FULLTESTBANK
SEIDEL'S GUIDE TO PHYSICAL EXAMINATION AN
INTERPROFESSIONAL APPROACH 10TH EDITION
PRINTED PDF | ORIGINAL DIRECTLY FROM THE PUBLISHER | 100%
VERIFIED ANSWERS | DOWNLOAD IMMEDIATELY AFTER THE ORDER
,Table Of Content
Chapter 1. Cultural Competency
Chapter 2. The History And Interviewing Process
Chapter 3. Examination Techniques And Equipment
Chapter 4. Taking The Next Steps: Clinical Reasoning
Chapter 5. The Health Record
Chapter 6. Vital Signs And Pain Assessment
Chapter 7. Mental Status
Chapter 8. Growth And Nutrition
Chapter 9. Skin, Hair, And Nails
Chapter 10. Lymphatic System
Chapter 11. Head And Neck
Chapter 12. Eyes
Chapter 13. Ears, Nose, And Throat
Chapter 14. Chest And Lungs
Chapter 15. Heart
Chapter 16. Blood Vessels
Chapter 17. Breasts And Axillae
Chapter 18. Abdomen
Chapter 19. Female Genitalia
Chapter 20. Male Genitalia
Chapter 21. Anus, Rectum, And Prostate
Chapter 22. Musculoskeletal System
Chapter 23. Neurologic System
Chapter 24. Putting It All Together
Chapter 25. Sports Participation Evaluation
Chapter 26. Emergency Or Life-Threatening Situations
,Chapter 01: Cultural Competency
Ball: Seidel’s Guide To Physical Examination, 10th 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.
Answer: 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 Used To
Identify Cultural Groups.
Difficulty: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.
Answer: 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.
Difficulty: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.‖
Answer: 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.
Difficulty: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.
Answer: C
Cultural Encounters Are The Continuous Process Of Interacting With Patients From
Culturally Diverse Backgrounds To Validate, Refine, Or Modify Existing Values, Beliefs,
And Practices About A Cultural Group And To Develop Cultural Desire, Cultural Awareness,
Cultural Skill, And Cultural Knowledge. Cultural Awareness Is Deliberate Self-Examination
And In-Depth Exploration Of One’s Biases, Stereotypes, Prejudices, Assumptions, And ―-
Isms‖ That One Holds About Individuals And Groups Who Are Different From Them.
Cultural Knowledge Is The Process Of Seeking And Obtaining A Sound Educational Base
About Culturally And Ethnically Diverse Groups.Cultural Skill Is The Ability To Collect
Culturally Relevant Data Regarding The Patient’s Presenting Problem, As Well As Accurately
Performing A Culturally Based Physical Assessment In A Culturally Sensitive Manner.
Cultural Desire Is The Motivation Of The Healthcare Professional To Want To Engage In The
Process Of Becoming Culturally Competent, Not Have To.
Difficulty:Cognitive Level: Understanding (Comprehension)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
5. Mr. Marks Is A 66-Year-Old Patient Who Presents For A Physical Examination To The
Clinic. Which Question Has The Most Potential For Exploring A Patient’s Cultural
Beliefs Related To A Health Problem?
a. ―How Often Do You Have Medical Examinations?
‖ B. ―What Is Your Age, Race, And Educational Level?
‖
c. ―What Types Of Symptoms Have You Been Having?‖
d. ―Why Do You Think You Are Having These Symptoms?‖
Answer: D
―Why Do You Think You Are Having These Symptoms?‖ Is An Open-Ended Question
That Avoids Stereotyping, Is Sensitive And Respectful Toward The Individual, And Allows
For Cultural Data To Be Exchanged. The Other Questions Do Not Explore The Patient’s
Cultural Beliefs About Health Problems.
, Difficulty:Cognitive Level: Analyzing (Analysis)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
6. The Definition Of Ill Or Sick Is Based On A
a. Stereotype.
b. Cultural Behavior.
c. Belief System.
d. Cultural Attitude.
Answer: C
The Definition Of Ill Or Sick Is Based On The Individual’s Belief System And Is Determined
In Large Part By His Or Her Enculturation.
