Test Bank For Seidel's Guide to Physical Examination An Inter
b b b b b b b b b
professional Approach 10th Edition
b b b
by Jane W. Ball, Joyce E. Dains Chapter 1 – 26 complete
b b b b b b b b b b b
, TABLE OF CONTENTS
b b b
1.ThebHistorybandbInterviewingbProcess
2.bCulturalbCompetency
3.bExaminationbTechniquesbandbEquipment
4.bTakingbthebNextbSteps:bClinicalbReasoning
5.bThebPatientbRecordb[Newbtitleb/bfocus!]
6.bVitalbSignsbandbPainbAssessment
7.bMentalbStatus
8.bGrowth,bMeasurement,bandbNutritionb["formerlybGrowthbandbNutrition"]
9.bSkin,bHair,bandbNails
10.bLymphaticbSystem
11.bHeadbandbNeck
12.bEyes
13.bEars,bNose,bandbThroat
14.bChestbandbLungs
15.bHeart
16.bBloodbVessels
17.bBreastsbandbAxillae
18.bAbdomen
19.bFemalebGenitalia
20.bMalebGenitalia
21.bAnus,bRectum,bandbProstate
22.bMusculoskeletalbSystem
23.bNeurologicbSystem
,24.bHead-to-ToebExaminationb[formerlybChapterb25:b"PuttingbItbAllbTogether"]
25.bSportsbParticipationbEvaluationb[formerlybChapterb24]
26.bEmergencyborbLife-ThreateningbSituations
,Chapter 01: Cultural Competency
b b b
Ball: Seidel’s Guide to Physical Examination, 10th Edition
b b b b b b b
MULTIPLEbCHOICE
1. bMr.bLbpresentsbtobthebclinicbwithbseverebgroinbpainbandbabhistorybofbkidneybstones.bMr.bL’sbsonbtellsb
youbthatbforbreligiousbreasons,bhisbfatherbwishesbtobkeepbanybstonebthatbisbpassedbintobtheburinebfil
terbthatbhebhasbbeenbusing.bWhatbisbyourbmostbappropriatebresponse?
a. ―Withbyourbfather’sbpermission,bwebwillbexaminebthebstonebandbrequestbthatbitbbebr
eturnedbtobhim.‖
b. ―Thebstonebmustbbebsentbtobtheblabbforbexaminationbandbthereforebcannotbbebkept.‖
c. ―Webcannotbletbhimbkeepbhisbstonebbecausebitbviolatesbourbinfectionbcontrolbpolicy.‖
d. ―Webdon’tbknowb yetbifbyourbfatherbhasbanotherbkidneybstone,bsobwebmustbanalyzebt
hisbone.‖
ANS:b A
Webshouldbbebwillingbtobmodifybthebdeliverybofbhealthbcarebinbabmannerbthatbisbrespectfulbandbinb
keepingbwithbthebpatient’sbculturalbbackground.b―Withbyourbfather’sbpermission,bwebwillbexamine
bthebstonebandb requestbthatbitbbebreturnedbtobhim‖bisbthebmostbappropriatebresponse.
―Thebstonebmustbbebsentbtobtheblabbforbexaminationbandbthereforebcannotbbebkept‖bandb―Webd
on’tbknowbyetbifbyourbfatherbhasbanotherbkidneybstone,bsobwebmustbanalyzebthisbone‖bdobnotbsup
portbthebpatient’sbrequest.b―Webcannotbletbhimbkeepbhisbstonebbecausebitbviolatesbourbinfectio
nbcontrolbpolicy‖bdoesbnotbprovidebabreasonbthatbitbwouldbviolatebanbinfectionbcontrolbpolicy.
DIF:CognitivebLevel:bAnalyzingb(Analysis)
OBJ:Nursingbprocess—assessment MSC:b PhysiologicbIntegrity:bPhysiologicbAdaptation
2. Whichbstatementbisbtruebregardingbthebrelationshipbofbphysicalbcharacteristicsbandbculture?
a. Physicalbcharacteristicsbshouldbbebusedbtobidentifybmembersbofbculturalbgroups.
b. Therebisbabdifferencebbetweenbdistinguishingbculturalbcharacteristicsbandbdi
stinguishingbphysicalbcharacteristics.
c. Tobbebabmemberbofbabspecificbculture,banbindividualbmustbhavebcertainbidentifiablebph
ysicalbcharacteristics.
d. Genderbandbracebarebthebtwobessentialbphysicalbcharacteristicsbusedbtobidentifyb
culturalbgroups.
