Test Bank - Family Practice Guidelines 6th Edition by Jill C. Cash, (All Chapters 1-23)
Test Bank - Family Practice Guidelines 6th Edition by Jill C. Cash, (All Chapters 1-23)
Test Bank - Family Practice Guidelines 6th Edition by Jill C. Cash, (All Chapters 1-23)
Test Bank - Family Practice Guid...
, Family Practice Guidelines Fifth Edition Test jlno jlno jlno jlno jlno
Bank jlno
Chapter 1. Health Maintenance jlno jlno jlno
GuidelinesMultiple Choice
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Identify the choice that best completes the statement or answers the question.
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jlno 1. The nurse is preparing to teach a patient of the Asian culture to perform
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jlno postoperative dressing changes at home after discharge. Which statement made by the
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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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jlno 2. An unconscious victim of a house fire is brought to the emergency department
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jlno by theparamedics. Tied to the right wrist is an emblem that appears be a religious
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jlno talisman. Which action should the nurse take?
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a. Tape it in place. jlno jlno jlno
b. Do nothing with it.
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c. Remove it and lock it up for safekeeping. jlno jlno jlno jlno jlno jlno jlno
d. Place it in a clothing bag with the rest of the patients belongings.
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jlno 3. A 43-year-old patient of Arab descent is admitted to the hospital. To comply
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with thestate laws of the organization, the nurse offers the patient a Papanicolaou
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jlno smear, which she refuses. Which action should the nurse take first?
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a. Notify the physician. jlno jlno
b. Report the refusal to the supervisor. jlno jlno jlno jlno jlno
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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jlno 4. A patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a
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jlno dangerously low hemoglobin level. The patient is fully alert and competent and refuses to
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jlno acceptthe blood transfusion ordered by the physician. Which action by the nurse is most
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jlno appropriate?
a. Obtain a court order to give the blood.jlno jlno jlno jlno jlno jlno jlno
b. Administer the blood while the patient is sleeping. jlno jlno jlno jlno jlno jlno jlno
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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jlno 5. A patient of Mexican descent sees a curandero for asthma; the curandero has
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jlno prescribeda special tea to be taken four times a day to open the airways. How should
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jlno the nurse respond to this situation?
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a. Encourage the patient to continue drinking the tea. jlno jlno jlno jlno jlno jlno jlno
b. Encourage the patient to drink only one cup of the tea each day. jlno jlno jlno jlno jlno jlno jlno jlno jlno jlno jlno jlno
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
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jlno othermedications.
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jlno 6. The nurse is caring for a young adult male patient who refuses personal care
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jlno from afemale 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. jlno jlno jlno jlno jlno jlno jlno jlno jlno jlno
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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jlno 7. The nurse is providing medication instructions to a 45-year-old patient who
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jlno does notmaintain eye contact. What should this patients behavior indicate to the
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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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jlno jlno jlno jlno jlno jlno jlno jlno jlno 8. The nurse is caring for a patient of Spanish descent who is experiencing
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jlno pain, but doesnot speak English. An interpreter is located to help with the assessment.
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jlno What should the nursedo 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. jlno jlno jlno jlno jlno jlno jlno jlno
d. Use only physical examination data; do not rely on verbal communication.
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jlno 9. A new mother of Guatemalan descent brings her 10-day-old infant to a clinic for
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jlno a well-baby checkup. To promote healing, she has a coin taped to the infants umbilicus.
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jlno What should 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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jlno 10. An older patient who follows the Muslim religion is approaching death. The
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jlno family says the patients bed should be turned toward the opposite wall, so it can face
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jlno Mecca to ensurean easier passage into the next life. The wall they want the bed to
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jlno face has wall suction and oxygen, which the patient is using. Which action by the
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jlno 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. jlno jlno jlno jlno jlno jlno
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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jlno jlno jlno jlno jlno jlno jlno jlno jlno 11. A patient of northern European descent recovering from surgery denies
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jlno postoperative pain; however, vital signs indicate an elevated pulse and blood pressure.
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jlno The patient refuses to move in bed. Which nursing action would best ensure comfort
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jlno 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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jlno 12. A nurse who emigrated from China begins working on a medical unit. The
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jlno preceptor explains the unit routines, including the medication administration system.
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jlno When the preceptor asks if the nurse understands, the answer is always: Yes, I
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understand. What should the preceptordo 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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jlno 13. A 52-year-old from Haiti is hospitalized with heart failure and wants to have a
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jlno voodoopractitioner 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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jlno 14. The nurse is caring for a patient from a non-English speaking culture. While
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jlno providingcare, the nurse shows an appreciation for and attention to arts, music, crafts,
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jlno clothing, and foods jlno jlno
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