Difficulty:Cognitive Level: Understanding (Comprehension)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
7. A 22-Year-Old Female Nurse Is Interviewing An 86-Year-Old Male Patient. The Patient
Avoids Eye Contact And Answers Questions Only By Saying, ―Yeah,‖ ―No,‖ Or ―I
Guess So.‖ Which Of The Following Is Appropriate For The Interviewer To Say Or Ask?
a. ―We Will Be Able To Communicate Better If You Look At Me.‖
b. ―It’s Hard For Me To Gather Useful Information Because Your Answers
Are So Short.‖ C. ―Are You Uncomfortable Talking With Me?‖
D. ―Does Your Religion Make It Hard For You To Answer My Questions?‖
Answer: C
It Is All Right To Ask If The Patient Is Uncomfortable With Any Aspect Of Your Person
And To Talk About It; The Other Choices Are Less Respectful.
Difficulty:Cognitive Level: Applying (Application)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
8. As You Explain Your Patient’s Condition To Her Husband, You Notice That He Is Leaning
Toward You And Pointedly Blinking His Eyes. Knowing That He Is From England, Your
Most Appropriate Response To This Behavior Is To
a. Tell Him That You Understand His Need To Be Alone.
b. Ask Whether He Has Any Questions.
c. Ask Whether He Would Prefer To Speak To The Clinician.
d. Tell Him That It Is All Right To Be Angry.
Answer: B
The English Worry About Being Overheard And Tend To Speak In Modulated Voices So,
When They Lean In Toward You, They Are Probably Poised To Ask A Question.
Difficulty:Cognitive Level: Analyzing (Analysis)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
9. An Aspect Of Traditional Western Medicine That May Be Troublesome To Many
Hispanics, Native Americans, Asians, And Middle Eastern Groups Is Western
Medicine’s Attempts To
a. Use A Holistic Approach That Views A Particular Medical Problem As Part Of A
Bigger Picture.
b. Determine A Specific Cause For Every Problem In A Precise Way.
c. Establish Harmony Between A Person And The Entire Cosmos.
, d. Restore Balance In An Individual’s Life.
Answer: B
A More Scientific Approach To Healthcare Problem Solving, In Which A Cause Can Be
Determined For Every Problem In A Precise Way, Is A Western Approach. Hispanics, Native
Americans, Asians, And Arabs Embrace A More Holistic Approach. Using A Holistic
Approach, Establishing Harmony Between A Person And The Entire Cosmos, And Restoring
Balance In An Individual’s Life Would Not Be Troublesome To Many Hispanics, Native
Americans, Asians, And Arabs.
Difficulty:Cognitive Level: Understanding (Comprehension)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
10. The Attitudes Of The Healthcare Professional
a. Are Largely Irrelevant To The Success Of Relationships With The Patient.
b. Do Not Influence Patient Behavior.
c. Are Difficult For The Patient To Sense.
d. Are Culturally Derived.
Answer: D
The Attitudes Of The Healthcare Provider Are Foundationally Derived From His Or Her Own
Culture; Understanding This Is Relevant To The Success Of Patient Relationships. Attitudes
Of The Healthcare Professional Are Easily Detected By Others, And They Influence Patient
Behavior; They Are Not Irrelevant To The Success Of Relationships With The Patient; They
Do Influence Patient Behavior; And They Are Not Difficult For The Patient To Sense.
Difficulty:Cognitive Level: Understanding (Comprehension)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
11. Mr. Sanchez Is A 45-Year-Old Gentleman Who Has Presented To The Office For A
Physical Examination To Establish A New Primary Care Healthcare Provider. Which Of
The Following Describes A Physical, Not A Cultural, Differentiator?
a. Race
b. Rite
c. Ritual
d. Norm
Answer: A
Race Is A Physical, Not A Cultural, Differentiator. Rite Is A Prescribed, Formal, Customary
Observance. Ritual Is A Stereotypic Behavior Regulating Religious, Social, And Professional
Behaviors. A Norm Is A Prescribed Standard Of Allowable Behavior Within A Group.
Difficulty:Cognitive Level: Remembering (Knowledge)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
12. Mr. Abdul Is A 40-Year-Old Middle Eastern Man Who Presents To The Office For A First
Visit With The Complaint Of New Abdominal Pain. You Are Concerned About Violating A
Cultural Prohibition When You Prepare To Do His Rectal Examination. The Best Tactic
Would Be To
a. Forego The Examination For Fear Of Violating Cultural Norms.
b. Ask A Colleague From The Same Geographic Area If This Examination Is Acceptable.
c. Inform The Patient Of The Reason For The Examination And Ask If It Is
Acceptable To Him.
d. Refer The Patient To A Provider More Knowledgeable About Cultural Differences.
