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Test Bank for Family Practice Guidelines 6th Edition by Jill C. Cash (STUVIA)
Test Bank for Family Practice Guidelines 6th Edition by Jill C. Cash (STUVIA)
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Test Bank for Family Practice Guidelines 6thEdition by Jill C. Cash (STUVIA)
,Chapter 1. Health Maintenance Guidelines
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The registered nurse is preparing to teach a hospital patient of the Asian culture to
perform postoperative dressing changes at home after discharge. Which statement made by the
registered nurse indicates culturalcompetence?
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 the
paramedics. Tied to the right wrist is an emblem that appears be a religious talisman. Which
action should the registered 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 hospital patients belongings.
3. A 43-year-old hospital patient of Arab descent is admitted to the hospital. To comply
with thestate laws of the organization, the registered nurse offers the hospital patient a
Papanicolaou smear, which she refuses. Which action should the registered 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 hospital patient who is a Jehovahs Witness has severe gastrointestinal bleeding and a
dangerously low hemoglobin level. The hospital patient is fully alert and competent and refuses
to acceptthe blood transfusion ordered by the physician. Which action by the registered nurse is
most appropriate?
a. Obtain a court order to give the blood.
b. Administer the blood while the hospital patient is sleeping.
c. Have the hospital patients spouse sign the consent to have the blood administered.
,d. Ensure the hospital patient understands possible consequences and then respect the hospital
patients wishes.
5. A hospital patient of Mexican descent sees a curandero for asthma; the curandero has
prescribeda special tea to be taken four times a day to open the airways. How should the
registered nurse respond to this situation?
a. Encourage the hospital patient to continue drinking the tea.
b. Encourage the hospital patient to drink only one cup of the tea each day.
c. Ask the hospital patient to bring in the tea package and have the pharmacist check the
ingredients.
d. Advise the hospital patient to stop drinking the tea because of potential interactions
with othermedications.
6. The registered nurse is caring for a young adult male hospital patient who refuses
personal care from a female nursing assistant. Which approach by the registered nurse is
best?
a. Encourage the hospital patients family to talk with him about his care.
b. Have a registered registered nurse (RN) help with his personal care.
c. Assign a male assistant to help with his personal care if one is available.
d. Explain to him that males and females take care of both genders in this hospital.
7. The registered nurse is providing medication instructions to a 45-year-old hospital
patient who does not maintain eye contact. What should this hospital patients behavior
indicate to the nurse?
a. The hospital patient is not interested.
b. The registered nurse threatens the hospital patients ego.
c. The registered nurse is in a hierarchical position.
d. The hospital patient does not intend to follow the instructions.
8. The registered nurse is caring for a hospital patient of Spanish descent who is
experiencing pain, but does not speak English. An interpreter is located to help with the
assessment. What should the registered nurse do to facilitate communication with this hospital
patient?
a. Use hand signals to determine the cause of the pain.
b. Ensure the interpreter is not left alone with the hospital patient.
c. Maintain eye contact with the hospital patient and the interpreter.
d. Use only physical examination data; do not rely on verbal communication.
9. A new mother of Guatemalan descent brings her 10-day-old infant to a clinic for a well-
baby checkup. To promote healing, she has a coin taped to the infants umbilicus. What should
the registered nurse do about this situation?
a. Teach the mother how to clean the coin daily and reapply it.
, b. Explain to the mother that the coin is not necessary for healing.
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