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Interprofessional Approach 10th Edition by Jane W. Ball, Joyce
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E. DainsChapter1-26;Acein your Examsin 1 attempt!
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Chapter01:CulturalCompetency i
Ball:Seidel’sGuidetoPhysicalExamination,10thEdition hi
MULTIPLECHOICE i
1. Whichstatement istrueregarding therelationship ofphysical characteristics and culture?
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a. Physicalcharacteristicsshouldbeusedtoidentifymembersofculturalgroups. i i i i i i i i
b. Thereis a differencebetween distinguishing culturalcharacteristicsand hi i hi i
distinguishing physical characteristics.
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c. Tobeamemberofaspecificculture,anindividualmusthavecertainidentifiable
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physicalcharacteristics. ii i
d. Gender and race arethetwoessentialphysical characteristics usedtoidentify ii i ii i ii
culturalgroups. ii i
ANS: B i i
Physical characteristics arenot usedtoidentifycultural groups;thereisadifference between thetwo,
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andtheyare considered separately. Physical characteristics should not beused to identifymembers
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ofculturalgroups.Tobeamemberofa specificculture,anindividualdoesnot
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need tohave certain identifiablephysical characteristics.Youshouldnotconfusephysical
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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) hi ii
OBJ:Nursing process—assessment MSC: PhysiologicIntegrity:Physiologic Adaptationi i i i i i hi
2. Animageofanygroupthatrejectsitspotentialfororiginalityorindividualityisknownasa(n)
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a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS: C i i
Afixed image ofanygroup thatrejects its potentialfororiginalityorindividualityisthe
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definitionofstereotype. Acculturation isthe processofadoptinganotherculture’sbehaviors. A
ii ii hi i i ii
normis astandard ofallowable behaviorwithin a group.Ethnos implies the samerace or nationality.
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DIF:CognitiveLevel:Remembering (Knowledge) i i hi
OBJ:Nursing process—assessment MSC: PhysiologicIntegrity:Physiologic Adaptation i i i i i i hi
3. Mr.Lpresentstotheclinicwithseveregroinpainandahistoryofkidneystones.Mr.L’ssontells you
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that forreligiousreasons,hisfather wishestokeepanystone thatispassedintotheurine filter that he
i ii i i i i i i i i i i i i i i i ii i ii
has been using. What is your most appropriate response?
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,a. ―Withyourfather’s permission,we willexaminethestoneand requestthatit be
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returned to him.‖
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b. ―Thestone must besenttothelabforexaminationandthereforecannotbekept.‖
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c. ―Wecannot lethimkeephisstonebecauseitviolatesourinfectioncontrolpolicy.‖
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d. ―Wedon’t knowyeti fyourfatherhasanotherkidneystone,sowemustanalyzethis
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one.‖
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, ANS: A i i
Weshouldbewillingtomodifythedeliveryofhealthcareinamannerthatisrespectfulandin
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keepingwiththe patient’s cultural background. ―With your father’s permission, wewill
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examinethestoneand request thatit bereturned to him‖isthemost appropriateresponse.
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―Thestonemustbesenttothelabforexaminationandthereforecannotbekept‖and―We don’t hi i ii
iknowyet ifyourfatherhasanotherkidneystone,sowemustanalyzethisone‖donotsupportthe
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patient’s request. ―Wecannot lethim keephis stonebecause it violatesourinfectioncontrol
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policy‖ doesnotprovideareasonthatitwouldviolateaninfectioncontrol policy.
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DIF:CognitiveLevel:Analyzing (Analysis) i hi
OBJ:Nursing process—assessment i i MSC: i i PhysiologicIntegrity:PhysiologicAdaptation i i i
4. Themotivationof thehealthcare professional to―want to‖engageintheprocess ofbecoming hi hi hi hi hi
i i culturallycompetent, not ―have to,‖ is called ii ii ii ii ii
a. culturalknowledge.
b. culturalawareness.
c. culturaldesire.
d. culturalskill.
ANS: C i i
Cultural encounters are the continuous process of interacting with patients from culturally diverse
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backgroundstovalidate,refine,ormodifyexistingvalues,beliefs,andpracticesabouta cultural
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groupand to develop cultural desire, cultural awareness, cultural skill, andcultural knowledge.
ii i ii i i i i i i ii i i ii
Culturalawarenessisdeliberateself-examinationandin-depthexplorationofone’s biases,
i i i i i i i i i i ii
stereotypes, prejudices,assumptions, and ―-isms‖thatoneholdsabout individuals and groups
i i i ii ii ii ii ii
whoaredifferentfromthem.Culturalknowledgeistheprocessofseekingandobtaining asound
i i i i i i i i i i i i i ii
educational baseaboutculturallyand ethnicallydiversegroups. Cultural skill is the abilityto collect
i ii i i ii i ii ii ii ii ii i ii
culturallyrelevant data regardingthe patient’s presentingproblem, aswell as accuratelyperforming
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a culturallybased physical assessment in a culturallysensitive manner. Culturaldesireisthe
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motivationofthehealthcareprofessionaltowanttoengageintheprocess of becoming culturally
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competent, not have to.
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DIF:CognitiveLevel:Understanding (Comprehension) i hi
OBJ:Nursing process—assessment MSC: PhysiologicIntegrity:Physiologic Adaptation i i i i i i hi
5. Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic.
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Whichquestion hasthe most potential forexploringapatient’s cultural beliefs related to a
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healthproblem?
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a. ―Howoftendo you havemedical examinations?‖ ii hi hi
b. ―Whatisyourage,race,andeducationallevel?‖ hi
c. ―Whattypesofsymptomshave you been having?‖ hi hi hi
d. ―Whydoyouthinkyouarehaving thesesymptoms?‖ hi i hi
ANS: D i i