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Interprofessional Approach10thEditionby Jane W. Ball, Joyce
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E.DainsChapter1-26;AceinyourExamsin1attempt!
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Chapter01:CulturalCompetency ,i
Ball:Seidel’sGuidetoPhysicalExamination,10thEdition hi
MULTIPLECHOICE ,i
1. Whichstatementistrueregarding therelationship ofphysicalcharacteristics and culture?
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a. Physicalcharacteristicsshouldbeusedtoidentifymembersofculturalgroups. ,i ,i ,i ,i ,i ,i ,i ,i
b. Thereis a differencebetween distinguishing culturalcharacteristicsand hi ,i hi ,i
distinguishing physical characteristics.
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c. Tobeamemberofaspecificculture,anindividualmusthavecertainidentifiable
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physicalcharacteristics. ,i ,i
d. Genderandracearethetwoessentialphysicalcharacteristics usedtoidentify ,i ,i ,i ,i ,i
culturalgroups. ,i ,i
ANS: B , i
Physicalcharacteristicsarenotusedtoidentifyculturalgroups;thereisadifferencebetween thetwo,
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andtheyareconsideredseparately.Physicalcharacteristicsshouldnotbeusedto identifymembers
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ofculturalgroups.Tobeamemberofa specificculture,anindividualdoesnot
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need tohave certain identifiablephysicalcharacteristics.Youshouldnotconfusephysical
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characteristicswithculturalcharacteristics.Genderandracearephysical characteristics,not
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culturalcharacteristics, andarenot usedtoidentifyculturalgroups.
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DIF:Cognitive Level: Understanding(Comprehension) hi ,i
OBJ:Nursing process—assessment MSC: PhysiologicIntegrity:Physiologic Adaptation , i , i ,i ,i hi
2. Animageofanygroupthatrejectsitspotentialfororiginalityorindividualityisknownasa(n)
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a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS: C , i
Afixedimageofanygroupthatrejectsitspotentialfororiginalityorindividualityisthe
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definitionofstereotype. Acculturation isthe processofadoptinganotherculture’sbehaviors. A
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normisastandardofallowablebehaviorwithinagroup.Ethnosimpliesthesameraceor nationality.
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DIF:CognitiveLevel:Remembering (Knowledge) ,i ,i hi
OBJ:Nursing process—assessment MSC: PhysiologicIntegrity:Physiologic Adaptation , i , i ,i ,i hi
3. Mr.Lpresentstotheclinicwithseveregroinpainandahistoryofkidneystones.Mr.L’ssontells you
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thatforreligiousreasons,hisfatherwishestokeepanystonethatispassedintotheurine filterthathe
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hasbeenusing.Whatisyourmostappropriateresponse?
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,a. ―Withyourfather’s permission,we willexaminethestoneand requestthatit be
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returned to him.‖
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b. ―Thestone must besenttothelabforexaminationandthereforecannotbekept.‖
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c. ―Wecannot lethimkeephisstonebecauseitviolatesourinfectioncontrolpolicy.‖
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d. ―Wedon’t knowyeti fyourfatherhasanotherkidneystone,sowemustanalyzethis
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one.‖
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Weshouldbewillingtomodifythedeliveryofhealthcareinamannerthatisrespectfulandin ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
keepingwiththepatient’sculturalbackground. ―With your father’spermission,wewill examine
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thestoneandrequestthatitbereturnedtohim‖isthemostappropriateresponse.
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―Thestonemustbesenttothelabforexaminationandthereforecannotbekept‖and―Wedon’t hi ,i ,i
knowyetifyourfatherhasanotherkidneystone,sowemustanalyzethisone‖donotsupportthe
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patient’srequest.―Wecannotlethimkeephisstonebecauseitviolatesourinfectioncontrol
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policy‖doesnotprovideareasonthatitwouldviolateaninfectioncontrolpolicy.
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DIF:CognitiveLevel:Analyzing (Analysis) ,i hi
OBJ:Nursing process—assessment , i MSC: PhysiologicIntegrity:PhysiologicAdaptation , i ,i ,i ,i
4. Themotivationof thehealthcare professional to―want to‖engageintheprocess ofbecoming hi hi hi hi hi
, i culturallycompetent, not ―have to,‖ is called ,i ,i ,i ,i ,i
a. culturalknowledge.
b. culturalawareness.
c. culturaldesire.
d. culturalskill.
ANS: C , i
Culturalencountersarethecontinuousprocessofinteractingwithpatientsfromculturally diverse
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backgroundstovalidate,refine,ormodifyexistingvalues,beliefs,andpracticesabouta cultural
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groupandtodevelopculturaldesire,culturalawareness,culturalskill,andcultural knowledge.
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Culturalawarenessisdeliberateself-examinationandin-depthexplorationofone’s biases,
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stereotypes,prejudices,assumptions, and ―-isms‖thatoneholdsabout individuals and groupswho
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aredifferentfromthem.Culturalknowledgeistheprocessofseekingandobtaining asound
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educationalbaseaboutculturallyand ethnicallydiversegroups. Cultural skill is the abilitytocollect
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culturallyrelevantdataregardingthepatient’spresentingproblem,aswellas accuratelyperforminga
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culturallybasedphysical assessmentinaculturallysensitivemanner. Culturaldesireisthe
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motivationofthehealthcareprofessionaltowanttoengageintheprocess of becoming culturally
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competent, not have to.
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DIF:CognitiveLevel:Understanding (Comprehension) ,i hi
OBJ:Nursing process—assessment MSC: PhysiologicIntegrity:Physiologic Adaptation , i , i ,i ,i hi
5. Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic.
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Whichquestion hasthe most potential forexploringapatient’s cultural beliefs related to a
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healthproblem?
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a. ―Howoftendoyou havemedical examinations?‖ ,i hi hi
b. ―Whatisyourage,race,andeducationallevel?‖ hi
c. ―Whattypesofsymptomshave you been having?‖ hi hi hi
d. ―Whydoyouthinkyouarehaving thesesymptoms?‖ hi ,i hi
ANS: D , i