, Answer: C
Asking, If You Are Not Sure, Is Far Better Than Making A Damaging Mistake. Not
Completing The Examination Could Cause The Patient Further Harm. Asking A Colleague
From The Same Geographic Area If This Examination Is Acceptable May Not Be
Appropriate. Referring The Patient To A Provider More Knowledgeable About Cultural
Differences At This Point Is Unnecessary.
Difficulty:Cognitive Level: Applying (Application)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
13. Mr. Jones Is A 45-Year-Old Patient Who Presents To The Office. A Person’s Definition Of
Illness Is Likely To Be Most Influenced By
a. Race.
b. Socioeconomic Class.
c. Enculturation.
d. Age Group.
Answer: C
The Definition Of Illness Is Determined In Large Part By The Individual’s Enculturation
(The Process Whereby An Individual Assumes The Traits And Behaviors Of A Given
Culture).
Difficulty:Cognitive Level: Understanding (Comprehension)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
14. As The Healthcare Provider, You Are Informing A Patient That He Or She Has A
Terminal Illness. This Discussion Is Most Likely To Be Discouraged In Which Cultural
Group?
a. Navajo Native Americans
b. Dominant Americans
c. First-Generation African Descendants
d. First-Generation European Descendants
Answer: A
The Navajo Culture Believes That Thought And Language Have The Power To Shape
Reality; The Desire To Avoid Discussing Negative Information Is Particularly Strong In This
Culture.
Difficulty:Cognitive Level: Understanding (Comprehension)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
15. Because Of Common Cultural Food Preferences, Avoidance Of Monosodium Glutamate
(Msg) Is Likely To Be Most Problematic For The Hypertensive Patient Of Which Group?
a. Native Americans
b. Hispanics
c. Chinese
d. Italians
Answer: C
The Chinese Are Most Likely To Use Msg And Soy Sauce In Their Diet.
Difficulty:Cognitive Level: Understanding (Comprehension)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
16. An Example Of A Cold Condition Is
, a. A Fever.
b. A Rash.
c. Tuberculosis.
d. An Ulcer.
Answer: C
A Cold Condition In Cultures With A Holistic Approach Is Tuberculosis.
Difficulty:Cognitive Level: Remembering (Knowledge)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
Multiple Response
1. Which Variables Can Intrude On Successful Communication? (Select All That Apply.)
a. Social Class
b. Gender
c. Stereotype
d. Phenotype
e. Age
Answer: A, B, E
Social Class, Age, And Gender Are Variables That Characterize Everyone; They Can Intrude
On Successful Communication If There Is No Effort For Mutual Knowledge And
Understanding.
Difficulty:Cognitive Level: Understanding (Comprehension)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
2. Campinha-Bacote’s Process Of Cultural Competence Model Includes Which
Cultural Constructs? (Select All That Apply.)
a. Desire
b. Awareness
c. Thought Processes
d. Skill
e. Language
Answer: A, B, D
Campinha-Bacote’s Process Of Cultural Competence Model Includes The Cultural Constructs
Encounters, Desires, Awareness, Knowledge, And Skill.
Difficulty:Cognitive Level: Understanding (Comprehension)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
Chapter 02: The History And Interviewing Process
Ball: Seidel’s Guide To Physical Examination, 10th Edition
Multiple Choice
1. Which Question Would Be Considered A ―Leading Question?
‖ A. ―What Do You Think Is Causing Your Headaches?‖
b. ―You Don’t Get Headaches Often, Do You?‖
, c. ―On A Scale Of 1 To 10, How Would You Rate The Severity Of
Your Headaches?‖ D. ―At What Time Of The Day Are Your
Headaches The Most Severe?‖
Answer: B
Stating To The Patient That He Or She Does Not Get Headaches Would Limit The
Information In The Patient’s Answer. Asking The Patient What He Or She Thinks Is
Causing The Headaches Is An Open-Ended Question. Asking The Patient How He Or She
Would Rate The Severity Of The Headaches And Asking What Time Of The Day The
Headaches Are The Most Severe Are Direct Questions.
