m m m m m m m m m
Bank / Ball: Seidel’s Guide to Physical Examination, 9th Edi
m m m m m m m m m
tion, complete test bank; questions and answers (deeply expl
m m m m m m m m
ained)
Chapter m01:mCulturalmCompetency
Ball:mSeidel’s mGuidemtomPhysicalmExamination,m10thmEdition
MULTIPLEmCHOICE
1. Whichmstatement mismtruemregardingmthemrelationshipmof mphysicalmcharacteristicsmand mculture?
a. Physicalmcharacteristicsmshould mbemused mtomidentifymmembersmof mculturalmgroups.
b. Theremismamdifferencembetweenmdistinguishingmculturalmcharacteristicsman
d mdistinguishingmphysicalmcharacteristics.
c. Tombemammembermof mamspecificmculture,manmindividualmmust mhavemcertainmidentifia
blemphysicalmcharacteristics.
d. Gendermand mracemaremthemtwomessentialmphysicalmcharacteristicsmused mtomidenti
fymculturalmgroups.
ANS:m B
Physicalmcharacteristicsmaremnot mused mtomidentifymculturalmgroups;mtheremismamdifferencembetwe
enmthemtwo,mand mtheymaremconsidered mseparately.mPhysicalmcharacteristicsmshould mnot mbemused m
tomidentifymmembersmof mculturalmgroups.mTombemammembermof mamspecificmculture,manmindividual
mdoesmnot mneed mtomhavemcertainmidentifiablemphysicalmcharacteristics.mYoumshould mnot mconfusem
physicalmcharacteristicsmwithmculturalmcharacteristics.mGendermand mracemaremphysicalm character
istics,mnot mculturalmcharacteristics,mand maremnot mused mtomidentifymculturalmgroups.
DIF:Cognitive mLevel:mUnderstandingm(Comprehension)
OBJ:Nursingm process—assessment MSC:m Physiologic mIntegrity:mPhysiologic mAdaptation
2. Anmimagemof manymgroupmthat mrejectsmitsmpotentialmformoriginalitymormindividualitymismknown
masma(n)
a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS:m C
A mfixed mimagemof manymgroupmthat mrejectsmitsmpotentialmformoriginalitymormindividualitymismthemd
efinitionmof mstereotype.mAcculturationmismthemprocessmof madoptingmanothermculture’smbehaviors.
mA mnormmismamstandard mof mallowablembehaviormwithinmamgroup.mEthnosmimplies mthemsamem racem
ormnationality.
DIF:Cognitive mLevel:mRememberingm(Knowledge)
OBJ:Nursingm process—assessment MSC:m Physiologic mIntegrity:mPhysiologic mAdaptation
3. Mr.mLmpresentsmtomthemclinicmwithmseveremgroinmpainmand mamhistorymof mkidneymstones.mMr.mL’sm
sonmtellsmyoumthat mformreligiousmreasons,mhismfathermwishesmtomkeepmanym stonemthat mismpassed mi
ntomthe
,Seidel's Guide to Physical Examination 9th Edition Ball Test
m m m m m m m m m
Bank / Ball: Seidel’s Guide to Physical Examination, 9th Edi
m m m m m m m m m
tion, complete test bank; questions and answers (deeply expl
m m m m m m m m
ained)
urinemfiltermthat mhemhasmbeenmusing.mWhat mismyourmmost mappropriatemresponse?
a. ―Withmyourmfather’smpermission,mwemwillmexamine mthemstonemand mrequest mthat mit m
bemreturned mtomhim.‖
b. ―Themstonemmust mbemsent mtomthemlabmformexaminationmand mthereforemcannot mbemkept.‖
c. ―Wemcannot mlet mhimmkeepmhismstonembecausemit mviolatesmourminfectionmcontrol mpolicy.‖
d. ―Wemdon’t mknow myet mif myourmfathermhasmanothermkidneymstone,msomwemmust manaly
zemthismone.‖
,Seidel's Guide to Physical Examination 9th Edition Ball Test
m m m m m m m m m
Bank / Ball: Seidel’s Guide to Physical Examination, 9th Edi
m m m m m m m m m
tion, complete test bank; questions and answers (deeply expl
m m m m m m m m
ained)
ANS:m A
Wemshould mbemwillingmtommodifymthemdeliverymof mhealthmcareminmammannermthat mismrespectfulma
nd minmkeepingmwithmthempatient’smculturalmbackground.m―Withmyourmfather’smpermission,mwe
mwillmexaminemthemstonemand mrequest mthat mit mbemreturned mtomhim‖ mismthemmost mappropriatemresp
onse.
