26
, TABLEOFCONTENTS
1. The4zHistory4zand4zInterviewing4zProcess
2. Cultural4zCompetency
3. Examination4zTechniquesJand4zEquipment
4. Taking4zthe4zNext4zSteps:4zClinical4zReasoning
5. The4zPatient4zRecord4z[New4ztitle4z/4zfocus!]
6. Vital4zSigns4zand4zPain4zAssessment
7. Mental4zStatus
8. Growth,JMeasurement,4zand4zNutrition4z["formerly4 z Growth4 z and4 z Nutrition"]
9. Skin,4zHair,4zand4zNails
10. LymphaticJSystem
11. Head4zand4zNeck
12. Eyes
13. Ears,4zNose,4zand4zThroat
14. ChestJand4zLungs
15. Heart
16. Blood4zVessels
17. BreastsJand4zAxillae
18. Abdomen
19. Female4zGenitalia
20. Male4zGenitalia
21. Anus,4zRectum,4zand4zProstate
22. Musculoskeletal4zSystem
23. NeurologicJSystem
24. Head-to-Toe4zExamination4z[formerly4zChapter4z25:4z"Putting4zIt4zAll4zTogether"]
25. SportsJParticipation4zEvaluation4z[formerly4z Chapter4z 24]
,26. Emergency4zor4zLife-Threatening4zSituations
, Chapter4z01:4zCultural4zCompetency
Ball:4zSeidel’s4zGuide4zto4zPhysical4zExamination,4z10th4zEdition
MULTIPLE4zCHOICE
1. Mr.4zL4zpresents4ztoJthe4zclinic4zwith4zsevere4zgroin4zpain4zand4za4zhistory4zof4zkidney4zstones.4zMr.4zL’s4zson
tells4zyou4zthat4zfor4zreligiousJreasons,4zhis4zfather4zwishesJto4zkeep4zany4zstone4zthat4zis4zpassed4zinto4zt
he4zurine4zfilter4zthat4zhe4zhas4zbeen4zusing.4zWhat4zis4zyour4zmost4zappropriate4zresponse?
a. ―With4zyour4zfather’sJpermission,4zwe4zwill4zexamine4zthe4zstone4zand4zrequest4zthat4zit4z
be4zretu4zrned4zto4zhim.‖
b. ―The4zstone4zmust4zbe4zsent4zto4zthe4zlab4zfor4zexamination4zand4ztherefore4zcannot4zbe4zkept.‖
c. ―We4zcannot4zlet4zhim4zkeep4zhis4zstone4zbecause4zit4zviolates4zour4zinfection4zcontrol4zpolicy.‖
d. ―We4zdon’t4zknow4zyetJif4zyour4zfather4zhas4zanother4zkidneystone,Jso4zwe4zmust4zanalyz
e4zthis4zone.‖
ANS:J4zA
We4zshould4zbe4zwilling4ztoJmodify4zthe4zdelivery4zof4zhealth4zcare4zin4za4zmanner4zthat4zisJrespectful4zan
din4zkee4zping4zwith4zthe4zpatient’sJcultural4zbackground.4z―With4zyour4zfather’s4zpermission,4zwe4zwill4z
examineJthe4zst4zone4zand4zrequest4zthat4zit4zbe4zreturned4zto4zhim‖4zisJthe4zmost4zappropriate4zrespon
se.
―The4zstone4zmust4zbe4zsent4zto4zthe4zlab4zfor4zexamination4zand4ztherefore4zcannot4zbe4zkept‖4zand4z
―We4zdon’4 z t4zknow4zyet4zif4zyour4zfather4zhas4zanother4zkidney4zstone,4zso4zwe4zmust4zanalyze4zthis4zo
ne‖4zdoJnotsupport4zth4zeJpatient’s4zrequest.4z―We4zcannot4zlet4zhim4zkeep4zhis4zstone4zbecause4zit4zvio
lates4zour4zinfection4zcontrol4zp4zolicy‖4zdoes4znot4zprovide4za4zreason4zthat4zit4zwould4zviolate4zan4zinf
ection4zcontrolpolicy.
