GUIDE TO PHYSICAL
EXAMINATION 11TH EDITION
LATEST UPDATE WITH
COMPLETE CHAPTERS WITH
RATIONALES
, Chapter 1: Cultural Competency
PART A: MULTIPLE CHOICE QUESTIONS (35 Questions)
1. 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
Answer: C
Rationale: A stereotype is a fixed image of any group that rejects its potential for
originality or individuality. The 11th Edition emphasizes cultural competency as a
foundational skill in health assessment, with updated content reflecting current
standards for inclusive patient care .
Difficulty: Easy
Learning Objective: 1.1
2. The motivation of the healthcare professional to "want to" engage in the
process of becoming culturally competent, not "have to," is called:
A) Cultural knowledge
B) Cultural awareness
C) Cultural desire
D) Cultural skill
Answer: C
Rationale: Cultural desire is the motivation of the healthcare professional to want to
engage in the process of becoming culturally competent. The 11th Edition emphasizes
social inclusiveness and patient-centeredness as core components of cultural
competency .
, Difficulty: Medium
Learning Objective: 1.1
3. The 11th Edition emphasizes which of the following in cultural competency?
A) LGBTQ+ considerations in health screening
B) Human trafficking screening
C) Genetics and genomics in cultural assessment
D) All of the above
Answer: D
Rationale: The 11th Edition includes updated content on LGBTQ+ considerations,
human trafficking screening, and genetics and genomics as part of its cultural
competency content. The edition places strong emphasis on social inclusiveness and
patient-centeredness, incorporating LGBTQ+ patients and providers with special
emphasis on cultural competency .
Difficulty: Easy
Learning Objective: 1.1
4. The LEARN model for cross-cultural communication stands for:
A) Listen, Explain, Acknowledge, Recommend, Negotiate
B) Learn, Evaluate, Assess, Review, Note
C) Look, Examine, Ask, Respond, Note
D) Language, Empathy, Attitude, Respect, Negotiate
Answer: A
Rationale: The LEARN model provides a framework for respectful cross-cultural
communication: Listen to the patient's explanation, Explain your perspective,
Acknowledge the patient's beliefs, Recommend a plan, and Negotiate a mutually
acceptable plan. The 11th Edition emphasizes patient-centered communication
throughout .
Difficulty: Medium
Learning Objective: 1.2
, 5. A patient from a culture where it is considered disrespectful to make direct eye
contact with authority figures avoids eye contact during the examination. The
examiner should:
A) Insist on eye contact to ensure the patient is listening
B) Recognize this as a cultural norm and not interpret it as disrespect
C) End the examination
D) Ask the patient why they are being disrespectful
Answer: B
Rationale: Recognizing cultural norms and not misinterpreting them as dishonesty or
disinterest is essential for culturally competent care. The 11th Edition emphasizes
cultural competency and patient-centered approaches throughout, with updated
photographs and illustrations representing a diverse patient population .
Difficulty: Medium
Learning Objective: 1.1
6. Which question has the 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 been having?"
D) "Why do you think you are having these symptoms?"
Answer: D
Rationale: Asking "Why do you think you are having these symptoms?" explores the
patient's explanatory model of illness, which is influenced by cultural beliefs. The 11th
Edition emphasizes developing communication skills that build rapport and trust with
the patient .
Difficulty: Medium
Learning Objective: 1.2