, TABLE OF CONTENTS
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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 pa
ssed into the urine filter that he has been using. What is your most appropriate respon
se?
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 a
nalyze this one.‖
ANS: A
We should be willing to modify the delivery of health care in a manner that is respect
ful 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 approp
riate response.
―The stone must be sent to the lab for examination and therefore cannot be kept‖ a
nd ―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 b
ecause it violates our infection control policy‖ does not provide a reason that it woul
d violate an infection control policy.
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 a
nd distinguishing physical characteristics.
c. To be a member of a specific culture, an individual must have certain identi
fiable physical characteristics.
d. Gender and race are the two essential physical characteristics used to i
dentify cultural groups.
ANS: B
Physical characteristics are not used to identify cultural groups; there is a difference be
tween the two, and they are considered separately. Physical characteristics should not b
e used to identify members of cultural groups. To be a member of a specific culture, a
n individual doesnot need to have certain identifiable physical characteristics. You should
not confuse physical characteristics with cultural characteristics. Gender and race are ph
ysical characteristics, not cultural characteristics, and are not used to identify cultural gro
ups.
DIF:Cognitive Level: Understanding (Comprehension)
oj oj
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 pa
ssed into the urine filter that he has been using. What is your most appropriate respon
se?
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 a
nalyze this one.‖
ANS: A
We should be willing to modify the delivery of health care in a manner that is respect
ful 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 approp
riate response.
―The stone must be sent to the lab for examination and therefore cannot be kept‖ a
nd ―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 b
ecause it violates our infection control policy‖ does not provide a reason that it woul
d violate an infection control policy.
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 a
nd distinguishing physical characteristics.
c. To be a member of a specific culture, an individual must have certain identi
fiable physical characteristics.
d. Gender and race are the two essential physical characteristics used to i
dentify cultural groups.
ANS: B
Physical characteristics are not used to identify cultural groups; there is a difference be
tween the two, and they are considered separately. Physical characteristics should not b
e used to identify members of cultural groups. To be a member of a specific culture, a
n individual doesnot need to have certain identifiable physical characteristics. You should
not confuse physical characteristics with cultural characteristics. Gender and race are ph
ysical characteristics, not cultural characteristics, and are not used to identify cultural gro
ups.
DIF:Cognitive Level: Understanding (Comprehension)
