Interprofessional Approach 10th Edition by Jane W. Ball, Joyce E.
Dains Chapter 1-26 complete Verified questions and answers
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Chapter 01: Cultural Competency
Ball: Seidel’s Guide to Physical Examination, 10th Edition
, 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.
ANS: 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.
ANS: 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
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.‖
, ANS: 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.
ANS: 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
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?‖
ANS: D