DIF:Cognitive4zLevel:4zAnalyzing4z(Analysis)
OBJ:Nursingprocess—assessment MSC:4 z Physiologic4zIntegrity:4zPhysiologic4zAdaptation
2. Which4zstatement4zis4ztrue4zregarding4zthe4zrelationship4zof4zphysical4zcharacteristics4zand4zculture?
a. Physical4zcharacteristics4zshould4zbe4zused4ztoJidentify4zmembers4zof4zcultural4zgroups.
b. There4zis4za4zdifference4zbetween4zdistinguishing4zcultural4zcharacteristics4zan
ddist4zinguishing4zphysical4zcharacteristics.
c. To4zbe4za4zmember4zof4za4zspecific4zculture,4zan4zindividual4zmust4zhave4zcertain4zidentifiab
lephys4zical4zcharacteristics.
d. Gender4zand4zrace4zare4zthe4ztwo4zessential4zphysical4zcharacteristicsJused4zto4zidenti
fycul4ztural4zgroups.
ANS:J4zB
Physical4zcharacteristics4zare4znot4zused4zto4zidentify4zcultural4zgroups;4zthere4zis4za4zdifference4zbetween
4zthe 4zt4zwo,4zand4zthey4zareJconsidered4zseparately.4zPhysical4zcharacteristics4zshould4znot4zbe4zused 4zto
4zidentify4zme4zmbers4zof4zcultural4zgroups.4zTo4zbe4za4zmember4zof4za4zspecific4zculture,Jan4zindividual4zdoe
snot4zneed4zto4zhave4zcertain4zidentifiable4zphysical4zcharacteristics.4zYou4zshould4znot4zconfuse4zphysica
lcharacteristicsJwith4zcult4zural4zcharacteristics.4zGender4zand4zrace4zare4zphysical4zcharacteristics,4znot4
zcultural 4zcharacteristics,4zand4zare4znotJused4zto4zidentify4zcultural4zgroups.
DIF:Cognitive4zLevel:4zUnderstanding4z(Comprehension)
, TABLEOFCONTENTS
1. The4zHistory4zand4zInterviewing4zProcess
2. Cultural4zCompetency
3. Examination4zTechniquesJand4zEquipment
4. Taking4zthe4zNext4zSteps:4zClinical4zReasoning
5. The4zPatient4zRecord4z[New4ztitle4z/4zfocus!]
6. Vital4zSigns4zand4zPain4zAssessment
7. Mental4zStatus
8. Growth,JMeasurement,4zand4zNutrition4z["formerly4 z Growth4 z and4 z Nutrition"]
9. Skin,4zHair,4zand4zNails
10. LymphaticJSystem
11. Head4zand4zNeck
12. Eyes
13. Ears,4zNose,4zand4zThroat
14. ChestJand4zLungs
15. Heart
16. Blood4zVessels
17. BreastsJand4zAxillae
18. Abdomen
19. Female4zGenitalia
20. Male4zGenitalia
21. Anus,4zRectum,4zand4zProstate
22. Musculoskeletal4zSystem
23. NeurologicJSystem
24. Head-to-Toe4zExamination4z[formerly4zChapter4z25:4z"Putting4zIt4zAll4zTogether"]
25. SportsJParticipation4zEvaluation4z[formerly4z Chapter4z 24]
,26. Emergency4zor4zLife-Threatening4zSituations
, Chapter4z01:4zCultural4zCompetency
Ball:4zSeidel’s4zGuide4zto4zPhysical4zExamination,4z10th4zEdition
MULTIPLE4zCHOICE
1. Mr.4zL4zpresents4ztoJthe4zclinic4zwith4zsevere4zgroin4zpain4zand4za4zhistory4zof4zkidney4zstones.4zMr.4zL’s4zson
tells4zyou4zthat4zfor4zreligiousJreasons,4zhis4zfather4zwishesJto4zkeep4zany4zstone4zthat4zis4zpassed4zinto4zt
he4zurine4zfilter4zthat4zhe4zhas4zbeen4zusing.4zWhat4zis4zyour4zmost4zappropriate4zresponse?