Difficulty:Cognitive Level: Applying (Application)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
2. When Are Open-Ended Questions Generally Most Useful?
a. during sensitive area part of the interview
b. after several closed-ended questions have been asked
c. while designing the genogram
d. during the review of systems
answer: a
asking open-ended questions during the sensitive part of the interview allows you to gather
more information and establishes you as an empathic listener, which is the first step of
effective communication. asking closed-ended questions may stifle the patient’s desire to
discuss the history of the illness. interviewing for the purpose of designing a genogram or
conducting a review of systems requires more focused data than can be more easily gathered
with direct questioning.
difficulty:cognitive level: understanding (comprehension)
obj:nursing process—assessment msc: physiologic integrity: physiologic adaptation
3. periods of silence during the interview can serve important purposes, such as
a. allowing the clinician to catch up on documentation.
b. promoting calm.
c. providing time for reflection.
d. increasing the length of the visit.
answer: c
silence is a useful tool during interviews for the purposes of reflection, summoning courage,
and displaying compassion. this is not a time to document in the chart, but rather to focus on
the patient. periods of silence may cause anxiety rather than promote calm. the length of the
visit is less important than getting critical information.
difficulty:cognitive level: understanding (comprehension)
obj:nursing process—assessment msc: physiologic integrity: physiologic adaptation
4. mr. franklin is speaking with you, the healthcare provider, about his respiratory problem. mr.
franklin says, ―i’ve had this cough for 3 days, and it’s getting worse.‖ you reply, ―te l me
more about your cough.‖ mr. franklin states, ―i wish i could tell you more. that’s why i’m
here. you tell me what’s wrong!‖ which caregiver response would be most appropriate for
enhancing communication?
a. ―after 3 days, you’re tired of coughing. have you had a fever?‖
b. ―i’d like to hear more about your experiences. where were you born?‖
, c. ―i don’t know what’s wrong. you could have almost any
disease.‖ d. ―i’l examine you and figure out later what the
problem is.‖
answer: a
―after 3 days, you’re tired of coughing. have you had a fever?‖ is the only response aimed at
focusing on the chief compliant to gather more data and does not digress from the issue.
difficulty:cognitive level: analyzing (analysis)
obj:nursing process—assessment msc: physiologic integrity: physiologic adaptation
5. after you ask a patient about her family history, she says, ―tell me about
your family now.‖ which response is generally most appropriate?
a. ignore the patient’s comment and continue with the interview.
b. give a brief, undetailed answer.
c. ask the patient why she needs to know.
d. tell the patient that you do not discuss your family with patients.
answer: b
giving a brief, undetailed answer will satisfy the patient’s curiosity about yourself without
invading your private life. ignoring the patient’s comment, continuing with the interview, and
telling the patient that you do not discuss your family with patients will potentially anger or
frustrate her and keep her from sharing openly. asking the patient why she needs to know will
distract from the real reason she is seeking care and instead move the interview conversation
away from the topics that should be discussed.
difficulty:cognitive level: applying (application)
obj:nursing process—assessment msc: physiologic integrity: physiologic adaptation
6. a 36-year-old woman complains that she has had crushing chest pain for the past 2 days.
she seems nervous as she speaks to you. an appropriate response is to
a. continue to collect information regarding the chief complaint in an
unhurried manner.
b. finish the interview as rapidly as possible.
c. ask the patient to take a deep breath and calm down.
d. ask the patient if she wants to wait until another day to talk to you.
answer: a
with an anxious, vulnerable patient, it is best to not hurry; a calm demeanor will
communicate caring to the patient. if you as a healthcare provider are hurried, the patient will
be more anxious. the best way to assist an anxious patient is to not hurry and remain calm,
because this will communicate caring to the patient. asking the patient if she wants to wait
until another day to talk to you delays the needed health care.
difficulty:cognitive level: applying (application)
obj:nursing process—assessment msc: physiologic integrity: physiologic adaptation
7. ms. a states, ―my life is just too painful. it isn’t worth it.‖ she appears depressed. which
one of the following statements is the most appropriate caregiver response?
