,
,Chapter 01: Cultural Competency
C/ C/ C/
Ball: Seidel’s Guide to Physical Examination, 11th Edition
C/ C/ C/ C/ C/ C/ C/
MULTIPLE CHOICE C/
1. Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr. L’s s
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
ontells you that for religious reasons, his father wishes to keep any stone that is passed int
C
/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
o theurine filter that he has been using. What is your most appropriate response?
C/ C
/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
a. ―With your father’s permission, we will examine the stone and request that it b
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
ereturned to him.‖
C
/ C/ C/
b. ―The stone must be sent to the lab for examination and therefore cannot be kept.‖
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
c. ―We cannot let him keep his stone because it violates our infection control policy.‖
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
d. ―We don’t know yet if your father has another kidney stone, so we must analyze
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C
/
this one.‖ C/
ANS: A C/
We should be willing to modify the delivery of health care in a manner that is respectful a
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
ndin keeping with the patient’s cultural background. ―With your father’s permission, we
C
/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
will examine the stone and request that it be returned to him‖ is the most appropriate resp
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
onse.
―The stone must be sent to the lab for examination and therefore cannot be kept‖ and ―W
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
edon’t know yet if your father has another kidney stone, so we must analyze this one‖ do
C
/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
notsupport the patient’s request. ―We cannot let him keep his stone because it violates
C
/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
our infection control policy‖ does not provide a reason that it would violate an infection c
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
ontrolpolicy. C
/
DIF:Cognitive Level: Analyzing (Analysis) C/ C/ C/
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
C/ C/ C/ C/ C/
2. Which statement is true regarding the relationship of physical characteristics and culture?
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
a. Physical characteristics should be used to identify members of cultural groups.
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
b. There is a difference between distinguishing cultural characteristics an
C/ C/ C/ C/ C/ C/ C/ C/
ddistinguishing physical characteristics.
C
/ C/ C/
c. To be a member of a specific culture, an individual must have certain identifiab
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
lephysical characteristics.
C
/ C/
d. Gender and race are the two essential physical characteristics used to identif
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
ycultural groups.C
/ C/
ANS: B C/
Physical characteristics are not used to identify cultural groups; there is a difference betwe
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
enthe two, and they are considered separately. Physical characteristics should not be used t
C
/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
o identify members of cultural groups. To be a member of a specific culture, an individual
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
doesnot need to have certain identifiable physical characteristics. You should not confuse ph
C
/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
ysicalcharacteristics with cultural characteristics. Gender and race are physical characteristi
C
/ C/ C/ C/ C/ C/ C/ C/ C/ C/
cs, not cultural characteristics, and are not used to identify cultural groups.
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
DIF:Cognitive Level: Understanding (Comprehension) C/ C/ C/
, OBJ:Nursing process—assessment C/ MSC: Physiologic Integrity: Physiologic Adaptation
C/ C/ C/ C/
3. An image of any group that rejects its potential for originality or individuality is known
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
asa(n) C
/
a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS: C C/
A fixed image of any group that rejects its potential for originality or individuality is the
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
definition of stereotype. Acculturation is the process of adopting another culture’s behaviors
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
.A norm is a standard of allowable behavior within a group. Ethnos implies the same race
C
/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
ornationality.
C/ C
/
DIF:Cognitive Level: Remembering (Knowledge) C/ C/ C/
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
C/ C/ C/ C/ C/
4. The motivation of the healthcare professional to ―want to‖ engage in the process of becomin
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
gculturally competent, not ―have to,‖ is called
C
/ C/ C/ C/ C/ C/ C/
a. cultural knowledge. C/
b. cultural awareness. C/
c. cultural desire. C/
d. cultural skill. C/
ANS: C C/
Cultural encounters are the continuous process of interacting with patients from culturally d
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
iverse backgrounds to validate, refine, or modify existing values, beliefs, and practices about
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C
/
a cultural group and to develop cultural desire, cultural awareness, cultural skill, and cultur
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
al knowledge. Cultural awareness is deliberate self-examination and in-
C/ C/ C/ C/ C/ C/ C/ C/
depth exploration of one’s biases, stereotypes, prejudices, assumptions, and ―-
C/ C/ C/ C/ C/ C/ C/ C/ C/
isms‖ that one holds about individuals and groups who are different from them. Cultural kn
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
owledge is the process of seeking and obtaining a sound educational base about culturally an
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
d ethnically diverse groups.Cultural skill is the ability to collect culturally relevant data rega
C/ C/ C/ C
/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
rding the patient’s presentingproblem, as well as accurately performing a culturally based p
C/ C/ C/ C
/ C/ C/ C/ C/ C/ C/ C/ C/ C/
hysical assessment in a culturally sensitive manner. Cultural desire is the motivation of the
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
healthcare professional towant to engage in the process of becoming culturally competent,
C/ C/ C
/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
not have to. C/ C/
DIF:Cognitive Level: Understanding (Comprehension) C/ C/ C/
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
C/ C/ C/ C/ C/
5. Mr. Marks is a 66-year-
C/ C/ C/ C/
old patient who presents for a physical examination to the clinic. Which question has th
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
,Chapter 01: Cultural Competency
C/ C/ C/
Ball: Seidel’s Guide to Physical Examination, 11th Edition
C/ C/ C/ C/ C/ C/ C/
MULTIPLE CHOICE C/
1. Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr. L’s s
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
ontells you that for religious reasons, his father wishes to keep any stone that is passed int
C
/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
o theurine filter that he has been using. What is your most appropriate response?
