2023 Test Bank For Seidel's Guide to Physical Exami
l l l l l l l l
nation An Interprofessional Approach 10th Edition b
l l l l l l
yJane W. Ball, Joyce E. Dains Chapter 1-
l l l l l l l l
26; Ace in your Exams in 1 attempt A+
l l l l l l l l l
,Chapter 01: Cultural Competency
l l l
Ball: Seidel’s Guide to Physical Examination, 10th Edition
l l l l l l l
MULTIPLElCHOICE
1. Mr.lLlpresentsltolthelcliniclwithlseverelgroinlpainlandlalhistoryloflkidneylstones.lMr.lL’slsonltellsly
oulthatlforlreligiouslreasons,lhislfatherlwishesltolkeeplanylstonelthatlislpassedlintolthelurinelfilterlt
hatlhelhaslbeenlusing.lWhatlislyourlmostlappropriatelresponse?
a. ―Withlyourlfather’slpermission,lwelwilllexaminelthelstonelandlrequestlthatlitlbelretu
rnedltolhim.‖
b. ―Thelstonelmustlbelsentltolthellablforlexaminationlandlthereforelcannotlbelkept.‖
c. ―Welcannotlletlhimlkeeplhislstonelbecauselitlviolateslourlinfectionlcontrollpolicy.‖
d. ―Weldon’tlknowlyetliflyourlfatherlhaslanotherlkidneylstone,lsolwelmustlanalyzelthisl
one.‖
ANS:l A
Welshouldlbelwillingltolmodifyltheldeliveryloflhealthlcarelinlalmannerlthatlislrespectfullandlinlkee
pinglwithlthelpatient’slculturallbackground.l―Withlyourlfather’slpermission,lwelwilllexaminelt
helstonelandlrequestlthatlitlbelreturnedltolhim‖lislthelmostlappropriatelresponse.
―Thelstonelmustlbelsentltolthellablforlexaminationlandlthereforelcannotlbelkept‖landl―Weldon’tl
knowlyetliflyourlfatherlhaslanotherlkidneylstone,lsolwelmustlanalyzelthislone‖ldolnotlsupportlthel
patient’slrequest.l―Welcannotlletlhimlkeeplhislstonelbecauselitlviolateslourlinfectionlcontrollp
olicy‖ldoeslnotlprovidelalreasonlthatlitlwouldlviolatelanlinfectionlcontrollpolicy.
DIF:CognitivelLevel:lAnalyzingl(Analysis)
OBJ:Nursinglprocess—assessment MSC:l PhysiologiclIntegrity:lPhysiologiclAdaptation
2. Whichlstatementlisltruelregardinglthelrelationshiploflphysicallcharacteristicslandlculture?
a. Physicallcharacteristicslshouldlbelusedltolidentifylmembersloflculturallgroups.
b. Therelislaldifferencelbetweenldistinguishinglculturallcharacteristicslandldi
stinguishinglphysicallcharacteristics.
c. Tolbelalmemberloflalspecificlculture,lanlindividuallmustlhavelcertainlidentifiablelphy
sicallcharacteristics.
d. Genderlandlracelareltheltwolessentiallphysicallcharacteristicslusedltolidentifylcult
urallgroups.
ANS:l B
Physicallcharacteristicslarelnotlusedltolidentifylculturallgroups;ltherelislaldifferencelbetweenlthelt
wo,landltheylarelconsideredlseparately.lPhysicallcharacteristicslshouldlnotlbelusedltolidentifylme
mbersloflculturallgroups.lTolbelalmemberloflalspecificlculture,lanlindividualldoeslnotlneedltolhavel
certainlidentifiablelphysicallcharacteristics.lYoulshouldlnotlconfuselphysicallcharacteristicslwithl
culturallcharacteristics.lGenderlandlracelarelphysicallcharacteristics,lnotlculturallcharacteristics,l
andlarelnotlusedltolidentifylculturallgroups.