ANS:b B
Physicalbcharacteristicsbarebnotbusedbtobidentifybculturalbgroups;btherebisbabdifferencebbetweenbth
ebtwo,bandbtheybarebconsideredbseparately.bPhysicalbcharacteristicsbshouldbnotbbebusedbtobidentif
ybmembersbofbculturalbgroups.bTobbebabmemberbofbabspecificbculture,banbindividualbdoesbnotbneedb
tobhavebcertainbidentifiablebphysicalbcharacteristics.bYoubshouldbnotbconfusebphysicalbcharacteristi
csbwithbculturalbcharacteristics.bGenderbandbracebarebphysicalbcharacteristics,bnotbculturalbcharact
eristics,bandbarebnotbusedbtobidentifybculturalbgroups.
DIF:CognitivebLevel:bUnderstandingb(Comprehension)
, OBJ:Nursingbprocess—assessment MSC:b PhysiologicbIntegrity:bPhysiologicbAdaptation
3. Anbimagebofbanybgroupbthatbrejectsbitsbpotentialbforboriginalityborbindividualitybisbknownbasba(n
)
a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS:b C
Abfixedbimagebofbanybgroupbthatbrejectsbitsbpotentialbforboriginalityborbindividualitybisbthebdefiniti
onbofbstereotype.bAcculturationbisbthebprocessbofbadoptingbanotherbculture’sbbehaviors.bAbnormbisba
bstandardbofballowablebbehaviorbwithinbabgroup.bEthnosbimpliesbthebsamebraceborbnationality.
DIF:CognitivebLevel:bRememberingb(Knowledge)
OBJ:Nursingbprocess—assessment MSC:b PhysiologicbIntegrity:bPhysiologicbAdaptation
4. Thebmotivationbofbthebhealthcarebprofessionalbtob―wantbto‖bengagebinbthebprocessbofbbecomingbc
ulturallybcompetent,bnotb―havebto,‖bisbcalled
a. culturalbknowledge.
b. culturalbawareness.
c. culturalbdesire.
d. culturalbskill.
ANS:b C
Culturalbencountersbarebthebcontinuousbprocessbofbinteractingbwithbpatientsbfrombculturallybdiverse
bbackgroundsbtobvalidate,brefine,borbmodifybexisting bvalues,bbeliefs,bandbpracticesbaboutb abcultur
albgroupbandbtobdevelopbculturalbdesire,bculturalbawareness,bculturalbskill,bandbculturalbknowledg
e.bCulturalbawarenessbisbdeliberatebself-examinationbandbin-
depthbexplorationbofbone’sbbiases,bstereotypes,bprejudices,bassumptions,b andb ―-
isms‖bthatbonebholdsbaboutbbindividualsbandbgroupsbwhobarebdifferentbfrombthem.bCulturalbknowle
dgebisbthebprocessbof
seekingbandbobtainingbabsoundbeducationalbbasebaboutbculturallybandbethnicallybdiversebgroups.b
Culturalbskillbisbthebabilitybtobcollectbculturallybrelevantbdatabregardingbthebpatient’sbpresentingbpr
oblem,basbwellbasbaccuratelybperformingbabculturallybbasedbphysicalbassessmentbinbabculturallybse
nsitivebmanner.bCulturalbdesirebisbthebmotivationbofbthebhealthcarebprofessionalbtobwantbtobengag
ebinbthebprocessbofbbecomingbculturallybcompetent,bnotbhavebto.
DIF:CognitivebLevel:bUnderstandingb(Comprehension)
OBJ:Nursingbprocess—assessment MSC:b PhysiologicbIntegrity:bPhysiologicbAdaptation
5. Mr.bMarksbisbab66-year-
oldbpatientbwhobpresentsbforbabphysicalbexaminationbtobthebclinic.bWhichbquestionbhasbthebmos
tbpotentialbforbexploringbabpatient’sbculturalbbeliefsbrelatedbtobabhealthbproblem?
