ExaminationAnInterprofessionalApproach10thEditionby
JaneW.Ball,JoyceE.DainsChapter1-26;AceinyourExamsin
1attempt!
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 oshould obe owilling oto omodify othe odelivery oof ohealth ocare oin oa omanner othat ois orespectful
oan o d oin okeeping owith othe opatient’s ocultural obackground. o—With oyour ofather’s opermission,
owe ow oill oexamine othe ostone oand orequest othat oit obe oreturned oto ohim‖ ois othe omost oappropriate
orespons o e.
—The ostone omust obe osent oto othe olab ofor oexamination oand otherefore ocannot obe okept‖ oand o—
We odon’t oknow oyet oif oyour ofather ohas oanother okidney ostone, oso owe omust oanalyze othis oone‖
odo onot osupport othe opatient’s orequest. o—We ocannot olet ohim okeep ohis ostone obecause oit
oviolates oour oinf oection ocontrol opolicy‖ odoes onot oprovide oa oreason othat oit owould oviolate oan
oinfection ocontrol opo olicy.
DIF:Cognitive oLevel: oAnalyzing o(Analysis)
OBJ:Nursing o process—assessment MSC: o Physiologic oIntegrity: o Physiologic o Adaptation
4. The omotivation oof othe ohealthcare oprofessional oto o—want oto‖ oengage oin othe oprocess oof
becomi ong oculturally ocompetent, onot o—have oto,‖ ois ocalled
o
a. cultural oknowledge.
b. cultural oawareness.
c. cultural odesire.
d. cultural oskill.
ANS: o C
Cultural oencounters oare othe ocontinuous oprocess oof ointeracting owith opatients ofrom oculturally
odi overse obackgrounds oto ovalidate, orefine, oor omodify oexisting ovalues, obeliefs, oand opractices
oabout o a ocultural o group o and oto odevelop ocultural odesire, ocultural o awareness, o cultural o skill,
oand ocultura o l oknowledge. oCultural oawareness ois odeliberate oself-examination oand oin-
depth o exploration o of o one’s obiases, ostereotypes, oprejudices, oassumptions, oand o —-
isms‖ othat oone oholds oabout oindividuals oand ogroups owho oare odifferent ofrom othem. oCultural
okno owledge ois othe oprocess oof
seeking oand o obtaining oa osound o educational o base o about o culturally oand o ethnically odiverse o group
s. oCultural oskill ois othe oability oto ocollect oculturally orelevant odata oregarding othe opatient’s
opresen oting oproblem, oas owell oas oaccurately operforming oa oculturally obased ophysical
oassessment oin oa oc oulturally osensitive omanner. oCultural odesire ois othe omotivation oof othe
ohealthcare oprofessional oto owant oto oengage oin othe oprocess oof obecoming oculturally ocompetent,
onot ohave oto.
DIF:Cognitive oLevel: oUnderstanding o(Comprehension)
OBJ:Nursing o process—assessment MSC: o Physiologic oIntegrity: o Physiologic o Adaptation
5. Mr. o Marks o is o a o 66-year-
old opatient owho opresents ofor oa ophysical oexamination oto othe oclinic. oWhich oquestion ohas
oth o e omost opotential ofor oexploring oa opatient’s ocultural obeliefs orelated oto oa ohealth
oproblem?
a. —How ooften odo oyou ohave omedical oexaminations?‖
b. —What ois oyour oage, orace, oand oeducational olevel?‖
c. —What otypes oof osymptoms ohave oyou obeenKhaving?‖
d. —Why odo oyou othink oyou oare ohaving othese osymptoms?‖