Examination An Interprofessional Approach 10th Edition by
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Jane W. Ball, Joyce E. Dains Chapter 1-26; Ace in your
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Exams in 1 attempt!
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Chapter 01: Cultural Competency TL
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Ball: Seidel’s Guide to Physical Examination, 10th Edition
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MULTIPLE CHOICE YF TL
1. Which statement is true regarding the relationship of physical characteristics and culture?
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a. Physical characteristics should be used to identify members of cultural groups. YF TL YF TL YF TL TL
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b. There is a difference between distinguishing cultural characteristics TL
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and distinguishing physical characteristics.
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c. To be a member of a specific culture, an individual must have certain
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identifiable physical characteristics.
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d. Gender and race are the two essential physical characteristics used to TL
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identify cultural groups.
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ANS: B Y F TL
Physical characteristics are not used to identify cultural groups; there is a difference
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between the two, and they are considered separately. Physical characteristics should
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not be used to identify members of cultural groups. To be a member of a specific
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culture, an individual does not need to have certain identifiable physical characteristics.
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You should not confuse physical characteristics with cultural characteristics. Gender and
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race are physical characteristics, not cultural characteristics, and are not used to
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identify cultural groups.
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DIF:Cognitive Level: Understanding (Comprehension) TL
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Y
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OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation Y F TL Y F T L TL
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2. An image of any group that rejects its potential for originality or individuality is
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YF known as a(n)
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a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS: C Y F TL
A fixed image of any group that rejects its potential for originality or individuality is
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the definition of stereotype. Acculturation is the process of adopting another culture’s
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behaviors. A norm is a standard of allowable behavior within a group. Ethnos implies
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the same race or nationality.
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DIF:Cognitive Level: Remembering (Knowledge) TL
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Y
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OBJ:Nursing process—assessment MSC: Y F TL Y F T L Physiologic Integrity: Physiologic Adaptation TL
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3. Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr.
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YF TL L’s son tells you that for religious reasons, his father wishes to keep any stone that is
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YF TL passed into the urine filter that he has been using. What is your most appropriate
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YF TL response?
,(Complete 2022) Test Bank For Seidel's Guide to Physical YF TL YF TL YF TL YF TL YF TL YF TL YF TL YF TL
Examination An Interprofessional Approach 10th Edition by
YF TL TL
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YF
Jane W. Ball, Joyce E. Dains Chapter 1-26; Ace in your
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Exams in 1 attempt!
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a. —With your father’s permission, we will examine the stone and request that it TL
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be returned to him.‖ Y
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b. —The stone must be sent to the lab for examination and therefore cannot be kept.‖ TL
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c. —We cannot let him keep his stone because it violates our infection control policy.‖
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d. —We don’t know yet if your father has another kidney stone, so we must TL
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analyze this one.‖ TL
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ANS: A Y F TL
We should be willing to modify the delivery of health care in a manner that is respectful
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and in keeping with the patient’s cultural background. —With your father’s
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permission, we will examine the stone and request that it be returned to him‖ is the
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most appropriate response.
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—The stone must be sent to the lab for examination and therefore cannot be kept‖ and —
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We don’t know yet if your father has another kidney stone, so we must analyze this
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Y
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one‖ do not support the patient’s request. —We cannot let him keep his stone because
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it violates our infection control policy‖ does not provide a reason that it would violate
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an infection control policy.
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DIF:Cognitive Level: Analyzing (Analysis) TL
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Y
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OBJ:Nursing process—assessment MSC: Y F TL Y F T L Physiologic Integrity: Physiologic Adaptation TL
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YF
4. The motivation of the healthcare professional to —want to‖ engage in the process of
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YF becoming culturally competent, not —have to,‖ is called YF TL YF TL YF TL YF TL YF TL YF TL YF TL
a. cultural knowledge. TL
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b. cultural awareness. TL
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c. cultural desire. TL
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d. cultural skill. TL
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ANS: C Y F TL
Cultural encounters are the continuous process of interacting with patients from
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culturally diverse backgrounds to validate, refine, or modify existing values, beliefs, and
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practices about a cultural group and to develop cultural desire, cultural awareness,
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cultural skill, and cultural knowledge. Cultural awareness is deliberate self-examination
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and in-depth exploration of one’s biases, stereotypes, prejudices, assumptions, and —-
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isms‖ that one holds about individuals and groups who are different from them. Cultural
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knowledge is the process of seeking and obtaining a sound educational base about
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culturally and ethnically diverse groups. Cultural skill is the ability to collect culturally
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relevant data regarding the patient’s presenting problem, as well as accurately
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performing a culturally based physical assessment in a culturally sensitive manner.
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Cultural desire is the motivation of the healthcare professional to want to engage in the
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process of becoming culturally competent, not have to.
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DIF:Cognitive Level: Understanding (Comprehension) TL
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Y
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OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation Y F TL Y F T L TL
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5. Mr. Marks is a 66-year-old patient who presents for a physical examination to the
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YF TL clinic. Which question has the most potential for exploring a patient’s cultural beliefs
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,(Complete 2022) Test Bank For Seidel's Guide to Physical YF TL YF TL YF TL YF TL YF TL YF TL YF TL YF TL
Examination An Interprofessional Approach 10th Edition by
YF TL TL
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Jane W. Ball, Joyce E. Dains Chapter 1-26; Ace in your
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Exams in 1 attempt!
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related to a health problem?
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a. —How often do you have medical examinations?‖ TL
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YF
b. —What is your age, race, and educational level?‖ TL
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c. —What types of symptoms have you been having?‖ TL
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d. —Why do you think you are having these symptoms?‖ TL
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ANS: D Y F TL
—Why do you think you are having these symptoms?‖ is an open-ended question that
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avoids stereotyping, is sensitive and respectful toward the individual, and allows for
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cultural data to be exchanged. The other questions do not explore the patient’s cultural
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beliefs about health problems.
