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2023 Test Bank For Seidel's Guide to Physical
Examination An Interprofessional Approach 10th
Edition by Jane W. Ball, Joyce E. Dains Chapter 1-
26; Ace in your Exams in 1 attempt A+
, Chapter 01: Cultural Competency
Ball: Seidel’s Guide to Physical Examination, 10th Edition
MULTIPLE CHOICE
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 theurine filter that he has been
1. using. What is your most appropriate response?
l l l l l l
a. ―With yourfather’s permission, wewill examine the stone and request that it beretur
l l l l l l l l l l l l l l
ned to him.‖ l l
b. ―Thestonemust besent to the lab forexamination and therefore cannot be kept.‖
l l l l l l l l l l l l l l
c. ―Wecannot let him keep his stonebecauseit violates ourinfection control policy.‖
l l l l l l l l l l l l l
d. ―Wedon’t know yet if yourfatherhas another kidneystone, so wemust analyzethis o
l l l l l l l l l l l l l l l l
ne.‖
ANS: A l
We should be willing to modifythe deliveryof health care in a manner that is respectful andin keep
l l l l l l l l l l l l l l l l l l l
ing with the patient’s cultural background. ―With your father’s permission, we will examine the
l l l l l l l l l l l l l l
stone and request that it be returned to him‖ is the most appropriate response.
l l l l l l l l l l l l l
―Thestone must be sent to the lab for examination and therefore cannot be kept‖ and ―Wedon’t
l l l l l l l l l l l l l l l l l l
know yet if your father has another kidneystone, so we must analyze this one‖ do notsupport the p
l l l l l l l l l l l l l l l l l l l
atient’s request. ―We cannot let him keep his stone because it violates our infection control poli
l l l l l l l l l l l l l l l
cy‖ does not provide a reason that it would violate an infection controlpolicy.
l l l l l l l l l l l l l
DIF:Cognitive Level: Analyzing (Analysis) l l l
OBJ:Nursing process—assessment l MSC: Physiologic Integrity: Physiologic Adaptation
l l l l
2. Which statement is true regardingthe relationship of physical characteristics and culture?
l l l l l l l l l l l
a. Physical characteristics should be used to identifymembers of cultural groups.
l l l l l l l l l l
b. There is a difference between distinguishing cultural characteristics anddis
l l l l l l l l l
tinguishing physical characteristics. l l
c. To be a member of a specific culture, an individual must have certain identifiablephys
l l l l l l l l l l l l l l
ical characteristics. l
d. Gender and race are the two essential physical characteristics used to identifycult
l l l l l l l l l l l l
ural groups. l
ANS: B l
Physical characteristics are not used to identify cultural groups; there is a difference betweenthe t
l l l l l l l l l l l l l l l
wo, and they are considered separately. Physical characteristics should not be used to identify me
l l l l l l l l l l l l l l
mbers of cultural groups. To be a member of a specific culture, an individual doesnot need to have c
l l l l l l l l l l l l l l l l l l l
ertain identifiable physical characteristics. You should not confuse physicalcharacteristics with c
l l l l l l l l l l l
ultural characteristics. Gender and race are physical characteristics, not cultural characteristics, a
l l l l l l l l l l l
nd are not used to identify cultural groups.
l l l l l l l
DIF:Cognitive Level: Understanding(Comprehension) l l l
, OBJ:Nursing process—assessment l MSC: Physiologic Integrity: Physiologic Adaptation
l l l l
3. An image of any group that rejects its potential for originalityor individualityis known asa(n)
l l l l l l l l l l l l l l l l
a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS: C l
A fixed image of any group that rejects its potential for originality or individuality is the definitio
l l l l l l l l l l l l l l l l
n of stereotype. Acculturation is the process of adoptinganother culture’s behaviors.A norm is a st
l l l l l l l l l l l l l l l l
andard of allowable behavior within a group. Ethnos implies the same race ornationality.
