TEST BANK
Seidel's Guide to Physical Examination: An Interprofessional Approach (Mosby's Guide to
Physical Examination)
JANE W. BALL, JOYCE E. DAINS, JOHN A. FLYNN, BARRY S.
SOLOMON, ROSALYN W. STEWART
10th Edition
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,SEIDEL'S GUIDE TO PHYSICAL EXAMINATION: AN INTERPROFESSIONAL APPROACH 10TH EDITION
TABLE OF CONTENTS
1.The History and Interviewing Process
2. Cultural Competency
3. Examination Techniques and Equipment
4. Taking the Next Steps: Clinical Reasoning
5. The Patient Record [New title / focus!]
6. Vital Signs and Pain Assessment
7. Mental Status
8. Growth, Measurement, and Nutrition ["formerly Growth and Nutrition"]
9. Skin, Hair, and Nails
10. Lymphatic System
11. Head and Neck
12. Eyes
13. Ears, Nose, and Throat
14. Chest and Lungs
15. Heart
16. Blood Vessels
17. Breasts and Axillae
18. Abdomen
19. Female Genitalia
20. Male Genitalia
21. Anus, Rectum, and Prostate
22. Musculoskeletal System
23. Neurologic System
24. Head-to-Toe Examination [formerly Chapter 25: "Putting It All Together"]
25. Sports Participation Evaluation [formerly Chapter 24]
26. Emergency or Life-Threatening Situations
,SEIDEL'S GUIDE TO PHYSICAL EXAMINATION: AN INTERPROFESSIONAL APPROACH 10TH EDITION
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 sontells 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
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, SEIDEL'S GUIDE TO PHYSICAL EXAMINATION: AN INTERPROFESSIONAL APPROACH 10TH EDITION
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 asa(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