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TEST BANK FOR SEIDEL'S GUIDE TO PHYSICAL
EXAMINATION AN INTERPROFESSIONAL APPROACH
10th EDITION

,Chapter 01: The History and Interviewing Process
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 and
distinguishing physical characteristics.
c. To be a member of a specific culture, an individual must have certain identifiable
physical characteristics.
d. Gender and race are the two essential physical characteristics used to identify
cultural groups.
e. Whereas all cultural traits can be viewed as static, physical traits are dynamic.
PRECISE ANSWER:->>B
Hypothesis:->>Physical characteristics do not symbolize cultural groups; there is a difference
between the two, and they are considered separately. Cultures are dynamic in theirevolution.

TOPIC: Discipline: Behavioral Science MSC: Organ System: General

2. A fixed image of any group that rejects its potential for originality or individuality is known
as a(n):
a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
e. custom.
PRECISE ANSWER:->>C
Hypothesis:->>This definition describes a stereotype. A norm, on the other hand, is a
standard of allowable behavior within a group, ethnos implies the same race or nationality,
and acculturation is a process of adopting another culture's behaviors. A custom refers to a
habitual activity of a group in a given situation.

TOPIC: Discipline: Behavioral Science MSC: Organ System: General

3. Your new hospital client/patient is a 40-year-old Middle Eastern man with a
complaint of newabdominal pain. You are concerned about violating a cultural
prohibition when you prepare to do his rectal examination. The best tactic would be
to:
a. do the examination because it is a necessary part of the physical examination.
b. ask a colleague from the same geographic area if this examination is acceptable.
c. inform the hospital client/patient of the reason for the examination and
ask if it isacceptable to him.
d. refer the hospital client/patient to a provider more knowledgeable about cultural differences.
e. forego the examination for fear of violating cultural norms.
PRECISE ANSWER:->>C


Hypothesis:->>Asking, if you are not sure, is far better than making a damaging mistake.
You would not be doing your job as a professional if you deferred the examination without a
reason. It is not necessary to refer a skill you are capable of performing.

TOPIC: Discipline: Behavioral Science MSC: Organ System: General

,4. Which statement is true regarding impoverished people?
a. In the United States, socioeconomic status does not influence the delivery of
primary care.
b. The morbidity and mortality rates of impoverished people are greater than those of
the middle class.
c. The morbidity and mortality rates of impoverished people are less than those of the
middle class.
d. No reliable statistics exist regarding the relationship of poverty to morbidity and
mortality.
e. The morbidity and mortality rates of impoverished people are similar to those of
the middle class.
PRECISE ANSWER:->>B
Hypothesis:->>Poorly educated people and people in poverty die at higher rates than thosewho
are advantaged; the same is true for morbidity.

TOPIC: Discipline: Behavioral Science MSC: Organ System: General

5. In terms of cultural communication differences, Americselected answer are more likely
to than
other groups of hospital client/patients.
a. emphasize attitudes and feelings
b. maintain eye contact
c. come quickly to the point
d. use silence comfortably
e. speak more softly than other cultures
PRECISE ANSWER:->>C
Hypothesis:->>In the United States, individuals are very direct in conversation and come to the
point quickly. They also tend to talk more loudly and to worry less about being overheard.

TOPIC: Discipline: Behavioral Science MSC: Organ System: General

6. Which question has the most potential for exploring a hospital client/patient's
cultural beliefsrelated to a health problem?
a. ―How often do you have a medical examination?‖
b. ―What are 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?‖
e. ―Do you take herbal remedies?‖
PRECISE ANSWER:->>D
Hypothesis:->>This open-ended question avoids stereotyping, is sensitive and respectful
toward the individual, and allows for cultural data to be exchanged.

TOPIC: Discipline: Behavioral Science MSC: Organ System: General


7. A person's definition of illness is likely to be most influenced by:
a. race.
b. ritual.
c. enculturation.
d. age group.
e. socioeconomic class.
PRECISE ANSWER:->>C
The definition of ―ill‖ is determined in large part by the individualand the process whereby an
individual assumes the traits and behaviors of a given culture.

, TOPIC: DisciplinSetu:vB
ia.com - Th e M arke tpla ce to Bu y and Sell your S tu dy M aterial
ehavioral S cience MSC: Or ga n System: General

8. An aspect of traditional Western medicine that may be troublesome to many Hispanics,
Native Americselected answer, Asiselected answer, and Arabs is Western medicine's attempt
to:
a. use a holistic approach that views a particular medical problem as part of a bigger
picture.
b. determine a specific cause for every problem in a precise way.
c. establish harmony between a person and the entire cosmos.
d. use herbal remedies and rituals.
e. promote balance in an individual's life.
PRECISE ANSWER:->>B
Hypothesis:->>A more scientific approach to healthcare problem solving, in which a cause
can be determined for every problem in a precise way, is a Western approach. Hispanics,
Native Americselected answer, Asiselected answer, and Arabs embrace a more ―holistic‖
approach.

TOPIC: Discipline: Behavioral SN enR
ciU ceSINGMTSB
C. CrOgaMn System: General
: O

9. A naturalistic or holistic approach to primary care often assumes:
a. that hot conditions require treatment with a hot remedy.
b. a reductionist view that looks to a very narrow cause and effect.
c. there are external factors that must be kept in balance.
d. that there are hot and cold conditions but not hot and cold remedies.
e. that hot and cold conditions are the same among different cultures.
PRECISE ANSWER:->>C
Hypothesis:->>A naturalistic or holistic approach often assumes that there are externalfactors—
some good, some bad—that must be kept in balance if we are to remain well.

TOPIC: Discipline: Behavioral Science MSC: Organ System: General

10. Which maternal factor is most predictive of whether an infant will receive inoculations?
a. The mother has family support.
b. The mother is divorced.
c. The mother breast-feeds.
d. The mother uses medications.
e. The mother received prenatal care.
PRECISE ANSWER:->>E
Hypothesis:->>Mothers who take advantage of appropriate prenatal care generally takeadvantage
of other infant care practices as well.

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