DIF:CognitivelLevel:lUnderstandingl(Comprehension)
, OBJ:Nursinglprocess—assessment MSC:l PhysiologiclIntegrity:lPhysiologiclAdaptation
3. Anlimageloflanylgrouplthatlrejectslitslpotentiallforloriginalitylorlindividualitylislknownlasla(n)
a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS:l C
Alfixedlimageloflanylgrouplthatlrejectslitslpotentiallforloriginalitylorlindividualitylisltheldefinitio
nloflstereotype.lAcculturationlislthelprocesslofladoptinglanotherlculture’slbehaviors.lAlnormlislals
tandardloflallowablelbehaviorlwithinlalgroup.lEthnoslimplieslthelsamelracelorlnationality.
DIF:CognitivelLevel:lRememberingl(Knowledge)
OBJ:Nursinglprocess—assessment MSC:l PhysiologiclIntegrity:lPhysiologiclAdaptation
4. Thelmotivationloflthelhealthcarelprofessionalltol―wantlto‖lengagelinlthelprocessloflbecominglcult
urallylcompetent,lnotl―havelto,‖lislcalled
a. culturallknowledge.
b. culturallawareness.
c. culturalldesire.
d. culturallskill.
ANS:l C
Culturallencounterslarelthelcontinuouslprocessloflinteractinglwithlpatientslfromlculturallyldiverse
lbackgroundsltolvalidate,lrefine,lorlmodifylexistinglvalues,lbeliefs,landlpracticeslaboutlalculturallgr
ouplandltoldeveloplculturalldesire,lculturallawareness,lculturallskill,landlculturallknowledge.lCult
urallawarenesslisldeliberatelself-examinationlandlin-
depthlexplorationloflone’slbiases,lstereotypes,lprejudices,lassumptions,landl―-
isms‖lthatlonelholdslaboutlindividualslandlgroupslwholareldifferentlfromlthem.lCulturallknowledg
elislthelprocessloflseekinglandlobtaininglalsoundleducationallbaselaboutlculturallylandlethnicallyldi
verselgroups.lCulturallskilllislthelabilityltolcollectlculturallylrelevantldatalregardinglthelpatient’slpr
esentinglproblem,laslwelllaslaccuratelylperforminglalculturallylbasedlphysicallassessmentlinlalcult
urallylsensitivelmanner.lCulturalldesirelislthelmotivationloflthelhealthcarelprofessionalltolwantltol
engagelinlthelprocessloflbecominglculturallylcompetent,lnotlhavelto.
DIF:CognitivelLevel:lUnderstandingl(Comprehension)
OBJ:Nursinglprocess—assessment MSC:l PhysiologiclIntegrity:lPhysiologiclAdaptation
5. Mr.lMarkslislal66-year-
oldlpatientlwholpresentslforlalphysicallexaminationltolthelclinic.lWhichlquestionlhaslthelmostl
potentiallforlexploringlalpatient’slculturallbeliefslrelatedltolalhealthlproblem?
, a. ―Howloftenldolyoulhavelmedicallexaminations?‖
b. ―Whatlislyourlage,lrace,landleducationalllevel?‖
c. ―Whatltypesloflsymptomslhavelyoulbeenlhaving?‖
d. ―Whyldolyoulthinklyoularelhavingltheselsymptoms?‖
ANS:l D
―Whyldolyoulthinklyoularelhavingltheselsymptoms?‖lislanlopen-
endedlquestionlthatlavoidslstereotyping,lislsensitivelandlrespectfulltowardlthelindividual,landlall
owslforlculturalldataltolbelexchanged.lThelotherlquestionsldolnotlexplorelthelpatient’slculturallbe
liefslaboutlhealthlproblems.
DIF:CognitivelLevel:lAnalyzingl(Analysis)
OBJ:Nursinglprocess—assessment MSC:l PhysiologiclIntegrity:lPhysiologiclAdaptation
6. Theldefinitionloflilllorlsicklislbasedlonla
a. stereotype.
b. culturallbehavior.
c. belieflsystem.
d. culturallattitude.
