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vt EXAMINATION AN INTERPROFESSIONAL APPROACH
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10th EDITION vt vt
,Chapter 01: The History and Interviewing Process
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Ball: Seidel’s Guide to Physical Examination, 10th Edition
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MULTIPLE CHOICE vt
1. Which statement is true regarding the relationship of physical characteristics and culture?
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a. Physicalcharacteristics should be used to identify members of cultural groups. vt vt vt vt vt vt vt vt vt vt
b. There isa difference betweendistinguishing cultural characteristics and vt vt vt vt vt vt vt vt
distinguishing physical characteristics.
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c. To be a member ofa specific culture, an individual must have certain identifiable
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physical characteristics.
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d. Gender and race are the two essential physical characteristics used to identify vt vt vt vt vt vt vt vt vt vt vt
cultural groups.
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e. Whereas all cultural traits can be viewed as static, physical traits are dynamic. vt vt vt vt vt vt vt vt vt vt vt vt
PRECISE ANSWER:->>B
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Hypothesis:->>Physical characteristics do not symbolize cultural groups; there is a difference vt vt vt vt vt vt vt vt vt vt
between the two, and they are considered separately. Cultures are dynamic in theirevolution.
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TOPIC: v t Discipline: Behavioral Science vt vt MSC: Organ System: General v t vt vt
2. A fixed image of any group that rejects its potential for originality or individuality is knownas
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a(n):
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a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
e. custom.
PRECISE ANSWER:->>C vt
Hypothesis:->>This definition describes a stereotype. A norm, on the other hand, is a vt vt vt vt vt vt vt vt vt vt vt vt
standard ofallowable behavior within a group, ethnos implies the same race or nationality,and
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acculturation is a process of adopting another culture's behaviors. A custom refers to a
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habitual activity of a group in a given situation.
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TOPIC: v t Discipline: Behavioral Science vt vt MSC: Organ System: General v t vt vt
3. Your new hospital client/patient is a 40-year-old Middle Eastern man with a complaint of
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newabdominal pain. You are concerned about violating a cultural prohibition when
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you prepare to do his rectal examination. The best tactic would be to:
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a. do the examination because it is a necessary part ofthe physical examination.
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b. ask a colleague from the same geographic area if this examination is acceptable.
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c. inform the hospital client/patient ofthe reason for the examination and ask vt vt vt vt vt vt vt vt vt vt vt
if it isacceptable to him.
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d. refer the hospital client/patient to a provider more knowledgeable about cultural differences.
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e. forego the examination for fear ofviolating cultural norms. vt vt vt vt vt vt vt vt
PRECISE ANSWER:->>C vt
Hypothesis:->>Asking, if you are not sure, is far better than making a damaging mistake. You vt vt vt vt vt vt vt vt vt vt vt vt vt vt
would not be doing your job as a professional if you deferred the examination without a reason.
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It is not necessary to refer a skill you are capable of performing.
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TOPIC: v t Discipline: Behavioral Science vt vt vt vt vt vt v t MSC: Organ System: General v t vt vt
,4. Which statement is true regarding impoverished people?
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a. In the United States, socioeconomic status does not influence the deliveryof
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primary care.
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b. The morbidityand mortality rates of impoverished people are greater than those ofthe
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middle class.
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c. The morbidityand mortalityrates of impoverished people are less than those ofthe
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middle class.
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d. No reliable statistics exist regarding the relationship of poverty to morbidity and
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mortality.
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e. The morbidityand mortality rates of impoverished people are similar to those ofthe
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middle class.
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PRECISE ANSWER:->>B vt
Hypothesis:->>Poorlyeducated people and people in povertydie at higher rates than thosewho are vt vt vt vt vt vt vt vt vt vt vt vt vt vt
advantaged; the same is true for morbidity.
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TOPIC: v t Discipline: BehavioralScience vt vt MSC: Organ System: General v t vt vt
5. In terms of cultural communication differences, Americselected answer are more likely to
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than
other groups of hospital client/patients.
