Chapter 02: Cultural Competency
Ball: Seidel’s Guide to Physical Examination, 9th Edition
MULTIPLE CHOICE
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.
ANS: B
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 u sed to identify
cultural groups.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
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.
ANS: C
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.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
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.”
ANS: A
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 stone must be sent to the lab for
examination and therefore cannot be kept” and “We don’t know yet if your father
has another kidney stone, so we must analyze this one” do not support the patient’s
request. “We cannot let him keep his stone because it violates our infection control
policy” does not provide a reason that it would violate an infection control policy.
DIF: Cognitive Level: Analyzing (Analysis)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
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.
ANS: C
Ball: Seidel’s Guide to Physical Examination, 9th Edition
MULTIPLE CHOICE
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.
ANS: B
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 u sed to identify
cultural groups.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
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.
ANS: C
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.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
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.”
ANS: A
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 stone must be sent to the lab for
examination and therefore cannot be kept” and “We don’t know yet if your father
has another kidney stone, so we must analyze this one” do not support the patient’s
request. “We cannot let him keep his stone because it violates our infection control
policy” does not provide a reason that it would violate an infection control policy.
DIF: Cognitive Level: Analyzing (Analysis)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
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.
ANS: C
