Interprofessional Approach 10th Edition by Jane W. Ball, Joyce
E. Dains Chapter 1-26; Ace in your Exams in 1 attempt!
Chapter 01: Cultural Competency
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Ball:Seidel’s Guide to PhysicalExamination, 10th Edition
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MULTIPLE CHOICE hi
1. Which statement is true regarding the relationship of physical characteristics and culture?
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a. Physical characteristics should be used to identify members of cultural groups. hi hi hi hi hi hi hi hi hi hi
b. There is a difference between distinguishing cultural characteristics and hi hi hi hi hi hi hi hi
distinguishing physical characteristics.
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c. To be a member of a specific culture, an individual must have certain identifiable
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physical characteristics.
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d. Gender and race are the two essential physical characteristics used to identify hi hi hi hi hi hi hi hi hi hi hi
cultural groups.
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ANS: B hi
Physical characteristics are not used to identify cultural groups; there is a difference between
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the two, and they are considered separately. Physical characteristics should not be used to
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identify members of cultural groups. To be a member of a specific culture, an individual does not
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need to have certain identifiable physical characteristics. You should not confuse physical
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characteristics with cultural characteristics. Gender and race are physical characteristics, not
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cultural characteristics, and are not used to identify cultural groups.
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DIF:Cognitive Level: Understanding(Comprehension) hi hi hi
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation h i h i hi hi hi
2. An image of any group that rejects its potential for originalityor individualityis known as a(n)
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a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS: C hi
A fixed image of any group that rejects its potential for originality or individuality is the
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definition of stereotype. Acculturation is the process of adopting another culture’s behaviors. A
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norm is a standard of allowable behavior within a group. Ethnos implies the same race or
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nationality.
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DIF:Cognitive Level: Remembering(Knowledge) hi hi hi
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation h i h i hi hi hi
3. Mr. Lpresents to the clinic with severe groin pain and a historyof kidneystones. Mr. L’s son tells
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hi you that for religious reasons, his father wishes to keep any stone that is passed into the urine
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hi filter that he has been using. What is your most appropriate response?
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,a. ―Withyourfather’spermission,wewillexaminethe stoneandrequestthatitbe
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returned to him.‖
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b. ―Thestone must be sent to the lab forexamination and therefore cannot be kept.‖
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c. ―Wecannot let him keep his stone because it violates ourinfection control policy.‖
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d. ―Wedon’tknow yetif yourfatherhas anotherkidneystone,sowemust analyze this
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one.‖
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, ANS: A hi
We should be willing to modifythe deliveryof health care in a manner that is respectful and in
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keeping with the patient’s cultural background. ―With your father’s permission, we will
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examine the stone and request that it be returned to him‖ is the most appropriate response.
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―Thestone must besent to the lab forexaminationand therefore cannot be kept‖ and ―We don’t
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know yet if your father has another kidneystone, so we must analyze this one‖ do not support the
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patient’s request. ―We cannot let him keep his stone because it violates our infection control
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policy‖ does not provide a reason that it would violate an infection control policy.
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DIF:Cognitive Level: Analyzing(Analysis) hi hi hi
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation h i h i hi hi hi
4. Themotivation of the healthcareprofessional to ―want to‖ engage in the process ofbecoming
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hi culturally competent, not ―have to,‖ is called hi hi hi hi hi hi
a. cultural knowledge. hi
b. cultural awareness. hi
c. cultural desire. hi
d. cultural skill. hi
ANS: C hi
Cultural encounters are the continuous process of interacting with patients from culturally
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diverse backgrounds to validate, refine, or modify existing values, beliefs, and practices about a
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cultural group and to develop cultural desire, cultural awareness, cultural skill, and cultural
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knowledge. Cultural awareness is deliberate self-examination and in-depth exploration of one’s
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biases, stereotypes, prejudices, assumptions, and ―-isms‖ that one holds about individuals and
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groups who are different from them. Cultural knowledge is the process of seeking and obtaining
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a sound educational base about culturallyand ethnicallydiverse groups. Cultural skill is the
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ability to collect culturally relevant data regarding the patient’s presenting problem, as well as
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accurately performing a culturally based physical assessment in a culturally sensitive manner.
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Cultural desire is the motivation of the healthcare professional to want to engage in the process
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of becoming culturally competent, not have to.
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DIF:Cognitive Level: Understanding(Comprehension) hi hi hi
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation h i h i hi hi hi
5. Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic.
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Which question has the most potential for exploring a patient’s cultural beliefs related to a
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health problem?
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a. ―Howoften do you have medical examinations?‖ hi hi hi hi hi hi
b. ―Whatis yourage,race, andeducationallevel?‖ hi hi hi hi hi hi hi
c. ―Whattypesofsymptoms have youbeenhaving?‖ hi hi hi hi hi hi hi
d. ―Whydo youthink you arehavingthesesymptoms?‖ hi hi hi hi hi hi hi hi
ANS: D hi