SEIDELS GUIDE TO PHYSICAL EXAMINATION 10TH EDITI
ON BALL TEST BANK QUESTIONS WITH COMPLETE SOLU
TIONS LATEST UPDATE
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 |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.
|
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 |does
|not |need |to |have |certain |identifiable |physical |characteristics. |You |should |not |confuse |physical
|characteristics |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
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.
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
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.‖
|
, ANS: | A
We |should |be |willing |to |modify |the |delivery |of |health |care |in |a |manner |that |is |respectful |and |in
|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 |not |support
|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 |control
|policy.
DIF:Cognitive |Level: |Analyzing |(Analysis)
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 |about |a
|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 |presenting
|problem, |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
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?‖
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.
d. tell |him |that |it |is |all |right |to |be |angry.
ANS: | B
The |English |worry |about |being |overheard |and |tend |to |speak |in |modulated |voices |so, |when |they
|lean |in |toward | you, |they |are |probably |poised |to |ask |a |question.
DIF:Cognitive |Level: |Analyzing |(Analysis)
OBJ:Nursing |process—assessment MSC: | Physiologic |Integrity: |Physiologic |Adaptation
9. An |aspect |of |traditional |Western |medicine |that |may |be |troublesome |to |many |Hispanics,
Native |Americans, |Asians, |and |Middle |Eastern |groups |is |Western |medicine’s |attempts |to
|
a. use |a |holistic |approach |that |views |a |particular |medical |problem |as |part |of |a |bigger
picture.
|
b. determine |a |specific |cause |for |every |problem |in |a |precise |way.
c. establish |harmony |between |a |person |and |the |entire |cosmos.
ON BALL TEST BANK QUESTIONS WITH COMPLETE SOLU
TIONS LATEST UPDATE
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 |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.
|
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 |does
|not |need |to |have |certain |identifiable |physical |characteristics. |You |should |not |confuse |physical
|characteristics |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
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.
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
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.‖
|
, ANS: | A
We |should |be |willing |to |modify |the |delivery |of |health |care |in |a |manner |that |is |respectful |and |in
|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 |not |support
|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 |control
|policy.
DIF:Cognitive |Level: |Analyzing |(Analysis)
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 |about |a
|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 |presenting
|problem, |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
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?‖
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.
d. tell |him |that |it |is |all |right |to |be |angry.
ANS: | B
The |English |worry |about |being |overheard |and |tend |to |speak |in |modulated |voices |so, |when |they
|lean |in |toward | you, |they |are |probably |poised |to |ask |a |question.
DIF:Cognitive |Level: |Analyzing |(Analysis)
OBJ:Nursing |process—assessment MSC: | Physiologic |Integrity: |Physiologic |Adaptation
9. An |aspect |of |traditional |Western |medicine |that |may |be |troublesome |to |many |Hispanics,
Native |Americans, |Asians, |and |Middle |Eastern |groups |is |Western |medicine’s |attempts |to
|
a. use |a |holistic |approach |that |views |a |particular |medical |problem |as |part |of |a |bigger
picture.
|
b. determine |a |specific |cause |for |every |problem |in |a |precise |way.
c. establish |harmony |between |a |person |and |the |entire |cosmos.
