Test Bank For Seidel's Guide To Physical
Examination An Interprofessional
Approach
,Chapter 01: Cultural Competency
Ball: Seidel’s Guide To Physical Examination, 10th Edition
MULTIPLE CHOICE
1. Which Statement Is True Regarding The Relationship Of Physical Characteristics And Culture?
a. Physical Characteristics Should Be Used To Identify Members Of Cultural Groups.
b. There Is A Difference Between Distinguishing Cultural Characteristics
AndDistinguishing Physical Characteristics.
c. To Be A Member Of A Specific Culture, An Individual Must Have Certain
IdentifiablePhysical Characteristics.
d. Gender And Race Are The Two Essential Physical Characteristics Used To
IdentifyCultural Groups.
ANS B
Physical Characteristics Are Not Used To Identify Cultural Groups; There Is A Difference
Between The Two, And They Are Considered Separately. Physical Characteristics Should
Not Be Used To Identify Members Of Cultural Groups. To Be A Member Of A Specific
Culture, An Individual DoesNot Need To Have Certain Identifiable Physical Characteristics.
You Should Not Confuse PhysicalCharacteristics With Cultural Characteristics. Gender And
Race Are Physical Characteristics, Not Cultural Characteristics, And Are Not Used To
Identify Cultural Groups.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing Process—Assessment MSC: Physiologic Integrity: Physiologic Adaptation
2. An Image Of Any Group That Rejects Its Potential For Originality Or Individuality Is
Known AsA(N)
a. Acculturation.
b. Norm.
c. Stereotype.
d. Ethnos.
ANS C
A Fixed Image Of Any Group That Rejects Its Potential For Originality Or Individuality Is
The Definition Of Stereotype. Acculturation Is The Process Of Adopting Another Culture’s
Behaviors.A Norm Is A Standard Of Allowable Behavior Within A Group. Ethnos Implies
The Same Race Or Nationality.
DIF:Cognitive Level: Remembering (Knowledge)
OBJ:Nursing Process—Assessment MSC: Physiologic Integrity: Physiologic Adaptation
3. Mr. L Presents To The Clinic With Severe Groin Pain And A History Of Kidney Stones. Mr.
L’s SonTells You That For Religious Reasons, His Father Wishes To Keep Any Stone That
Is Passed Into The Urine Filter That He Has Been Using. What Is Your Most Appropriate
Response?
a. ―With Your Father’s Permission, We Will Examine The Stone And Request
That It Be Returned To Him.‖
b. ―The Stone Must Be Sent To The Lab For Examination And Therefore Cannot Be Kept.‖
c. ―We Cannot Let Him Keep His Stone Because It Violates Our Infection Control Policy.‖
d. ―We Don’t Know Yet If Your Father Has Another Kidney Stone, So We Must
Analyze This One.‖
, ANS A
We Should Be Willing To Modify The Delivery Of Health Care In A Manner That Is
Respectful AndIn Keeping With The ClienT’s Cultural Background. ―With Your Father’s
Permission, We Will Examine The Stone And Request That It Be Returned To Him‖ Is The
Most Appropriate Response.
―The Stone Must Be Sent To The Lab For Examination And Therefore Cannot Be Kept‖
And ―We Don’t Know Yet If Your Father Has Another Kidney Stone, So We Must
Analyze This One‖ Do NotSupport The ClienT’s Request. ―We Cannot Let Him Keep
His Stone Because It Violates Our Infection Control Policy‖ Does Not Provide A Reason
That It Would Violate An Infection ControlPolicy.
DIF:Cognitive Level: Analyzing (Analysis)
OBJ:Nursing Process—Assessment MSC: Physiologic Integrity: Physiologic Adaptation
4. The Motivation Of The Healthcare Professional To ―Want To‖ Engage In The Process Of
Becoming Culturally Competent, Not ―Have To,‖ Is Called
a. Cultural Knowledge.
b. Cultural Awareness.
c. Cultural Desire.
d. Cultural Skill.
ANS C
Cultural Encounters Are The Continuous Process Of Interacting With ClienTs From
Culturally Diverse Backgrounds To Validate, Refine, Or Modify Existing Values, Beliefs,
And Practices AboutA Cultural Group And To Develop Cultural Desire, Cultural Awareness,
Cultural Skill, And Cultural Knowledge. Cultural Awareness Is Deliberate Self-Examination
And In-Depth Exploration Of One’s Biases, Stereotypes, Prejudices, Assumptions, And ―-
Isms‖ That One Holds About Individuals And Groups Who Are Different From Them.
