2023 Test Bank For Seidel's Guide to Physical
b b b b b b b
Examination An Interprofessional Approach 10th
b b b b b
Edition byJane W. Ball, Joyce E. Dains Chapter 1-
b b b b b b b b b b
26; Ace in your Exams in 1 attempt A+
b b b b b b b b b
,Chapter01: Cultural Competency
b b b
Ball: Seidel’s Guide to Physical Examination, 10th Edition
b b b b b b b
MULTIPLECHOICE b
1. Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr. L’s sontells
b b b b b b b b b b b b b b b b b b b
b you that for religious reasons, his father wishes to keep any stone that is passed into the urine
b b b b b b b b b b b b b b b b b
b filter that he has been using. What is your most appropriate response?
b b b b b b b b b b b
a. ―With yourfather’s permission, wewill examine the stoneand request that itbe
b b b b b b b b b b b b b
returned to him.‖
b b b
b. ―Thestonemust besent tothe lab forexamination and thereforecannot be kept.‖
b b b b b b b b b b b b b b
c. ―Wecannotlet himkeephis stonebecauseitviolates ourinfection control policy.‖
b b b b b b b b b b b b b
d. ―Wedon’tknow yetif yourfatherhas anotherkidneystone, sowemust analyzethis
b b b b b b b b b b b b b b b
one.‖ b
ANS: A b
We should be willing to modify the delivery of health care in a manner that is respectful and in
b b b b b b b b b b b b b b b b b b
keeping with the patient’s cultural background. ―With your father’s permission, we will
b b b b b b b b b b b b
examine the stone and request that it be returned to him‖ is the most appropriate response.
b b b b b b b b b b b b b b b b
―Thestone must be sent tothe lab forexamination and therefore cannot be kept‖ and ―Wedon’t
b b b b b b b b b b b b b b b b b
know yet if your father has another kidneystone, so we must analyze this one‖ do notsupport the
b b b b b b b b b b b b b b b b b b b
patient’s request. ―We cannot let him keep his stone because it violates our infection control
b b b b b b b b b b b b b b b
policy‖ does not provide a reason that it would violate an infection controlpolicy.
b b b b b b b b b b b b b b
DIF:Cognitive Level: Analyzing (Analysis) b b b
OBJ:Nursing process—assessment b MSC: Physiologic Integrity: Physiologic Adaptation b b b b
2. Which statement is true regardingthe relationship of physical characteristics and culture?
b b b b b b b b b b b
a. Physical characteristics should be used to identifymembers of cultural groups. b b b b b b b b b b
b. Thereis adifference between distinguishing cultural characteristics and
b b b b b b b b
distinguishing physical characteristics.
b b b
c. To be a member of a specific culture, an individual must have certain identifiable
b b b b b b b b b b b b b
physical characteristics.
b b
d. Gender and race are the two essential physical characteristics used to identify
b b b b b b b b b b b
cultural groups.
b b
ANS: B b
Physical characteristics are not used to identify cultural groups; there is a difference betweenthe
b b b b b b b b b b b b b b
two, and they are considered separately. Physical characteristics should not be used to identify
b b b b b b b b b b b b b b
members of cultural groups. To be a member of a specific culture, an individual doesnot need to
b b b b b b b b b b b b b b b b b b
have certain identifiable physical characteristics. You should not confuse physicalcharacteristics
b b b b b b b b b b b
with cultural characteristics. Gender and race are physical characteristics, not cultural
b b b b b b b b b b b
characteristics, and are not used to identify cultural groups.
b b b b b b b b b
DIF:Cognitive Level: Understanding(Comprehension) b b b
, OBJ:Nursing process—assessment b MSC: Physiologic Integrity: Physiologic Adaptation
b b b b
3. An image of any group that rejects its potential for originalityor individualityis known asa(n)
b b b b b b b b b b b b b b b b
a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS: C b
A fixed image of any group that rejects its potential for originality or individuality is the
b b b b b b b b b b b b b b b
definition of stereotype. Acculturation is the process of adopting another culture’s behaviors.A
b b b b b b b b b b b b b
norm is a standard of allowable behavior within a group. Ethnos implies the same race or
b b b b b b b b b b b b b b b b
nationality.