, a. ―Howboftenbdob youbhavebmedicalbexaminations?‖
b. ―Whatbisb yourbage,brace,bandbeducationalblevel?‖
c. ―Whatbtypesbofbsymptomsbhavebyoubbeenbhaving?‖
d. ―Whybdob youbthinkbyoubarebhavingbthesebsymptoms?‖
ANS:b D
―Whybdob youbthinkbyoubarebhavingbthesebsymptoms?‖bisbanbopen-
endedbquestionbthatbavoidsbstereotyping,bisbsensitivebandbrespectfulbtowardbthebindividual,bandba
llowsbforbculturalbdatabtobbebexchanged.bThebotherbquestionsbdobnotbexplorebthebpatient’sbcultural
bbeliefsbaboutbhealthbproblems.
DIF:CognitivebLevel:bAnalyzingb(Analysis)
OBJ:Nursingbprocess—assessment MSC:b PhysiologicbIntegrity:bPhysiologicbAdaptation
6. Thebdefinitionbofbillborbsickbisbbasedbonba
a. stereotype.
b. culturalbbehavior.
c. beliefbsystem.
d. culturalbattitude.
ANS:b C
Thebdefinitionbofbillborbsickbisbbasedbonbthebindividual’sbbeliefbsystembandbisbdeterminedbinblargeb
partbbybhisborbherbenculturation.
DIF:CognitivebLevel:bUnderstandingb(Comprehension)
OBJ:Nursingbprocess—assessment MSC:b PhysiologicbIntegrity:bPhysiologicbAdaptation
7. Ab22-year-oldbfemalebnursebisbinterviewingbanb86-year-
oldbmalebpatient.bThebpatientbavoidsbeyebcontactbandbanswersb questionsbonlybbybsaying,b ―Yea
h,‖b ―No,‖borb ―Ibguessbso.‖bWhichbofbthebfollowingbisbappropriatebforbthebinterviewerbtobsayborb
ask?
a. ―Webwillbbebablebtobcommunicatebbetterbifbyoublookbatbme.‖
b. ―It’sbhardbforbmebtob gatherbusefulbinformationbbecauseb yourbanswersbarebsobshort.‖
c. ―Arebyoubuncomfortablebtalkingbwithbme?‖
d. ―Doesb yourbreligionbmakebitbhardbforbyoubtobanswerbmybquestions?‖
ANS:b C
Itbisballbrightbtobaskbifbthebpatientbisbuncomfortablebwithbanybaspectbofbyourbpersonbandbtobtalkbab
outbit;bthebotherbchoicesbareblessbrespectful.
DIF:CognitivebLevel:bApplyingb(Application)
OBJ:Nursingbprocess—assessment MSC:b PhysiologicbIntegrity:bPhysiologicbAdaptation
8. Asbyoubexplainbyourbpatient’sbconditionbtobherbhusband,byoubnoticebthatbhebisbleaningbtowardbyou
bandbpointedlybblinkingbhisbeyes.bKnowingbthatbhebisbfrombEngland,byourbmostbappropriatebrespon
sebtobthisbbehaviorbisbto
a. tellbhimbthatbyoubunderstandbhisbneedbtobbebalone.
b. askbwhetherbhebhasbanybquestions.
c. askbwhetherbhebwouldbpreferbtobspeakbtobthebclinician.
, d. tellbhimbthatbitbisballbrightbtobbebangry.
ANS:b B
ThebEnglishbworrybaboutbbeingboverheardbandbtendbtobspeakbinbmodulatedbvoicesbso,bwhenbth
eybleanbinbtowardbyou,btheybarebprobablybpoisedbtobaskbabquestion.
