TEST BANK FOR SEIDEL'S GUIDE TO
PHYSICAL EXAMINATION AN
INTERPROFESSIONAL APPROACH 10TH
EDITION BY JANE W. BALL, JOYCE E.
DAINS: ISBN-10; 0323761836 / ISBN-13; 978-
0323761833 LATEST EDITION /ADVANCED
SOLUTIONS FOR ALL CHAPTERS
TEST BANK FOR SEIDEL'S GUIDE TO PHYSICAL EXAMINATION AN INTERPROFESSIONAL APPROACH
10TH EDITION
Chapter 01: Cultural Competency
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 and distinguishing physical
characteristics.
c. To be a member of a specific culture, an individual must have certain identifiable physical
characteristics.
d. Gender and race are the two essential physical characteristics used to identify cultural groups.
Correct Answer: B
Rationale: Physical characteristics are not used to identify cultural groups; there is a difference between
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 does not need to have
certain identifiable physical characteristics. You should not confuse physical characteristics with cultural
characteristics. Gender and race are physical characteristics, not cultural characteristics, and are not
used to identify cultural groups.
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.
Correct Answer: C
,Rationale: A fixed image of any group that rejects its potential for originality or individuality is the
definition 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.
3. Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr. L's son tells
you that for religious reasons, his father wishes to keep any stone that is passed into 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 analyze this one.
Correct Answer: A
Rationale: We should be willing to modify the delivery of health care in a manner that is respectful and
in keeping with the patient's cultural background. "With your father's permission, we will examine the
stone and request that it be returned to him" is the most appropriate response. The other options do
not support the patient's request.
4. 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.
Correct Answer: C
Rationale: Cultural encounters are the continuous process of interacting with patients from culturally
diverse 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 cultural knowledge. Cultural
desire is the motivation of the healthcare professional to want to engage in the process of becoming
culturally competent, not have to.
5. Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic. 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?"
Correct Answer: D
Rationale: "Why do you think you are having these symptoms?" is an open-ended question that avoids
stereotyping, is sensitive and respectful toward the individual, and allows for cultural data to be
exchanged. The other questions do not explore the patient's cultural beliefs about health problems.
6. The definition of ill or sick is based on a
a. stereotype.
b. cultural behavior.
c. belief system.
d. cultural attitude.
Correct Answer: C
Rationale: The definition of ill or sick is based on the individual's belief system and is determined in large
part by his or her enculturation.
7. A 22-year-old female nurse is interviewing an 86-year-old male patient. The patient avoids eye
contact and answers questions only by saying, "Yeah," "No," or "I guess so." Which of the following is
appropriate for the interviewer to say or ask?
a. We will be able to communicate better if you look at me.
b. It's hard for me to gather useful information because your answers are so short.
c. Are you uncomfortable talking with me?
d. Does your religion make it hard for you to answer my questions?
Correct Answer: C
Rationale: It is all right to ask if the patient is uncomfortable with any aspect of your person and to talk
about it; the other choices are less respectful.
8. As you explain your patient's condition to her husband, you notice that he is leaning toward you
and pointedly blinking his eyes. Knowing that he is from England, your most appropriate response to
this behavior is to
, a. tell him that you understand his need to be alone.
b. ask whether he has any questions.
c. ask whether he would prefer to speak to the clinician.
d. tell him that it is all right to be angry.
Correct Answer: B
Rationale: The English worry about being overheard and tend to speak in modulated voices so, when
they lean in toward you, they are probably poised to ask a question.
9. An aspect of traditional Western medicine that may be troublesome to many Hispanics, Native
Americans, Asians, and Middle Eastern groups is Western medicine's attempts to
a. use a holistic approach that views a particular medical problem as part of a bigger picture.
b. determine a specific cause for every problem in a precise way.
c. establish harmony between a person and the entire cosmos.
d. restore balance in an individual's life.
Correct Answer: B
Rationale: A more scientific approach to healthcare problem solving, in which a cause can be
determined for every problem in a precise way, is a Western approach. Hispanics, Native Americans,
Asians, and Arabs embrace a more holistic approach. Using a holistic approach, establishing harmony
between a person and the entire cosmos, and restoring balance in an individual's life would not be
troublesome to many Hispanics, Native Americans, Asians, and Arabs.
10. The attitudes of the healthcare professional
a. are largely irrelevant to the success of relationships with the patient.
b. do not influence patient behavior.
c. are difficult for the patient to sense.
d. are culturally derived.
Correct Answer: D
Rationale: The attitudes of the healthcare provider are foundationally derived from his or her own
culture; understanding this is relevant to the success of patient relationships. Attitudes of the healthcare
professional are easily detected by others, and they influence patient behavior.
