Seidel\'s Guide to Physical Examination An Interprofessional Approach 10th Edition
by Jane W.
Ball, Joyce E. Dains Chapter 1-26
,Table of Contents
Chapter 01: Cultural Competency............................................................................................................. 3
Chapter 02: The History and Interviewing Process ................................................................................. 10
Chapter 03: Examination Techniques and Equipment ........................................................................... 20
Chapter 04: Taking the Next Steps: Clinical Reasoning .......................................................................... 31
Chapter 05: The Health Record............................................................................................................... 36
Chapter 06: Vital Signs and Pain Assessment ......................................................................................... 45
Chapter 07: Mental Status ...................................................................................................................... 49
Chapter 08: Growth and Nutrition.......................................................................................................... 64
Chapter 09: Skin, Hair, and Nails............................................................................................................. 86
Chapter 10: Lymphatic System ............................................................................................................. 114
Chapter 11: Head and Neck .................................................................................................................. 127
Chapter 12: Eyes ................................................................................................................................... 138
Chapter 13: Ears, Nose, and Throat ...................................................................................................... 149
Chapter 14: Chest and Lungs ................................................................................................................ 158
Chapter 15: Heart ................................................................................................................................. 163
Chapter 16: Blood Vessels .................................................................................................................... 170
Chapter 17: Breasts and Axillae ............................................................................................................ 178
Chapter 18: Abdomen ........................................................................................................................... 185
Chapter 19: Female Genitalia ............................................................................................................... 194
Chapter 20: Male Genitalia ................................................................................................................... 204
Chapter 21: Anus, Rectum, and Prostate .............................................................................................. 214
Chapter 22: Musculoskeletal System .................................................................................................... 223
Chapter 23: Neurologic System ............................................................................................................ 235
Chapter 24: Putting it All Together ....................................................................................................... 251
Chapter 25: Sports Participation Evaluation ......................................................................................... 268
Chapter 26: Emergency or Life-Threatening Situations ........................................................................ 272
,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.
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.
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.
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.
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.
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.
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.
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 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.