a. ―try to think about the good things in
life.‖ b. ―what in life is causing you pain?‖
c. ―you can’t mean what you’re saying.‖
d. ―if you think about it, nothing is worth getting this upset about.‖
SEIDEL'S GUIDE TO PHYSICAL EXAMINATION AN
INTERPROFESSIONAL APPROACH 10TH EDITION
PRINTED PDF | ORIGINAL DIRECTLY FROM THE PUBLISHER | 100%
VERIFIED ANSWERS | DOWNLOAD IMMEDIATELY AFTER THE ORDER
,Table Of Content
Chapter 1. Cultural Competency
Chapter 2. The History And Interviewing Process
Chapter 3. Examination Techniques And Equipment
Chapter 4. Taking The Next Steps: Clinical Reasoning
Chapter 5. The Health Record
Chapter 6. Vital Signs And Pain Assessment
Chapter 7. Mental Status
Chapter 8. Growth And Nutrition
Chapter 9. Skin, Hair, And Nails
Chapter 10. Lymphatic System
Chapter 11. Head And Neck
Chapter 12. Eyes
Chapter 13. Ears, Nose, And Throat
Chapter 14. Chest And Lungs
Chapter 15. Heart
Chapter 16. Blood Vessels
Chapter 17. Breasts And Axillae
Chapter 18. Abdomen
Chapter 19. Female Genitalia
Chapter 20. Male Genitalia
Chapter 21. Anus, Rectum, And Prostate
Chapter 22. Musculoskeletal System
Chapter 23. Neurologic System
Chapter 24. Putting It All Together
Chapter 25. Sports Participation Evaluation
Chapter 26. Emergency Or Life-Threatening Situations
,Chapter 01: Cultural Competency
Ball: Seidel’s Guide To Physical Examination, 10th 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.
Answer: 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 Used To
Identify Cultural Groups.
Difficulty: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.
Answer: 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.
Difficulty: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.‖
Answer: 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.
Difficulty: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.
Answer: C
Cultural Encounters Are The Continuous Process Of Interacting With Patients From
Culturally Diverse Backgrounds To Validate, Refine, Or Modify Existing Values, Beliefs,
And Practices About A Cultural Group And To Develop Cultural Desire, Cultural Awareness,
Cultural Skill, And Cultural Knowledge. Cultural Awareness Is Deliberate Self-Examination
And In-Depth Exploration Of One’s Biases, Stereotypes, Prejudices, Assumptions, And ―-
Isms‖ That One Holds About Individuals And Groups Who Are Different From Them.
Cultural Knowledge Is The Process Of Seeking And Obtaining A Sound Educational Base
About Culturally And Ethnically Diverse Groups.Cultural Skill Is The Ability To Collect
Culturally Relevant Data Regarding The Patient’s Presenting Problem, As Well As Accurately
Performing A Culturally Based Physical Assessment In A Culturally Sensitive Manner.
Cultural Desire Is The Motivation Of The Healthcare Professional To Want To Engage In The
Process Of Becoming Culturally Competent, Not Have To.
Difficulty:Cognitive Level: Understanding (Comprehension)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
5. Mr. Marks Is A 66-Year-Old Patient Who Presents For A Physical Examination To The
Clinic. Which Question Has The Most Potential For Exploring A Patient’s Cultural
Beliefs Related To A Health Problem?
a. ―How Often Do You Have Medical Examinations?
‖ B. ―What Is Your Age, Race, And Educational Level?
‖
c. ―What Types Of Symptoms Have You Been Having?‖
d. ―Why Do You Think You Are Having These Symptoms?‖
Answer: D
―Why Do You Think You Are Having These Symptoms?‖ Is An Open-Ended Question
That Avoids Stereotyping, Is Sensitive And Respectful Toward The Individual, And Allows
For Cultural Data To Be Exchanged. The Other Questions Do Not Explore The Patient’s
Cultural Beliefs About Health Problems.
, Difficulty:Cognitive Level: Analyzing (Analysis)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
6. The Definition Of Ill Or Sick Is Based On A
a. Stereotype.
b. Cultural Behavior.
c. Belief System.
d. Cultural Attitude.
Answer: C
The Definition Of Ill Or Sick Is Based On The Individual’s Belief System And Is Determined
In Large Part By His Or Her Enculturation.
