Seidel's Guide to Physical Examination 9th Edition Ball Test B
9 9 9 9 9 9 9 9 9
ank / Ball: Seidel’s Guide to Physical Examination, 9th Editi on,
9 9 9 9 9 9 9 9 9 9
complete test bank; questions and answers (deeply explai ned)
9 9 9 9 9 9 9 9 9
Chapter901:9Cultural9Competency
Ball:9Seidel’s9Guide9to9Physical9Examination,910th9Edition
MULTIPLE9 CHOICE
1. Which9statement9 is9 true9regarding9the9 relationship9 of9physical9 characteristics9 and9 culture?
a. Physical9 characteristics9 should9 be9 used9 to9 identify9members9of9cultural9 groups.
b. There9is9a9difference9between9distinguishing9cultural9characteristics9an9
ddistinguishing9physical9characteristics.
c. To9be9a9member9of9a9specific9culture,9an9individual9must9have9certain9identifiab9
lephysical9characteristics.
d. Gender9and9race9are9the9two9essential9physical9characteristics9used9to9identif9
ycultural9groups.
ANS:9 B
Physical9characteristics9are9not9used9to9identify9cultural9groups;9there9is9a9difference9betwee9
n9the9two,9and9they9are9considered9separately.9Physical9characteristics9should9not9be9used9to9i
dentify9members9of9cultural9groups.9To9be9a9member9of9a9specific9culture,9an9individual9do9e
snot9need9to9have9certain9identifiable9physical9characteristics.9You9should9not9confuse9phys9i
calcharacteristics9with9cultural9characteristics.9Gender8and9race9are9physical9characteristics,9n
ot9cultural9characteristics,9and9are9not9used9to9identify9cultural9groups.
DIF:Cognitive9Level:9 Understanding8(Comprehension)
OBJ:Nursing9process—assessment MSC:9 Physiologic9Integrity:9 Physiologic9 Adaptation
2. An9image9of9any9group9that9rejects9its9potential9for9originality9or9individuality9is9known9
asa(n)
a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS:9 C
A9fixed9image9of9any9group9that9rejects9its9potential9for8originality9or8individuality9is9the9d9e
finition9of9stereotype.9Acculturation9is9the9process9of9adopting9another8culture’s9behaviors.9
A9norm9is9a9standard9of9 allowable9behavior9within9a9group.9Ethnos9implies9the9same9race9o9
r9nationality.
DIF:Cognitive9Level:9 Remembering9(Knowledge)
OBJ:Nursing9process—assessment MSC:9 Physiologic9Integrity:9 Physiologic9 Adaptation
3. Mr.9L9presents9to9the9clinic9with9severe9groin9pain9and9a9history9of9kidney9stones.9Mr.9L’s9s9o
ntells9you9that9for9religious9reasons,9his9father9wishes9to9keep9any9stone9that9is9passed9into9th
e
,Seidel's Guide to Physical Examination 9th Edition Ball Test B
9 9 9 9 9 9 9 9 9
ank / Ball: Seidel’s Guide to Physical Examination, 9th Editi on,
9 9 9 9 9 9 9 9 9 9
complete test bank; questions and answers (deeply explai ned)
9 9 9 9 9 9 9 9 9
urine9filter9that9he9has9 been9 using.9 What9 is9 your9 most9 appropriate9 response?
a. ―With9your9father’s9permission,9we9will9examine9the9stone9and9request9that9it9b
9e9returned9to9him.‖
b. ―The9stone9must9be9sent9to9the9lab9for9examination9and9therefore9cannot9be9kept.‖
c. ―We9cannot9let9him9keep9his9stone9because9it9violates9our9infection9control9policy.‖
d. ―We9don’t9know9yet9if9your9father9has9another9kidney9stone,9so9we9must9analy
9ze9this9one.‖
,Seidel's Guide to Physical Examination 9th Edition Ball Test B
9 9 9 9 9 9 9 9 9
ank / Ball: Seidel’s Guide to Physical Examination, 9th Editi on,
9 9 9 9 9 9 9 9 9 9
complete test bank; questions and answers (deeply explai ned)
9 9 9 9 9 9 9 9 9
ANS:9 A
We9should9be9willing9to9modify9the9delivery9of9health9care9in9a9manner9that9is9respectful9a9n
din9keeping9with9the9patient’s9cultural9background.9―With9your9father’s9permission,9we9wi9l
l9examine9the9stone9and9request9that9it9be9returned9to9him‖9is9the9most9appropriate9respons9 e
.