PHYSICAL EXAMINATION AN
INTERPROFESSIONAL APPROACH 10TH
EDITION BY JANE W. BALL, JOYCE E.
DAINS: ISBN-10; 0323761836 / ISBN-13; 978-
0323761833 LATEST EDITION /ADVANCED
SOLUTIONS FOR ALL CHAPTERS
TEST BANK FOR SEIDEL'S GUIDE TO PHYSICAL EXAMINATION AN INTERPROFESSIONAL APPROACH
10TH EDITION
Chapter 01: Cultural Competency
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 and distinguishing physical
characteristics.
c. To be a member of a specific culture, an individual must have certain identifiable physical
characteristics.
d. Gender and race are the two essential physical characteristics used to identify cultural groups.
Correct Answer: B
Rationale: Physical characteristics are not used to identify cultural groups; there is a difference between
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 does not need to have
certain identifiable physical characteristics. You should not confuse physical characteristics with cultural
characteristics. Gender and race are physical characteristics, not cultural characteristics, and are not
used to identify cultural groups.
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.
Correct Answer: C
,Rationale: A fixed image of any group that rejects its potential for originality or individuality is the
definition 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.
3. Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr. L's son tells
you that for religious reasons, his father wishes to keep any stone that is passed into 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 analyze this one.
Correct Answer: A
Rationale: We should be willing to modify the delivery of health care in a manner that is respectful and
in keeping with the patient's cultural background. "With your father's permission, we will examine the
stone and request that it be returned to him" is the most appropriate response. The other options do
not support the patient's request.
4. 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.
Correct Answer: C
Rationale: Cultural encounters are the continuous process of interacting with patients from culturally
diverse 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 cultural knowledge. Cultural
desire is the motivation of the healthcare professional to want to engage in the process of becoming
culturally competent, not have to.
5. Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic. 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?"
Correct Answer: D
Rationale: "Why do you think you are having these symptoms?" is an open-ended question that avoids
stereotyping, is sensitive and respectful toward the individual, and allows for cultural data to be
exchanged. The other questions do not explore the patient's cultural beliefs about health problems.
6. The definition of ill or sick is based on a
a. stereotype.
b. cultural behavior.
c. belief system.
d. cultural attitude.
Correct Answer: C
Rationale: The definition of ill or sick is based on the individual's belief system and is determined in large
part by his or her enculturation.
7. A 22-year-old female nurse is interviewing an 86-year-old male patient. The patient avoids eye
contact and answers questions only by saying, "Yeah," "No," or "I guess so." Which of the following is
appropriate for the interviewer to say or ask?
a. We will be able to communicate better if you look at me.
b. It's hard for me to gather useful information because your answers are so short.
c. Are you uncomfortable talking with me?
d. Does your religion make it hard for you to answer my questions?
Correct Answer: C
Rationale: It is all right to ask if the patient is uncomfortable with any aspect of your person and to talk
about it; the other choices are less respectful.
8. As you explain your patient's condition to her husband, you notice that he is leaning toward you
and pointedly blinking his eyes. Knowing that he is from England, your most appropriate response to
this behavior is to
, a. tell him that you understand his need to be alone.
b. ask whether he has any questions.
c. ask whether he would prefer to speak to the clinician.
d. tell him that it is all right to be angry.
Correct Answer: B
Rationale: The English worry about being overheard and tend to speak in modulated voices so, when
they lean in toward you, they are probably poised to ask a question.
9. An aspect of traditional Western medicine that may be troublesome to many Hispanics, Native
Americans, Asians, and Middle Eastern groups is Western medicine's attempts to
a. use a holistic approach that views a particular medical problem as part of a bigger picture.
b. determine a specific cause for every problem in a precise way.
c. establish harmony between a person and the entire cosmos.
d. restore balance in an individual's life.
Correct Answer: B
Rationale: A more scientific approach to healthcare problem solving, in which a cause can be
determined for every problem in a precise way, is a Western approach. Hispanics, Native Americans,
Asians, and Arabs embrace a more holistic approach. Using a holistic approach, establishing harmony
between a person and the entire cosmos, and restoring balance in an individual's life would not be
troublesome to many Hispanics, Native Americans, Asians, and Arabs.
10. The attitudes of the healthcare professional
a. are largely irrelevant to the success of relationships with the patient.
b. do not influence patient behavior.
c. are difficult for the patient to sense.
d. are culturally derived.
Correct Answer: D
Rationale: The attitudes of the healthcare provider are foundationally derived from his or her own
culture; understanding this is relevant to the success of patient relationships. Attitudes of the healthcare
professional are easily detected by others, and they influence patient behavior.