l l l l l l l l l l l l l
DIF:Cognitive Level: Remembering (Knowledge) l l l
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
l l l l l
4. Themotivation ofthe healthcareprofessional to ―want to‖ engage in the process of becomingcultu
l l l l l l l l l l l l l l l
rally competent, not ―have to,‖ is called
l l l l l l
a. cultural knowledge. l
b. cultural awareness. l
c. cultural desire. l
d. cultural skill. l
ANS: C l
Cultural encounters are the continuous process of interacting with patients from culturally diverse
l l l l l l l l l l l l l
backgrounds to validate, refine, or modify existing values, beliefs, and practices abouta cultural gro
l l l l l l l l l l l l l l
up and to develop cultural desire, cultural awareness, cultural skill, and cultural knowledge. Cultur
l l l l l l l l l l l l l
al awareness is deliberate self-examination and in-
l l l l l l
depth exploration of one’s biases, stereotypes, prejudices, assumptions, and ―-
l l l l l l l l l
isms‖ that one holds about individuals and groups who are different from them. Cultural knowledg
l l l l l l l l l l l l l l
e is the process of seeking and obtaining a sound educational base about culturallyand ethnicallydi
l l l l l l l l l l l l l l l l
verse groups.Cultural skill is the ability to collect culturally relevant data regarding the patient’s pr
l l l l l l l l l l l l l l l
esentingproblem, as well as accurately performing a culturally based physical assessment in a cult
l l l l l l l l l l l l l l
urally sensitive manner. Cultural desire is the motivation of the healthcare professional towant to e
l l l l l l l l l l l l l l l
ngage in the process of becoming culturally competent, not have to.
l l l l l l l l l l
DIF:Cognitive Level: Understanding (Comprehension) l l l
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
l l l l l
5. Mr. Marks is a 66-year-
l l l l
old patient who presents for a physical examination to the clinic. Which question has the most p
l l l l l l l l l l l l l l l l
otential for exploring a patient’s cultural beliefs related to ahealth problem?
l l l l l l l l l l l
, a. ―Howoftendo youhavemedicalexaminations?‖ l l l l l l
b. ―What is your age, race, and educational level?‖ l l l l l l l
c. ―What types ofsymptoms have you been having?‖ l l l l l l l
d. ―Whydo you think you arehavingthesesymptoms?‖ l l l l l l l l
ANS: D l
―Whydo you think you arehaving thesesymptoms?‖ is an open-
l l l l l l l l l l l
ended question that avoidsstereotyping, is sensitive and respectful toward the individual, and allo
l l l l l l l l l l l l l
ws for cultural data tobe exchanged. The other questions do not explore the patient’s cultural beli
l l l l l l l l l l l l l l l l
efs about health problems.
l l l
DIF:Cognitive Level: Analyzing (Analysis) l l l
OBJ:Nursing process—assessment l MSC: Physiologic Integrity: Physiologic Adaptation
l l l l
6. The definition of ill or sick is based on a
l l l l l l l l l
a. stereotype.
b. cultural behavior. l
c. beliefsystem. l
d. cultural attitude. l
ANS: C l
Thedefinition of ill or sick is based on the individual’s belief system and is determined inlarge p
l l l l l l l l l l l l l l l l l l
art by his or her enculturation.
l l l l l
DIF:Cognitive Level: Understanding(Comprehension) l l l
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
l l l l l
7. A 22-year-old female nurse is interviewing an 86-year-
l l l l l l l
old male patient. The patient avoids eye contact and answers questions onlybysaying, ―Yeah,‖ ―
l l l l l l l l l l l l l l l
No,‖ or ―Iguess so.‖ Which ofthe following is appropriate for the interviewer to say or ask?
l l l l l l l l l l l l l l l l l
a. ―Wewill be able to communicate betterif you look at me.‖ l l l l l l l l l l l
b. ―It’s hard forme to gather useful information because youranswers areso short.‖
l l l l l l l l l l l l l
c. ―Are you uncomfortable talkingwith me?‖ l l l l l
d. ―Does your religion make it hard for you to answer myquestions?‖ l l l l l l l l l l l
ANS: C l
It is all right to ask if the patient is uncomfortable with anyaspect of your person and to talkabout it; th
l l l l l l l l l l l l l l l l l l l l l l
e other choices are less respectful.
l l l l l
DIF:Cognitive Level: Applying (Application) l l l
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
l l l l l
8. As you explain your patient’s condition to her husband, you notice that he is leaning toward you an
l l l l l l l l l l l l l l l l l
d pointedlyblinking his eyes. Knowing that he is from England, your most appropriateresponse to t
l l l l l l l l l l l l l l l l
his behavior is to
l l l
a. tell him that you understand his need to be alone.
l l l l l l l l l
b. ask whether he has anyquestions. l l l l l
c. ask whether he would prefer to speak to the clinician.
l l l l l l l l l
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