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
Ball: Seidel’s Guide to Physical Examination, 10th Edition
MULTIPLE CHOICE
1. 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.‖
ANS: A
We should be willing to modify the delivery of health care in a manner that is respectful
andin 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 notsupport 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 controlpolicy.
DIF:Cognitive Level: Analyzing (Analysis)
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
2. 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
anddistinguishing physical characteristics.
c. To be a member of a specific culture, an individual must have certain
identifiablephysical characteristics.
d. Gender and race are the two essential physical characteristics used to
identifycultural groups.
ANS: 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 doesnot need to have certain identifiable physical characteristics. You should not
confuse physicalcharacteristics with cultural characteristics. Gender and race are physical
characteristics, not cultural characteristics, and are not used to identify cultural groups.
, DIF:Cognitive Level: Understanding (Comprehension)
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
3. 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.
ANS: 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.
DIF:Cognitive Level: Remembering (Knowledge)
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.
ANS: 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
abouta 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
presentingproblem, 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.
DIF: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
ahealth 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?‖
ANS: 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
tobe exchanged. The other questions do not explore the patient’s cultural beliefs about
health problems.
DIF: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.
ANS: 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.
DIF: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?‖
ANS: C
It is all right to ask if the patient is uncomfortable with any aspect of your person and to
talkabout it; the other choices are less respectful.
DIF:Cognitive Level: Applying (Application)
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
Interprofessional Approach 10th Edition
by Jane W. Ball, Joyce E. Dains
Chapter 1 - 26
,Chapter 01: Cultural Competency
Ball: Seidel’s Guide to Physical Examination, 10th Edition
MULTIPLE CHOICE
1. 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.‖
ANS: A
We should be willing to modify the delivery of health care in a manner that is respectful
andin 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 notsupport 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 controlpolicy.
DIF:Cognitive Level: Analyzing (Analysis)
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
2. 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
anddistinguishing physical characteristics.
c. To be a member of a specific culture, an individual must have certain
identifiablephysical characteristics.
d. Gender and race are the two essential physical characteristics used to
identifycultural groups.
ANS: 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 doesnot need to have certain identifiable physical characteristics. You should not
confuse physicalcharacteristics with cultural characteristics. Gender and race are physical
characteristics, not cultural characteristics, and are not used to identify cultural groups.
, DIF:Cognitive Level: Understanding (Comprehension)
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
3. 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.
ANS: 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.
DIF:Cognitive Level: Remembering (Knowledge)
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.
ANS: 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
abouta 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
presentingproblem, 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.
DIF: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
ahealth 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?‖
ANS: 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
tobe exchanged. The other questions do not explore the patient’s cultural beliefs about
health problems.
DIF: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.
ANS: 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.
DIF: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?‖
ANS: C
It is all right to ask if the patient is uncomfortable with any aspect of your person and to
talkabout it; the other choices are less respectful.
DIF:Cognitive Level: Applying (Application)
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
