EXAMINATION AN INTERPROFESSIONAL
APPROACH 10th EDITION
,Chapter 01: The History and Interviewing Process
Ball: Seidel’s Guide to Physical Examination, 10th Edition
MULTIPLE CHOICE
1. 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 identifiable
physical characteristics.
d. Gender and race are the two essential physical characteristics used to identify
cultural groups.
e. Whereas all cultural traits can be viewed as static, physical traits are dynamic.
PRECISE ANSWER:->>B
Hypothesis:->>Physical characteristics do not symbolize cultural groups; there is a difference
between the two, and they are considered separately. Cultures are dynamic in theirevolution.
TOPIC: Discipline: Behavioral Science MSC: Organ System: General
2. A fixed image of any group that rejects its potential for originality or individuality is
knownas a(n):
a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
e. custom.
PRECISE ANSWER:->>C
Hypothesis:->>This definition describes a stereotype. A norm, on the other hand, is a
standard of allowable behavior within a group, ethnos implies the same race or nationality,
and acculturation is a process of adopting another culture's behaviors. A custom refers to
ahabitual activity of a group in a given situation.
TOPIC: Discipline: Behavioral Science MSC: Organ System: General
3. Your new hospital client/patient is a 40-year-old Middle Eastern man with a
complaint of newabdominal pain. You are concerned about violating a cultural
prohibition when you prepare to do his rectal examination. The best tactic would be
to:
a. do the examination because it is a necessary part of the physical examination.
b. ask a colleague from the same geographic area if this examination is acceptable.
c. inform the hospital client/patient of the reason for the examination and
ask if it isacceptable to him.
d. refer the hospital client/patient to a provider more knowledgeable about cultural differences.
e. forego the examination for fear of violating cultural norms.
PRECISE ANSWER:->>C
Hypothesis:->>Asking, if you are not sure, is far better than making a damaging mistake.
,You would not be doing your job as a professional if you deferred the examination without a
reason. It is not necessary to refer a skill you are capable of performing.
TOPIC: Discipline: Behavioral Science MSC: Organ System: General
, 4. Which statement is true regarding impoverished people?
a. In the United States, socioeconomic status does not influence the delivery of
primary care.
b. The morbidity and mortality rates of impoverished people are greater than those of
the middle class.
c. The morbidity and mortality rates of impoverished people are less than those of the
middle class.
d. No reliable statistics exist regarding the relationship of poverty to morbidity
andmortality.
e. The morbidity and mortality rates of impoverished people are similar to those of
the middle class.
PRECISE ANSWER:->>B
Hypothesis:->>Poorly educated people and people in poverty die at higher rates than thosewho
are advantaged; the same is true for morbidity.
TOPIC: Discipline: Behavioral Science MSC: Organ System: General
5. In terms of cultural communication differences, Americselected answer are more likely
to
than
other groups of hospital client/patients.
a. emphasize attitudes and feelings
b. maintain eye contact
c. come quickly to the point
d. use silence comfortably
e. speak more softly than other cultures
PRECISE ANSWER:->>C
Hypothesis:->>In the United States, individuals are very direct in conversation and come to
the point quickly. They also tend to talk more loudly and to worry less about being overheard.
TOPIC: Discipline: Behavioral Science MSC: Organ System: General
6. Which question has the most potential for exploring a hospital client/patient's
cultural beliefsrelated to a health problem?
a. ―How often do you have a medical examination?‖
b. ―What are 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?‖
e. ―Do you take herbal remedies?‖
PRECISE ANSWER:->>D
Hypothesis:->>This open-ended question avoids stereotyping, is sensitive and respectfultoward
the individual, and allows for cultural data to be exchanged.
TOPIC: Discipline: Behavioral Science MSC: Organ System: General
7. A person's definition of illness is likely to be most influenced by:
a. race.
b. ritual.
c. enculturation.
d. age group.