b
DIF:Cognitive Level: Remembering(Knowledge) b b b
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
b b b b b
4. Themotivation ofthe healthcareprofessional to ―want to‖ engage in the process of becoming
b b b b b b b b b b b b b b
culturally competent, not ―have to,‖ is called
b b b b b b b
a. culturalknowledge. b
b. culturalawareness. b
c. cultural desire. b
d. cultural skill. b
ANS: C b
Cultural encounters are the continuous process of interacting with patients from culturally
b b b b b b b b b b b
diverse backgrounds to validate, refine, or modify existing values, beliefs, and practices abouta
b b b b b b b b b b b b b b
cultural group and to develop cultural desire, cultural awareness, cultural skill, and cultural
b b b b b b b b b b b b b
knowledge. Cultural awareness is deliberate self-examination and in-depth exploration of one’s
b b b b b b b b b b b
biases, stereotypes, prejudices, assumptions, and ―-isms‖ that one holds about individuals and
b b b b b b b b b b b b
groups who are different from them. Cultural knowledge is the process of seeking and obtaining a
b b b b b b b b b b b b b b b b
sound educational base about culturally and ethnicallydiverse groups.Cultural skill is the ability to
b b b b b b b b b b b b b b b
collect culturally relevant data regarding the patient’s presentingproblem, as well as accurately
b b b b b b b b b b b b b
performing a culturally based physical assessment in a culturally sensitive manner. Cultural
b b b b b b b b b b b b
desire is the motivation of the healthcare professional towant to engage in the process of
b b b b b b b b b b b b b b b b
becoming culturally competent, not have to.
b b b b b b
DIF:Cognitive Level: Understanding (Comprehension) b b b
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
b b b b b
5. Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic.
b b b b b b b b b b b b b b
Which question has the most potential for exploring a patient’s cultural beliefs related to a
b b b b b b b b b b b b b b b
health problem?
b b
, a. ―Howoftendo youhavemedicalexaminations?‖ b b b b b b
b. ―Whatis yourage, race, and educationallevel?‖ b b b b b b b
c. ―Whattypes ofsymptoms have you been having?‖ b b b b b b b
d. ―Whydo you think you arehavingthesesymptoms?‖
b b b b b b b b
ANS: D b
―Whydo you think you arehaving thesesymptoms?‖ is an open-ended question that avoids
b b b b b b b b b b b b b b
stereotyping, is sensitive and respectful toward the individual, and allows for cultural data tobe
b b b b b b b b b b b b b b b
exchanged. The other questions do not explore the patient’s cultural beliefs about health
b b b b b b b b b b b b b
problems.
b
DIF:Cognitive Level: Analyzing (Analysis) b b b
OBJ:Nursing process—assessment b MSC: Physiologic Integrity: Physiologic Adaptation b b b b
6. The definition of ill or sick is based on a
b b b b b b b b b
a. stereotype.
b. cultural behavior. b
c. beliefsystem. b
d. cultural attitude. b
ANS: C b
Thedefinition of ill orsick is based on the individual’s belief system and is determined inlarge
b b b b b b b b b b b b b b b b b
part by his or her enculturation.
b b b b b b
DIF:Cognitive Level: Understanding(Comprehension) b b b
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
b b b b b
7. A 22-year-old female nurse is interviewing an 86-year-old male patient. The patient avoids eye
b b b b b b b b b b b b b
contact and answers questions only by saying, ―Yeah,‖ ―No,‖ or ―I guess so.‖ Which of the
b b b b b b b b b b b b b b b b
following is appropriate for the interviewer to say or ask?
b b b b b b b b b b
a. ―Wewill beable to communicate betterif you look at me.‖ b b b b b b b b b b b
b. ―It’s hard forme to gatheruseful information because youranswers areso short.‖
b b b b b b b b b b b b b
c. ―Are you uncomfortable talkingwith me?‖ b b b b b
d. ―Does your religion makeit hard for you to answer myquestions?‖ b b b b b b b b b b b
ANS: C b
It is all right to ask if the patient is uncomfortable with any aspect of your person and to talkabout it;
b b b b b b b b b b b b b b b b b b b b b
the other choices are less respectful.
b b b b b b
DIF:Cognitive Level: Applying (Application) b b b
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
b b b b b
8. As you explain your patient’s condition to her husband, you notice that he is leaning toward you
b b b b b b b b b b b b b b b b
and pointedly blinking his eyes. Knowing that he is from England, your most appropriateresponse
b b b b b b b b b b b b b b b
to this behavior is to
b b b b b
a. tell him that you understand his need to be alone.
b b b b b b b b b
b. ask whether he has anyquestions. b b b b b
c. ask whether he would prefer to speak to the clinician.
