2023 Test Bank For Seidel's Guide to Physical
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Examination An Interprofessional Approach 10th
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Edition byJane W. Ball, Joyce E. Dains Chapter 1-
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26; Ace in your Exams in 1 attempt A+
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,Chapter01: Cultural Competency
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Ball: Seidel’s Guide to Physical Examination, 10th Edition
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MULTIPLECHOICE b
1. Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr. L’s sontells
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b you that for religious reasons, his father wishes to keep any stone that is passed into the urine
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b filter that he has been using. What is your most appropriate response?
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a. ―With yourfather’s permission, wewill examine the stoneand request that itbe
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returned to him.‖
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b. ―Thestonemust besent tothe lab forexamination and thereforecannot be kept.‖
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c. ―Wecannotlet himkeephis stonebecauseitviolates ourinfection control policy.‖
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d. ―Wedon’tknow yetif yourfatherhas anotherkidneystone, sowemust analyzethis
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one.‖ b
ANS: A b
We should be willing to modify the delivery of health care in a manner that is respectful and in
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keeping with the patient’s cultural background. ―With your father’s permission, we will
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examine the stone and request that it be returned to him‖ is the most appropriate response.
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―Thestone must be sent tothe lab forexamination and therefore cannot be kept‖ and ―Wedon’t
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know yet if your father has another kidneystone, so we must analyze this one‖ do notsupport the
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patient’s request. ―We cannot let him keep his stone because it violates our infection control
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policy‖ does not provide a reason that it would violate an infection controlpolicy.
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DIF:Cognitive Level: Analyzing (Analysis) b b b
OBJ:Nursing process—assessment b MSC: Physiologic Integrity: Physiologic Adaptation b b b b
2. Which statement is true regardingthe relationship of physical characteristics and culture?
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a. Physical characteristics should be used to identifymembers of cultural groups. b b b b b b b b b b
b. Thereis adifference between distinguishing cultural characteristics and
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distinguishing physical characteristics.
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c. To be a member of a specific culture, an individual must have certain identifiable
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physical characteristics.
b b
d. Gender and race are the two essential physical characteristics used to identify
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cultural groups.
b b
ANS: B b
Physical characteristics are not used to identify cultural groups; there is a difference betweenthe
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two, and they are considered separately. Physical characteristics should not be used to identify
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members of cultural groups. To be a member of a specific culture, an individual doesnot need to
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have certain identifiable physical characteristics. You should not confuse physicalcharacteristics
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with cultural characteristics. Gender and race are physical characteristics, not cultural
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characteristics, and are not used to identify cultural groups.
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DIF:Cognitive Level: Understanding(Comprehension) b b b
, OBJ:Nursing process—assessment b MSC: Physiologic Integrity: Physiologic Adaptation
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3. An image of any group that rejects its potential for originalityor individualityis known asa(n)
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a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS: C b
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 behaviors.A
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norm is a standard of allowable behavior within a group. Ethnos implies the same race or
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nationality.
b
DIF:Cognitive Level: Remembering(Knowledge) b b b
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
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4. Themotivation ofthe healthcareprofessional to ―want to‖ engage in the process of becoming
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culturally competent, not ―have to,‖ is called
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a. culturalknowledge. b
b. culturalawareness. b
c. cultural desire. b
d. cultural skill. b
ANS: C b
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 abouta
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cultural group and to develop cultural desire, cultural awareness, cultural skill, and cultural
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knowledge. Cultural awareness is deliberate self-examination and in-depth exploration of one’s
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biases, stereotypes, prejudices, assumptions, and ―-isms‖ that one holds about individuals and
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groups who are different from them. Cultural knowledge is the process of seeking and obtaining a
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sound educational base about culturally and ethnicallydiverse groups.Cultural skill is the ability to
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collect culturally relevant data regarding the patient’s presentingproblem, as well as accurately
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performing a culturally based physical assessment in a culturally sensitive manner. Cultural
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desire is the motivation of the healthcare professional towant to engage in the process of
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becoming culturally competent, not have to.
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DIF:Cognitive Level: Understanding (Comprehension) b b b
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 clinic.
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Which question has the most potential for exploring a patient’s cultural beliefs related to a
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health problem?
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, a. ―Howoftendo youhavemedicalexaminations?‖ b b b b b b
b. ―Whatis yourage, race, and educationallevel?‖ b b b b b b b
c. ―Whattypes ofsymptoms have you been having?‖ b b b b b b b
d. ―Whydo you think you arehavingthesesymptoms?‖
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ANS: D b
―Whydo you think you arehaving thesesymptoms?‖ is an open-ended question that avoids
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stereotyping, is sensitive and respectful toward the individual, and allows for cultural data tobe
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exchanged. The other questions do not explore the patient’s cultural beliefs about health
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problems.
b
DIF:Cognitive Level: Analyzing (Analysis) b b b
OBJ:Nursing process—assessment b MSC: Physiologic Integrity: Physiologic Adaptation b b b b
6. The definition of ill or sick is based on a
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a. stereotype.
b. cultural behavior. b
c. beliefsystem. b
d. cultural attitude. b
ANS: C b
Thedefinition of ill orsick is based on the individual’s belief system and is determined inlarge
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part by his or her enculturation.
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DIF:Cognitive Level: Understanding(Comprehension) b b b
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 avoids eye
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contact and answers questions only by saying, ―Yeah,‖ ―No,‖ or ―I guess so.‖ Which of the
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following is appropriate for the interviewer to say or ask?
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a. ―Wewill beable to communicate betterif you look at me.‖ b b b b b b b b b b b
b. ―It’s hard forme to gatheruseful information because youranswers areso short.‖
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c. ―Are you uncomfortable talkingwith me?‖ b b b b b
d. ―Does your religion makeit hard for you to answer myquestions?‖ b b b b b b b b b b b
ANS: C b
It is all right to ask if the patient is uncomfortable with any aspect of your person and to talkabout it;
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the other choices are less respectful.
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DIF:Cognitive Level: Applying (Application) b b b
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 toward you
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and pointedly blinking his eyes. Knowing that he is from England, your most appropriateresponse
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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 anyquestions. b b b b b
c. ask whether he would prefer to speak to the clinician.
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