26
, TABLEOFCONTENTS
1. The History and Interviewing Process
u6 u6 u6 u6
2. Cultural Competencyu6
3. Examination TechniquesJand Equipment u6 u6
4. Taking the Next Steps: Clinical Reasoning
u6 u6 u6 u6 u6
5. The Patient Record [New title / focus!]
u6 u6 u6 u6 u6 u6
6. Vital Signs and Pain Assessment
u6 u6 u6 u6
7. Mental Status u6
8. Growth,JMeasurement, and Nutrition ["formerly Growth and Nutrition"] u6 u6 u6 u6 u6 u6
9. Skin, Hair, and Nails
u6 u6 u6
10. LymphaticJSystem
11. Head and Necku6 u6
12. Eyes
13. Ears, Nose, and Throat
u6 u6 u6
14. ChestJand Lungs u6
15. Heart
16. Blood Vesselsu6
17. BreastsJand Axillae u6
18. Abdomen
19. Female Genitalia u6
20. Male Genitalia
u6
21. Anus, Rectum, and Prostate
u6 u6 u6
22. Musculoskeletal System u6
23. NeurologicJSystem
24. Head-to-Toe Examination [formerly Chapter 25: "Putting It All Together"]
u6 u6 u6 u6 u6 u6 u6 u6
25. SportsJParticipation Evaluation [formerly Chapter 24] u6 u6 u6 u6
,26. Emergency or Life-Threatening Situations
u6 u6 u6
, Chapter 01: Cultural Competency
u6 u6 u6
Ball: Seidel’s Guide to Physical Examination, 10th Edition
u6 u6 u6 u6 u6 u6 u6
MULTIPLE CHOICE u6
1. Mr. L presents toJthe clinic with severe groin pain and a history of kidney stones. Mr. L’s
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
u6 sontells you that for religiousJreasons, his father wishesJto keep any stone that is passed into
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
u6 the urine filter that he has been using. What is your most appropriate response?
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
a. ―With your father’sJpermission, we will examine the stone and request that it be
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
retu rned to him.‖
u6 u6 u6 u6
b. ―The stone must be sent to the lab for examination and therefore cannot be kept.‖
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
c. ―We cannot let him keep his stone because it violates our infection control policy.‖
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
d. ―We don’t know yetJif your father has another kidneystone,Jso we must analyze
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
this one.‖ u6 u6
ANS:J A u6
We should be willing toJmodify the delivery of health care in a manner that isJrespectful andin
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
kee ping with the patient’sJcultural background. ―With your father’s permission, we will
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
examineJthe st one and request that it be returned to him‖ isJthe most appropriate response.
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
―The stone must be sent to the lab for examination and therefore cannot be kept‖ and
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
―We don’ t know yet if your father has another kidney stone, so we must analyze this
u6 u6 u 6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
one‖ doJnotsupport th eJpatient’s request. ―We cannot let him keep his stone because it
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
violates our infection control p olicy‖ does not provide a reason that it would violate an
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
infection controlpolicy.
u6 u6
DIF:Cognitive Level: Analyzing (Analysis) u6 u6 u6
OBJ:Nursingprocess—assessment MSC: u 6 Physiologic Integrity: Physiologic Adaptation u6 u6 u6
2. Which statement is true regarding the relationship of physical characteristics and culture?
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
a. Physical characteristics should be used toJidentify members of cultural groups.
u6 u6 u6 u6 u6 u6 u6 u6 u6
b. There is a difference between distinguishing cultural characteristics
u6 u6 u6 u6 u6 u6 u6
anddist inguishing physical characteristics.
u6 u6 u6 u6
c. To be a member of a specific culture, an individual must have certain
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
identifiablephys ical characteristics.
u6 u6 u6
d. Gender and race are the two essential physical characteristicsJused to
u6 u6 u6 u6 u6 u6 u6 u6 u6
identifycul tural groups.
u6 u6 u6
ANS:J B u6
Physical characteristics are not used to identify cultural groups; there is a difference between
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
the t wo, and they areJconsidered separately. Physical characteristics should not be used to
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
identify me mbers of cultural groups. To be a member of a specific culture,Jan individual doesnot
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
need to have certain identifiable physical characteristics. You should not confuse
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
physicalcharacteristicsJwith cult ural characteristics. Gender and race are physical
u6 u6 u6 u6 u6 u6 u6 u6 u6
characteristics, not cultural characteristics, and are notJused to identify cultural groups.