―The9stone9must9be9sent9to9the9lab9for9examination9and9therefore9cannot9be9kept‖9and9―We
9don’t9know9yet9if9 your9father8has9another8kidney9stone,9so9we9must9analyze9this9one‖9do9n
otsupport9the9patient’s9request.9―We9cannot9let9him9keep9his9stone9because9it9violates9o9ur9
infection9control9policy‖9does9not9provide9a9reason9that9it9would9violate9an9infection9co9ntro
lpolicy.
DIF:Cognitive9Level:9Analyzing9(Analysis)
OBJ:Nursing9process—assessment MSC:9 Physiologic9Integrity:9 Physiologic9 Adaptation
4. The9motivation9of9the9healthcare9professional9to9―want9to‖9engage9in9the9process9of9becomin
g culturally9competent,9not9―have9to,‖9is9called
9 9
a. cultural9knowledge.
b. cultural9awareness.
c. cultural9desire.
d. cultural9skill.
ANS:9 C
Cultural9encounters9are9the9continuous9process9of9interacting9with9patients9from9culturally9di9
verse9backgrounds9to9validate,9refine,9or9modify9existing9values,9beliefs,9and9practices9about9
a9cultural9group9and9to9develop9cultural9desire,9cultural9awareness,9cultural9skill,9and9cultural9
knowledge.9Cultural9awareness9is9deliberate9self-examination9and9in-
depth9exploration9of9one’s9biases,9stereotypes,9prejudices,9assumptions,9and9―-
isms‖9that9one9holds9about9 individuals9and9groups9who9are9different9from9them.9Cultural9kn9o
wledge9is9the9process9of9seeking9and9obtaining9a9sound9educational9base9about9culturally9an9d9
ethnically9diverse9groups.Cultural9skill9is9the9ability9to9collect9culturally9relevant9data9rega9rdi
ng9the9patient’s9presentingproblem,9as9well9as9accurately9performing9a9culturally9based9ph9ysi
cal9assessment9in9a9culturally9sensitive9manner.9Cultural9desire9is9the9motivation9of9the9he9alth
care9professional9to9want9to9engage9in9the9process9of9becoming9culturally9competent,9not9have
9to.
DIF:Cognitive9 Level:9 Understanding8(Comprehension)
OBJ:Nursing9process—assessment MSC:9 Physiologic9Integrity:9 Physiologic9 Adaptation
5. Mr.9 Marks9 is9 a9 66-year-
old9patient9who9presents9for9a9physical9examination9to9the9clinic.9Which9question9has9the9m
ost9potential9for9exploring9a9patient’s9cultural9beliefs9related9to9ahealth9problem?
a. ―How9often9do9you9have9medical9examinations?‖
b. ―What9is9your8age,9race,9and9educational9level?‖
c. ―What9types9of9symptoms9have9you9been9having?‖
d. ―Why8do9 you9think9you9are9having9these9symptoms?‖
, Seidel's Guide to Physical Examination 9th Edition Ball Test B
9 9 9 9 9 9 9 9 9
ank / Ball: Seidel’s Guide to Physical Examination, 9th Editi on,
9 9 9 9 9 9 9 9 9 9
complete test bank; questions and answers (deeply explai ned)
9 9 9 9 9 9 9 9 9
ANS:9 D
―Why9do9 you9think9 you9are9having9these9symptoms?‖9is9an9open-
ended9question9that9avoids9stereotyping,9is9sensitive9and9respectful9toward9the9individual,9a9
nd9allows9for9cultural9data9tobe9exchanged.9The9other9questions9do9not9explore9the9patient’9
s9cultural9beliefs9about9health9problems.