ANS:l C
Theldefinitionloflilllorlsicklislbasedlonlthelindividual’slbelieflsystemlandlisldeterminedlinllargel
partlbylhislorlherlenculturation.
DIF:CognitivelLevel:lUnderstandingl(Comprehension)
OBJ:Nursinglprocess—assessment MSC:l PhysiologiclIntegrity:lPhysiologiclAdaptation
7. Al22-year-oldlfemalelnurselislinterviewinglanl86-year-
oldlmalelpatient.lThelpatientlavoidsleyelcontactlandlanswerslquestionslonlylbylsaying,l―Yeah,‖l
―No,‖lorl―Ilguesslso.‖lWhichloflthelfollowinglislappropriatelforlthelinterviewerltolsaylorlask?
a. ―Welwilllbelableltolcommunicatelbetterliflyoullooklatlme.‖
b. ―It’slhardlforlmeltolgatherlusefullinformationlbecauselyourlanswerslarelsolshort.‖
c. ―Arelyouluncomfortableltalkinglwithlme?‖
d. ―Doeslyourlreligionlmakelitlhardlforlyoultolanswerlmylquestions?‖
ANS:l C
Itlislalllrightltolaskliflthelpatientlisluncomfortablelwithlanylaspectloflyourlpersonlandltoltalklaboutlit;lt
helotherlchoiceslarellesslrespectful.
DIF:CognitivelLevel:l Applyingl(Application)
OBJ:Nursinglprocess—assessment MSC:l PhysiologiclIntegrity:lPhysiologiclAdaptation
8. Aslyoulexplainlyourlpatient’slconditionltolherlhusband,lyoulnoticelthatlhelislleaningltowardlyoula
ndlpointedlylblinkinglhisleyes.lKnowinglthatlhelislfromlEngland,lyourlmostlappropriatelresponselt
olthislbehaviorlislto
a. telllhimlthatlyoulunderstandlhislneedltolbelalone.
b. asklwhetherlhelhasl anylquestions.
c. asklwhetherlhelwouldlpreferltolspeakltolthelclinician.
l l l l l l l l
nation An Interprofessional Approach 10th Edition b
l l l l l l
yJane W. Ball, Joyce E. Dains Chapter 1-
l l l l l l l l
26; Ace in your Exams in 1 attempt A+
l l l l l l l l l
,Chapter 01: Cultural Competency
l l l
Ball: Seidel’s Guide to Physical Examination, 10th Edition
l l l l l l l
MULTIPLElCHOICE
1. Mr.lLlpresentsltolthelcliniclwithlseverelgroinlpainlandlalhistoryloflkidneylstones.lMr.lL’slsonltellsly
oulthatlforlreligiouslreasons,lhislfatherlwishesltolkeeplanylstonelthatlislpassedlintolthelurinelfilterlt
hatlhelhaslbeenlusing.lWhatlislyourlmostlappropriatelresponse?
a. ―Withlyourlfather’slpermission,lwelwilllexaminelthelstonelandlrequestlthatlitlbelretu
rnedltolhim.‖
b. ―Thelstonelmustlbelsentltolthellablforlexaminationlandlthereforelcannotlbelkept.‖
c. ―Welcannotlletlhimlkeeplhislstonelbecauselitlviolateslourlinfectionlcontrollpolicy.‖
d. ―Weldon’tlknowlyetliflyourlfatherlhaslanotherlkidneylstone,lsolwelmustlanalyzelthisl
one.‖
ANS:l A
Welshouldlbelwillingltolmodifyltheldeliveryloflhealthlcarelinlalmannerlthatlislrespectfullandlinlkee
pinglwithlthelpatient’slculturallbackground.l―Withlyourlfather’slpermission,lwelwilllexaminelt
helstonelandlrequestlthatlitlbelreturnedltolhim‖lislthelmostlappropriatelresponse.