―Themstonemmust mbemsent mtomthemlabmformexamination mand mthereforemcannot mbemkept‖ mand m―W
emdon’t mknowmyet mif myourmfathermhasmanothermkidneymstone,msomwemmust manalyzemthismone‖ mdom
not msupport mthempatient’smrequest.m―Wemcannot mlet mhimmkeepmhismstonembecausemit mviolatesmo
urminfectionmcontrolmpolicy‖ mdoesmnot mprovidemamreasonmthat mit mwould mviolatemanminfectionmcon
trolmpolicy.
DIF:Cognitive mLevel:mAnalyzingm(Analysis)
OBJ:Nursingm process—assessment MSC:m Physiologic mIntegrity:mPhysiologic mAdaptation
4. Themmotivationmof mthemhealthcaremprofessionalmtom―want mto‖ mengageminmthemprocess mof mbecomi
ngmculturallymcompetent,mnot m―havemto,‖ mismcalled
a. culturalmknowledge.
b. culturalmawareness.
c. culturalmdesire.
d. culturalmskill.
ANS:m C
Culturalmencountersmaremthemcontinuousmprocessmof minteractingmwithmpatientsmfrommculturallymd
iversembackgroundsmtomvalidate,mrefine,mormmodifymexistingmvalues,mbeliefs,mand mpracticesmabou
t mamculturalmgroupmand mtomdevelopmculturalmdesire,mculturalmawareness,mculturalmskill,mand mcultu
ralmknowledge.mCulturalmawarenessmismdeliberatemself-examinationmand min-
depthmexplorationmof mone’smbiases,mstereotypes,mprejudices,massumptions,mand m―-
isms‖ mthat monemholdsmabout mindividualsmand mgroupsmwhomaremdifferent mfrommthem.mCulturalmkn
owledgemismthemprocessmof mseekingmand mobtainingmamsound meducationalmbasemabout mculturallyma
nd methnicallymdiversemgroups.mCulturalmskillmismthemabilitymtomcollect mculturallym relevant mdatamre
gardingmthempatient’smpresentingmproblem,masmwellmasmaccuratelymperformingm amculturallymbase
d mphysicalmassessment minmamculturallymsensitivemmanner.mCultural mdesiremismthemmotivationmof mt
hemhealthcaremprofessionalmtomwant mtomengageminmthemprocessmof mbecomingmculturallymcompete
nt,mnot mhavemto.
DIF:Cognitive mLevel:mUnderstandingm(Comprehension)
OBJ:Nursingm process—assessment MSC:m Physiologic mIntegrity:mPhysiologic mAdaptation
5. Mr.mMarksmismam66-year-
old mpatient mwhompresentsmformamphysicalmexaminationmtomthemclinic.mWhichmquestionmhasmth
emmost mpotentialmformexploringmampatient’smculturalmbeliefsmrelated mtomamhealthmproblem?
a. ―How moftenmdomyoumhavemmedicalmexaminations?‖
b. ―What mismyourmage,mrace,mand meducationalmlevel?‖
c. ―What mtypesmof msymptomsmhavemyoumbeenmhaving?‖
d. ―Whymdomyoumthinkmyoumaremhavingmthesemsymptoms?‖
, Seidel's Guide to Physical Examination 9th Edition Ball Test
m m m m m m m m m
Bank / Ball: Seidel’s Guide to Physical Examination, 9th Edi
m m m m m m m m m
tion, complete test bank; questions and answers (deeply expl
m m m m m m m m
ained)
ANS:m D
―Whymdomyoumthinkmyoumaremhavingmthesemsymptoms?‖ mismanmopen-
ended mquestionmthat mavoidsmstereotyping,mismsensitivemand mrespectfulmtoward mthemindividual,ma
nd mallowsmformculturalmdatamtombemexchanged.mThemothermquestionsmdomnot mexploremthempatient’
smculturalmbeliefsmabout mhealthmproblems.