2023 Test Bank For Seidel's Guide to Physical Exa
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mination An Interprofessional Approach 10th Editi
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on byJane W. Ball, Joyce E. Dains Chapter 1-
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26; Ace in your Exams in 1 attempt A+
n
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,Chapter 01: Cultural Competency
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Ball: Seidel’s Guide to Physical Examination, 10th Edition
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MULTIPLE CHOICE n9
1. Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr. L’s
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sontells you that for religious reasons, his father wishes to keep any stone that is passed i
9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
nto theurine filter that he has been using. What is your most appropriate response?
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a. ―With your father’s permission, we will examine the stone and request that it b
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ereturned to him.‖
9
n n9 n9
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.‖
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
d. ―We don’t know yet if your father has another kidney stone, so we must analyz
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ethis one.‖ 9
n n9
ANS: A n9
We should be willing to modify the delivery of health care in a manner that is respectful a
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ndin keeping with the patient’s cultural background. ―With your father’s permission, we
9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
will examine the stone and request that it be returned to him‖ is the most appropriate res
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ponse.
―The stone must be sent to the lab for examination and therefore cannot be kept‖ and ―
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
Wedon’t know yet if your father has another kidney stone, so we must analyze this one‖
9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
do notsupport the patient’s request. ―We cannot let him keep his stone because it viola
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
tes our infection control policy‖ does not provide a reason that it would violate an infecti
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
on controlpolicy.
n9 n9
DIF:Cognitive Level: Analyzing (Analysis) n9 n9 n9
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
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2. 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 an
n9 n9 n9 n9 n9 n9 n9 n9
ddistinguishing physical characteristics.
9
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c. To be a member of a specific culture, an individual must have certain identifiab
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
lephysical characteristics.
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d. Gender and race are the two essential physical characteristics used to identi
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
fycultural groups. n9 n9
ANS: B n9
Physical characteristics are not used to identify cultural groups; there is a difference betwe
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enthe two, and they are considered separately. Physical characteristics should not be used
9
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to identify members of cultural groups. To be a member of a specific culture, an individual
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doesnot need to have certain identifiable physical characteristics. You should not confuse p
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
hysicalcharacteristics with cultural characteristics. Gender and race are physical characteri
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
stics, not cultural characteristics, and are not used to identify cultural groups.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
DIF:Cognitive Level: Understanding (Comprehension) n9 n9 n9
, OBJ:Nursing process—assessment n9 MSC: Physiologic Integrity: Physiologic Adaptation
n9 n9 n9 n9
3. An image of any group that rejects its potential for originality or individuality is known
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asa(n) 9
n
a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS: C n9
A fixed image of any group that rejects its potential for originality or individuality is the
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n
definition of stereotype. Acculturation is the process of adopting another culture’s behavior
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s.A norm is a standard of allowable behavior within a group. Ethnos implies the same ra
9
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ce ornationality.
n9 n9
DIF:Cognitive Level: Remembering (Knowledge) n9 n9 n9
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
n9 n9 n9 n9 n9
4. The motivation of the healthcare professional to ―want to‖ engage in the process of becomin
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
gculturally competent, not ―have to,‖ is called
9
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a. cultural knowledge. n9
b. cultural awareness. n9
c. cultural desire. n9
d. cultural skill. n9
ANS: C n9
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 abo
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
uta cultural group and to develop cultural desire, cultural awareness, cultural skill, and cult
9 n9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ural knowledge. Cultural awareness is deliberate self-examination and in-
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depth exploration of one’s biases, stereotypes, prejudices, assumptions, and ―-
n9 n9 n9 n9 n9 n9 n9 n9 n9
isms‖ that one holds about individuals and groups who are different from them. Cultural k
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
nowledge is the process of seeking and obtaining a sound educational base about culturally
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
and ethnically diverse groups.Cultural skill is the ability to collect culturally relevant data r
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
egarding the patient’s presentingproblem, as well as accurately performing a culturally bas
n9 n9 n9 9
n n9 n9 n9 n9 n9 n9 n9 n9
ed physical assessment in a culturally sensitive manner. Cultural desire is the motivation o
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f the healthcare professional towant to engage in the process of becoming culturally compe
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
tent, not have to. n9 n9 n9
DIF:Cognitive Level: Understanding (Comprehension) n9 n9 n9
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
n9 n9 n9 n9 n9
5. Mr. Marks is a 66-year-
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old patient who presents for a physical examination to the clinic. Which question has t
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
, he most potential for exploring a patient’s cultural beliefs related to ahealth problem?
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n n9
n9 n9 n9 n9 n9 n9 n9 n9
mination An Interprofessional Approach 10th Editi
n9 n9 n9 n9 n9
on byJane W. Ball, Joyce E. Dains Chapter 1-
n 9 n
9 n 9 n 9 n 9 n 9 n 9 n 9 n 9
26; Ace in your Exams in 1 attempt A+
n
9 n9 n9 n9 n9 n9 n9 n9 n9
,Chapter 01: Cultural Competency
n9 n9 n9
Ball: Seidel’s Guide to Physical Examination, 10th Edition
n9 n9 n9 n9 n9 n9 n9
MULTIPLE CHOICE n9
1. Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr. L’s
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
sontells you that for religious reasons, his father wishes to keep any stone that is passed i
9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
nto theurine filter that he has been using. What is your most appropriate response?
