Test Bank For Seidel's Guide to Physical Examination An
Interprofessional Approach 10th Edition by Jane W. Ball,
Joyce E. Dains Chapter 1-26
Chapter 01: Cultural Competency
v v v
Ball: Seidel’s Guide to Physical Examination, 10th Edition
v v v v v v v
MULTIPLE CHOICE v
1. Which statement is true regarding the relationship of physical characteristics and culture?
v v v v v v v v v v v
a. Physical characteristics should be used to identify members of cultural groups.
v v v v v v v v v v
b. There is a difference between distinguishing cultural characteristics and
v v v v v v v v
distinguishing physical characteristics.
v v v
c. To be a member of a specific culture, an individual must have certain identifiable
v v v v v v v v v v v v v
physical characteristics.
v v
d. Gender and race are the two essential physical characteristics used to identify
v v v v v v v v v v v
cultural groups.
v v
ANS: B v
Physical characteristics are not used to identify cultural groups; there is a difference between
v v v v v v v v v v v v v
the two, and they are considered separately. Physical characteristics should not be used to
v v v v v v v v v v v v v v
identify members of cultural groups. To be a member of a specific culture, an individual does
v v v v v v v v v v v v v v v v
not need to have certain identifiable physical characteristics. You should not confuse physical
v v v v v v v v v v v v v
characteristics with cultural characteristics. Gender and race are physical characteristics, not
v v v v v v v v v v v
cultural characteristics, and are not used to identify cultural groups.
v v v v v v v v v v
DIF:Cognitive Level: Understanding (Comprehension) v v v
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
v v v v v
2. An image of any group that rejects its potential for originality or individuality is known as
v v v v v v v v v v v v v v v
a(n)
v
a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS: C v
A fixed image of any group that rejects its potential for originality or individuality is the
v v v v v v v v v v v v v v v
definition of stereotype. Acculturation is the process of adopting another culture’s behaviors.
v v v v v v v v v v v v
A norm is a standard of allowable behavior within a group. Ethnos implies the same race or
v v v v v v v v v v v v v v v v v
nationality.
v
DIF:Cognitive Level: Remembering (Knowledge) v v v
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
v v v v v
3. Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr. L’s son
v v v v v v v v v v v v v v v v v v
tells you that for religious reasons, his father wishes to keep any stone that is passed into the
v v v v v v v v v v v v v v v v v v
urine filter that he has been using. What is your most appropriate response?
v v v v v v v v v v v v v
,Test Bank For Seidel's Guide to Physical Examination An
Interprofessional Approach 10th Edition by Jane W. Ball,
Joyce E. Dains Chapter 1-26
a. ―With your father’s permission, we will examine the stone and request that it be
v v v v v v v v v v v v v
returned to him.‖
v v v
b. ―The stone must be sent to the lab for examination and therefore cannot be kept.‖
v v v v v v v v v v v v v v
c. ―We cannot let him keep his stone because it violates our infection control policy.‖
v v v v v v v v v v v v v
d. ―We don’t know yet if your father has another kidney stone, so we must analyze
v v v v v v v v v v v v v v
this one.‖
v v
,Test Bank For Seidel's Guide to Physical Examination An
Interprofessional Approach 10th Edition by Jane W. Ball,
Joyce E. Dains Chapter 1-26
ANS: A v
We should be willing to modify the delivery of health care in a manner that is respectful and
v v v v v v v v v v v v v v v v v
in keeping with the patient’s cultural background. ―With your father’s permission, we will
v v v v v v v v v v v v v
examine the stone and request that it be returned to him‖ is the most appropriate response.
v v v v v v v v v v v v v v v v
―The stone must be sent to the lab for examination and therefore cannot be kept‖ and ―We
v v v v v v v v v v v v v v v v
don’t know yet if your father has another kidney stone, so we must analyze this one‖ do not
v v v v v v v v v v v v v v v v v v
support the patient’s request. ―We cannot let him keep his stone because it violates our
v v v v v v v v v v v v v v v
infection control policy‖ does not provide a reason that it would violate an infection control
v v v v v v v v v v v v v v v
policy.