DIF:CognitivebLevel:bAnalyzingb(Analysis)
OBJ:Nursingbprocess—assessment MSC:b PhysiologicbIntegrity:bPhysiologicbAdaptation
9. AnbaspectbofbtraditionalbWesternbmedicinebthatbmaybbebtroublesomebtobmanybHispanics,bN
ativebAmericans,bAsians,bandbMiddlebEasternbgroupsbisbWesternbmedicine’sbattemptsbto
a. usebabholisticbapproachbthatbviewsbabparticularbmedicalbproblembasbpartbofbabbiggerb
picture.
b. determinebabspecificbcausebforbeverybproblembinbabprecisebway.
c. establishbharmonybbetweenbabpersonbandbthebentirebcosmos.
d. restorebbalancebinbanbindividual’sblife.
ANS:b B
Abmorebscientificbapproachbtobhealthcarebproblembsolving,binbwhichbabcausebcanbbebdeterminedbfo
rbeverybproblembinbabprecisebway,bisbabWesternbapproach.bHispanics,bNativebAmericans,bAsians,b
andbArabsbembracebabmorebholisticbapproach.bUsingbabholisticbapproach,bestablishingbharmonybb
etweenbabpersonbandbthebentirebcosmos,bandbrestoringbbalancebinbanbindividual’sblifebwouldbnotbbe
btroublesomebtobmanybHispanics,bNativebAmericans,bAsians,bandbArabs.
DIF:CognitivebLevel:bUnderstandingb(Comprehension)
OBJ:Nursingbprocess—assessment MSC:b PhysiologicbIntegrity:bPhysiologicbAdaptation
10. Thebattitudesbofbthebhealthcarebprofessional
a. areblargelybirrelevantbtobthebsuccessbofbrelationshipsbwithbthebpatient.
b. dobnotbinfluencebpatientbbehavior.
c. arebdifficultbforbthebpatientbtobsense.
d. arebculturallybderived.
ANS:b D
Thebattitudesbofbthebhealthcarebproviderbarebfoundationallybderivedbfrombhisborbherbownbculture;b
understandingbthisbisbrelevantbtobthebsuccessbofbpatientbrelationships.bAttitudesbofbthebhealthcarebp
rofessionalbarebeasilybdetectedbbybothers,bandbtheybinfluencebpatientbbehavior;btheybarebnotbirrel
evantbtobthebsuccessbofbrelationshipsbwithbthebpatient;btheybdobinfluencebpatientbbehavior;bandbthe
ybarebnotbdifficultbforbthebpatientbtobsense.
DIF:CognitivebLevel:bUnderstandingb(Comprehension)
OBJ:Nursingbprocess—assessment MSC:b PhysiologicbIntegrity:bPhysiologicbAdaptation
11. Mr.bSanchezbisbab45-year-
oldbgentlemanbwhobhasbpresentedbtobthebofficebforbabphysicalbexaminationbtobestablishbabne
wbprimarybcarebhealthcarebprovider.bWhichbofbthebfollowingbdescribesbabphysical,bnotbabcult
ural,bdifferentiator?
a. Race
b. Rite
, c. Ritual
d. Norm
ANS:b A
Racebisbabphysical,bnotbabcultural,bdifferentiator.bRitebisbabprescribed,bformal,bcustomarybobservance
.bRitualbisbabstereotypicbbehaviorbregulatingbreligious,bsocial,bandbprofessionalbbehaviors.bAbnormbisba
bprescribedbstandardbofballowablebbehaviorbwithinbabgroup.
DIF:CognitivebLevel:bRememberingb(Knowledge)
OBJ:Nursingbprocess—assessment MSC:b PhysiologicbIntegrity:bPhysiologicbAdaptation
12. Mr.bAbdulbisbab40-year-
oldbMiddlebEasternbmanbwhobpresentsbtobthebofficebforbabfirstbvisitbwithbthebcomplaintbofbnewbabdo
minalbpain.bYoubarebconcernedbaboutbviolatingbabcultural
, prohibitionbwhenbyoubpreparebtobdobhisbrectalbexamination.bThebbestbtacticbwouldbbebto
a. foregobthebexaminationbforbfearbofbviolatingbculturalbnorms.
b. askbabcolleaguebfrombthebsamebgeographicbareabifbthisbexaminationbisbacceptable.
c. informbthebpatientbofbthebreasonbforbthebexaminationbandbaskbifbitbisbacceptablebtobh
im.
d. referbthebpatientbtobabproviderbmorebknowledgeablebaboutbculturalbdifferences.
b b b b b b b b b
professional Approach 10th Edition
b b b
by Jane W. Ball, Joyce E. Dains Chapter 1 – 26 complete
b b b b b b b b b b b
, TABLE OF CONTENTS
b b b
1.ThebHistorybandbInterviewingbProcess
2.bCulturalbCompetency
3.bExaminationbTechniquesbandbEquipment
4.bTakingbthebNextbSteps:bClinicalbReasoning
5.bThebPatientbRecordb[Newbtitleb/bfocus!]