a. ―With4zyour4zfather’sJpermission,4zwe4zwill4zexamine4zthe4zstone4zand4zrequest4zthat4zit4z
be4zretu4zrned4zto4zhim.‖
b. ―The4zstone4zmust4zbe4zsent4zto4zthe4zlab4zfor4zexamination4zand4ztherefore4zcannot4zbe4zkept.‖
c. ―We4zcannot4zlet4zhim4zkeep4zhis4zstone4zbecause4zit4zviolates4zour4zinfection4zcontrol4zpolicy.‖
d. ―We4zdon’t4zknow4zyetJif4zyour4zfather4zhas4zanother4zkidneystone,Jso4zwe4zmust4zanalyz
e4zthis4zone.‖
ANS:J4zA
We4zshould4zbe4zwilling4ztoJmodify4zthe4zdelivery4zof4zhealth4zcare4zin4za4zmanner4zthat4zisJrespectful4zan
din4zkee4zping4zwith4zthe4zpatient’sJcultural4zbackground.4z―With4zyour4zfather’s4zpermission,4zwe4zwill4z
examineJthe4zst4zone4zand4zrequest4zthat4zit4zbe4zreturned4zto4zhim‖4zisJthe4zmost4zappropriate4zrespon
se.
―The4zstone4zmust4zbe4zsent4zto4zthe4zlab4zfor4zexamination4zand4ztherefore4zcannot4zbe4zkept‖4zand4z
―We4zdon’4 z t4zknow4zyet4zif4zyour4zfather4zhas4zanother4zkidney4zstone,4zso4zwe4zmust4zanalyze4zthis4zo
ne‖4zdoJnotsupport4zth4zeJpatient’s4zrequest.4z―We4zcannot4zlet4zhim4zkeep4zhis4zstone4zbecause4zit4zvio
lates4zour4zinfection4zcontrol4zp4zolicy‖4zdoes4znot4zprovide4za4zreason4zthat4zit4zwould4zviolate4zan4zinf
ection4zcontrolpolicy.
DIF:Cognitive4zLevel:4zAnalyzing4z(Analysis)
OBJ:Nursingprocess—assessment MSC:4 z Physiologic4zIntegrity:4zPhysiologic4zAdaptation
2. Which4zstatement4zis4ztrue4zregarding4zthe4zrelationship4zof4zphysical4zcharacteristics4zand4zculture?
a. Physical4zcharacteristics4zshould4zbe4zused4ztoJidentify4zmembers4zof4zcultural4zgroups.
b. There4zis4za4zdifference4zbetween4zdistinguishing4zcultural4zcharacteristics4zan
ddist4zinguishing4zphysical4zcharacteristics.
c. To4zbe4za4zmember4zof4za4zspecific4zculture,4zan4zindividual4zmust4zhave4zcertain4zidentifiab
lephys4zical4zcharacteristics.
d. Gender4zand4zrace4zare4zthe4ztwo4zessential4zphysical4zcharacteristicsJused4zto4zidenti
fycul4ztural4zgroups.
ANS:J4zB
Physical4zcharacteristics4zare4znot4zused4zto4zidentify4zcultural4zgroups;4zthere4zis4za4zdifference4zbetween
4zthe 4zt4zwo,4zand4zthey4zareJconsidered4zseparately.4zPhysical4zcharacteristics4zshould4znot4zbe4zused 4zto
4zidentify4zme4zmbers4zof4zcultural4zgroups.4zTo4zbe4za4zmember4zof4za4zspecific4zculture,Jan4zindividual4zdoe
snot4zneed4zto4zhave4zcertain4zidentifiable4zphysical4zcharacteristics.4zYou4zshould4znot4zconfuse4zphysica
lcharacteristicsJwith4zcult4zural4zcharacteristics.4zGender4zand4zrace4zare4zphysical4zcharacteristics,4znot4
zcultural 4zcharacteristics,4zand4zare4znotJused4zto4zidentify4zcultural4zgroups.
DIF:Cognitive4zLevel:4zUnderstanding4z(Comprehension)