TEST BANK FOR SEIDEL'S GUIDE TO PHYSICAL EXAMINATION AN INTERPROFESSIONAL APPROACH 10TH EDITION BY JANE W. BALL, JOYCE E. DAINS CHAPTER 1- 26; ACE IN YOUR EXAMS IN 1 ATTEMPT A+

TEST BANK FOR SEIDEL'S GUIDE TO PHYSICAL
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EXAMINATION AN INTERPROFESSIONAL APPRO
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ACH 10TH EDITION BYJANE W. BALL, JOYCE E. D
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AINS CHAPTER 1- v v



26; ACE IN YOUR EXAMS IN 1 ATTEMPT A+
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,Chapter 01: Cultural Competency
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Ball: Seidel’s Guide to Physical Examination, 10th Edition
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MULTIPLEvCHOICE

1. Mr.vLvpresentsvtovthevclinicvwithvseverevgroinvpainvandvavhistoryvofvkidneyvstones.vMr.vL’svsonvte
llsvyouvthatvforvreligiousvreasons,vhisvfathervwishesvtovkeepvanyvstonevthatvisvpassedvintovthevuri
nevfiltervthatvhevhasvbeenvusing.vWhatvisvyourvmostvappropriatevresponse?

a. ―Withvyourvfather’svpermission,vwevwillvexaminevthevstonevandvrequestvthatvitvbevr
eturnedvtovhim.‖
b. ―Thevstonevmustvbevsentvtovthevlabvforvexaminationvandvthereforevcannotvbevkept.‖
c. ―Wevcannotvletvhimvkeepvhisvstonevbecausevitvviolatesvourvinfectionvcontrolvpolicy.‖
d. ―Wevdon’tvknowvyetvifvyourvfathervhasvanothervkidneyvstone,vsovwevmustvanalyzevt
hisvone.‖

ANS:v A
Wevshouldvbevwillingvtovmodifyvthevdeliveryvofvhealthvcarevinvavmannervthatvisvrespectfulvandvi
nvkeepingvwithvthevpatient’svculturalvbackground.v―Withvyourvfather’svpermission,vwevwillve
xaminevthevstonevandvrequestvthatvitvbevreturnedvtovhim‖visvthevmostvappropriatevresponse.
―Thevstonevmustvbevsentvtovthevlabvforvexaminationvandvthereforevcannotvbevkept‖vandv―Wevdon
’tvknowvyetvifvyourvfathervhasvanothervkidneyvstone,vsovwevmustvanalyzevthisvone‖vdovnotvsupport
vthevpatient’svrequest.v―Wevcannotvletvhimvkeepvhisvstonevbecausevitvviolatesvourvinfectionvcon

trolvpolicy‖vdoesvnotvprovidevavreasonvthatvitvwouldvviolatevanvinfectionvcontrolvpolicy.

DIF:CognitivevLevel:vAnalyzingv(Analysis)
OBJ:Nursingvprocess—assessment MSC:v PhysiologicvIntegrity:vPhysiologicvAdaptation

2. Whichvstatementvisvtruevregardingvthevrelationshipvofvphysicalvcharacteristicsvandvculture?
a. Physicalvcharacteristicsvshouldvbevusedvtovidentifyvmembersvofvculturalvgroups.
b. Therevisvavdifferencevbetweenvdistinguishingvculturalvcharacteristicsvandv
distinguishingvphysicalvcharacteristics.
c. Tovbevavmembervofvavspecificvculture,vanvindividualvmustvhavevcertainvidentifiablevp
hysicalvcharacteristics.
d. Gendervandvracevarevthevtwovessentialvphysicalvcharacteristicsvusedvtovidentifyvc
ulturalvgroups.
ANS:v B
Physicalvcharacteristicsvarevnotvusedvtovidentifyvculturalvgroups;vtherevisvavdifferencevbetweenvt
hevtwo,vandvtheyvarevconsideredvseparately.vPhysicalvcharacteristicsvshouldvnotvbevusedvtoviden
tifyvmembersvofvculturalvgroups.vTovbevavmembervofvavspecificvculture,vanvindividualvdoesvnotvn
eedvtovhavevcertainvidentifiablevphysicalvcharacteristics.vYouvshouldvnotvconfusevphysicalvchara
cteristicsvwithvculturalvcharacteristics.vGendervandvracevarevphysicalvcharacteristics,vnotvcultur
alvcharacteristics,vandvarevnotvusedvtovidentifyvculturalvgroups.

DIF:CognitivevLevel:vUnderstandingv(Comprehension)

, OBJ:Nursingvprocess—assessment MSC:v PhysiologicvIntegrity:vPhysiologicvAdaptation

3. Anvimagevofvanyvgroupvthatvrejectsvitsvpotentialvforvoriginalityvorvindividualityvisvknownvasva
(n)
a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS:v C
Avfixedvimagevofvanyvgroupvthatvrejectsvitsvpotentialvforvoriginalityvorvindividualityvisvthevdefini
tionvofvstereotype.vAcculturationvisvthevprocessvofvadoptingvanothervculture’svbehaviors.vAvnorm
visvavstandardvofvallowablevbehaviorvwithinvavgroup.vEthnosvimpliesvthevsamevracevorvnationalit

y.