6.bVitalbSignsbandbPainbAssessment
7.bMentalbStatus
8.bGrowth,bMeasurement,bandbNutritionb["formerlybGrowthbandbNutrition"]
9.bSkin,bHair,bandbNails
10.bLymphaticbSystem
11.bHeadbandbNeck
12.bEyes
13.bEars,bNose,bandbThroat
14.bChestbandbLungs
15.bHeart
16.bBloodbVessels
17.bBreastsbandbAxillae
18.bAbdomen
19.bFemalebGenitalia
20.bMalebGenitalia
21.bAnus,bRectum,bandbProstate
22.bMusculoskeletalbSystem
23.bNeurologicbSystem
,24.bHead-to-ToebExaminationb[formerlybChapterb25:b"PuttingbItbAllbTogether"]
25.bSportsbParticipationbEvaluationb[formerlybChapterb24]
26.bEmergencyborbLife-ThreateningbSituations
,Chapter 01: Cultural Competency
b b b
Ball: Seidel’s Guide to Physical Examination, 10th Edition
b b b b b b b
MULTIPLEbCHOICE
1. bMr.bLbpresentsbtobthebclinicbwithbseverebgroinbpainbandbabhistorybofbkidneybstones.bMr.bL’sbsonbtellsb
youbthatbforbreligiousbreasons,bhisbfatherbwishesbtobkeepbanybstonebthatbisbpassedbintobtheburinebfil
terbthatbhebhasbbeenbusing.bWhatbisbyourbmostbappropriatebresponse?
a. ―Withbyourbfather’sbpermission,bwebwillbexaminebthebstonebandbrequestbthatbitbbebr
eturnedbtobhim.‖
b. ―Thebstonebmustbbebsentbtobtheblabbforbexaminationbandbthereforebcannotbbebkept.‖
c. ―Webcannotbletbhimbkeepbhisbstonebbecausebitbviolatesbourbinfectionbcontrolbpolicy.‖
d. ―Webdon’tbknowb yetbifbyourbfatherbhasbanotherbkidneybstone,bsobwebmustbanalyzebt
hisbone.‖
ANS:b A
Webshouldbbebwillingbtobmodifybthebdeliverybofbhealthbcarebinbabmannerbthatbisbrespectfulbandbinb
keepingbwithbthebpatient’sbculturalbbackground.b―Withbyourbfather’sbpermission,bwebwillbexamine
bthebstonebandb requestbthatbitbbebreturnedbtobhim‖bisbthebmostbappropriatebresponse.
―Thebstonebmustbbebsentbtobtheblabbforbexaminationbandbthereforebcannotbbebkept‖bandb―Webd
on’tbknowbyetbifbyourbfatherbhasbanotherbkidneybstone,bsobwebmustbanalyzebthisbone‖bdobnotbsup
portbthebpatient’sbrequest.b―Webcannotbletbhimbkeepbhisbstonebbecausebitbviolatesbourbinfectio
nbcontrolbpolicy‖bdoesbnotbprovidebabreasonbthatbitbwouldbviolatebanbinfectionbcontrolbpolicy.
DIF:CognitivebLevel:bAnalyzingb(Analysis)
OBJ:Nursingbprocess—assessment MSC:b PhysiologicbIntegrity:bPhysiologicbAdaptation
2. Whichbstatementbisbtruebregardingbthebrelationshipbofbphysicalbcharacteristicsbandbculture?
a. Physicalbcharacteristicsbshouldbbebusedbtobidentifybmembersbofbculturalbgroups.
b. Therebisbabdifferencebbetweenbdistinguishingbculturalbcharacteristicsbandbdi
stinguishingbphysicalbcharacteristics.
c. Tobbebabmemberbofbabspecificbculture,banbindividualbmustbhavebcertainbidentifiablebph
ysicalbcharacteristics.
d. Genderbandbracebarebthebtwobessentialbphysicalbcharacteristicsbusedbtobidentifyb
culturalbgroups.
