Seidel's Guide to Physical Examination:
An Interprofessional Approach 10th
Edition by Jane W. Ball TEST BANK
COMPLETE CHAPTERS 1-26| VERIFIED
EXAM QUESTIONS AND CORRECT
ANSWERS
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, Chapter 01: Cultural Competency
MULTIPLE CHOICE
1. 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 and distinguishing physical
characteristics.
c. To be a member of a 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.
ACCURATE ANSWER: 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 of cultural
groups. To be a member of a 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)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
2. An image of any group that rejects its potential for originality or individuality is known as a(n)
a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ACCURATE ANSWER: C
A fixed image of any group that rejects its potential for originality or individuality is the definition of
stereotype. Acculturation is the process of adopting another culture’s behaviors. A norm is a standard of
allowable behavior within a group. Ethnos implies the same race or nationality.
DIF: Cognitive Level: Remembering (Knowledge)
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 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.
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 analyze this one.
ACCURATE ANSWER: A
We should be willing to modify the delivery of health 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 him is the most appropriate response.
The stone must be sent to the lab for examination and therefore cannot be kept and We don’t know yet
if your father has another kidney stone, so we must analyze this one do not support the patient’s request.
We cannot let him keep his stone because it violates our infection control policy 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
4. The motivation of the healthcare professional to want to engage in the process of becoming culturally
competent, not have to, is called
a. cultural knowledge.
b. cultural awareness.
c. cultural desire.
d. cultural skill.
ACCURATE ANSWER: C
Cultural encounters are the continuous process of interacting with patients from culturally diverse
backgrounds to validate, refine, or modify existing values, beliefs, and practices about a cultural group
and to develop cultural desire, cultural awareness, cultural skill, and cultural knowledge. Cultural
awareness is deliberate self-examination and in-depth exploration of one’s biases, stereotypes, prejudices,
assumptions, and -isms that one holds about individuals and groups who are different from them.
Cultural knowledge is the process of seeking and obtaining a sound educational base about culturally and
ethnically diverse groups. Cultural skill is the ability to collect culturally relevant data regarding the
patient’s presenting 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 want to
engage in the process of becoming culturally competent, not have to.
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DIF: Cognitive Level: Understanding (Comprehension)
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3|Page
c
, OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
5. Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic. Which
question has the most potential for exploring a patient’s cultural beliefs related to a health problem?
a. How often do you have medical examinations?
b. What is your age, race, and educational level?
c. What types of symptoms have you been having?
d. Why do you think you are having these symptoms?
ACCURATE ANSWER: D
Why do you think you are having these symptoms? is an open-ended question that avoids stereotyping, is
sensitive and respectful toward the individual, and allows for cultural data to be exchanged. The other
questions do not explore the patient’s cultural beliefs about health problems.
DIF: Cognitive Level: Analyzing (Analysis)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
6. The definition of ill or sick is based on a
a. stereotype.
b. cultural behavior.
c. belief system.
d. cultural attitude.
ACCURATE ANSWER: C
The definition of ill or sick is based on the individual’s belief system and is determined in large part by
his or her enculturation.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
7. A 22-year-old female nurse is interviewing an 86-year-old male patient. The patient avoids eye contact
and answers questions only by saying, Yeah, No, or I guess so. Which of the following is appropriate
for the interviewer to say or ask?
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a. We will be able to communicate better if you look at me.
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b. It’s hard for me to gather useful information because your answers are so short.
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4|Page
c
An Interprofessional Approach 10th
Edition by Jane W. Ball TEST BANK
COMPLETE CHAPTERS 1-26| VERIFIED
EXAM QUESTIONS AND CORRECT
ANSWERS
Ar
ch
Do
1|Page
c
, Chapter 01: Cultural Competency
MULTIPLE CHOICE
1. 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 and distinguishing physical
characteristics.
c. To be a member of a 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.
ACCURATE ANSWER: 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 of cultural
groups. To be a member of a 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)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
2. An image of any group that rejects its potential for originality or individuality is known as a(n)
a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ACCURATE ANSWER: C
A fixed image of any group that rejects its potential for originality or individuality is the definition of
stereotype. Acculturation is the process of adopting another culture’s behaviors. A norm is a standard of
allowable behavior within a group. Ethnos implies the same race or nationality.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
Ar
ch
Do
2|Page
c
, 3. 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 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.
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 analyze this one.
ACCURATE ANSWER: A
We should be willing to modify the delivery of health 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 him is the most appropriate response.
The stone must be sent to the lab for examination and therefore cannot be kept and We don’t know yet
if your father has another kidney stone, so we must analyze this one do not support the patient’s request.
We cannot let him keep his stone because it violates our infection control policy 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
4. The motivation of the healthcare professional to want to engage in the process of becoming culturally
competent, not have to, is called
a. cultural knowledge.
b. cultural awareness.
c. cultural desire.
d. cultural skill.
ACCURATE ANSWER: C
Cultural encounters are the continuous process of interacting with patients from culturally diverse
backgrounds to validate, refine, or modify existing values, beliefs, and practices about a cultural group
and to develop cultural desire, cultural awareness, cultural skill, and cultural knowledge. Cultural
awareness is deliberate self-examination and in-depth exploration of one’s biases, stereotypes, prejudices,
assumptions, and -isms that one holds about individuals and groups who are different from them.
Cultural knowledge is the process of seeking and obtaining a sound educational base about culturally and
ethnically diverse groups. Cultural skill is the ability to collect culturally relevant data regarding the
patient’s presenting problem, as well as accurately performing a culturally based physical assessment in a
Ar
culturally sensitive manner. Cultural desire is the motivation of the healthcare professional to want to
engage in the process of becoming culturally competent, not have to.
ch
DIF: Cognitive Level: Understanding (Comprehension)
Do
3|Page
c
, OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
5. Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic. Which
question has the most potential for exploring a patient’s cultural beliefs related to a health problem?
a. How often do you have medical examinations?
b. What is your age, race, and educational level?
c. What types of symptoms have you been having?
d. Why do you think you are having these symptoms?
ACCURATE ANSWER: D
Why do you think you are having these symptoms? is an open-ended question that avoids stereotyping, is
sensitive and respectful toward the individual, and allows for cultural data to be exchanged. The other
questions do not explore the patient’s cultural beliefs about health problems.
DIF: Cognitive Level: Analyzing (Analysis)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
6. The definition of ill or sick is based on a
a. stereotype.
b. cultural behavior.
c. belief system.
d. cultural attitude.
ACCURATE ANSWER: C
The definition of ill or sick is based on the individual’s belief system and is determined in large part by
his or her enculturation.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
7. A 22-year-old female nurse is interviewing an 86-year-old male patient. The patient avoids eye contact
and answers questions only by saying, Yeah, No, or I guess so. Which of the following is appropriate
for the interviewer to say or ask?
Ar
a. We will be able to communicate better if you look at me.
ch
b. It’s hard for me to gather useful information because your answers are so short.
Do
4|Page
c
