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1. Which statement is true regarding the relationship of physical characteris-
tics and culture?
A. Physical characteristics should be used to identify members of cultural
groups.
B. There is a difference between distinguishing cultural characteristics and
distinguishing 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.: B. There is a difference between distinguishing cultural character-
istics and distinguishing physical characteristics
2. 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: C. stereotype
3. 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: A. With your father's permission, we will examine the stone and request
that it be returned to him
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.: C. cultural desire
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 a health 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?: D. Why do you think you
are having these symptoms
6. The definition of ill or sick is based on a
A. stereotype.
B. cultural behavior.
C. belief system.
D. cultural attitude.: C. Belief system
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?: C. Are you
uncomfortable talking with me?
8. As you explain your patient's condition to her husband, you notice that he
is leaning toward you and pointedly blinking his eyes. Knowing that he is
from England, your most appropriate response to this behavior is to
A. tell him that you understand his need to be alone.
B. ask whether he has any questions.
C. ask whether he would prefer to speak to the clinician.
D. tell him that it is all right to be angry.: B. ask whether he has any questions
9. An aspect of traditional Western medicine that may be troublesome to many
Hispanics, Native Americans, Asians, and Middle Eastern groups is Western
, A. use a holistic approach that views a particular medical problem as part of
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a bigger
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picture.
B. determine a specific cause for every problem in a precise way. n n n n n n n n n n
C. establish harmony between a person and the entire cosmos. n n n n n n n n
D. restore balance in an individual's life.: B. determine a specific cause for every
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problem in a precise way
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10. The attitudes of the healthcare professional
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A. are largely irrelevant to the success of relationships with the patient.
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B. do not influence patient behavior.
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C. are difficult for the patient to sense.
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D. are culturally derived.: D. are culturally derived
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11. Mr. Sanchez is a 45-year-old gentleman who has presented to the office for a
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physical examination to establish a new primary care healthcare provider.
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Which of the following describes a physical, not a cultural, differentiator?
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A. Race
B. Rite
C. Ritual
D. Norm: A. Race n n
12. Mr. Abdul is a 40-year-old Middle Eastern man who presents to the office for
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a first visit with the complaint of new abdominal pain.You are concerned about
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violating a cultural prohibition when you prepare to do his rectal examination.
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The best tactic would be to
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A. forego the examination for fear of violating cultural norms.
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B. ask a colleague from the same geographic area if this examination is
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acceptable.
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C. inform the patient of the reason for the examination and ask if it is accept-
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able to
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him.
D. refer the patient to a provider more knowledgeable about cultural differ-
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ences.: C. inform the patient of the reason for the examination and ask if it is
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acceptable to him
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13. Mr. Jones is a 45-year-old patient who presents to the office. A person's
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definition of illness is likely to be most influenced by
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A. race.
B. socioeconomic class. n
C. enculturation.
D. age group.: C. enculturation
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