ANS:b B
Physicalbcharacteristicsbarebnotbusedbtobidentifybculturalbgroups;btherebisbabdifferencebbetweenbth
ebtwo,bandbtheybarebconsideredbseparately.bPhysicalbcharacteristicsbshouldbnotbbebusedbtobidentif
ybmembersbofbculturalbgroups.bTobbebabmemberbofbabspecificbculture,banbindividualbdoesbnotbneedb
tobhavebcertainbidentifiablebphysicalbcharacteristics.bYoubshouldbnotbconfusebphysicalbcharacteristi
csbwithbculturalbcharacteristics.bGenderbandbracebarebphysicalbcharacteristics,bnotbculturalbcharact
eristics,bandbarebnotbusedbtobidentifybculturalbgroups.
DIF:CognitivebLevel:bUnderstandingb(Comprehension)
, OBJ:Nursingbprocess—assessment MSC:b PhysiologicbIntegrity:bPhysiologicbAdaptation
3. Anbimagebofbanybgroupbthatbrejectsbitsbpotentialbforboriginalityborbindividualitybisbknownbasba(n
)
a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS:b C
Abfixedbimagebofbanybgroupbthatbrejectsbitsbpotentialbforboriginalityborbindividualitybisbthebdefiniti
onbofbstereotype.bAcculturationbisbthebprocessbofbadoptingbanotherbculture’sbbehaviors.bAbnormbisba
bstandardbofballowablebbehaviorbwithinbabgroup.bEthnosbimpliesbthebsamebraceborbnationality.
DIF:CognitivebLevel:bRememberingb(Knowledge)
OBJ:Nursingbprocess—assessment MSC:b PhysiologicbIntegrity:bPhysiologicbAdaptation
4. Thebmotivationbofbthebhealthcarebprofessionalbtob―wantbto‖bengagebinbthebprocessbofbbecomingbc
ulturallybcompetent,bnotb―havebto,‖bisbcalled
a. culturalbknowledge.
b. culturalbawareness.
c. culturalbdesire.
d. culturalbskill.
ANS:b C
Culturalbencountersbarebthebcontinuousbprocessbofbinteractingbwithbpatientsbfrombculturallybdiverse
bbackgroundsbtobvalidate,brefine,borbmodifybexisting bvalues,bbeliefs,bandbpracticesbaboutb abcultur
albgroupbandbtobdevelopbculturalbdesire,bculturalbawareness,bculturalbskill,bandbculturalbknowledg
e.bCulturalbawarenessbisbdeliberatebself-examinationbandbin-
depthbexplorationbofbone’sbbiases,bstereotypes,bprejudices,bassumptions,b andb ―-
isms‖bthatbonebholdsbaboutbbindividualsbandbgroupsbwhobarebdifferentbfrombthem.bCulturalbknowle
dgebisbthebprocessbof
seekingbandbobtainingbabsoundbeducationalbbasebaboutbculturallybandbethnicallybdiversebgroups.b
Culturalbskillbisbthebabilitybtobcollectbculturallybrelevantbdatabregardingbthebpatient’sbpresentingbpr
oblem,basbwellbasbaccuratelybperformingbabculturallybbasedbphysicalbassessmentbinbabculturallybse
nsitivebmanner.bCulturalbdesirebisbthebmotivationbofbthebhealthcarebprofessionalbtobwantbtobengag
ebinbthebprocessbofbbecomingbculturallybcompetent,bnotbhavebto.
DIF:CognitivebLevel:bUnderstandingb(Comprehension)
OBJ:Nursingbprocess—assessment MSC:b PhysiologicbIntegrity:bPhysiologicbAdaptation
5. Mr.bMarksbisbab66-year-
oldbpatientbwhobpresentsbforbabphysicalbexaminationbtobthebclinic.bWhichbquestionbhasbthebmos
tbpotentialbforbexploringbabpatient’sbculturalbbeliefsbrelatedbtobabhealthbproblem?
