ExaminationAnInterprofessionalApproach10thEditionby
JaneW.Ball,JoyceE.DainsChapter1-26;AceinyourExamsin
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Chapter 01: Cultural Competency
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 an
d distinguishing physical characteristics.
c. To be a member of a specific culture, an individual must have certain identifiab
le physical characteristics.
d. Gender and race are the two essential physical characteristics used to identif
y cultural groups.
ANS: B
Physical characteristics are not used to identify cultural groups; there is a difference betwee
n the two, and they are considered separately. Physical characteristics should not be used to
identify members of cultural groups. To be a member of a specific culture, an individual do
es not need to have certain identifiable physical characteristics. You should not confuse phy
sical characteristics with cultural characteristics. Gender and race are physical characteristic
s, not cultural characteristics, and are not used to identify cultural groups.
DIF:Cognitive Level: Understanding (Comprehension)
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
2. An 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.
ANS: C
A fixed image of any group that rejects its potential for originality or individuality is the de
finition of stereotype. Acculturation is the process of adopting another culture’s behaviors.
A norm is a standard of allowable behavior within a group. Ethnos implies the same race or
nationality.
, DIF:Cognitive Level: Remembering (Knowledge)
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
3. Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr. L’s s
on tells you that for religious reasons, his father wishes to keep any stone that is passed int
o the urine filter that he has been using. What is your most appropriate response?
,a. —With your father’s permission, we will examine the stone and request that it
be returned to him.‖
b. —The stone must be sent to the lab for examination and therefore cannot be kept.‖
c. —We cannot let him keep his stone because it violates our infection control policy.‖
d. —We don’t know yet if your father has another kidney stone, so we must analy
ze this one.‖
, ANS: A
We should be willing to modify the delivery of health care in a manner that is respectful an
d in keeping with the patient’s cultural background. —With your father’s permission, we w
ill examine the stone and request that it be returned to him‖ is the most appropriate respons
e.
—The stone must be sent to the lab for examination and therefore cannot be kept‖ and —We
don’t know yet if your father has another kidney stone, so we must analyze this one‖ do not
support the patient’s request. —We cannot let him keep his stone because it violates our inf
ection control policy‖ does not provide a reason that it would violate an infection control po
licy.
DIF:Cognitive Level: Analyzing (Analysis)
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
4. The motivation of the healthcare professional to —want to‖ engage in the process of becomi
ng culturally competent, not —have to,‖ is called
a. cultural knowledge.
b. cultural awareness.
c. cultural desire.
d. cultural skill.
ANS: C
Cultural encounters are the continuous process of interacting with patients from culturally di
verse backgrounds to validate, refine, or modify existing values, beliefs, and practices about
a cultural group and to develop cultural desire, cultural awareness, cultural skill, and cultura
l knowledge. Cultural awareness is deliberate self-examination and in-
depth exploration of one’s biases, stereotypes, prejudices, assumptions, and —-
isms‖ that one holds about individuals and groups who are different from them. Cultural kno
wledge is the process of
seeking and obtaining a sound educational base about culturally and ethnically diverse group
s. Cultural skill is the ability to collect culturally relevant data regarding the patient’s presen
ting problem, as well as accurately performing a culturally based physical assessment in a c
ulturally sensitive manner. Cultural desire is the motivation of the healthcare professional to
want to engage in the process of becoming culturally competent, not have to.
DIF:Cognitive Level: Understanding (Comprehension)
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
5. Mr. Marks is a 66-year-
old patient who presents for a physical examination to the clinic. Which question has th
e most potential for exploring a patient’s cultural beliefs related to a health problem?
a. —How often do you have medical examinations?‖
b. —What is your age, race, and educational level?‖
c. —What types of symptoms have you beenKhaving?‖
d. —Why do you think you are having these symptoms?‖
ANS: D