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DIF:Cognitive Level: Analyzing (Analysis) YF TL YF TL TL
Y
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OBJ:Nursing process—assessment MSC: Y F TL Y F T L Physiologic Integrity: Physiologic Adaptation TL
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6. The definition of ill or sick is based on a
TL
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a. stereotype.
b. cultural behavior. TL
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c. belief system. TL
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d. cultural attitude. TL
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ANS: C Y F TL
The definition of ill or sick is based on the individual’s belief system and is determined in
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large part by his or her enculturation.
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DIF:Cognitive Level: Understanding (Comprehension) YF TL YF TL TL
Y
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OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation Y F TL Y F T L TL
YF YF TL TL
YF
7. A 22-year-old female nurse is interviewing an 86-year-old male patient. The patient
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avoids eye contact and answers questions only by saying, —Yeah,‖ —No,‖ or —I guess so.‖
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Y Y
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Y YF TL TL
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Y
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Y
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Y
FWhich of the following is appropriate for the interviewer to say or ask?
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a. —We will be able to communicate better if you look at me.‖ TL
Y
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YF
b. —It’s hard for me to gather useful information because your answers are so short.‖ TL
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Y
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c. —Are you uncomfortable talking with me?‖ Y F TL Y F TL Y F TL Y F TL Y F TL
d. —Does your religion make it hard for you to answer my questions?‖ Y
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Y
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Y
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Y
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F
Y
ANS: C Y F TL
It is all right to ask if the patient is uncomfortable with any aspect of your person and to
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talk about it; the other choices are less respectful.
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DIF:Cognitive Level: Applying (Application) Y
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Y
F
OBJ:Nursing process—assessment MSC: Y F TL Y F T L Physiologic Integrity: Physiologic Adaptation TL
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YF
8. As you explain your patient’s condition to her husband, you notice that he is leaning
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toward you and pointedly blinking his eyes. Knowing that he is from England, your
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most appropriate response to this behavior is to
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a. tell him that you understand his need to be alone. TL
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YF
b. ask whether he has any questions. YF TL YF TL YF TL Y F TL TL
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c. ask whether he would prefer to speak to the clinician. YF TL YF TL YF TL YFTL YF TL YF TL YF TL YFTL TL
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d. tell him that it is all right to be angry. YF TL YF TL YF TL TL
YF YF TL TL
YF YF TL YF TL YF TL
, (Complete 2022) Test Bank For Seidel's Guide to Physical YF TL YF TL YF TL YF TL YF TL YF TL YF TL YF TL
Examination An Interprofessional Approach 10th Edition by
YF TL TL
YF YF TL TL
YF TL
YF TL
YF TL
YF
Jane W. Ball, Joyce E. Dains Chapter 1-26; Ace in your
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Exams in 1 attempt!
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ANS: B Y F TL
The English worry about being overheard and tend to speak in modulated voices so,
TL
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YF
when they lean in toward you, they are probably poised to ask a question.
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DIF:Cognitive Level: Analyzing (Analysis) YF TL YF TL TL
Y
F
OBJ:Nursing process—assessment MSC: Y F TL Y F T L Physiologic Integrity: Physiologic Adaptation YF TL TL
YF YF TL
9. An aspect of traditional Western medicine that may be troublesome to many
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Hispanics, Native Americans, Asians, and Middle Eastern groups is Western
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medicine’s attempts to
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a. use a holistic approach that views a particular medical problem as part of a
TL
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bigger picture. YF TL YF TL
b. determine a specific cause for every problem in a precise way. TL
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c. establish harmony between a person and the entire cosmos. TL
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d. restore balance in an individual’s life. YF TL TL
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YF
ANS: B Y F TL
A more scientific approach to healthcare problem solving, in which a cause can be
TL
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determined for every problem in a precise way, is a Western approach. Hispanics,
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Native Americans, Asians, and Arabs embrace a more holistic approach. Using a
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holistic approach, establishing harmony between a person and the entire cosmos, and
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YF YF TL YF TL YF TL TL
YF YF TL YF TL YF TL
restoring balance in an individual’s life would not be troublesome to many Hispanics,
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YF TL
YF YF TL YF TL TL
YF YF TL YF TL YF TL YF TL YF TL YF TL YF TL
Native Americans, Asians, and Arabs.
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DIF:Cognitive Level: Understanding (Comprehension) YF TL YF TL TL
Y
F
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation Y F TL Y F T L YF TL TL
YF YF TL
10. The attitudes of the healthcare professional
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a. are largely irrelevant to the success of relationships with the patient.
TL
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YF YF TL
b. do not influence patient behavior. TL
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YF
c. are difficult for the patient to sense. TL
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d. are culturally derived. YF TL TL
YF
ANS: D Y F TL
The attitudes of the healthcare provider are foundationally derived from his or her own
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culture; understanding this is relevant to the success of patient relationships. Attitudes
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of the healthcare professional are easily detected by others, and they influence patient
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YF
behavior; they are not irrelevant to the success of relationships with the patient; they
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do influence patient behavior; and they are not difficult for the patient to sense.
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DIF:Cognitive Level: Understanding (Comprehension) YF TL YF TL TL
Y
F
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation Y F TL Y F T L YF TL TL
YF YF TL
11. Mr. Sanchez is a 45-year-old gentleman who has presented to the office for a
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physical examination to establish a new primary care healthcare provider. Which of
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YF
the following describes a physical, not a cultural, differentiator?
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a. Race
b. Rite
c. Ritual