Interprofessional Approach 10th Edition by Jane W. Ball, Joyce
E. Dains Chapter 1-26; Ace in your Exams in 1 attempt!
Chapter01:CulturalCompetency j
Ball:Seidel’s GuidetoPhysicalExamination,10thEdition
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MULTIPLE CHOICE j
1. Which statement is trueregarding the relationship of physical characteristics and culture?
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a. Physicalcharacteristics should beusedtoidentifymembersofcultural groups.
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b. Thereis a differencebetween distinguishing culturalcharacteristicsand
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distinguishing physical characteristics.
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c. Tobeamemberofaspecificculture,anindividualmusthavecertainidentifiable
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physical characteristics.
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d. Gender and race arethetwoessentialphysical characteristics usedtoidentify
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cultural groups.
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ANS: B j
Physical characteristics are not used to identifycultural groups; there is a difference between the
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two, and they are considered separately. Physical characteristics should not be used to
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identifymembersofcultural groups.Tobeamemberofa specific culture,anindividualdoes not
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need tohavecertain identifiablephysical characteristics.Youshouldnotconfusephysical
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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 j
OBJ:Nursing process—assessment MSC: PhysiologicIntegrity:Physiologic Adaptation
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2. Animageofanygroupthatrejectsitspotentialfor originalityorindividualityisknownas a(n)
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a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS: C j
A fixed image of any group that rejects its potential for originality or individuality is the
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definitionofstereotype. Acculturation istheprocessofadoptinganotherculture’sbehaviors. 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:CognitiveLevel: Remembering(Knowledge) j j hi
OBJ:Nursing process—assessment MSC: PhysiologicIntegrity:Physiologic Adaptation
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3. Mr.Lpresentstotheclinicwithseveregroinpainandahistoryofkidneystones.Mr. L’ssontells you
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j that for religious reasons, his father wishes to keep anystone that is passed into the urine filter that
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j he has been using. What is your most appropriate response?
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,a. ―Withyourfather’spermission,wewillexaminethestoneand requestthatitbe
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returned to him.‖
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b. ―Thestonemust besenttothelabforexaminationandthereforecannotbekept.‖
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c. ―Wecannotlethimkeephisstonebecauseitviolatesourinfectioncontrolpolicy.‖
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d. ―Wedon’tknowyetifyourfatherhasanotherkidneystone,sowemustanalyze this
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j one.‖
, ANS: A j
Weshouldbewillingto modifythedeliveryofhealthcareinamannerthat isrespectfuland in
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keepingwiththe patient’s cultural background. ―With your father’s permission, wewill
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examine the stone and request that it be returned to him‖ is the most appropriate response.
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―Thestonemustbesenttothelabforexaminationandthereforecannotbekept‖and―We don’t hi j j
jknow yet if yourfatherhas another kidneystone, sowemust analyze thisone‖ 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‖ doesnot provide areason thatit wouldviolate aninfection control policy.
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DIF:CognitiveLevel:Analyzing(Analysis) j hi
OBJ:Nursing process—assessment j MSC: PhysiologicIntegrity:PhysiologicAdaptation
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4. Themotivationofthehealthcareprofessionalto―wantto‖engageintheprocess ofbecoming hi i
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j culturallycompetent, not ―have to,‖ is called j j j j j
a. culturalknowledge.
b. culturalawareness.
c. culturaldesire.
d. culturalskill.
ANS: C j
Cultural encounters are the continuous process of interacting with patients from culturally
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diversebackgrounds to validate, refine, ormodifyexistingvalues, 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 awarenessisdeliberate self-examinationandin-depthexplorationofone’s
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biases, stereotypes, prejudices, assumptions, and ―-isms‖thatoneholdsabout individuals and
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groups whoaredifferent from them.Cultural knowledgeis theprocess of seekingandobtaining
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asound educational base about culturallyand ethnicallydiverse groups. Cultural skill is the
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abilityto collect culturallyrelevant 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 of
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becoming culturally competent, not have to.
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DIF:CognitiveLevel:Understanding(Comprehension) j hi
OBJ:Nursing process—assessment MSC: PhysiologicIntegrity:Physiologic Adaptation
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5. Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic.
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Whichquestion hasthe most potential forexploringapatient’s cultural beliefs related to a
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healthproblem?
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a. ―Howoftendo you havemedical examinations?‖ j hi hi
b. ―Whatisyourage,race,andeducationallevel?‖ hi
c. ―Whattypesofsymptomshave you been having?‖ hi hi hi
d. ―Whydoyouthinkyouarehavingthesesymptoms?‖ hi j hi
ANS: D j