MExaminationAnInterprofessionalApproach10thEditionby
JaneW.Ball,JoyceE.DainsChapter1-26;AceinyourExamsin
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M1attempt!
Chapter 01: Cultural Competency
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Ball: Seidel’s Guide to Physical Examination, 10th Edition
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MULTIPLE CHOICE M
1. 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
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M d distinguishing physical characteristics.
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c. To be a member of a specific culture, an individual must have certain
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M identifiab le physical characteristics. M M M
d. Gender and race are the two essential physical characteristics used to identif
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M y cultural groups.
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ANS: B M
Physical characteristics are not used to identify cultural groups; there is a difference betwee
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Mn the two, and they are considered separately. Physical characteristics should not be used
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to identify members of cultural groups. To be a member of a specific culture, an individual
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do es not need to have certain identifiable physical characteristics. You should not confuse
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phy sical characteristics with cultural characteristics. Gender and race are physical
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characteristic s, not cultural characteristics, and are not used to identify cultural groups.
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DIF:Cognitive Level: Understanding (Comprehension) M M M
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
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2. An image of any group that rejects its potential for originality or individuality is known
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as a(n)
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a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS: C M
A fixed image of any group that rejects its potential for originality or individuality is the de
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finition of stereotype. Acculturation is the process of adopting another culture’s behaviors.
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A norm is a standard of allowable behavior within a group. Ethnos implies the same race or
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nationality.
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DIF:Cognitive Level: Remembering (Knowledge) M M M
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 s
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on tells you that for religious reasons, his father wishes to keep any stone that is passed
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int o the urine filter that he has been using. What is your most appropriate response?
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,(Complete2025)TestBankForSeidel'sGuidetoPhysical
MExaminationAnInterprofessionalApproach10thEditionby
JaneW.Ball,JoyceE.DainsChapter1-26;AceinyourExamsin
M M
M1attempt!
a. ―With your father’s permission, we will examine the stone and request that it
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Mbe returned to him.‖
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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.‖
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d. ―We don’t know yet if your father has another kidney stone, so we must analy
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Mze this one.‖
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,(Complete2025)TestBankForSeidel'sGuidetoPhysical
MExaminationAnInterprofessionalApproach10thEditionby
JaneW.Ball,JoyceE.DainsChapter1-26;AceinyourExamsin
M M
M1attempt!
ANS: A M
We should be willing to modify the delivery of health care in a manner that is respectful an
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Md in keeping with the patient’s cultural background. ―With your father’s permission, we
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w ill examine the stone and request that it be returned to him‖ is the most appropriate
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respons e.
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―The stone must be sent to the lab for examination and therefore cannot be kept‖ and
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―We don’t know yet if your father has another kidney stone, so we must analyze this one‖
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do not support the patient’s request. ―We cannot let him keep his stone because it violates
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our inf ection control policy‖ does not provide a reason that it would violate an infection
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control po licy.
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DIF:Cognitive Level: Analyzing (Analysis) M M M
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
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4. The motivation of the healthcare professional to ―want to‖ engage in the process of
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becomi ng culturally competent, not ―have to,‖ is called
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a. cultural knowledge. M
b. cultural awareness. M
c. cultural desire. M
d. cultural skill. M
ANS: C M
Cultural encounters are the continuous process of interacting with patients from culturally
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Mdi verse backgrounds to validate, refine, or modify existing values, beliefs, and practices
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Mabout a cultural group and to develop cultural desire, cultural awareness, cultural skill,
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Mand cultura l knowledge. Cultural awareness is deliberate self-examination and in-
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depth exploration of one’s biases, stereotypes, prejudices, assumptions, and ―-
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isms‖ that one holds about individuals and groups who are different from them. Cultural
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Mkno wledge is the process of
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seeking and obtaining a sound educational base about culturally and ethnically diverse group
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s. Cultural skill is the ability to collect culturally relevant data regarding the patient’s presen
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Mting problem, as well as accurately performing a culturally based physical assessment in a c
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Multurally sensitive manner. Cultural desire is the motivation of the healthcare professional to
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Mwant to engage in the process of becoming culturally competent, not have to.
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DIF:Cognitive Level: Understanding (Comprehension) M M M
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
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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
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Mth e most potential for exploring a patient’s cultural beliefs related to a health
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Mproblem?
a. ―How often do you have medical examinations?‖ M M M M M M
b. ―What is your age, race, and educational level?‖ M M M M M M M
c. ―What types of symptoms have you beenKhaving?‖ M M M M M M
d. ―Why do you think you are having these symptoms?‖M M M M M M M M
ANS: D M
, (Complete2025)TestBankForSeidel'sGuidetoPhysical
MExaminationAnInterprofessionalApproach10thEditionby
JaneW.Ball,JoyceE.DainsChapter1-26;AceinyourExamsin
M M
M1attempt!
―Why do you think you are having these symptoms?‖ is an open-
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ended question that avoids stereotyping, is sensitive and respectful toward the individual,
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Man d allows for cultural data to be exchanged. The other questions do not explore the
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Mpatient’s cultural beliefs about health problems.
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