C/ C
/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
a. ―With your father’s permission, we will examine the stone and request that it b
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
ereturned to him.‖
C
/ C/ C/
b. ―The stone must be sent to the lab for examination and therefore cannot be kept.‖
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
c. ―We cannot let him keep his stone because it violates our infection control policy.‖
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
d. ―We don’t know yet if your father has another kidney stone, so we must analyze
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C
/
this one.‖ C/
ANS: A C/
We should be willing to modify the delivery of health care in a manner that is respectful a
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
ndin keeping with the patient’s cultural background. ―With your father’s permission, we
C
/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
will examine the stone and request that it be returned to him‖ is the most appropriate resp
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
onse.
―The stone must be sent to the lab for examination and therefore cannot be kept‖ and ―W
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
edon’t know yet if your father has another kidney stone, so we must analyze this one‖ do
C
/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
notsupport the patient’s request. ―We cannot let him keep his stone because it violates
C
/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
our infection control policy‖ does not provide a reason that it would violate an infection c
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
ontrolpolicy. C
/
DIF:Cognitive Level: Analyzing (Analysis) C/ C/ C/
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
C/ C/ C/ C/ C/
2. Which statement is true regarding the relationship of physical characteristics and culture?
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
a. Physical characteristics should be used to identify members of cultural groups.
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
b. There is a difference between distinguishing cultural characteristics an
C/ C/ C/ C/ C/ C/ C/ C/
ddistinguishing physical characteristics.
C
/ C/ C/
c. To be a member of a specific culture, an individual must have certain identifiab
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
lephysical characteristics.
C
/ C/
d. Gender and race are the two essential physical characteristics used to identif
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
ycultural groups.C
/ C/
ANS: B C/
Physical characteristics are not used to identify cultural groups; there is a difference betwe
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
enthe two, and they are considered separately. Physical characteristics should not be used t
C
/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
o identify members of cultural groups. To be a member of a specific culture, an individual
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
doesnot need to have certain identifiable physical characteristics. You should not confuse ph
C
/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
ysicalcharacteristics with cultural characteristics. Gender and race are physical characteristi
C
/ C/ C/ C/ C/ C/ C/ C/ C/ C/
cs, not cultural characteristics, and are not used to identify cultural groups.
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
DIF:Cognitive Level: Understanding (Comprehension) C/ C/ C/
, OBJ:Nursing process—assessment C/ MSC: Physiologic Integrity: Physiologic Adaptation
C/ C/ C/ C/
3. An image of any group that rejects its potential for originality or individuality is known
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
asa(n) C
/
a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS: C C/
A fixed image of any group that rejects its potential for originality or individuality is the
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
definition of stereotype. Acculturation is the process of adopting another culture’s behaviors
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
.A norm is a standard of allowable behavior within a group. Ethnos implies the same race
C
/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
ornationality.
C/ C
/
DIF:Cognitive Level: Remembering (Knowledge) C/ C/ C/
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
C/ C/ C/ C/ C/
4. The motivation of the healthcare professional to ―want to‖ engage in the process of becomin
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
gculturally competent, not ―have to,‖ is called
C
/ C/ C/ C/ C/ C/ C/
a. cultural knowledge. C/
b. cultural awareness. C/
c. cultural desire. C/
d. cultural skill. C/
ANS: C C/
Cultural encounters are the continuous process of interacting with patients from culturally d
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
iverse backgrounds to validate, refine, or modify existing values, beliefs, and practices about
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C
/
a cultural group and to develop cultural desire, cultural awareness, cultural skill, and cultur
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
al knowledge. Cultural awareness is deliberate self-examination and in-
C/ C/ C/ C/ C/ C/ C/ C/
depth exploration of one’s biases, stereotypes, prejudices, assumptions, and ―-
C/ C/ C/ C/ C/ C/ C/ C/ C/
isms‖ that one holds about individuals and groups who are different from them. Cultural kn
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
owledge is the process of seeking and obtaining a sound educational base about culturally an
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
d ethnically diverse groups.Cultural skill is the ability to collect culturally relevant data rega
C/ C/ C/ C
/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
rding the patient’s presentingproblem, as well as accurately performing a culturally based p
C/ C/ C/ C
/ C/ C/ C/ C/ C/ C/ C/ C/ C/
hysical assessment in a culturally sensitive manner. Cultural desire is the motivation of the
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
healthcare professional towant to engage in the process of becoming culturally competent,
C/ C/ C
/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
not have to. C/ C/
DIF:Cognitive Level: Understanding (Comprehension) C/ C/ C/
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
C/ C/ C/ C/ C/
5. Mr. Marks is a 66-year-
C/ C/ C/ C/
old patient who presents for a physical examination to the clinic. Which question has th
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/