DIF:CognitivevLevel:vRememberingv(Knowledge)
OBJ:Nursingvprocess—assessment MSC:v PhysiologicvIntegrity:vPhysiologicvAdaptation




4. Thevmotivationvofvthevhealthcarevprofessionalvtov―wantvto‖vengagevinvthevprocessvofvbecomingvc
ulturallyvcompetent,vnotv―havevto,‖visvcalled
a. culturalvknowledge.
b. culturalvawareness.
c. culturalvdesire.
d. culturalvskill.
ANS:v C
Culturalvencountersvarevthevcontinuousvprocessvofvinteractingvwithvpatientsvfromvculturallyvdive
rsevbackgroundsvtovvalidate,vrefine,vorvmodifyvexistingvvalues,vbeliefs,vandvpracticesvaboutvavcult
uralvgroupvandvtovdevelopvculturalvdesire,vculturalvawareness,vculturalvskill,vandvculturalvknowl
edge.vCulturalvawarenessvisvdeliberatevself-examinationvandvin-depthvexplorationvof
one’svbiases,vstereotypes,vprejudices,vassumptions,vandv―-
isms‖vthatvonevholdsvaboutvindividualsvandvgroupsvwhovarevdifferentvfromvthem.vCulturalvknowl
edgevisvthevprocessvofvseekingvandvobtainingvavsoundveducationalvbasevaboutvculturallyvandvethni
callyvdiversevgroups.vCulturalvskillvisvthevabilityvtovcollectvculturallyvrelevantvdatavregardingvthev
patient’svpresentingvproblem,vasvwellvasvaccuratelyvperformingvavculturallyvbasedvphysicalvasse
ssmentvinvavculturallyvsensitivevmanner.vCulturalvdesirevisvthevmotivationvofvthevhealthcarevprof
essionalvtovwantvtovengagevinvthevprocessvofvbecomingvculturallyvcompetent,vnotvhavevto.

DIF:CognitivevLevel:vUnderstandingv(Comprehension)
OBJ:Nursingvprocess—assessment MSC:v PhysiologicvIntegrity:vPhysiologicvAdaptation


5. Mr.vMarksvisvav66-year-
oldvpatientvwhovpresentsvforvavphysicalvexaminationvtovthevclinic.vWhichvquestionvhasvthevm
ostvpotentialvforvexploringvavpatient’svculturalvbeliefsvrelatedvtovavhealthvproblem?

, a. ―Howvoftenvdovyouvhavevmedicalvexaminations?‖
b. ―Whatvisvyourvage,vrace,vandveducationalvlevel?‖
c. ―Whatvtypesvofvsymptomsvhavevyouvbeenvhaving?‖
d. ―Whyvdovyouvthinkvyouvarevhavingvthesevsymptoms?‖
ANS:v D

―Whyvdovyouvthinkvyouvarevhavingvthesevsymptoms?‖visvanvopen-
endedvquestionvthatvavoidsvstereotyping,visvsensitivevandvrespectfulvtowardvthevindividual,vandv
allowsvforvculturalvdatavtovbevexchanged.vThevothervquestionsvdovnotvexplorevthevpatient’svcult
uralvbeliefsvaboutvhealthvproblems.

DIF:CognitivevLevel:vAnalyzingv(Analysis)
OBJ:Nursingvprocess—assessment MSC:v PhysiologicvIntegrity:vPhysiologicvAdaptation

6. Thevdefinitionvofvillvorvsickvisvbasedvonva
a. stereotype.
b. culturalvbehavior.
c. beliefvsystem.
d. culturalvattitude.

ANS:v C
Thevdefinitionvofvillvorvsickvisvbasedvonvthevindividual’svbeliefvsystemvandvisvdeterminedvinvlargev
partvbyvhisvorvhervenculturation.

DIF:CognitivevLevel:vUnderstandingv(Comprehension)
OBJ:Nursingvprocess—assessment MSC:v PhysiologicvIntegrity:vPhysiologicvAdaptation

7. Av22-year-oldvfemalevnursevisvinterviewingvanv86-year-
oldvmalevpatient.vThevpatientvavoidsveyevcontactvandvanswersvquestionsvonlyvbyvsaying,v―Yea
h,‖v―No,‖vorv―Ivguessvso.‖vWhichvofvthevfollowingvisvappropriatevforvthevinterviewervtovsayvorv
ask?
a. ―Wevwillvbevablevtovcommunicatevbettervifvyouvlookvatvme.‖
b. ―It’svhardvforvmevtovgathervusefulvinformationvbecausevyourvanswersvarevsovshort.‖
c. ―Arevyouvuncomfortablevtalkingvwithvme?‖
d. ―Doesvyourvreligionvmakevitvhardvforvyouvtovanswervmyvquestions?‖

ANS:v C
Itvisvallvrightvtovaskvifvthevpatientvisvuncomfortablevwithvanyvaspectvofvyourvpersonvandvtovtalkvabo
utvit;vthevothervchoicesvarevlessvrespectful.

DIF:CognitivevLevel:vApplyingv(Application)
OBJ:Nursingvprocess—assessment MSC:v PhysiologicvIntegrity:vPhysiologicvAdaptation

8. Asvyouvexplainvyourvpatient’svconditionvtovhervhusband,vyouvnoticevthatvhevisvleaningvtowardvy
ouvandvpointedlyvblinkingvhisveyes.vKnowingvthatvhevisvfromvEngland,vyourvmostvappropriatevre
sponsevtovthisvbehaviorvisvto
a. tellvhimvthatvyouvunderstandvhisvneedvtovbevalone.
b. askvwhethervhevhasvanyvquestions.