m m m m m m m m m
ofessional Approach 10th Edition
m m m m
by Jane W. Ball, Joyce E. Dains
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Chapter 1 - 26 m m m
, TABLE OF CONTENTS
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1.ThemHistorymandmInterviewingmProcess
2.mCulturalmCompetency
3.mExaminationmTechniquesmandmEquipment
4.mTakingmthemNextmSteps:mClinicalmReasoning
5.mThemPatientmRecordm[Newmtitlem/mfocus!]
6.mVitalmSignsmandmPainmAssessment
7.mMentalmStatus
8.mGrowth,mMeasurement,mandmNutritionm["formerlymGrowthmandmNutrition"]
9.mSkin,mHair,mandmNails
10.mLymphaticmSystem
11.mHeadmandmNeck
12.mEyes
13.mEars,mNose,mandmThroat
14.mChestmandmLungs
15.mHeart
16.mBloodmVessels
17.mBreastsmandmAxillae
18.mAbdomen
19.mFemalemGenitalia
20.mMalemGenitalia
21.mAnus,mRectum,mandmProstate
22.mMusculoskeletalmSystem
,23.mNeurologicmSystem
24.mHead-to-ToemExaminationm[formerlymChapterm25:m"PuttingmItmAllmTogether"]
25.mSportsmParticipationmEvaluationm[formerlymChapterm24]
26.mEmergencymormLife-ThreateningmSituations
, Chapter 01: Cultural Competency
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Ball: Seidel’s Guide to Physical Examination, 10th Edition
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MULTIPLEmCHOICE
1. Mr.mLmpresentsmtomthemclinicmwithmseveremgroinmpainmandmamhistorymofmkidneymstones.mMr.mL’s
msonmtellsmyoumthatmformreligiousmreasons,mhismfathermwishesmtomkeepmanymstonemthatmismpass
edmintomthemurinemfiltermthatmhemhasmbeenmusing.mWhatmismyourmmostmappropriatemresponse
?
a. ―Withmyourmfather’smpermission,mwemwillmexaminemthemstonemandmrequestmthat
m itmbemreturnedmtomhim.‖
b. ―Themstonemmustmbemsentmtomthemlabmformexaminationmandmthereforemcannotmbemkept.‖
c. ―Wemcannotmletmhimmkeepmhismstonembecausemitmviolatesmourminfectionmcontrolmpolicy.‖
d. ―Wemdon’tmknowm yetmifmyourmfathermhasmanothermkidneymstone,msomwemmustman
alyzemthismone.‖
ANS:m A
Wemshouldmbemwillingmtommodifymthemdeliverymofmhealthmcareminmammannermthatmismrespectful
mandminmkeepingmwithmthempatient’smculturalmbackground.m―Withmyourmfather’smpermission,mw
emwillmexaminemthemstonemandmrequestmthatmitmbemreturnedmtomhim‖mismthemmostmappropriat
emresponse.
―Themstonemmustmbemsentmtomthemlabmformexaminationmandmthereforemcannotmbemkept‖man
dm―Wemdon’tmknowmyetmifmyourmfathermhasmanothermkidneymstone,msomwemmustmanalyzemthi
smone‖mdomnotmsupportmthempatient’smrequest.m―Wemcannotmletmhimmkeepmhismstonembeca
usemitmviolatesmourminfectionmcontrolmpolicy‖mdoesmnotmprovidemamreasonmthatmitmwouldmvio
latemanminfectionmcontrolmpolicy.
DIF:CognitivemLevel:mAnalyzingm(Analysis)
OBJ:Nursingmprocess—assessment MSC:m PhysiologicmIntegrity:mPhysiologicmAdaptation
2. Whichmstatementmismtruemregardingmthemrelationshipmofmphysicalmcharacteristicsmandmculture?
a. Physicalmcharacteristicsmshouldmbemusedmtomidentifymmembersmofmculturalmgroups.
b. Theremismamdifferencembetweenmdistinguishingmculturalmcharacteristicsm
andmdistinguishingmphysicalmcharacteristics.
c. Tombemammembermofmamspecificmculture,manmindividualmmustmhavemcertainmidentifi
ablemphysicalmcharacteristics.
d. Gendermandmracemaremthemtwomessentialmphysicalmcharacteristicsmusedmtomide
ntifymculturalmgroups.
ANS:m B
Physicalmcharacteristicsmaremnotmusedmtomidentifymculturalmgroups;mtheremismamdifferencembet
weenmthemtwo,mandmtheymaremconsideredmseparately.mPhysicalmcharacteristicsmshouldmnotmbe
musedmtomidentifymmembersmofmculturalmgroups.mTombemammembermofmamspecificmculture,manmi
ndividualmdoesmnotmneedmtomhavemcertainmidentifiablemphysicalmcharacteristics.mYoumshouldmn
otmconfusemphysicalmcharacteristicsmwithmculturalmcharacteristics.mGendermandmracemaremphysi