,
, 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 to
be 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 talk
about it; the other choices are less respectful.
DIF:Cognitive Level: Applying (Application)
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
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.