9 9 9 9 9 9 9 9 9
ank / Ball: Seidel’s Guide to Physical Examination, 9th Editi on,
9 9 9 9 9 9 9 9 9 9
complete test bank; questions and answers (deeply explai ned)
9 9 9 9 9 9 9 9 9
Chapter901:9Cultural9Competency
Ball:9Seidel’s9Guide9to9Physical9Examination,910th9Edition
MULTIPLE9 CHOICE
1. Which9statement9 is9 true9regarding9the9 relationship9 of9physical9 characteristics9 and9 culture?
a. Physical9 characteristics9 should9 be9 used9 to9 identify9members9of9cultural9 groups.
b. There9is9a9difference9between9distinguishing9cultural9characteristics9an9
ddistinguishing9physical9characteristics.
c. To9be9a9member9of9a9specific9culture,9an9individual9must9have9certain9identifiab9
lephysical9characteristics.
d. Gender9and9race9are9the9two9essential9physical9characteristics9used9to9identif9
ycultural9groups.
ANS:9 B
Physical9characteristics9are9not9used9to9identify9cultural9groups;9there9is9a9difference9betwee9
n9the9two,9and9they9are9considered9separately.9Physical9characteristics9should9not9be9used9to9i
dentify9members9of9cultural9groups.9To9be9a9member9of9a9specific9culture,9an9individual9do9e
snot9need9to9have9certain9identifiable9physical9characteristics.9You9should9not9confuse9phys9i
calcharacteristics9with9cultural9characteristics.9Gender8and9race9are9physical9characteristics,9n
ot9cultural9characteristics,9and9are9not9used9to9identify9cultural9groups.
DIF:Cognitive9Level:9 Understanding8(Comprehension)
OBJ:Nursing9process—assessment MSC:9 Physiologic9Integrity:9 Physiologic9 Adaptation
2. An9image9of9any9group9that9rejects9its9potential9for9originality9or9individuality9is9known9
asa(n)
a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS:9 C
A9fixed9image9of9any9group9that9rejects9its9potential9for8originality9or8individuality9is9the9d9e
finition9of9stereotype.9Acculturation9is9the9process9of9adopting9another8culture’s9behaviors.9
A9norm9is9a9standard9of9 allowable9behavior9within9a9group.9Ethnos9implies9the9same9race9o9
r9nationality.
DIF:Cognitive9Level:9 Remembering9(Knowledge)
OBJ:Nursing9process—assessment MSC:9 Physiologic9Integrity:9 Physiologic9 Adaptation
3. Mr.9L9presents9to9the9clinic9with9severe9groin9pain9and9a9history9of9kidney9stones.9Mr.9L’s9s9o
ntells9you9that9for9religious9reasons,9his9father9wishes9to9keep9any9stone9that9is9passed9into9th
e
,Seidel's Guide to Physical Examination 9th Edition Ball Test B
9 9 9 9 9 9 9 9 9
ank / Ball: Seidel’s Guide to Physical Examination, 9th Editi on,
9 9 9 9 9 9 9 9 9 9
complete test bank; questions and answers (deeply explai ned)
9 9 9 9 9 9 9 9 9
urine9filter9that9he9has9 been9 using.9 What9 is9 your9 most9 appropriate9 response?
a. ―With9your9father’s9permission,9we9will9examine9the9stone9and9request9that9it9b
9e9returned9to9him.‖
b. ―The9stone9must9be9sent9to9the9lab9for9examination9and9therefore9cannot9be9kept.‖
c. ―We9cannot9let9him9keep9his9stone9because9it9violates9our9infection9control9policy.‖
d. ―We9don’t9know9yet9if9your9father9has9another9kidney9stone,9so9we9must9analy
9ze9this9one.‖
,Seidel's Guide to Physical Examination 9th Edition Ball Test B
9 9 9 9 9 9 9 9 9
ank / Ball: Seidel’s Guide to Physical Examination, 9th Editi on,
9 9 9 9 9 9 9 9 9 9
complete test bank; questions and answers (deeply explai ned)
9 9 9 9 9 9 9 9 9
ANS:9 A
We9should9be9willing9to9modify9the9delivery9of9health9care9in9a9manner9that9is9respectful9a9n
din9keeping9with9the9patient’s9cultural9background.9―With9your9father’s9permission,9we9wi9l
l9examine9the9stone9and9request9that9it9be9returned9to9him‖9is9the9most9appropriate9respons9 e
.