v
DIF:Cognitive Level: Analyzing (Analysis) v v v
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
v v v v v
4. The motivation of the healthcare professional to ―want to‖ engage in the process of becoming
v v v v v v v v v v v v v v
culturally competent, not ―have to,‖ is called
v v v v v v v
a. cultural knowledge. v
b. cultural awareness. v
c. cultural desire. v
d. cultural skill. v
ANS: C v
Cultural encounters are the continuous process of interacting with patients from culturally
v v v v v v v v v v v
diverse backgrounds to validate, refine, or modify existing values, beliefs, and practices about
v v v v v v v v v v v v v
a cultural group and to develop cultural desire, cultural awareness, cultural skill, and cultural
v v v v v v v v v v v v v v
knowledge. Cultural awareness is deliberate self-examination and in-depth exploration of
v v v v v v v v v v
one’s biases, stereotypes, prejudices, assumptions, and ―-isms‖ that one holds about
v v v v v v v v v v v
individuals and groups who are different from them. Cultural knowledge is the process of
v v v v v v v v v v v v v v
seeking and obtaining a sound educational base about culturally and ethnically diverse groups.
v v v v v v v v v v v v v
Cultural skill is the ability to collect culturally relevant data regarding the patient’s presenting
v v v v v v v v v v v v v v
problem, as well as accurately performing a culturally based physical assessment in a
v v v v v v v v v v v v v
culturally sensitive manner. Cultural desire is the motivation of the healthcare professional to
v v v v v v v v v v v v v
want to engage in the process of becoming culturally competent, not have to.
v v v v v v v v v v v v v
DIF:Cognitive Level: Understanding (Comprehension) v v v
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
v v v v v
5. Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic.
v v v v v v v v v v v v v v
Which question has the most potential for exploring a patient’s cultural beliefs related to a
v v v v v v v v v v v v v v v
health problem?
v v
a. ―How often do you have medical examinations?‖ v v v v v v
b. ―What is your age, race, and educational level?‖ v v v v v v v
c. ―What types of symptoms have you been having?‖ v v v v v v v
d. ―Why do you think you are having these symptoms?‖v v v v v v v v
ANS: D v
, Test Bank For Seidel's Guide to Physical Examination An
Interprofessional Approach 10th Edition by Jane W. Ball,
Joyce E. Dains Chapter 1-26
―Why do you think you are having these symptoms?‖ is an open-ended question that avoids
v v v v v v v v v v v v v v
stereotyping, is sensitive and respectful toward the individual, and allows for cultural data to
v v v v v v v v v v v v v v
be exchanged. The other questions do not explore the patient’s cultural beliefs about health
v v v v v v v v v v v v v v
problems.
v
Interprofessional Approach 10th Edition by Jane W. Ball,
Joyce E. Dains Chapter 1-26
Chapter 01: Cultural Competency
v v v
Ball: Seidel’s Guide to Physical Examination, 10th Edition
v v v v v v v
MULTIPLE CHOICE v
1. Which statement is true regarding the relationship of physical characteristics and culture?
v v v v v v v v v v v
a. Physical characteristics should be used to identify members of cultural groups.
v v v v v v v v v v
b. There is a difference between distinguishing cultural characteristics and
v v v v v v v v
distinguishing physical characteristics.
v v v
c. To be a member of a specific culture, an individual must have certain identifiable
v v v v v v v v v v v v v
physical characteristics.
v v
d. Gender and race are the two essential physical characteristics used to identify
v v v v v v v v v v v
cultural groups.
v v
ANS: B v
Physical characteristics are not used to identify cultural groups; there is a difference between
v v v v v v v v v v v v v
the two, and they are considered separately. Physical characteristics should not be used to
v v v v v v v v v v v v v v
identify members of cultural groups. To be a member of a specific culture, an individual does
v v v v v v v v v v v v v v v v
not need to have certain identifiable physical characteristics. You should not confuse physical
v v v v v v v v v v v v v
characteristics with cultural characteristics. Gender and race are physical characteristics, not
v v v v v v v v v v v
cultural characteristics, and are not used to identify cultural groups.
v v v v v v v v v v
DIF:Cognitive Level: Understanding (Comprehension) v v v
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
v v v v v
2. An image of any group that rejects its potential for originality or individuality is known as
v v v v v v v v v v v v v v v
a(n)
v
a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS: C v
A fixed image of any group that rejects its potential for originality or individuality is the
v v v v v v v v v v v v v v v
definition of stereotype. Acculturation is the process of adopting another culture’s behaviors.
v v v v v v v v v v v v
A norm is a standard of allowable behavior within a group. Ethnos implies the same race or
v v v v v v v v v v v v v v v v v
nationality.
v
DIF:Cognitive Level: Remembering (Knowledge) v v v
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
v v v v v
3. Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr. L’s son
v v v v v v v v v v v v v v v v v v
tells you that for religious reasons, his father wishes to keep any stone that is passed into the
v v v v v v v v v v v v v v v v v v
urine filter that he has been using. What is your most appropriate response?