Cultural Knowledge Is The Process Of Seeking And Obtaining A Sound Educational Base
About Culturally And Ethnically Diverse Groups.Cultural Skill Is The Ability To Collect
Culturally Relevant Data Regarding The ClienT’s PresentingProblem, As Well As Accurately
Performing A Culturally Based Physical Assessment In A Culturally Sensitive Manner.
Cultural Desire Is The Motivation Of The Healthcare Professional To Want To Engage In
The Process Of Becoming Culturally Competent, Not Have To.
DIF:Cognitive Level: Understanding (Comprehension)
OBJ:Nursing Process—Assessment MSC: Physiologic Integrity: Physiologic Adaptation
5. Mr. Marks Is A 66-Year-Old ClienT Who Presents For A Physical Examination To The
Clinic. Which Question Has The Most Potential For Exploring A ClienT’s Cultural
Beliefs Related To AHealth Problem?
a. ―How Often Do You Have Medical Examinations? ‖
b. ―What Is Your Age, Race, And Educational Level? ‖
c. ―What Types Of Symptoms Have You Been Having? ‖
d. ―Why Do You Think You Are Having These Symptoms? ‖
ANS D
―Why Do You Think You Are Having These Symptoms?‖ Is An Open-Ended Question That
Avoids Stereotyping, Is Sensitive And Respectful Toward The Individual, And Allows For
Cultural Data ToBe Exchanged. The Other Questions Do Not Explore The ClienT’s
Cultural Beliefs About Health Problems.
, DIF:Cognitive Level: Analyzing (Analysis)
OBJ:Nursing Process—Assessment MSC: Physiologic Integrity: Physiologic Adaptation
6. The Definition Of Ill Or Sick Is Based On A
a. Stereotype.
b. Cultural Behavior.
c. Belief System.
d. Cultural Attitude.
ANS C
The Definition Of Ill Or Sick Is Based On The Individual’s Belief System And Is Determined
InLarge Part By His Or Her Enculturation.
DIF:Cognitive Level: Understanding (Comprehension)
OBJ:Nursing Process—Assessment MSC: Physiologic Integrity: Physiologic Adaptation
7. A 22-Year-Old Female Nurse Is Interviewing An 86-Year-Old Male ClienT. The ClienT
Avoids Eye Contact And Answers Questions Only By Saying, ―Yeah,‖ ―No,‖ Or ―I Guess
So.‖ Which Of The Following Is Appropriate For The Interviewer To Say Or Ask?
a. ―We Will Be Able To Communicate Better If You Look At Me.‖
b. ―It’s Hard For Me To Gather Useful Information Because Your Answers Are So Short.‖
c. ―Are You Uncomfortable Talking With Me?‖
d. ―Does Your Religion Make It Hard For You To Answer My Questions?‖
ANS C
It Is All Right To Ask If The ClienT Is Uncomfortable With Any Aspect Of Your Person
And To TalkAbout It; The Other Choices Are Less Respectful.
DIF:Cognitive Level: Applying (Application)
OBJ:Nursing Process—Assessment MSC: Physiologic Integrity: Physiologic Adaptation
8. As You Explain Your ClienT’s Condition To Her Husband, You Notice That He Is Leaning
Toward You And Pointedly Blinking His Eyes. Knowing That He Is From England, Your
Most AppropriateResponse To This Behavior Is To
a. Tell Him That You Understand His Need To Be Alone.
b. Ask Whether He Has Any Questions.
c. Ask Whether He Would Prefer To Speak To The Clinician.
d. Tell Him That It Is All Right To Be Angry.
ANS B
The English Worry About Being Overheard And Tend To Speak In Modulated Voices
So, WhenThey Lean In Toward You, They Are Probably Poised To Ask A Question.
DIF:Cognitive Level: Analyzing (Analysis)
OBJ:Nursing Process—Assessment MSC: Physiologic Integrity: Physiologic Adaptation
9. An Aspect Of Traditional Western Medicine That May Be Troublesome To Many
Hispanics, Native Americans, Asians, And Middle Eastern Groups Is Western
Medicine’s Attempts To
a. Use A Holistic Approach That Views A Particular Medical Problem As Part Of
A BiggerPicture.
b. Determine A Specific Cause For Every Problem In A Precise Way.
c. Establish Harmony Between A Person And The Entire Cosmos.
