,Test Bank For Seidel's Guide to Physical Examination An
4r 4r 4r 4r 4r 4r 4r 4r 4r
Interprofessional Approach 10th Edition by Jane W. Ball, Joyce
4r 4r 4r 4r 4r 4r 4r 4r 4r 4 r
E.DainsChapter1-26;AceinyourExamsin1attempt!
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
Chapter01:CulturalCompetency 4r
Ball:Seidel’sGuidetoPhysicalExamination,10thEdition hi
MULTIPLECHOICE 4r
1. Whichstatement istrueregarding therelationship ofphysical characteristics and culture?
4r 4r 4r 4r hi 4r 4r 4r 4r 4r hi
a. Physicalcharacteristicsshouldbeusedtoidentifymembersofculturalgroups. 4r 4r 4r 4r 4r 4r 4r 4r
b. Thereis a differencebetween distinguishing culturalcharacteristicsand hi 4r hi 4r
distinguishing physical characteristics.
4r 4r 4r
c. Tobeamemberofaspecificculture,anindividualmusthavecertainidentifiable
4r 4r 4r 4r 4r 4r 4r 4r 4r
physicalcharacteristics. 4r 4r
d. Gender andrace arethetwoessentialphysicalcharacteristics usedtoidentify 4r 4r 4r 4r 4r
culturalgroups. 4r 4r
ANS: B 4 r
Physicalcharacteristicsarenotusedtoidentifycultural groups;thereisadifferencebetween thetwo,
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
andtheyareconsideredseparately. Physicalcharacteristicsshouldnotbeusedto identifymembers
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
ofculturalgroups.Tobeamemberofa specificculture,anindividualdoesnot
4r 4r 4r 4r 4r 4r 4r hi 4r 4r 4r 4r 4r
need tohave certain identifiablephysicalcharacteristics.Youshouldnotconfusephysical
4r hi 4r 4r 4r
characteristics withculturalcharacteristics. Gender andrace arephysical characteristics, not
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
cultural characteristics, and are not used to identifycultural groups.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
DIF:Cognitive Level: Understanding(Comprehension) hi 4r
OBJ:Nursing process—assessment MSC: PhysiologicIntegrity:Physiologic Adaptation 4 r 4 r 4r 4r hi
2. Animageofanygroupthatrejectsitspotentialfororiginalityorindividualityisknownasa(n)
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS: C 4 r
Afixedimageofanygroupthatrejects itspotentialfororiginalityorindividualityisthe
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
definitionofstereotype. Acculturation isthe processofadoptinganotherculture’sbehaviors. A
4r 4r hi 4r 4r 4r
normisastandardofallowablebehaviorwithinagroup.Ethnosimpliesthesameraceor nationality.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
DIF:CognitiveLevel:Remembering (Knowledge) 4r 4r hi
OBJ:Nursing process—assessment MSC: PhysiologicIntegrity:Physiologic Adaptation 4 r 4 r 4r 4r hi
3. Mr.Lpresentstotheclinicwithseveregroinpainandahistoryofkidneystones.Mr.L’ssontells you
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
thatforreligiousreasons,hisfatherwishestokeepanystonethatispassedintotheurine filterthathe
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
has been using. Whatis yourmost appropriateresponse?
4r 4r 4r 4r 4r 4r 4r 4r 4r
,a. ―Withyourfather’s permission,we willexaminethestoneand requestthatit be
hi hi hi hi hi hi hi hi
returned to him.‖
4r 4r 4r
b. ―Thestone must besenttothelabforexaminationandthereforecannotbekept.‖
hi hi hi
c. ―Wecannot lethimkeephisstonebecauseitviolatesourinfectioncontrolpolicy.‖
hi hi hi hi
d. ―Wedon’t knowyeti fyourfatherhasanotherkidneystone,sowemustanalyzethis
hi hi 4r
one.‖
4r
, ANS: A 4 r
Weshouldbewillingtomodifythedeliveryofhealthcareinamannerthatisrespectfulandin 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
keepingwiththepatient’s culturalbackground. ―With your father’s permission, wewill examine
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
thestoneandrequestthatitbereturnedtohim‖isthemostappropriateresponse.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
―Thestonemustbesenttothelabforexaminationandthereforecannotbekept‖and―We don’t hi 4r 4r
4knowyetifyourfatherhasanotherkidneystone,sowemustanalyzethisone‖donotsupportthe
r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
patient’srequest.―Wecannotlethimkeephisstonebecauseitviolatesourinfectioncontrol
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
policy‖doesnotprovideareasonthatitwouldviolateaninfectioncontrolpolicy.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
DIF:CognitiveLevel:Analyzing (Analysis) 4r hi
OBJ:Nursing process—assessment 4 r MSC: 4 r PhysiologicIntegrity:PhysiologicAdaptation 4r 4r 4r
4. Themotivationof thehealthcare professional to―want to‖engageintheprocess ofbecoming hi hi hi hi hi
4 r culturallycompetent, not ―have to,‖ is called 4r 4r 4r 4r 4r
a. culturalknowledge.
b. culturalawareness.
c. culturaldesire.
d. culturalskill.