v v v v v v v v v v v v v
,Test Bank For Seidel's Guide to Physical Examination An
Interprofessional Approach 10th Edition by Jane W. Ball,
Joyce E. Dains Chapter 1-26
a. ―With your father’s permission, we will examine the stone and request that it be
v v v v v v v v v v v v v
returned to him.‖
v v v
b. ―The stone must be sent to the lab for examination and therefore cannot be kept.‖
v v v v v v v v v v v v v v
c. ―We cannot let him keep his stone because it violates our infection control policy.‖
v v v v v v v v v v v v v
d. ―We don’t know yet if your father has another kidney stone, so we must analyze
v v v v v v v v v v v v v v
this one.‖
v v
,Test Bank For Seidel's Guide to Physical Examination An
Interprofessional Approach 10th Edition by Jane W. Ball,
Joyce E. Dains Chapter 1-26
ANS: A v
We should be willing to modify the delivery of health care in a manner that is respectful and
v v v v v v v v v v v v v v v v v
in keeping with the patient’s cultural background. ―With your father’s permission, we will
v v v v v v v v v v v v v
examine the stone and request that it be returned to him‖ is the most appropriate response.
v v v v v v v v v v v v v v v v
―The stone must be sent to the lab for examination and therefore cannot be kept‖ and ―We
v v v v v v v v v v v v v v v v
don’t know yet if your father has another kidney stone, so we must analyze this one‖ do not
v v v v v v v v v v v v v v v v v v
support the patient’s request. ―We cannot let him keep his stone because it violates our
v v v v v v v v v v v v v v v
infection control policy‖ does not provide a reason that it would violate an infection control
v v v v v v v v v v v v v v v
policy.
v
DIF:Cognitive Level: Analyzing (Analysis) v v v
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
v v v v v
4. The motivation of the healthcare professional to ―want to‖ engage in the process of becoming
v v v v v v v v v v v v v v
culturally competent, not ―have to,‖ is called
v v v v v v v
a. cultural knowledge. v
b. cultural awareness. v
c. cultural desire. v
d. cultural skill. v
ANS: C v
Cultural encounters are the continuous process of interacting with patients from culturally
v v v v v v v v v v v
diverse backgrounds to validate, refine, or modify existing values, beliefs, and practices about
v v v v v v v v v v v v v
a cultural group and to develop cultural desire, cultural awareness, cultural skill, and cultural
v v v v v v v v v v v v v v
knowledge. Cultural awareness is deliberate self-examination and in-depth exploration of
v v v v v v v v v v
one’s biases, stereotypes, prejudices, assumptions, and ―-isms‖ that one holds about
v v v v v v v v v v v
individuals and groups who are different from them. Cultural knowledge is the process of
v v v v v v v v v v v v v v
seeking and obtaining a sound educational base about culturally and ethnically diverse groups.
v v v v v v v v v v v v v
Cultural skill is the ability to collect culturally relevant data regarding the patient’s presenting
v v v v v v v v v v v v v v
problem, as well as accurately performing a culturally based physical assessment in a
v v v v v v v v v v v v v
culturally sensitive manner. Cultural desire is the motivation of the healthcare professional to
v v v v v v v v v v v v v
want to engage in the process of becoming culturally competent, not have to.
v v v v v v v v v v v v v
DIF:Cognitive Level: Understanding (Comprehension) v v v
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
v v v v v
5. Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic.
v v v v v v v v v v v v v v
Which question has the most potential for exploring a patient’s cultural beliefs related to a
v v v v v v v v v v v v v v v
health problem?
v v
a. ―How often do you have medical examinations?‖ v v v v v v
b. ―What is your age, race, and educational level?‖ v v v v v v v
c. ―What types of symptoms have you been having?‖ v v v v v v v
d. ―Why do you think you are having these symptoms?‖v v v v v v v v
ANS: D v
, Test Bank For Seidel's Guide to Physical Examination An
Interprofessional Approach 10th Edition by Jane W. Ball,
Joyce E. Dains Chapter 1-26
―Why do you think you are having these symptoms?‖ is an open-ended question that avoids
v v v v v v v v v v v v v v
stereotyping, is sensitive and respectful toward the individual, and allows for cultural data to
v v v v v v v v v v v v v v
be exchanged. The other questions do not explore the patient’s cultural beliefs about health
v v v v v v v v v v v v v v
problems.
v