Difficulty:Cognitive Level: Understanding (Comprehension)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
7. A 22-Year-Old Female Nurse Is Interviewing An 86-Year-Old Male Patient. The Patient
Avoids Eye Contact And Answers Questions Only By Saying, ―Yeah,‖ ―No,‖ Or ―I
Guess So.‖ Which Of The Following Is Appropriate For The Interviewer To Say Or Ask?
a. ―We Will Be Able To Communicate Better If You Look At Me.‖
b. ―It’s Hard For Me To Gather Useful Information Because Your Answers
Are So Short.‖ C. ―Are You Uncomfortable Talking With Me?‖
D. ―Does Your Religion Make It Hard For You To Answer My Questions?‖
Answer: C
It Is All Right To Ask If The Patient Is Uncomfortable With Any Aspect Of Your Person
And To Talk About It; The Other Choices Are Less Respectful.
Difficulty:Cognitive Level: Applying (Application)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
8. As You Explain Your Patient’s Condition To Her Husband, You Notice That He Is Leaning
Toward You And Pointedly Blinking His Eyes. Knowing That He Is From England, Your
Most Appropriate Response To This Behavior Is To
a. Tell Him That You Understand His Need To Be Alone.
b. Ask Whether He Has Any Questions.
c. Ask Whether He Would Prefer To Speak To The Clinician.
d. Tell Him That It Is All Right To Be Angry.
Answer: B
The English Worry About Being Overheard And Tend To Speak In Modulated Voices So,
When They Lean In Toward You, They Are Probably Poised To Ask A Question.
Difficulty:Cognitive Level: Analyzing (Analysis)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
9. An Aspect Of Traditional Western Medicine That May Be Troublesome To Many
Hispanics, Native Americans, Asians, And Middle Eastern Groups Is Western
Medicine’s Attempts To
a. Use A Holistic Approach That Views A Particular Medical Problem As Part Of A
Bigger Picture.
b. Determine A Specific Cause For Every Problem In A Precise Way.
c. Establish Harmony Between A Person And The Entire Cosmos.
, d. Restore Balance In An Individual’s Life.
Answer: B
A More Scientific Approach To Healthcare Problem Solving, In Which A Cause Can Be
Determined For Every Problem In A Precise Way, Is A Western Approach. Hispanics, Native
Americans, Asians, And Arabs Embrace A More Holistic Approach. Using A Holistic
Approach, Establishing Harmony Between A Person And The Entire Cosmos, And Restoring
Balance In An Individual’s Life Would Not Be Troublesome To Many Hispanics, Native
Americans, Asians, And Arabs.
Difficulty:Cognitive Level: Understanding (Comprehension)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
10. The Attitudes Of The Healthcare Professional
a. Are Largely Irrelevant To The Success Of Relationships With The Patient.
b. Do Not Influence Patient Behavior.
c. Are Difficult For The Patient To Sense.
d. Are Culturally Derived.
Answer: D
The Attitudes Of The Healthcare Provider Are Foundationally Derived From His Or Her Own
Culture; Understanding This Is Relevant To The Success Of Patient Relationships. Attitudes
Of The Healthcare Professional Are Easily Detected By Others, And They Influence Patient
Behavior; They Are Not Irrelevant To The Success Of Relationships With The Patient; They
Do Influence Patient Behavior; And They Are Not Difficult For The Patient To Sense.
Difficulty:Cognitive Level: Understanding (Comprehension)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
11. Mr. Sanchez Is A 45-Year-Old Gentleman Who Has Presented To The Office For A
Physical Examination To Establish A New Primary Care Healthcare Provider. Which Of
The Following Describes A Physical, Not A Cultural, Differentiator?
a. Race
b. Rite
c. Ritual
d. Norm
Answer: A
Race Is A Physical, Not A Cultural, Differentiator. Rite Is A Prescribed, Formal, Customary
Observance. Ritual Is A Stereotypic Behavior Regulating Religious, Social, And Professional
Behaviors. A Norm Is A Prescribed Standard Of Allowable Behavior Within A Group.
Difficulty:Cognitive Level: Remembering (Knowledge)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
12. Mr. Abdul Is A 40-Year-Old Middle Eastern Man Who Presents To The Office For A First
Visit With The Complaint Of New Abdominal Pain. You Are Concerned About Violating A
Cultural Prohibition When You Prepare To Do His Rectal Examination. The Best Tactic
Would Be To
a. Forego The Examination For Fear Of Violating Cultural Norms.
b. Ask A Colleague From The Same Geographic Area If This Examination Is Acceptable.
c. Inform The Patient Of The Reason For The Examination And Ask If It Is
Acceptable To Him.
d. Refer The Patient To A Provider More Knowledgeable About Cultural Differences.