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a. emphasize attitudes and feelings vt vt vt
b. maintaineye contact vt vt
c. come quicklyto the point vt vt vt vt
d. usesilence comfortably vt vt
e. speak more softlythan other cultures vt vt vt vt vt
PRECISE ANSWER:->>C vt
Hypothesis:->>In the United States, individuals are very direct in conversation and come tothe vt vt vt vt vt vt vt vt vt vt vt vt vt
point quickly. They also tend to talk more loudly and to worry less about being overheard.
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TOPIC: v t Discipline: Behavioral Science vt vt MSC: Organ System: General v t vt vt
6. Which question has the most potential for exploring a hospital client/patient's cultural
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beliefsrelated to a health problem?
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a. ―Howoftendo you have a medicalexamination?‖ vt vt vt vt vt vt vt
b. ―What areyour age, race, and educationallevel?‖ vt vt vt vt vt vt vt
c. ―What types ofsymptoms have you been having?‖ vt vt vt vt vt vt vt
d. ―Whydo youthink you arehavingthese symptoms?‖ t
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e. ―Do youtake herbalremedies?‖ vt vt vt vt
PRECISE ANSWER:->>D vt
Hypothesis:->>This open-ended questionavoids stereotyping, is sensitive and respectfultoward vt vt vt vt vt vt vt vt vt
the individual, and allows for cultural data to be exchanged.
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TOPIC: v t Discipline: Behavioral Science vt vt MSC: Organ System: General v t vt vt
7. A person's definition of illness is likelyto be most influenced by:
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a. race.
b. ritual.
c. enculturation.
d. age group. vt
e. socioeconomic class. vt
PRECISE ANSWER:->>C vt
The definition of―ill‖ is determined in large part bythe individualand the process whereby an
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individual assumes the traits and behaviors of a given culture.
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, TOPIC: DisciplinSetu:vB
ia.com - The Marketplace to Buy and Sellyour Study Material
ehavioral Science MSC: Organ System: General
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8. An aspect of traditional Western medicine that may be troublesome to many Hispanics, Native
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Americselected answer, Asiselected answer, and Arabs is Western medicine's attemptto:
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a. use a holistic approach that views a particular medical problem as part ofa bigger
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picture. vt
b. determine a specific cause for every problem in a precise way. vt vt vt vt vt vt vt vt vt vt
c. establish harmony between a person and the entire cosmos. vt vt vt vt vt vt vt vt
d. use herbal remedies and rituals. vt vt vt vt
e. promote balance in an individual's life. vt vt vt vt vt
PRECISE ANSWER:->>B vt
Hypothesis:->>A more scientific approach to healthcare problem solving, in which a causecan be vt vt vt vt vt vt vt vt vt vt vt vt vt
determined for every problem in a precise way, is a Western approach. Hispanics, Native
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Americselected answer, Asiselected answer, and Arabs embrace a more ―holistic‖ approach.
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TOPIC: Discipline: Behavioral SN enR
ciU ceSINGMTSB
C.CrOgaMn System: General
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9. A naturalistic or holistic approach to primary care often assumes:
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a. that hot conditions require treatment with a hot remedy.
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b. a reductionist view that looks to a very narrow cause and effect.
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c. there are external factors that must be kept in balance. vt vt vt vt vt vt vt vt vt
d. that there are hot and cold conditions but not hot and cold remedies.
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e. that hot and cold conditions arethe same among different cultures.
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PRECISE ANSWER:->>C vt
Hypothesis:->>A naturalistic or holistic approach often assumes that there are externalfactors—some vt vt vt vt vt vt vt vt vt vt vt
good, some bad—that must be kept in balance if we are to remain well.
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TOPIC: v t Discipline: Behavioral Science vt vt MSC: Organ System: General v t vt vt
10. Which maternal factor is most predictive ofwhether an infant will receive inoculations?
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a. The mother has familysupport. vt vt vt vt
b. The mother is divorced. vt vt vt
c. The mother breast-feeds. vt vt
d. The mother uses medications. vt vt vt
e. The mother received prenatal care. vt vt vt vt
PRECISE ANSWER:->>E vt
Hypothesis:->>Mothers who take advantage ofappropriate prenatal care generally takeadvantage of vt vt vt vt vt vt vt vt vt vt vt
other infant care practices as well.
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