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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
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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
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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 ofkidney 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.l
b. —The stone must be sent to the lab for examination and therefore cannot be kept.l
c. —We cannot let him keep his stone because it violates our infection control policy. l
d. —We don't know yet ifyour father has another kidney stone, so we must analyze
this one.l
ANS: A
We should be willing to modifythe delivery ofhealth care in a manner that is respectful and
in keeping with the patient's cultural background. —With your father's permission, we will
examine the stone and request that it be returned to himl is the most appropriate response.
—The stone must be sent to the lab for examination and therefore cannot be keptl and —We
don't know yet ifyour father has another kidney stone, so we must analyze this onel do not
support the patient's request. —We cannot let him keep his stone because it violates our
infection control policyl does not provide a reason that it would 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 ofphysical characteristics and culture?
a. Physical characteristics should be used to identify members ofcultural groups.
b. There is a difference between distinguishing cultural characteristics and
distinguishing physical characteristics.
c. To be a member ofa specific culture, an individual must have certain identifiable
physical characteristics.
d. Gender and race are the two essential physical characteristics used to identify
cultural 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 ofcultural groups. To be a member ofa specific culture, an individual does
not need to have certain identifiable physical characteristics. You should not confuse physical
characteristics with cultural characteristics. Gender and race are physical characteristics, not
cultural characteristics, and are not used to identify cultural groups.
DIF:Cognitive Level: Understanding (Comprehension)
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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
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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
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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 ofkidney 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.l
b. —The stone must be sent to the lab for examination and therefore cannot be kept.l
c. —We cannot let him keep his stone because it violates our infection control policy. l
d. —We don't know yet ifyour father has another kidney stone, so we must analyze
this one.l
ANS: A
We should be willing to modifythe delivery ofhealth care in a manner that is respectful and
in keeping with the patient's cultural background. —With your father's permission, we will
examine the stone and request that it be returned to himl is the most appropriate response.
—The stone must be sent to the lab for examination and therefore cannot be keptl and —We
don't know yet ifyour father has another kidney stone, so we must analyze this onel do not
support the patient's request. —We cannot let him keep his stone because it violates our
infection control policyl does not provide a reason that it would 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 ofphysical characteristics and culture?
a. Physical characteristics should be used to identify members ofcultural groups.
b. There is a difference between distinguishing cultural characteristics and
distinguishing physical characteristics.
c. To be a member ofa specific culture, an individual must have certain identifiable
physical characteristics.
d. Gender and race are the two essential physical characteristics used to identify
cultural 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 ofcultural groups. To be a member ofa specific culture, an individual does
not need to have certain identifiable physical characteristics. You should not confuse physical
characteristics with cultural characteristics. Gender and race are physical characteristics, not
cultural characteristics, and are not used to identify cultural groups.
DIF:Cognitive Level: Understanding (Comprehension)
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