―The9stone9must9be9sent9to9the9lab9for9examination9and9therefore9cannot9be9kept‖9and9―We
9don’t9know9yet9if9 your9father8has9another8kidney9stone,9so9we9must9analyze9this9one‖9do9n
otsupport9the9patient’s9request.9―We9cannot9let9him9keep9his9stone9because9it9violates9o9ur9
infection9control9policy‖9does9not9provide9a9reason9that9it9would9violate9an9infection9co9ntro
lpolicy.
DIF:Cognitive9Level:9Analyzing9(Analysis)
OBJ:Nursing9process—assessment MSC:9 Physiologic9Integrity:9 Physiologic9 Adaptation
4. The9motivation9of9the9healthcare9professional9to9―want9to‖9engage9in9the9process9of9becomin
g culturally9competent,9not9―have9to,‖9is9called
9 9
a. cultural9knowledge.
b. cultural9awareness.
c. cultural9desire.
d. cultural9skill.
ANS:9 C
Cultural9encounters9are9the9continuous9process9of9interacting9with9patients9from9culturally9di9
verse9backgrounds9to9validate,9refine,9or9modify9existing9values,9beliefs,9and9practices9about9
a9cultural9group9and9to9develop9cultural9desire,9cultural9awareness,9cultural9skill,9and9cultural9
knowledge.9Cultural9awareness9is9deliberate9self-examination9and9in-
depth9exploration9of9one’s9biases,9stereotypes,9prejudices,9assumptions,9and9―-
isms‖9that9one9holds9about9 individuals9and9groups9who9are9different9from9them.9Cultural9kn9o
wledge9is9the9process9of9seeking9and9obtaining9a9sound9educational9base9about9culturally9an9d9
ethnically9diverse9groups.Cultural9skill9is9the9ability9to9collect9culturally9relevant9data9rega9rdi
ng9the9patient’s9presentingproblem,9as9well9as9accurately9performing9a9culturally9based9ph9ysi
cal9assessment9in9a9culturally9sensitive9manner.9Cultural9desire9is9the9motivation9of9the9he9alth
care9professional9to9want9to9engage9in9the9process9of9becoming9culturally9competent,9not9have
9to.
DIF:Cognitive9 Level:9 Understanding8(Comprehension)
OBJ:Nursing9process—assessment MSC:9 Physiologic9Integrity:9 Physiologic9 Adaptation
5. Mr.9 Marks9 is9 a9 66-year-
old9patient9who9presents9for9a9physical9examination9to9the9clinic.9Which9question9has9the9m
ost9potential9for9exploring9a9patient’s9cultural9beliefs9related9to9ahealth9problem?
a. ―How9often9do9you9have9medical9examinations?‖
b. ―What9is9your8age,9race,9and9educational9level?‖
c. ―What9types9of9symptoms9have9you9been9having?‖
d. ―Why8do9 you9think9you9are9having9these9symptoms?‖
, Seidel's Guide to Physical Examination 9th Edition Ball Test B
9 9 9 9 9 9 9 9 9
ank / Ball: Seidel’s Guide to Physical Examination, 9th Editi on,
9 9 9 9 9 9 9 9 9 9
complete test bank; questions and answers (deeply explai ned)
9 9 9 9 9 9 9 9 9
ANS:9 D
―Why9do9 you9think9 you9are9having9these9symptoms?‖9is9an9open-
ended9question9that9avoids9stereotyping,9is9sensitive9and9respectful9toward9the9individual,9a9
nd9allows9for9cultural9data9tobe9exchanged.9The9other9questions9do9not9explore9the9patient’9
s9cultural9beliefs9about9health9problems.