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. ―With your father’s permission, we will examine the stone and request that it b
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ereturned to him.‖
9
n n9 n9
b. ―The stone must be sent to the lab for examination and therefore cannot be kept.‖
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
c. ―We cannot let him keep his stone because it violates our infection control policy.‖
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
d. ―We don’t know yet if your father has another kidney stone, so we must analyz
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ethis one.‖ 9
n n9
ANS: A n9
We should be willing to modify the delivery of health care in a manner that is respectful a
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ndin keeping with the patient’s cultural background. ―With your father’s permission, we
9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
will examine the stone and request that it be returned to him‖ is the most appropriate res
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ponse.
―The stone must be sent to the lab for examination and therefore cannot be kept‖ and ―
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
Wedon’t know yet if your father has another kidney stone, so we must analyze this one‖
9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
do notsupport the patient’s request. ―We cannot let him keep his stone because it viola
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
tes our infection control policy‖ does not provide a reason that it would violate an infecti
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
on controlpolicy.
n9 n9
DIF:Cognitive Level: Analyzing (Analysis) n9 n9 n9
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
n9 n9 n9 n9 n9
2. Which statement is true regarding the relationship of physical characteristics and culture?
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. Physical characteristics should be used to identify members of cultural groups.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
b. There is a difference between distinguishing cultural characteristics an
n9 n9 n9 n9 n9 n9 n9 n9
ddistinguishing physical characteristics.
9
n n9 n9
c. To be a member of a specific culture, an individual must have certain identifiab
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
lephysical characteristics.
n9 n9
d. Gender and race are the two essential physical characteristics used to identi
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
fycultural groups. n9 n9
ANS: B n9
Physical characteristics are not used to identify cultural groups; there is a difference betwe
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
enthe two, and they are considered separately. Physical characteristics should not be used
9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
to identify members of cultural groups. To be a member of a specific culture, an individual
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
doesnot need to have certain identifiable physical characteristics. You should not confuse p
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
hysicalcharacteristics with cultural characteristics. Gender and race are physical characteri
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
stics, not cultural characteristics, and are not used to identify cultural groups.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
DIF:Cognitive Level: Understanding (Comprehension) n9 n9 n9
, OBJ:Nursing process—assessment n9 MSC: Physiologic Integrity: Physiologic Adaptation
n9 n9 n9 n9
3. An image of any group that rejects its potential for originality or individuality is known
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
asa(n) 9
n
a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS: C n9
A fixed image of any group that rejects its potential for originality or individuality is the
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n
definition of stereotype. Acculturation is the process of adopting another culture’s behavior
9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
s.A norm is a standard of allowable behavior within a group. Ethnos implies the same ra
9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ce ornationality.
n9 n9
DIF:Cognitive Level: Remembering (Knowledge) n9 n9 n9
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
n9 n9 n9 n9 n9
4. The motivation of the healthcare professional to ―want to‖ engage in the process of becomin
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
gculturally competent, not ―have to,‖ is called
9
n n9 n9 n9 n9 n9 n9
a. cultural knowledge. n9
b. cultural awareness. n9
c. cultural desire. n9
d. cultural skill. n9
ANS: C n9
Cultural encounters are the continuous process of interacting with patients from culturally
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
diverse backgrounds to validate, refine, or modify existing values, beliefs, and practices abo
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
uta cultural group and to develop cultural desire, cultural awareness, cultural skill, and cult
9 n9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ural knowledge. Cultural awareness is deliberate self-examination and in-
n9 n9 n9 n9 n9 n9 n9 n9
depth exploration of one’s biases, stereotypes, prejudices, assumptions, and ―-
n9 n9 n9 n9 n9 n9 n9 n9 n9
isms‖ that one holds about individuals and groups who are different from them. Cultural k
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
nowledge is the process of seeking and obtaining a sound educational base about culturally
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
and ethnically diverse groups.Cultural skill is the ability to collect culturally relevant data r
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
egarding the patient’s presentingproblem, as well as accurately performing a culturally bas
n9 n9 n9 9
n n9 n9 n9 n9 n9 n9 n9 n9
ed physical assessment in a culturally sensitive manner. Cultural desire is the motivation o
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
f the healthcare professional towant to engage in the process of becoming culturally compe
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
tent, not have to. n9 n9 n9
DIF:Cognitive Level: Understanding (Comprehension) n9 n9 n9
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
n9 n9 n9 n9 n9
5. Mr. Marks is a 66-year-
n9 n9 n9 n9
old patient who presents for a physical examination to the clinic. Which question has t
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
, he most potential for exploring a patient’s cultural beliefs related to ahealth problem?
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 9
n n9