, a. ―Howboftenbdob youbhavebmedicalbexaminations?‖
b. ―Whatbisb yourbage,brace,bandbeducationalblevel?‖
c. ―Whatbtypesbofbsymptomsbhavebyoubbeenbhaving?‖
d. ―Whybdob youbthinkbyoubarebhavingbthesebsymptoms?‖
ANS:b D
―Whybdob youbthinkbyoubarebhavingbthesebsymptoms?‖bisbanbopen-
endedbquestionbthatbavoidsbstereotyping,bisbsensitivebandbrespectfulbtowardbthebindividual,bandba
llowsbforbculturalbdatabtobbebexchanged.bThebotherbquestionsbdobnotbexplorebthebpatient’sbcultural
bbeliefsbaboutbhealthbproblems.
DIF:CognitivebLevel:bAnalyzingb(Analysis)
OBJ:Nursingbprocess—assessment MSC:b PhysiologicbIntegrity:bPhysiologicbAdaptation
6. Thebdefinitionbofbillborbsickbisbbasedbonba
a. stereotype.
b. culturalbbehavior.
c. beliefbsystem.
d. culturalbattitude.
ANS:b C
Thebdefinitionbofbillborbsickbisbbasedbonbthebindividual’sbbeliefbsystembandbisbdeterminedbinblargeb
partbbybhisborbherbenculturation.
DIF:CognitivebLevel:bUnderstandingb(Comprehension)
OBJ:Nursingbprocess—assessment MSC:b PhysiologicbIntegrity:bPhysiologicbAdaptation
7. Ab22-year-oldbfemalebnursebisbinterviewingbanb86-year-
oldbmalebpatient.bThebpatientbavoidsbeyebcontactbandbanswersb questionsbonlybbybsaying,b ―Yea
h,‖b ―No,‖borb ―Ibguessbso.‖bWhichbofbthebfollowingbisbappropriatebforbthebinterviewerbtobsayborb
ask?
a. ―Webwillbbebablebtobcommunicatebbetterbifbyoublookbatbme.‖
b. ―It’sbhardbforbmebtob gatherbusefulbinformationbbecauseb yourbanswersbarebsobshort.‖
c. ―Arebyoubuncomfortablebtalkingbwithbme?‖
d. ―Doesb yourbreligionbmakebitbhardbforbyoubtobanswerbmybquestions?‖
ANS:b C
Itbisballbrightbtobaskbifbthebpatientbisbuncomfortablebwithbanybaspectbofbyourbpersonbandbtobtalkbab
outbit;bthebotherbchoicesbareblessbrespectful.
DIF:CognitivebLevel:bApplyingb(Application)
OBJ:Nursingbprocess—assessment MSC:b PhysiologicbIntegrity:bPhysiologicbAdaptation
8. Asbyoubexplainbyourbpatient’sbconditionbtobherbhusband,byoubnoticebthatbhebisbleaningbtowardbyou
bandbpointedlybblinkingbhisbeyes.bKnowingbthatbhebisbfrombEngland,byourbmostbappropriatebrespon
sebtobthisbbehaviorbisbto
a. tellbhimbthatbyoubunderstandbhisbneedbtobbebalone.
b. askbwhetherbhebhasbanybquestions.
c. askbwhetherbhebwouldbpreferbtobspeakbtobthebclinician.
, d. tellbhimbthatbitbisballbrightbtobbebangry.
ANS:b B
ThebEnglishbworrybaboutbbeingboverheardbandbtendbtobspeakbinbmodulatedbvoicesbso,bwhenbth
eybleanbinbtowardbyou,btheybarebprobablybpoisedbtobaskbabquestion.