b b b b b b b b b
b b b b b b b
Examination An Interprofessional Approach 10th
b b b b b
Edition byJane W. Ball, Joyce E. Dains Chapter 1-
b b b b b b b b b b
26; Ace in your Exams in 1 attempt A+
b b b b b b b b b
,Chapter01: Cultural Competency
b b b
Ball: Seidel’s Guide to Physical Examination, 10th Edition
b b b b b b b
MULTIPLECHOICE b
1. Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr. L’s sontells
b b b b b b b b b b b b b b b b b b b
b you that for religious reasons, his father wishes to keep any stone that is passed into the urine
b b b b b b b b b b b b b b b b b
b filter that he has been using. What is your most appropriate response?
b b b b b b b b b b b
a. ―With yourfather’s permission, wewill examine the stoneand request that itbe
b b b b b b b b b b b b b
returned to him.‖
b b b
b. ―Thestonemust besent tothe lab forexamination and thereforecannot be kept.‖
b b b b b b b b b b b b b b
c. ―Wecannotlet himkeephis stonebecauseitviolates ourinfection control policy.‖
b b b b b b b b b b b b b
d. ―Wedon’tknow yetif yourfatherhas anotherkidneystone, sowemust analyzethis
b b b b b b b b b b b b b b b
one.‖ b
ANS: A b
We should be willing to modify the delivery of health care in a manner that is respectful and in
b b b b b b b b b b b b b b b b b b
keeping with the patient’s cultural background. ―With your father’s permission, we will
b b b b b b b b b b b b
examine the stone and request that it be returned to him‖ is the most appropriate response.
b b b b b b b b b b b b b b b b
―Thestone must be sent tothe lab forexamination and therefore cannot be kept‖ and ―Wedon’t
b b b b b b b b b b b b b b b b b
know yet if your father has another kidneystone, so we must analyze this one‖ do notsupport the
b b b b b b b b b b b b b b b b b b b
patient’s request. ―We cannot let him keep his stone because it violates our infection control
b b b b b b b b b b b b b b b
policy‖ does not provide a reason that it would violate an infection controlpolicy.
b b b b b b b b b b b b b b
DIF:Cognitive Level: Analyzing (Analysis) b b b
OBJ:Nursing process—assessment b MSC: Physiologic Integrity: Physiologic Adaptation b b b b
2. Which statement is true regardingthe relationship of physical characteristics and culture?
b b b b b b b b b b b
a. Physical characteristics should be used to identifymembers of cultural groups. b b b b b b b b b b
b. Thereis adifference between distinguishing cultural characteristics and
b b b b b b b b
distinguishing physical characteristics.
b b b
c. To be a member of a specific culture, an individual must have certain identifiable
b b b b b b b b b b b b b
physical characteristics.
b b
d. Gender and race are the two essential physical characteristics used to identify
b b b b b b b b b b b
cultural groups.
b b
ANS: B b
Physical characteristics are not used to identify cultural groups; there is a difference betweenthe
b b b b b b b b b b b b b b
two, and they are considered separately. Physical characteristics should not be used to identify
b b b b b b b b b b b b b b
members of cultural groups. To be a member of a specific culture, an individual doesnot need to
b b b b b b b b b b b b b b b b b b
have certain identifiable physical characteristics. You should not confuse physicalcharacteristics
b b b b b b b b b b b
with cultural characteristics. Gender and race are physical characteristics, not cultural
b b b b b b b b b b b
characteristics, and are not used to identify cultural groups.
b b b b b b b b b
DIF:Cognitive Level: Understanding(Comprehension) b b b
, OBJ:Nursing process—assessment b MSC: Physiologic Integrity: Physiologic Adaptation
b b b b
3. An image of any group that rejects its potential for originalityor individualityis known asa(n)
b b b b b b b b b b b b b b b b
a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS: C b
A fixed image of any group that rejects its potential for originality or individuality is the
b b b b b b b b b b b b b b b
definition of stereotype. Acculturation is the process of adopting another culture’s behaviors.A
b b b b b b b b b b b b b
norm is a standard of allowable behavior within a group. Ethnos implies the same race or
b b b b b b b b b b b b b b b b
nationality.