―Thelstonelmustlbelsentltolthellablforlexaminationlandlthereforelcannotlbelkept‖landl―Weldon’tl
knowlyetliflyourlfatherlhaslanotherlkidneylstone,lsolwelmustlanalyzelthislone‖ldolnotlsupportlthel
patient’slrequest.l―Welcannotlletlhimlkeeplhislstonelbecauselitlviolateslourlinfectionlcontrollp
olicy‖ldoeslnotlprovidelalreasonlthatlitlwouldlviolatelanlinfectionlcontrollpolicy.
DIF:CognitivelLevel:lAnalyzingl(Analysis)
OBJ:Nursinglprocess—assessment MSC:l PhysiologiclIntegrity:lPhysiologiclAdaptation
2. Whichlstatementlisltruelregardinglthelrelationshiploflphysicallcharacteristicslandlculture?
a. Physicallcharacteristicslshouldlbelusedltolidentifylmembersloflculturallgroups.
b. Therelislaldifferencelbetweenldistinguishinglculturallcharacteristicslandldi
stinguishinglphysicallcharacteristics.
c. Tolbelalmemberloflalspecificlculture,lanlindividuallmustlhavelcertainlidentifiablelphy
sicallcharacteristics.
d. Genderlandlracelareltheltwolessentiallphysicallcharacteristicslusedltolidentifylcult
urallgroups.
ANS:l B
Physicallcharacteristicslarelnotlusedltolidentifylculturallgroups;ltherelislaldifferencelbetweenlthelt
wo,landltheylarelconsideredlseparately.lPhysicallcharacteristicslshouldlnotlbelusedltolidentifylme
mbersloflculturallgroups.lTolbelalmemberloflalspecificlculture,lanlindividualldoeslnotlneedltolhavel
certainlidentifiablelphysicallcharacteristics.lYoulshouldlnotlconfuselphysicallcharacteristicslwithl
culturallcharacteristics.lGenderlandlracelarelphysicallcharacteristics,lnotlculturallcharacteristics,l
andlarelnotlusedltolidentifylculturallgroups.
DIF:CognitivelLevel:lUnderstandingl(Comprehension)
, OBJ:Nursinglprocess—assessment MSC:l PhysiologiclIntegrity:lPhysiologiclAdaptation
3. Anlimageloflanylgrouplthatlrejectslitslpotentiallforloriginalitylorlindividualitylislknownlasla(n)
a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS:l C
Alfixedlimageloflanylgrouplthatlrejectslitslpotentiallforloriginalitylorlindividualitylisltheldefinitio
nloflstereotype.lAcculturationlislthelprocesslofladoptinglanotherlculture’slbehaviors.lAlnormlislals
tandardloflallowablelbehaviorlwithinlalgroup.lEthnoslimplieslthelsamelracelorlnationality.
DIF:CognitivelLevel:lRememberingl(Knowledge)
OBJ:Nursinglprocess—assessment MSC:l PhysiologiclIntegrity:lPhysiologiclAdaptation
4. Thelmotivationloflthelhealthcarelprofessionalltol―wantlto‖lengagelinlthelprocessloflbecominglcult
urallylcompetent,lnotl―havelto,‖lislcalled
a. culturallknowledge.
b. culturallawareness.
c. culturalldesire.
d. culturallskill.
ANS:l C
Culturallencounterslarelthelcontinuouslprocessloflinteractinglwithlpatientslfromlculturallyldiverse
lbackgroundsltolvalidate,lrefine,lorlmodifylexistinglvalues,lbeliefs,landlpracticeslaboutlalculturallgr
ouplandltoldeveloplculturalldesire,lculturallawareness,lculturallskill,landlculturallknowledge.lCult
urallawarenesslisldeliberatelself-examinationlandlin-
depthlexplorationloflone’slbiases,lstereotypes,lprejudices,lassumptions,landl―-
isms‖lthatlonelholdslaboutlindividualslandlgroupslwholareldifferentlfromlthem.lCulturallknowledg
elislthelprocessloflseekinglandlobtaininglalsoundleducationallbaselaboutlculturallylandlethnicallyldi
verselgroups.lCulturallskilllislthelabilityltolcollectlculturallylrelevantldatalregardinglthelpatient’slpr
esentinglproblem,laslwelllaslaccuratelylperforminglalculturallylbasedlphysicallassessmentlinlalcult
urallylsensitivelmanner.lCulturalldesirelislthelmotivationloflthelhealthcarelprofessionalltolwantltol
engagelinlthelprocessloflbecominglculturallylcompetent,lnotlhavelto.