, Answer: C
Asking, If You Are Not Sure, Is Far Better Than Making A Damaging Mistake. Not
Completing The Examination Could Cause The Patient Further Harm. Asking A Colleague
From The Same Geographic Area If This Examination Is Acceptable May Not Be
Appropriate. Referring The Patient To A Provider More Knowledgeable About Cultural
Differences At This Point Is Unnecessary.
Difficulty:Cognitive Level: Applying (Application)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
13. Mr. Jones Is A 45-Year-Old Patient Who Presents To The Office. A Person’s Definition Of
Illness Is Likely To Be Most Influenced By
a. Race.
b. Socioeconomic Class.
c. Enculturation.
d. Age Group.
Answer: C
The Definition Of Illness Is Determined In Large Part By The Individual’s Enculturation
(The Process Whereby An Individual Assumes The Traits And Behaviors Of A Given
Culture).
Difficulty:Cognitive Level: Understanding (Comprehension)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
14. As The Healthcare Provider, You Are Informing A Patient That He Or She Has A
Terminal Illness. This Discussion Is Most Likely To Be Discouraged In Which Cultural
Group?
a. Navajo Native Americans
b. Dominant Americans
c. First-Generation African Descendants
d. First-Generation European Descendants
Answer: A
The Navajo Culture Believes That Thought And Language Have The Power To Shape
Reality; The Desire To Avoid Discussing Negative Information Is Particularly Strong In This
Culture.
Difficulty:Cognitive Level: Understanding (Comprehension)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
15. Because Of Common Cultural Food Preferences, Avoidance Of Monosodium Glutamate
(Msg) Is Likely To Be Most Problematic For The Hypertensive Patient Of Which Group?
a. Native Americans
b. Hispanics
c. Chinese
d. Italians
Answer: C
The Chinese Are Most Likely To Use Msg And Soy Sauce In Their Diet.
Difficulty:Cognitive Level: Understanding (Comprehension)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
16. An Example Of A Cold Condition Is
, a. A Fever.
b. A Rash.
c. Tuberculosis.
d. An Ulcer.
Answer: C
A Cold Condition In Cultures With A Holistic Approach Is Tuberculosis.
Difficulty:Cognitive Level: Remembering (Knowledge)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
Multiple Response
1. Which Variables Can Intrude On Successful Communication? (Select All That Apply.)
a. Social Class
b. Gender
c. Stereotype
d. Phenotype
e. Age
Answer: A, B, E
Social Class, Age, And Gender Are Variables That Characterize Everyone; They Can Intrude
On Successful Communication If There Is No Effort For Mutual Knowledge And
Understanding.
Difficulty:Cognitive Level: Understanding (Comprehension)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
2. Campinha-Bacote’s Process Of Cultural Competence Model Includes Which
Cultural Constructs? (Select All That Apply.)
a. Desire
b. Awareness
c. Thought Processes
d. Skill
e. Language
Answer: A, B, D
Campinha-Bacote’s Process Of Cultural Competence Model Includes The Cultural Constructs
Encounters, Desires, Awareness, Knowledge, And Skill.
Difficulty:Cognitive Level: Understanding (Comprehension)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
Chapter 02: The History And Interviewing Process
Ball: Seidel’s Guide To Physical Examination, 10th Edition
Multiple Choice
1. Which Question Would Be Considered A ―Leading Question?
‖ A. ―What Do You Think Is Causing Your Headaches?‖
b. ―You Don’t Get Headaches Often, Do You?‖
, c. ―On A Scale Of 1 To 10, How Would You Rate The Severity Of
Your Headaches?‖ D. ―At What Time Of The Day Are Your
Headaches The Most Severe?‖
Answer: B
Stating To The Patient That He Or She Does Not Get Headaches Would Limit The
Information In The Patient’s Answer. Asking The Patient What He Or She Thinks Is
Causing The Headaches Is An Open-Ended Question. Asking The Patient How He Or She
Would Rate The Severity Of The Headaches And Asking What Time Of The Day The
Headaches Are The Most Severe Are Direct Questions.