b
DIF:Cognitive Level: Remembering(Knowledge) b b b
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
b b b b b
4. Themotivation ofthe healthcareprofessional to ―want to‖ engage in the process of becoming
b b b b b b b b b b b b b b
culturally competent, not ―have to,‖ is called
b b b b b b b
a. culturalknowledge. b
b. culturalawareness. b
c. cultural desire. b
d. cultural skill. b
ANS: C b
Cultural encounters are the continuous process of interacting with patients from culturally
b b b b b b b b b b b
diverse backgrounds to validate, refine, or modify existing values, beliefs, and practices abouta
b b b b b b b b b b b b b b
cultural group and to develop cultural desire, cultural awareness, cultural skill, and cultural
b b b b b b b b b b b b b
knowledge. Cultural awareness is deliberate self-examination and in-depth exploration of one’s
b b b b b b b b b b b
biases, stereotypes, prejudices, assumptions, and ―-isms‖ that one holds about individuals and
b b b b b b b b b b b b
groups who are different from them. Cultural knowledge is the process of seeking and obtaining a
b b b b b b b b b b b b b b b b
sound educational base about culturally and ethnicallydiverse groups.Cultural skill is the ability to
b b b b b b b b b b b b b b b
collect culturally relevant data regarding the patient’s presentingproblem, as well as accurately
b b b b b b b b b b b b b
performing a culturally based physical assessment in a culturally sensitive manner. Cultural
b b b b b b b b b b b b
desire is the motivation of the healthcare professional towant to engage in the process of
b b b b b b b b b b b b b b b b
becoming culturally competent, not have to.
b b b b b b
DIF:Cognitive Level: Understanding (Comprehension) b b b
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
b b b b b
5. Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic.
b b b b b b b b b b b b b b
Which question has the most potential for exploring a patient’s cultural beliefs related to a
b b b b b b b b b b b b b b b
health problem?
b b
, a. ―Howoftendo youhavemedicalexaminations?‖ b b b b b b
b. ―Whatis yourage, race, and educationallevel?‖ b b b b b b b
c. ―Whattypes ofsymptoms have you been having?‖ b b b b b b b
d. ―Whydo you think you arehavingthesesymptoms?‖
b b b b b b b b
ANS: D b
―Whydo you think you arehaving thesesymptoms?‖ is an open-ended question that avoids
b b b b b b b b b b b b b b
stereotyping, is sensitive and respectful toward the individual, and allows for cultural data tobe
b b b b b b b b b b b b b b b
exchanged. The other questions do not explore the patient’s cultural beliefs about health
b b b b b b b b b b b b b
problems.
b
DIF:Cognitive Level: Analyzing (Analysis) b b b
OBJ:Nursing process—assessment b MSC: Physiologic Integrity: Physiologic Adaptation b b b b
6. The definition of ill or sick is based on a
b b b b b b b b b
a. stereotype.
b. cultural behavior. b
c. beliefsystem. b
d. cultural attitude. b
ANS: C b
Thedefinition of ill orsick is based on the individual’s belief system and is determined inlarge
b b b b b b b b b b b b b b b b b
part by his or her enculturation.
b b b b b b
DIF:Cognitive Level: Understanding(Comprehension) b b b
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
b b b b b
7. A 22-year-old female nurse is interviewing an 86-year-old male patient. The patient avoids eye
b b b b b b b b b b b b b
contact and answers questions only by saying, ―Yeah,‖ ―No,‖ or ―I guess so.‖ Which of the
b b b b b b b b b b b b b b b b
following is appropriate for the interviewer to say or ask?
b b b b b b b b b b
a. ―Wewill beable to communicate betterif you look at me.‖ b b b b b b b b b b b
b. ―It’s hard forme to gatheruseful information because youranswers areso short.‖
b b b b b b b b b b b b b
c. ―Are you uncomfortable talkingwith me?‖ b b b b b
d. ―Does your religion makeit hard for you to answer myquestions?‖ b b b b b b b b b b b
ANS: C b
It is all right to ask if the patient is uncomfortable with any aspect of your person and to talkabout it;
b b b b b b b b b b b b b b b b b b b b b
the other choices are less respectful.
b b b b b b
DIF:Cognitive Level: Applying (Application) b b b
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
b b b b b
8. As you explain your patient’s condition to her husband, you notice that he is leaning toward you
b b b b b b b b b b b b b b b b
and pointedly blinking his eyes. Knowing that he is from England, your most appropriateresponse
b b b b b b b b b b b b b b b
to this behavior is to
b b b b b
a. tell him that you understand his need to be alone.
b b b b b b b b b
b. ask whether he has anyquestions. b b b b b
c. ask whether he would prefer to speak to the clinician.
b b b b b b b b b
