"This bible of family practice for primary care clinicians and students provides current national practice guidelines for professional standards of care across the life span. Concise and clearly organized, this primary care resource guide features detailed, step-by-step instructions for physical ex...
TEST BANKS For Family Practice
Guidelines 5th Edition by Jill C7 Cash;
Cheryl A7 Glass; Jenny
Mullen||Chapters 1 - 23
,
,Chapter 17 Health Maintenance
Guidelines Multiple Choice
Identify the choice that best completes the statement or answers the question7
17 The nurse is preparing to teach a patient of the Asian culture to perform
postoperative dressing changes at home after discharge7 Which statement
made by the nurse indicates cultural competence?
a. Tell me how you feel about your surgery7
b. Asian people are smart, so this should be easy for you to understand7
c. American surgeons are highly qualified; Im sure you will heal quickly7
d. Will you tell me about any traditional healing practices that you would like to use?
27 An unconscious victim of a house fire is brought to the emergency
department by the paramedics7 Tied to the right wrist is an emblem that
appears be a religious talisman7 Which action should the nurse take?
a. Tape it in place7
b. Do nothing with it7
c. Remove it and lock it up for safekeeping7
d. Place it in a clothing bag with the rest of the patients belongings7
37 A 43-year-old patient of Arab descent is admitted to the hospital7 To
comply with thestate laws of the organization, the nurse offers the patient a
Papanicolaou smear, which she refuses7 Which action should the nurse take
first?
a. Notify the physician7
b. Report the refusal to the supervisor7
c. Explain the rationale for and benefits of the test7
d. Tell her it is state law and that she does not have a choice7
47 A patient who is a Jehovahs Witness has severe gastrointestinal
bleeding and a dangerously low hemoglobin level7 The patient is fully alert and
competent and refuses to accept the blood transfusion ordered by the physician7
Which action by the nurse is most appropriate?
a. Obtain a court order to give the blood7
b. Administer the blood while the patient is sleeping7
c. Have the patients spouse sign the consent to have the blood administered7
, d. Ensure the patient understands possible consequences and then respect the
patients wishes7
57 A patient of Mexican descent sees a curandero for asthma; the
curandero has prescribed a special tea to be taken four times a day to open the
airways7 How should the nurse respond to this situation?
a. Encourage the patient to continue drinking the tea7
b. Encourage the patient to drink only one cup of the tea each day7
c. Ask the patient to bring in the tea package and have the pharmacist check the
ingredients7
d. Advise the patient to stop drinking the tea because of potential
interactions with other medications7
67 The nurse is caring for a young adult male patient who refuses
personal care from a female nursing assistant7 Which approach by the nurse
is best?
a. Encourage the patients family to talk with him about his care7
b. Have a registered nurse (RN) help with his personal care7
c. Assign a male assistant to help with his personal care if one is available7
d. Explain to him that males and females take care of both genders in this hospital7
77 The nurse is providing medication instructions to a 45-year-old patient
who does notmaintain eye contact7 What should this patients behavior
indicate to the nurse?
a. The patient is not interested7
b. The nurse threatens the patients ego7
c. The nurse is in a hierarchical position7
d. The patient does not intend to follow the instructions7
87 The nurse is caring for a patient of Spanish descent who is
experiencing pain, but does not speak English7 An interpreter is located to help
with the assessment7 What should the nurse do to facilitate communication
with this patient?
a. Use hand signals to determine the cause of the pain7
b. Ensure the interpreter is not left alone with the patient7
c. Maintain eye contact with the patient and the interpreter7
d. Use only physical examination data; do not rely on verbal communication7
97 A new mother of Guatemalan descent brings her 10-day-old infant to a
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