Test BankP6
For Seidel's Guide to Physical Examination An Interprofessional
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P6 Approach 10th Edition by Jane W. Ball, Joyce E. Dains Chapter 1-26
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,Chapter 01: Cultural Competency
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Ball: Seidel’s Guide to Physical Examination, 10th Edition
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MULTIPLE CHOICE P6
1. Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr. L’s
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son tells you that for religious reasons, his father wishes to keep any stone that is passed
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into the urine filter that he has been using. What is your most appropriate response?
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a. ―With your father’s permission, we will examine the stone and request that it be
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returned to him.‖
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b. ―The stone must be sent to the lab for examination and therefore cannot be kept.‖
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c. ―We cannot let him keep his stone because it violates our infection control policy.‖
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d. ―We don’t know yet if your father has another kidney stone, so we must analyze
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this one.‖
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ANS: A P6
We should be willing to modify the delivery of health care in a manner that is respectful
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and in keeping with the patient’s cultural background. ―With your father’s permission,
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we will examine the stone and request that it be returned to him‖ is the most appropriate
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response.
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―The stone must be sent to the lab for examination and therefore cannot be kept‖ and ―We
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don’t know yet if your father has another kidney stone, so we must analyze this one‖ do not
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support the patient’s request. ―We cannot let him keep his stone because it violates our
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infection control policy‖ does not provide a reason that it would violate an infection control
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policy.
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DIF:Cognitive Level: Analyzing (Analysis) P6 P6 P6
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
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2. Which statement is true regarding the relationship of physical characteristics and culture?
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a. Physical characteristics should be used to identify members of cultural groups.
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b. There is a difference between distinguishing cultural characteristics and
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P6 distinguishing physical characteristics. P6 P6
c. To be a member of a specific culture, an individual must have certain identifiable
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physical characteristics.
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d. Gender and race are the two essential physical characteristics used to identify
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cultural groups.
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ANS: B P6
Physical characteristics are not used to identify cultural groups; there is a difference
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between the two, and they are considered separately. Physical characteristics should not
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be used to identify members of cultural groups. To be a member of a specific culture, an
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individual does not need to have certain identifiable physical characteristics. You should not
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confuse physical characteristics with cultural characteristics. Gender and race are physical
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characteristics, not cultural characteristics, and are not used to identify cultural groups.
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DIF:Cognitive Level: Understanding (Comprehension) P6 P6 P6
, OBJ:Nursing process—assessment P6 MSC: Physiologic Integrity: Physiologic Adaptation
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3. An image of any group that rejects its potential for originalityor individuality is known as
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P6 a(n)
a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS: C P6
A fixed image of any group that rejects its potential for originality or individuality is the
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definition of stereotype. Acculturation is the process of adopting another culture’s behaviors.
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A norm is a standard of allowable behavior within a group. Ethnos implies the same race
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or nationality.
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DIF:Cognitive Level: Remembering (Knowledge) P6 P6 P6
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
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4. The motivation of the healthcare professional to ―want to‖ engage in the process of becoming
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P6 culturally competent, not ―have to,‖ is called
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a. cultural knowledge. P6
b. cultural awareness. P6
c. cultural desire. P6
d. cultural skill. P6
ANS: C P6
Cultural encounters are the continuous process of interacting with patients from culturally
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diverse backgrounds to validate, refine, or modify existing values, beliefs, and practices about
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a cultural group and to develop cultural desire, cultural awareness, cultural skill, and
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cultural knowledge. Cultural awareness is deliberate self-examination and in-depth
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exploration of
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one’s biases, stereotypes, prejudices, assumptions, and ―-isms‖ that one holds about
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individuals and groups who are different from them. Cultural knowledge is the process of
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seeking and obtaining a sound educational base about culturally and ethnically diverse groups.
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Cultural skill is the ability to collect culturally relevant data regarding the patient’s
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presenting problem, as well as accurately performing a culturally based physical
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assessment in a culturally sensitive manner. Cultural desire is the motivation of the
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healthcare professional to want to engage in the process of becoming culturally
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competent, not have to.
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DIF:Cognitive Level: Understanding (Comprehension) P6 P6 P6
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
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5. Mr. Marks is a 66-year-old patient who presents for a physical examination to the
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, clinic. Which question has the most potential for exploring a patient’s cultural beliefs
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related to a health problem?
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