ANS: C 4 r
Culturalencounters arethecontinuousprocessofinteractingwithpatientsfrom culturally diverse
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
backgroundstovalidate,refine,ormodifyexistingvalues,beliefs,andpracticesabouta cultural
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
groupand todevelopculturaldesire,culturalawareness,cultural skill,andcultural knowledge.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
Culturalawarenessisdeliberateself-examinationandin-depthexplorationofone’s biases,
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
stereotypes,prejudices,assumptions, and ―-isms‖thatoneholdsabout individuals and groupswho
4r 4r 4r 4r 4r 4r 4r 4r 4r
aredifferentfromthem.Culturalknowledgeistheprocessofseekingandobtaining asound
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
educationalbaseaboutculturallyand ethnicallydiversegroups. Cultural skill is the abilitytocollect
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
culturallyrelevantdataregardingthepatient’spresentingproblem,aswellas accuratelyperforming
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
a culturallybased physical assessment inaculturallysensitivemanner. Culturaldesireisthe
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
motivationofthehealthcareprofessionaltowanttoengageintheprocess of becoming culturally
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
competent, not have to.
4r 4r 4r 4r
DIF:CognitiveLevel:Understanding (Comprehension) 4r hi
OBJ:Nursing process—assessment MSC: PhysiologicIntegrity:Physiologic Adaptation 4 r 4 r 4r 4r hi
5. Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
Whichquestion hasthe most potential forexploringapatient’s cultural beliefs related to a
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
healthproblem?
4r 4r
a. ―Howoftendo you havemedical examinations?‖ 4r hi hi
b. ―Whatisyourage,race,andeducationallevel?‖ hi
c. ―Whattypesofsymptomshave you been having?‖ hi hi hi
d. ―Whydoyouthinkyouarehaving thesesymptoms?‖ hi 4r hi
ANS: D 4 r
4r 4r 4r 4r 4r 4r 4r 4r 4r
Interprofessional Approach 10th Edition by Jane W. Ball, Joyce
4r 4r 4r 4r 4r 4r 4r 4r 4r 4 r
E.DainsChapter1-26;AceinyourExamsin1attempt!
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
Chapter01:CulturalCompetency 4r
Ball:Seidel’sGuidetoPhysicalExamination,10thEdition hi
MULTIPLECHOICE 4r
1. Whichstatement istrueregarding therelationship ofphysical characteristics and culture?
4r 4r 4r 4r hi 4r 4r 4r 4r 4r hi
a. Physicalcharacteristicsshouldbeusedtoidentifymembersofculturalgroups. 4r 4r 4r 4r 4r 4r 4r 4r
b. Thereis a differencebetween distinguishing culturalcharacteristicsand hi 4r hi 4r
distinguishing physical characteristics.
4r 4r 4r
c. Tobeamemberofaspecificculture,anindividualmusthavecertainidentifiable
4r 4r 4r 4r 4r 4r 4r 4r 4r
physicalcharacteristics. 4r 4r
d. Gender andrace arethetwoessentialphysicalcharacteristics usedtoidentify 4r 4r 4r 4r 4r
culturalgroups. 4r 4r
ANS: B 4 r
Physicalcharacteristicsarenotusedtoidentifycultural groups;thereisadifferencebetween thetwo,
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
andtheyareconsideredseparately. Physicalcharacteristicsshouldnotbeusedto identifymembers
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
ofculturalgroups.Tobeamemberofa specificculture,anindividualdoesnot
4r 4r 4r 4r 4r 4r 4r hi 4r 4r 4r 4r 4r
need tohave certain identifiablephysicalcharacteristics.Youshouldnotconfusephysical
4r hi 4r 4r 4r
characteristics withculturalcharacteristics. Gender andrace arephysical characteristics, not
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
cultural characteristics, and are not used to identifycultural groups.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
DIF:Cognitive Level: Understanding(Comprehension) hi 4r
OBJ:Nursing process—assessment MSC: PhysiologicIntegrity:Physiologic Adaptation 4 r 4 r 4r 4r hi
2. Animageofanygroupthatrejectsitspotentialfororiginalityorindividualityisknownasa(n)
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS: C 4 r
Afixedimageofanygroupthatrejects itspotentialfororiginalityorindividualityisthe
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
definitionofstereotype. Acculturation isthe processofadoptinganotherculture’sbehaviors. A
4r 4r hi 4r 4r 4r
normisastandardofallowablebehaviorwithinagroup.Ethnosimpliesthesameraceor nationality.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
DIF:CognitiveLevel:Remembering (Knowledge) 4r 4r hi
OBJ:Nursing process—assessment MSC: PhysiologicIntegrity:Physiologic Adaptation 4 r 4 r 4r 4r hi
3. Mr.Lpresentstotheclinicwithseveregroinpainandahistoryofkidneystones.Mr.L’ssontells you
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
thatforreligiousreasons,hisfatherwishestokeepanystonethatispassedintotheurine filterthathe
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
has been using. Whatis yourmost appropriateresponse?