DIF:CognitivebLevel:bAnalyzingb(Analysis)
OBJ:Nursingbprocess—assessment MSC:b PhysiologicbIntegrity:bPhysiologicbAdaptation
9. AnbaspectbofbtraditionalbWesternbmedicinebthatbmaybbebtroublesomebtobmanybHispanics,bN
ativebAmericans,bAsians,bandbMiddlebEasternbgroupsbisbWesternbmedicine’sbattemptsbto
a. usebabholisticbapproachbthatbviewsbabparticularbmedicalbproblembasbpartbofbabbiggerb
picture.
b. determinebabspecificbcausebforbeverybproblembinbabprecisebway.
c. establishbharmonybbetweenbabpersonbandbthebentirebcosmos.
d. restorebbalancebinbanbindividual’sblife.
ANS:b B
Abmorebscientificbapproachbtobhealthcarebproblembsolving,binbwhichbabcausebcanbbebdeterminedbfo
rbeverybproblembinbabprecisebway,bisbabWesternbapproach.bHispanics,bNativebAmericans,bAsians,b
andbArabsbembracebabmorebholisticbapproach.bUsingbabholisticbapproach,bestablishingbharmonybb
etweenbabpersonbandbthebentirebcosmos,bandbrestoringbbalancebinbanbindividual’sblifebwouldbnotbbe
btroublesomebtobmanybHispanics,bNativebAmericans,bAsians,bandbArabs.
DIF:CognitivebLevel:bUnderstandingb(Comprehension)
OBJ:Nursingbprocess—assessment MSC:b PhysiologicbIntegrity:bPhysiologicbAdaptation
10. Thebattitudesbofbthebhealthcarebprofessional
a. areblargelybirrelevantbtobthebsuccessbofbrelationshipsbwithbthebpatient.
b. dobnotbinfluencebpatientbbehavior.
c. arebdifficultbforbthebpatientbtobsense.
d. arebculturallybderived.
ANS:b D
Thebattitudesbofbthebhealthcarebproviderbarebfoundationallybderivedbfrombhisborbherbownbculture;b
understandingbthisbisbrelevantbtobthebsuccessbofbpatientbrelationships.bAttitudesbofbthebhealthcarebp
rofessionalbarebeasilybdetectedbbybothers,bandbtheybinfluencebpatientbbehavior;btheybarebnotbirrel
evantbtobthebsuccessbofbrelationshipsbwithbthebpatient;btheybdobinfluencebpatientbbehavior;bandbthe
ybarebnotbdifficultbforbthebpatientbtobsense.
DIF:CognitivebLevel:bUnderstandingb(Comprehension)
OBJ:Nursingbprocess—assessment MSC:b PhysiologicbIntegrity:bPhysiologicbAdaptation
11. Mr.bSanchezbisbab45-year-
oldbgentlemanbwhobhasbpresentedbtobthebofficebforbabphysicalbexaminationbtobestablishbabne
wbprimarybcarebhealthcarebprovider.bWhichbofbthebfollowingbdescribesbabphysical,bnotbabcult
ural,bdifferentiator?
a. Race
b. Rite
, c. Ritual
d. Norm
ANS:b A
Racebisbabphysical,bnotbabcultural,bdifferentiator.bRitebisbabprescribed,bformal,bcustomarybobservance
.bRitualbisbabstereotypicbbehaviorbregulatingbreligious,bsocial,bandbprofessionalbbehaviors.bAbnormbisba
bprescribedbstandardbofballowablebbehaviorbwithinbabgroup.
DIF:CognitivebLevel:bRememberingb(Knowledge)
OBJ:Nursingbprocess—assessment MSC:b PhysiologicbIntegrity:bPhysiologicbAdaptation
12. Mr.bAbdulbisbab40-year-
oldbMiddlebEasternbmanbwhobpresentsbtobthebofficebforbabfirstbvisitbwithbthebcomplaintbofbnewbabdo
minalbpain.bYoubarebconcernedbaboutbviolatingbabcultural
, prohibitionbwhenbyoubpreparebtobdobhisbrectalbexamination.bThebbestbtacticbwouldbbebto
a. foregobthebexaminationbforbfearbofbviolatingbculturalbnorms.
b. askbabcolleaguebfrombthebsamebgeographicbareabifbthisbexaminationbisbacceptable.
c. informbthebpatientbofbthebreasonbforbthebexaminationbandbaskbifbitbisbacceptablebtobh
im.
d. referbthebpatientbtobabproviderbmorebknowledgeablebaboutbculturalbdifferences.
