da.dGivedthednursedadmedicationdquiz.
b. Havedthednursedrepeatdthedinstructions.
c. Havedthednurseddemonstratedthedprocedures.
d. Askdthednursedwhichdinformationdisdharddtodunderstand.
13.dAd52-year-
olddfromdHaitidisdhospitalizeddwithdheartdfailuredanddwantsdtodhavedadvoodoodpractitionerdvisitdtods
aydprayers.dHowdshoulddthednursedresponddtodthisdrequest?da.dReportdthedrequestdtodthedphysiciandi
mmediately.
b. Telldthedpatientdthatdthisdisdnotdpermitteddduringdhospitalization.
c. Telldthedpatientditdisdokaydfordthedvoodoodpractitionerdtodsaydprayers.
d. Havedthedpatientdmeetdwithdthedvoodoodpractitionerdindthedhospitaldlobby.
14.dThednursedisdcaringdfordadpatientdfromdadnon-
Englishdspeakingdculture.dWhiledprovidingdcare,dthednursedshowsdandappreciationdfordanddattentio
ndtodarts,dmusic,dcrafts,dclothing,danddfoods
, belongingdtodthedpatientsdculture.dWhatddiddthednurseddemonstratedwhiledcaringdfordthisdpatient?da.
Culturaldbeliefs
b. Culturaldawareness
c. Culturaldsensitivity
d. Culturaldcompetence
15.dAdfemaledCaucasiandnurse,doverheadddiscussingdadpatientdfromdanotherdculture,dasksdwh
ydthedpatientdwantsdtodseedadpractitionerdfromdhisdowndculture,dsincedeveryonedseesdphysiciansdwhe
ndtheydaredill.dWhatdcharacteristicdisdthednursedexhibiting?
a. Stereotyping
b. Ethnocentrism
c. Culturaldsensitivity
d. Culturaldgeneralization
16.dDuringdandassessment,dthednurseddeterminesdthatdadpatientdfromdadnon-
Englishdspeakingdculturedpracticesdactivitiesdthatdaredpast-
oriented.dWhatdbehaviorddiddthednursedassessdindthisdpatient?
a. Investingdtimedanddmoney
b. Enjoyingdeachddaydasditdcomes
c. Worshippingdancestorsdanddmaintainingdtraditions
d. Learningdfromdthedpastdtodavoiddmakingdthedsamedmistakesdindthedfuture
17.dThednursednotesdthatdadpatientdofdArabddescentdisdnotdeatingdanythingdondthedmealdtrays.d
Whatdshoulddthednurseddodaboutdthisdsituation?
a. Waitdfordthedpatientdtodaskdfordspecificdfoods.
b. Askdifdthedpatientdhasdspecialdfooddpreferences.
c. ConsultdwithdadphysiciandofdArabddescentdondstaff.
d. ContactdtheddietitiandtodfinddoutdwhatdpatientsdofdArabddescentdpatientsdlikedtodeat.d
18.dT
hedmotherdofdad6-year-
olddVietnamesedchilddadmitteddwithdpneumoniadisdrubbingdadcoindondthedchildsdback.dThedcoindl
eavesdreddmarks.dWhatdshoulddthednurseddodaboutdthisdobservation?
a. Reportdthedpossibilitydofdchilddabuse.
b. Dodnotdallowdthedmotherdtodbedalonedwithdherdchild.
c. Explaindtodthedmotherdthatdshedcannotddodthisdindthedhospital.
d. Adddadstatementdtodthedcaredplandthatdthedfamilydpracticesdcoining.
19.dThedfamilydofdandolderdArab-
Americandpatientddoesdnotdwantdthedpatientdtodbedinformeddofdaddiagnosisdofdcancer.dWhatdshoulddt
hednurseddo?da.dCalldadreligiousdcounselor.
