, TABLE OF CONTENTS
1. The History and Interviewing Process
2. Cultural Competency
3. Examination Techniques and Equipment
4. Taking the Next Steps: Clinical Reasoning
5. The Patient Record [New title / focus!]
6. Vital Signs and Pain Assessment
7. Mental Status
8. Growth, Measurement, and Nutrition ["formerly Growth and Nutrition"]
9. Skin, Hair, and Nails
10. Lymphatic System
11. Head and Neck
12. Eyes
13. Ears, Nose, and Throat
14. Chest and Lungs
15. Heart
16. Blood Vessels
17. Breasts and Axillae
18. Abdomen
19. Female Genitalia
20. Male Genitalia
21. Anus, Rectum, and Prostate
22. Musculoskeletal System
,23. Neurologic System
24. Head-to-Toe Examination [formerly Chapter 25: "Putting It All Together"]
25. Sports Participation Evaluation [formerly Chapter 24]
26. Emergency or Life-Threatening Situations
, Chapter 01: Cultural Competency
Ball: Seidel’s Guide to Physical Examination, 10th Edition
MULTIPLE CHOICE
1. Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr.
L’s son tells you that for religious reasons, his father wishes to keep any stone that is
passed into the urine filter that he has been using. What is your most appropriate
response?
a. ―With your father’s permission, we will examine the stone and request
that it be returned to him.‖
b. ―The stone must be sent to the lab for examination and therefore cannot be kept.‖
c. ―We cannot let him keep his stone because it violates our infection control policy.‖
d. ―We don’t know yet if your father has another kidney stone, so we
must analyze this one.‖
ANS: A
We should be willing to modify the delivery of health care in a manner that is
respectful andin keeping with the patient’s cultural background. ―With your father’s
permission, we will examine the stone and request that it be returned to him‖ is the
most appropriate response.
―The stone must be sent to the lab for examination and therefore cannot be kept‖ and
―We don’t know yet if your father has another kidney stone, so we must analyze this
one‖ do notsupport the patient’s request. ―We cannot let him keep his stone
because it violates our infection control policy‖ does not provide a reason that it
would violate an infection controlpolicy.
DIF:Cognitive Level: Analyzing (Analysis)
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
2. Which statement is true regarding the relationship of physical characteristics and culture?
a. Physical characteristics should be used to identify members of cultural groups.
b. There is a difference between distinguishing cultural
characteristics anddistinguishing physical characteristics.
c. To be a member of a specific culture, an individual must have
certain identifiablephysical characteristics.
d. Gender and race are the two essential physical characteristics used
to identifycultural groups.
ANS: B
Physical characteristics are not used to identify cultural groups; there is a difference
between the two, and they are considered separately. Physical characteristics should
not be used to identify members of cultural groups. To be a member of a specific
culture, an individual doesnot need to have certain identifiable physical characteristics.
You should not confuse physicalcharacteristics with cultural characteristics. Gender and
race are physical characteristics, not cultural characteristics, and are not used to
1. The History and Interviewing Process
2. Cultural Competency
3. Examination Techniques and Equipment
4. Taking the Next Steps: Clinical Reasoning
5. The Patient Record [New title / focus!]
6. Vital Signs and Pain Assessment
7. Mental Status
8. Growth, Measurement, and Nutrition ["formerly Growth and Nutrition"]
9. Skin, Hair, and Nails
10. Lymphatic System
11. Head and Neck
12. Eyes
13. Ears, Nose, and Throat
14. Chest and Lungs
15. Heart
16. Blood Vessels
17. Breasts and Axillae
18. Abdomen
19. Female Genitalia
20. Male Genitalia
21. Anus, Rectum, and Prostate
22. Musculoskeletal System
,23. Neurologic System
24. Head-to-Toe Examination [formerly Chapter 25: "Putting It All Together"]
25. Sports Participation Evaluation [formerly Chapter 24]
26. Emergency or Life-Threatening Situations
, Chapter 01: Cultural Competency
Ball: Seidel’s Guide to Physical Examination, 10th Edition
MULTIPLE CHOICE
1. Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr.
L’s son tells you that for religious reasons, his father wishes to keep any stone that is
passed into the urine filter that he has been using. What is your most appropriate
response?
a. ―With your father’s permission, we will examine the stone and request
that it be returned to him.‖
b. ―The stone must be sent to the lab for examination and therefore cannot be kept.‖
c. ―We cannot let him keep his stone because it violates our infection control policy.‖
d. ―We don’t know yet if your father has another kidney stone, so we
must analyze this one.‖
ANS: A
We should be willing to modify the delivery of health care in a manner that is
respectful andin keeping with the patient’s cultural background. ―With your father’s
permission, we will examine the stone and request that it be returned to him‖ is the
most appropriate response.
―The stone must be sent to the lab for examination and therefore cannot be kept‖ and
―We don’t know yet if your father has another kidney stone, so we must analyze this
one‖ do notsupport the patient’s request. ―We cannot let him keep his stone
because it violates our infection control policy‖ does not provide a reason that it
would violate an infection controlpolicy.
DIF:Cognitive Level: Analyzing (Analysis)
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
2. Which statement is true regarding the relationship of physical characteristics and culture?
a. Physical characteristics should be used to identify members of cultural groups.
b. There is a difference between distinguishing cultural
characteristics anddistinguishing physical characteristics.
c. To be a member of a specific culture, an individual must have
certain identifiablephysical characteristics.
d. Gender and race are the two essential physical characteristics used
to identifycultural groups.
ANS: B
Physical characteristics are not used to identify cultural groups; there is a difference
between the two, and they are considered separately. Physical characteristics should
not be used to identify members of cultural groups. To be a member of a specific
culture, an individual doesnot need to have certain identifiable physical characteristics.
You should not confuse physicalcharacteristics with cultural characteristics. Gender and
race are physical characteristics, not cultural characteristics, and are not used to