4r 4r 4r 4r 4r 4r 4r 4r 4r
,a. ―Withyourfather’s permission,we willexaminethestoneand requestthatit be
hi hi hi hi hi hi hi hi
returned to him.‖
4r 4r 4r
b. ―Thestone must besenttothelabforexaminationandthereforecannotbekept.‖
hi hi hi
c. ―Wecannot lethimkeephisstonebecauseitviolatesourinfectioncontrolpolicy.‖
hi hi hi hi
d. ―Wedon’t knowyeti fyourfatherhasanotherkidneystone,sowemustanalyzethis
hi hi 4r
one.‖
4r
, ANS: A 4 r
Weshouldbewillingtomodifythedeliveryofhealthcareinamannerthatisrespectfulandin 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
keepingwiththepatient’s culturalbackground. ―With your father’s permission, wewill examine
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
thestoneandrequestthatitbereturnedtohim‖isthemostappropriateresponse.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
―Thestonemustbesenttothelabforexaminationandthereforecannotbekept‖and―We don’t hi 4r 4r
4knowyetifyourfatherhasanotherkidneystone,sowemustanalyzethisone‖donotsupportthe
r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
patient’srequest.―Wecannotlethimkeephisstonebecauseitviolatesourinfectioncontrol
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
policy‖doesnotprovideareasonthatitwouldviolateaninfectioncontrolpolicy.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
DIF:CognitiveLevel:Analyzing (Analysis) 4r hi
OBJ:Nursing process—assessment 4 r MSC: 4 r PhysiologicIntegrity:PhysiologicAdaptation 4r 4r 4r
4. Themotivationof thehealthcare professional to―want to‖engageintheprocess ofbecoming hi hi hi hi hi
4 r culturallycompetent, not ―have to,‖ is called 4r 4r 4r 4r 4r
a. culturalknowledge.
b. culturalawareness.
c. culturaldesire.
d. culturalskill.
ANS: C 4 r
Culturalencounters arethecontinuousprocessofinteractingwithpatientsfrom culturally diverse
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
backgroundstovalidate,refine,ormodifyexistingvalues,beliefs,andpracticesabouta cultural
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
groupand todevelopculturaldesire,culturalawareness,cultural skill,andcultural knowledge.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
Culturalawarenessisdeliberateself-examinationandin-depthexplorationofone’s biases,
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
stereotypes,prejudices,assumptions, and ―-isms‖thatoneholdsabout individuals and groupswho
4r 4r 4r 4r 4r 4r 4r 4r 4r
aredifferentfromthem.Culturalknowledgeistheprocessofseekingandobtaining asound
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
educationalbaseaboutculturallyand ethnicallydiversegroups. Cultural skill is the abilitytocollect
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
culturallyrelevantdataregardingthepatient’spresentingproblem,aswellas accuratelyperforming
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
a culturallybased physical assessment inaculturallysensitivemanner. Culturaldesireisthe
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
motivationofthehealthcareprofessionaltowanttoengageintheprocess of becoming culturally
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
competent, not have to.
4r 4r 4r 4r
DIF:CognitiveLevel:Understanding (Comprehension) 4r hi
OBJ:Nursing process—assessment MSC: PhysiologicIntegrity:Physiologic Adaptation 4 r 4 r 4r 4r hi
5. Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
Whichquestion hasthe most potential forexploringapatient’s cultural beliefs related to a
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
healthproblem?
4r 4r
a. ―Howoftendo you havemedical examinations?‖ 4r hi hi
b. ―Whatisyourage,race,andeducationallevel?‖ hi
c. ―Whattypesofsymptomshave you been having?‖ hi hi hi
d. ―Whydoyouthinkyouarehaving thesesymptoms?‖ hi 4r hi
ANS: D 4 r