DIF:CognitivelLevel:lUnderstandingl(Comprehension)
OBJ:Nursinglprocess—assessment MSC:l PhysiologiclIntegrity:lPhysiologiclAdaptation
5. Mr.lMarkslislal66-year-
oldlpatientlwholpresentslforlalphysicallexaminationltolthelclinic.lWhichlquestionlhaslthelmostl
potentiallforlexploringlalpatient’slculturallbeliefslrelatedltolalhealthlproblem?
, a. ―Howloftenldolyoulhavelmedicallexaminations?‖
b. ―Whatlislyourlage,lrace,landleducationalllevel?‖
c. ―Whatltypesloflsymptomslhavelyoulbeenlhaving?‖
d. ―Whyldolyoulthinklyoularelhavingltheselsymptoms?‖
ANS:l D
―Whyldolyoulthinklyoularelhavingltheselsymptoms?‖lislanlopen-
endedlquestionlthatlavoidslstereotyping,lislsensitivelandlrespectfulltowardlthelindividual,landlall
owslforlculturalldataltolbelexchanged.lThelotherlquestionsldolnotlexplorelthelpatient’slculturallbe
liefslaboutlhealthlproblems.
DIF:CognitivelLevel:lAnalyzingl(Analysis)
OBJ:Nursinglprocess—assessment MSC:l PhysiologiclIntegrity:lPhysiologiclAdaptation
6. Theldefinitionloflilllorlsicklislbasedlonla
a. stereotype.
b. culturallbehavior.
c. belieflsystem.
d. culturallattitude.
ANS:l C
Theldefinitionloflilllorlsicklislbasedlonlthelindividual’slbelieflsystemlandlisldeterminedlinllargel
partlbylhislorlherlenculturation.
DIF:CognitivelLevel:lUnderstandingl(Comprehension)
OBJ:Nursinglprocess—assessment MSC:l PhysiologiclIntegrity:lPhysiologiclAdaptation
7. Al22-year-oldlfemalelnurselislinterviewinglanl86-year-
oldlmalelpatient.lThelpatientlavoidsleyelcontactlandlanswerslquestionslonlylbylsaying,l―Yeah,‖l
―No,‖lorl―Ilguesslso.‖lWhichloflthelfollowinglislappropriatelforlthelinterviewerltolsaylorlask?
a. ―Welwilllbelableltolcommunicatelbetterliflyoullooklatlme.‖
b. ―It’slhardlforlmeltolgatherlusefullinformationlbecauselyourlanswerslarelsolshort.‖
c. ―Arelyouluncomfortableltalkinglwithlme?‖
d. ―Doeslyourlreligionlmakelitlhardlforlyoultolanswerlmylquestions?‖
ANS:l C
Itlislalllrightltolaskliflthelpatientlisluncomfortablelwithlanylaspectloflyourlpersonlandltoltalklaboutlit;lt
helotherlchoiceslarellesslrespectful.
DIF:CognitivelLevel:l Applyingl(Application)
OBJ:Nursinglprocess—assessment MSC:l PhysiologiclIntegrity:lPhysiologiclAdaptation
8. Aslyoulexplainlyourlpatient’slconditionltolherlhusband,lyoulnoticelthatlhelislleaningltowardlyoula
ndlpointedlylblinkinglhisleyes.lKnowinglthatlhelislfromlEngland,lyourlmostlappropriatelresponselt
olthislbehaviorlislto
a. telllhimlthatlyoulunderstandlhislneedltolbelalone.
b. asklwhetherlhelhasl anylquestions.
c. asklwhetherlhelwouldlpreferltolspeakltolthelclinician.