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
DIF:Cognitive Level: Understanding (Comprehension) u6 u6 u6
, TABLEOFCONTENTS
1. The History and Interviewing Process
u6 u6 u6 u6
2. Cultural Competencyu6
3. Examination TechniquesJand Equipment u6 u6
4. Taking the Next Steps: Clinical Reasoning
u6 u6 u6 u6 u6
5. The Patient Record [New title / focus!]
u6 u6 u6 u6 u6 u6
6. Vital Signs and Pain Assessment
u6 u6 u6 u6
7. Mental Status u6
8. Growth,JMeasurement, and Nutrition ["formerly Growth and Nutrition"] u6 u6 u6 u6 u6 u6
9. Skin, Hair, and Nails
u6 u6 u6
10. LymphaticJSystem
11. Head and Necku6 u6
12. Eyes
13. Ears, Nose, and Throat
u6 u6 u6
14. ChestJand Lungs u6
15. Heart
16. Blood Vesselsu6
17. BreastsJand Axillae u6
18. Abdomen
19. Female Genitalia u6
20. Male Genitalia
u6
21. Anus, Rectum, and Prostate
u6 u6 u6
22. Musculoskeletal System u6
23. NeurologicJSystem
24. Head-to-Toe Examination [formerly Chapter 25: "Putting It All Together"]
u6 u6 u6 u6 u6 u6 u6 u6
25. SportsJParticipation Evaluation [formerly Chapter 24] u6 u6 u6 u6
,26. Emergency or Life-Threatening Situations
u6 u6 u6
, Chapter 01: Cultural Competency
u6 u6 u6
Ball: Seidel’s Guide to Physical Examination, 10th Edition
u6 u6 u6 u6 u6 u6 u6
MULTIPLE CHOICE u6
1. Mr. L presents toJthe clinic with severe groin pain and a history of kidney stones. Mr. L’s
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
u6 sontells you that for religiousJreasons, his father wishesJto keep any stone that is passed into
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
u6 the urine filter that he has been using. What is your most appropriate response?
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
a. ―With your father’sJpermission, we will examine the stone and request that it be
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
retu rned to him.‖
u6 u6 u6 u6
b. ―The stone must be sent to the lab for examination and therefore cannot be kept.‖
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
c. ―We cannot let him keep his stone because it violates our infection control policy.‖
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
d. ―We don’t know yetJif your father has another kidneystone,Jso we must analyze
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
this one.‖ u6 u6
ANS:J A u6
We should be willing toJmodify the delivery of health care in a manner that isJrespectful andin
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
kee ping with the patient’sJcultural background. ―With your father’s permission, we will
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
examineJthe st one and request that it be returned to him‖ isJthe most appropriate response.
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
―The stone must be sent to the lab for examination and therefore cannot be kept‖ and
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
―We don’ t know yet if your father has another kidney stone, so we must analyze this
u6 u6 u 6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
one‖ doJnotsupport th eJpatient’s request. ―We cannot let him keep his stone because it
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
violates our infection control p olicy‖ does not provide a reason that it would violate an
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
infection controlpolicy.
u6 u6
DIF:Cognitive Level: Analyzing (Analysis) u6 u6 u6
OBJ:Nursingprocess—assessment MSC: u 6 Physiologic Integrity: Physiologic Adaptation u6 u6 u6
2. Which statement is true regarding the relationship of physical characteristics and culture?
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
a. Physical characteristics should be used toJidentify members of cultural groups.
u6 u6 u6 u6 u6 u6 u6 u6 u6
b. There is a difference between distinguishing cultural characteristics
u6 u6 u6 u6 u6 u6 u6
anddist inguishing physical characteristics.
u6 u6 u6 u6
c. To be a member of a specific culture, an individual must have certain
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
identifiablephys ical characteristics.
u6 u6 u6
d. Gender and race are the two essential physical characteristicsJused to
u6 u6 u6 u6 u6 u6 u6 u6 u6
identifycul tural groups.
u6 u6 u6
ANS:J B u6
Physical characteristics are not used to identify cultural groups; there is a difference between
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
the t wo, and they areJconsidered separately. Physical characteristics should not be used to
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
identify me mbers of cultural groups. To be a member of a specific culture,Jan individual doesnot
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
need to have certain identifiable physical characteristics. You should not confuse
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
physicalcharacteristicsJwith cult ural characteristics. Gender and race are physical
u6 u6 u6 u6 u6 u6 u6 u6 u6
characteristics, not cultural characteristics, and are notJused to identify cultural groups.
u6 u6 u6 u6 u6 u6 u6 u6 u6 u6 u6
DIF:Cognitive Level: Understanding (Comprehension) u6 u6 u6