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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
All Chapters (1 – 26) | Expert Verified Answers with Explanations | Graded A+
1|Page
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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.
CORRECT 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.
CORRECT 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.‖
CORRECT 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.
CORRECT 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
3|Page
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performing a culturally based physical assessment in a 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.
DIF:Cognitive Level: Understanding (Comprehension)
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?‖
CORRECT 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.
CORRECT 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.
4|Page
Test Bank for Seidel's Guide to Physical Examination: An Interprofessional Approach
10th Edition
by Jane W. Ball, Joyce E. Dains
All Chapters (1 – 26) | Expert Verified Answers with Explanations | Graded A+
1|Page
, TESTBANKS BY TESTBANKSNERD
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.
CORRECT 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.
CORRECT 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
2|Page
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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.‖
CORRECT 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.
CORRECT 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
3|Page
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performing a culturally based physical assessment in a 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.
DIF:Cognitive Level: Understanding (Comprehension)
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?‖
CORRECT 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.
CORRECT 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.
4|Page