Difficulty:Cognitive Level: Applying (Application)
Obj:Nursing Process—Assessment Msc: Physiologic Integrity: Physiologic Adaptation
2. When Are Open-Ended Questions Generally Most Useful?
a. during sensitive area part of the interview
b. after several closed-ended questions have been asked
c. while designing the genogram
d. during the review of systems
answer: a
asking open-ended questions during the sensitive part of the interview allows you to gather
more information and establishes you as an empathic listener, which is the first step of
effective communication. asking closed-ended questions may stifle the patient’s desire to
discuss the history of the illness. interviewing for the purpose of designing a genogram or
conducting a review of systems requires more focused data than can be more easily gathered
with direct questioning.
difficulty:cognitive level: understanding (comprehension)
obj:nursing process—assessment msc: physiologic integrity: physiologic adaptation
3. periods of silence during the interview can serve important purposes, such as
a. allowing the clinician to catch up on documentation.
b. promoting calm.
c. providing time for reflection.
d. increasing the length of the visit.
answer: c
silence is a useful tool during interviews for the purposes of reflection, summoning courage,
and displaying compassion. this is not a time to document in the chart, but rather to focus on
the patient. periods of silence may cause anxiety rather than promote calm. the length of the
visit is less important than getting critical information.
difficulty:cognitive level: understanding (comprehension)
obj:nursing process—assessment msc: physiologic integrity: physiologic adaptation
4. mr. franklin is speaking with you, the healthcare provider, about his respiratory problem. mr.
franklin says, ―i’ve had this cough for 3 days, and it’s getting worse.‖ you reply, ―te l me
more about your cough.‖ mr. franklin states, ―i wish i could tell you more. that’s why i’m
here. you tell me what’s wrong!‖ which caregiver response would be most appropriate for
enhancing communication?
a. ―after 3 days, you’re tired of coughing. have you had a fever?‖
b. ―i’d like to hear more about your experiences. where were you born?‖
, c. ―i don’t know what’s wrong. you could have almost any
disease.‖ d. ―i’l examine you and figure out later what the
problem is.‖
answer: a
―after 3 days, you’re tired of coughing. have you had a fever?‖ is the only response aimed at
focusing on the chief compliant to gather more data and does not digress from the issue.
difficulty:cognitive level: analyzing (analysis)
obj:nursing process—assessment msc: physiologic integrity: physiologic adaptation
5. after you ask a patient about her family history, she says, ―tell me about
your family now.‖ which response is generally most appropriate?
a. ignore the patient’s comment and continue with the interview.
b. give a brief, undetailed answer.
c. ask the patient why she needs to know.
d. tell the patient that you do not discuss your family with patients.
answer: b
giving a brief, undetailed answer will satisfy the patient’s curiosity about yourself without
invading your private life. ignoring the patient’s comment, continuing with the interview, and
telling the patient that you do not discuss your family with patients will potentially anger or
frustrate her and keep her from sharing openly. asking the patient why she needs to know will
distract from the real reason she is seeking care and instead move the interview conversation
away from the topics that should be discussed.
difficulty:cognitive level: applying (application)
obj:nursing process—assessment msc: physiologic integrity: physiologic adaptation
6. a 36-year-old woman complains that she has had crushing chest pain for the past 2 days.
she seems nervous as she speaks to you. an appropriate response is to
a. continue to collect information regarding the chief complaint in an
unhurried manner.
b. finish the interview as rapidly as possible.
c. ask the patient to take a deep breath and calm down.
d. ask the patient if she wants to wait until another day to talk to you.
answer: a
with an anxious, vulnerable patient, it is best to not hurry; a calm demeanor will
communicate caring to the patient. if you as a healthcare provider are hurried, the patient will
be more anxious. the best way to assist an anxious patient is to not hurry and remain calm,
because this will communicate caring to the patient. asking the patient if she wants to wait
until another day to talk to you delays the needed health care.
difficulty:cognitive level: applying (application)
obj:nursing process—assessment msc: physiologic integrity: physiologic adaptation
7. ms. a states, ―my life is just too painful. it isn’t worth it.‖ she appears depressed. which
one of the following statements is the most appropriate caregiver response?
a. ―try to think about the good things in
life.‖ b. ―what in life is causing you pain?‖
c. ―you can’t mean what you’re saying.‖
d. ―if you think about it, nothing is worth getting this upset about.‖
