GUIDE TO PHYSICAL
EXAMINATION, 10TH
EDITION LATEST UPDATE
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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. 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 .
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, not have to. Cultural
awareness is deliberate self-examination of one's biases, stereotypes, and prejudices.
Cultural knowledge is the process of seeking and obtaining a sound educational base
about culturally diverse groups. Cultural skill is the ability to collect culturally relevant
data and perform a culturally sensitive assessment.
Difficulty: Medium
Learning Objective: 1.1
3. The 10th 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 10th Edition includes updated content on LGBTQ+ considerations,
human trafficking screening, and genetics and genomics as part of its cultural
competency content. These updates reflect current understanding of underserved
patient populations .
, 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 10th Edition emphasizes patient-centered communication.
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