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TEST BANK FOR SEIDEL\\\'S GUIDE TO PHYSICAL EXAMINATIONAN
INTERPROFESSIONAL APPROACH 10TH EDITION BY JANE W.
BALL, JOYCE E. DAINS CHAPTER 1-26 QUESTIONS AND COMPLETE
SOLUTIONS 100 % A GRADED
Chapter 01: Cultural Competency
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Ball: Seidel’s Guide to Physical Examination, 10th Edition
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MULTIPLE CHOICE AI
1. Which statement is true regarding the relationship of physical characteristics and culture?
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a. Physical characteristics should be used to identify members of cultural groups.
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b. There is a difference between distinguishing cultural characteristics
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anddistinguishing physical characteristics.
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c. To be a member of a specific culture, an individual must have certain
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identifiablephysical characteristics.
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d. Gender and race are the two essential physical characteristics used to
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identifycultural groups.
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ANS: B AI
Physical characteristics are not used to identify cultural groups; there is a difference
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between the two, and they are considered separately. Physical characteristics should not be
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used to identify members of cultural groups. To be a member of a specific culture, an
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individual doesnot need to have certain identifiable physical characteristics. You should
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not confuse physicalcharacteristics with cultural characteristics. Gender and race are
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physical characteristics, not cultural characteristics, and are not used to identify cultural
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groups.
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OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
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2. An image of any group that rejects its potential for originality or individuality is known
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AI asa(n)IA
a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS: C AI
A fixed image of any group that rejects its potential for originality or individuality is the
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definition of stereotype. Acculturation is the process of adopting another culture’s
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behaviors.A norm is a standard of allowable behavior within a group. Ethnos implies the
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same race or nationality.
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DIF:Cognitive Level: Remembering (Knowledge) AI AI AI
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
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3. Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr. L’s
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sontells you that for religious reasons, his father wishes to keep any stone that is passed
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into the urine filter that he has been using. What is your most appropriate response?
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a. ―With your father’s permission, we will examine the stone and request that it
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be returned to him.‖
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b. ―The stone must be sent to the lab for examination and therefore cannot be kept.‖
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c. ―We cannot let him keep his stone because it violates our infection control policy.‖
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d. ―We don’t know yet if your father has another kidney stone, so we must
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analyze this one.‖
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ANS: A AI
We should be willing to modify the delivery of health care in a manner that is respectful
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andin keeping with the patient’s cultural background. ―With your father’s permission, we
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will examine the stone and request that it be returned to him‖ is the most appropriate
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response.
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―The stone must be sent to the lab for examination and therefore cannot be kept‖ and ―We
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don’t know yet if your father has another kidney stone, so we must analyze this one‖ do
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notsupport the patient’s request. ―We cannot let him keep his stone because it violates our
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infection control policy‖ does not provide a reason that it would violate an infection
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controlpolicy.
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OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
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4. The motivation of the healthcare professional to ―want to‖ engage in the process of
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becoming culturally competent, not ―have to,‖ is called
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a. cultural knowledge. AI
b. cultural awareness. AI
c. cultural desire. AI
d. cultural skill. AI
ANS: C AI
Cultural encounters are the continuous process of interacting with patients from culturally
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diverse backgrounds to validate, refine, or modify existing values, beliefs, and practices
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abouta cultural group and to develop cultural desire, cultural awareness, cultural skill, and
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cultural knowledge. Cultural awareness is deliberate self-examination and in-depth
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exploration of one’s biases, stereotypes, prejudices, assumptions, and ―-isms‖ that one holds
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about individuals and groups who are different from them. Cultural knowledge is the
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process of seeking and obtaining a sound educational base about culturally and ethnically
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diverse groups.Cultural skill is the ability to collect culturally relevant data regarding the
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patient’s presenting problem, as well as accurately performing a culturally based physical
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assessment in a culturally sensitive manner. Cultural desire is the motivation of the
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healthcare professional to want to engage in the process of becoming culturally competent,
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not have to.
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OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
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5. Mr. Marks is a 66-year-old patient who presents for a physical examination to the
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clinic. Which question has the most potential for exploring a patient’s cultural beliefs
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related to ahealth problem?
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a. ―How often do you have medical examinations?‖
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b. ―What is your age, race, and educational level?‖
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c. ―What types of symptoms have you been having?‖
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d. ―Why do you think you are having these symptoms?‖
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ANS: D AI
―Why do you think you are having these symptoms?‖ is an open-ended question that
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avoids stereotyping, is sensitive and respectful toward the individual, and allows for
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cultural data tobe exchanged. The other questions do not explore the patient’s cultural
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beliefs about health problems.
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6. The definition of ill or sick is based on a
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a. stereotype.
b. cultural behavior. AI
c. belief system. AI
d. cultural attitude. AI
ANS: C AI
The definition of ill or sick is based on the individual’s belief system and is
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determined inlarge part by his or her enculturation.
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DIF:Cognitive Level: Understanding (Comprehension) AI AI AI
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
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7. A 22-year-old female nurse is interviewing an 86-year-old male patient. The patient
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avoids eye contact and answers questions only by saying, ―Yeah,‖ ―No,‖ or ―I guess so.‖
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Which of the following is appropriate for the interviewer to say or ask?
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a. ―We will be able to communicate better if you look at me.‖
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b. ―It’s hard for me to gather useful information because your answers are so short.‖
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c. ―Are you uncomfortable talking with me?‖
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d. ―Does your religion make it hard for you to answer my questions?‖
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ANS: C AI
It is all right to ask if the patient is uncomfortable with any aspect of your person and to
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talkabout it; the other choices are less respectful.
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DIF:Cognitive Level: Applying (Application) AI AI AI
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
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8. As you explain your patient’s condition to her husband, you notice that he is leaning
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toward you and pointedly blinking his eyes. Knowing that he is from England, your most
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appropriateresponse to this behavior is to
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a. tell him that you understand his need to be alone.
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b. ask whether he has any questions.
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c. ask whether he would prefer to speak to the clinician.
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d. tell him that it is all right to be angry.
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ANS: B AI
The English worry about being overheard and tend to speak in modulated voices so,
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whenthey lean in toward you, they are probably poised to ask a question.
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DIF:Cognitive Level: Analyzing (Analysis) AI AI AI
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
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9. An aspect of traditional Western medicine that may be troublesome to many
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Hispanics, Native Americans, Asians, and Middle Eastern groups is Western
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medicine’s attempts to
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a. use a holistic approach that views a particular medical problem as part of a
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biggerpicture.
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b. determine a specific cause for every problem in a precise way. AI AI AI AI AI AI AI AI AI AI
c. establish harmony between a person and the entire cosmos. AI AI AI AI AI AI AI AI
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