Test Bank For Seidel's Guide to Physical Examination An Interprofessional Approach 10th Edition by Jane W. Ball, Joyce E. Dains Chapter 1-26

Test Bank For Seidel's Guide to Physical Examination An
Interprofessional Approach 10th Edition by Jane W. Ball,
Joyce E. Dains Chapter 1-26




Chapter 01: Cultural Competency
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Ball: Seidel’s Guide to Physical Examination, 10th Edition
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MULTIPLE CHOICE v




1. Which statement is true regarding the relationship of physical characteristics and culture?
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a. Physical characteristics should be used to identify members of cultural groups.
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b. There is a difference between distinguishing cultural characteristics and
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distinguishing physical characteristics.
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c. To be a member of a specific culture, an individual must have certain identifiable
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physical characteristics.
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d. Gender and race are the two essential physical characteristics used to identify
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cultural groups.
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ANS: B v


Physical characteristics are not used to identify cultural groups; there is a difference between
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the two, and they are considered separately. Physical characteristics should not be used to
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identify members of cultural groups. To be a member of a specific culture, an individual does
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not need to have certain identifiable physical characteristics. You should not confuse physical
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characteristics with cultural characteristics. Gender and race are physical characteristics, not
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cultural characteristics, and are not used to identify cultural groups.
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DIF:Cognitive Level: Understanding (Comprehension) v v v


OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
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2. An image of any group that rejects its potential for originality or individuality is known as
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a(n)
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a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS: C v


A fixed image of any group that rejects its potential for originality or individuality is the
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definition of stereotype. Acculturation is the process of adopting another culture’s behaviors.
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A norm is a standard of allowable behavior within a group. Ethnos implies the same race or
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nationality.
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DIF:Cognitive Level: Remembering (Knowledge) v v v


OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
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3. Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr. L’s son
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tells you that for religious reasons, his father wishes to keep any stone that is passed into the
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urine filter that he has been using. What is your most appropriate response?
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,Test Bank For Seidel's Guide to Physical Examination An
Interprofessional Approach 10th Edition by Jane W. Ball,
Joyce E. Dains Chapter 1-26

a. ―With your father’s permission, we will examine the stone and request that it be
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returned to him.‖
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b. ―The stone must be sent to the lab for examination and therefore cannot be kept.‖
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c. ―We cannot let him keep his stone because it violates our infection control policy.‖
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d. ―We don’t know yet if your father has another kidney stone, so we must analyze
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this one.‖
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,Test Bank For Seidel's Guide to Physical Examination An
Interprofessional Approach 10th Edition by Jane W. Ball,
Joyce E. Dains Chapter 1-26

ANS: A v


We should be willing to modify the delivery of health care in a manner that is respectful and
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in keeping with the patient’s cultural background. ―With your father’s permission, we will
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examine the stone and request that it be returned to him‖ is the most appropriate response.
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―The stone must be sent to the lab for examination and therefore cannot be kept‖ and ―We
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don’t know yet if your father has another kidney stone, so we must analyze this one‖ do not
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support the patient’s request. ―We cannot let him keep his stone because it violates our
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infection control policy‖ does not provide a reason that it would violate an infection control
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policy.
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DIF:Cognitive Level: Analyzing (Analysis) v v v


OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
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4. The motivation of the healthcare professional to ―want to‖ engage in the process of becoming
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culturally competent, not ―have to,‖ is called
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a. cultural knowledge. v


b. cultural awareness. v


c. cultural desire. v


d. cultural skill. v




ANS: C v


Cultural encounters are the continuous process of interacting with patients from culturally
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diverse backgrounds to validate, refine, or modify existing values, beliefs, and practices about
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a cultural group and to develop cultural desire, cultural awareness, cultural skill, and cultural
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knowledge. Cultural awareness is deliberate self-examination and in-depth exploration of
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one’s biases, stereotypes, prejudices, assumptions, and ―-isms‖ that one holds about
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individuals and groups who are different from them. Cultural knowledge is the process of
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seeking and obtaining a sound educational base about culturally and ethnically diverse groups.
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Cultural skill is the ability to collect culturally relevant data regarding the patient’s presenting
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problem, as well as accurately performing a culturally based physical assessment in a
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culturally sensitive manner. Cultural desire is the motivation of the healthcare professional to
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want to engage in the process of becoming culturally competent, not have to.
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DIF:Cognitive Level: Understanding (Comprehension) v v v


OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
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5. Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic.
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Which question has the most potential for exploring a patient’s cultural beliefs related to a
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health problem?
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a. ―How often do you have medical examinations?‖ v v v v v v


b. ―What is your age, race, and educational level?‖ v v v v v v v


c. ―What types of symptoms have you been having?‖ v v v v v v v


d. ―Why do you think you are having these symptoms?‖v v v v v v v v




ANS: D v

, Test Bank For Seidel's Guide to Physical Examination An
Interprofessional Approach 10th Edition by Jane W. Ball,
Joyce E. Dains Chapter 1-26

―Why do you think you are having these symptoms?‖ is an open-ended question that avoids
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stereotyping, is sensitive and respectful toward the individual, and allows for cultural data to
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be exchanged. The other questions do not explore the patient’s cultural beliefs about health
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problems.
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