Test Bank For Seidel's Guide to Physical Examination
An Interprofessional Approach 10th Edition By Jane W.
Ball, Joyce E. Dains, John A. Flynn, Barry S Solomon|All
Chapters, Latest|
Comprehensive Sample Test Bank
Seidel's Guide to Physical Examination, 10th Edition
Chapters: 1 (Cultural Competency), 2 (History Taking), 3 (Physical
Examination Techniques), 5 (Vital Signs & Pain), 8 (Skin, Hair,
Nails), 12 (Thorax & Lungs)
Chapter 1: Cultural Competency
1. Which of the following is a key component of LEARN (a model for cross-cultural
communication)?
a) Listen, Explain, Acknowledge, Recommend, Negotiate
b) Label, Evaluate, Ask, Report, Notify
c) Look, Examine, Assess, Refer, Note
d) Limit, Educate, Advise, Review, Name
Answer: a) Listen, Explain, Acknowledge, Recommend, Negotiate
,Rationale: The LEARN model (Listen with empathy, Explain your perception, Acknowledge
differences, Recommend a plan, Negotiate agreement) is a widely taught framework for
cross-cultural encounters.
2. A patient from a culture with a fatalistic view of cancer states, “What will be will
be – treatment is not up to me.” The best response is: a) “You must take control of
your health.”
b) “I understand that belief. Let’s talk about what options feel most comfortable to you.”
c) “That attitude will make your cancer worse.”
d) “Do you want to die?”
Answer: b) “I understand that belief. Let’s talk about what options feel most
comfortable to you.”
Rationale: Validating the patient’s worldview while still offering choices respects autonomy
without forcing an external value system.
3. Low health literacy is most common among:
a) Middle-aged white males with college degrees.
b) Older adults, immigrants, and those with lower educational attainment.
c) Teenagers from affluent families.
d) Professional athletes.
Answer: b) Older adults, immigrants, and those with lower educational attainment.
Rationale: Health literacy is affected by age, education, language barriers, and
socioeconomic factors. Clinicians should use plain language and teach-back methods
regardless of appearance.
,4. The “teach-back” method is used to:
a) Test the patient’s intelligence.
b) Confirm that the patient understands instructions.
c) Punish the patient for not listening.
d) Replace the need for written materials.
Answer: b) Confirm that the patient understands instructions.
Rationale: Teach-back asks the patient to explain in their own words what they need to do.
It verifies comprehension without shaming.
5. A patient’s religion prohibits blood transfusions. The patient is bleeding
severely and will die without transfusion. The clinician should: a) Give the
transfusion because it’s an emergency.
b) Respect the patient’s religious refusal if the patient is an adult and competent.
c) Get a court order to override the patient.
d) Trick the patient into receiving blood.
Answer: b) Respect the patient’s religious refusal if the patient is an adult and
competent.
Rationale: Competent adults have the right to refuse life-saving treatment based on
religious beliefs, even if the clinician disagrees.
6. A 34-year-old patient from Southeast Asia avoids eye contact during the health
history interview. The most appropriate interpretation by the clinician is: a) The
patient is hiding information.
b) The patient is showing respect.
c) The patient is depressed.
d) The patient is being dishonest.
, Answer: b) The patient is showing respect.
Rationale: In many Southeast Asian cultures, direct eye contact with an authority figure
(such as a clinician) is considered disrespectful. Avoiding eye contact is a sign of deference
and respect, not deception or mental health issues.
7. Which of the following is the best example of culturally competent care?
a) Using the same communication style with all patients.
b) Asking all Hispanic patients if they prefer a translator.
c) Learning about a patient’s health beliefs and incorporating them into the care plan.
d) Assuming a patient from India is vegetarian.
Answer: c) Learning about a patient’s health beliefs and incorporating them into
the care plan.
Rationale: Cultural competence involves individualized assessment of each patient’s
beliefs, values, and practices, not stereotyping or assuming uniformity within cultural
groups.
8. A patient tells you that they use “curanderismo” to treat their child’s fever. The
most appropriate response is:
a) “That is not scientifically proven. You should stop immediately.”
b) “Tell me more about what treatments you are using so we can work together.”
c) “I will report this to child protective services.”
d) “Only a pediatrician should treat your child.”
Answer: b) “Tell me more about what treatments you are using so we can work
together.”
An Interprofessional Approach 10th Edition By Jane W.
Ball, Joyce E. Dains, John A. Flynn, Barry S Solomon|All
Chapters, Latest|
Comprehensive Sample Test Bank
Seidel's Guide to Physical Examination, 10th Edition
Chapters: 1 (Cultural Competency), 2 (History Taking), 3 (Physical
Examination Techniques), 5 (Vital Signs & Pain), 8 (Skin, Hair,
Nails), 12 (Thorax & Lungs)
Chapter 1: Cultural Competency
1. Which of the following is a key component of LEARN (a model for cross-cultural
communication)?
a) Listen, Explain, Acknowledge, Recommend, Negotiate
b) Label, Evaluate, Ask, Report, Notify
c) Look, Examine, Assess, Refer, Note
d) Limit, Educate, Advise, Review, Name
Answer: a) Listen, Explain, Acknowledge, Recommend, Negotiate
,Rationale: The LEARN model (Listen with empathy, Explain your perception, Acknowledge
differences, Recommend a plan, Negotiate agreement) is a widely taught framework for
cross-cultural encounters.
2. A patient from a culture with a fatalistic view of cancer states, “What will be will
be – treatment is not up to me.” The best response is: a) “You must take control of
your health.”
b) “I understand that belief. Let’s talk about what options feel most comfortable to you.”
c) “That attitude will make your cancer worse.”
d) “Do you want to die?”
Answer: b) “I understand that belief. Let’s talk about what options feel most
comfortable to you.”
Rationale: Validating the patient’s worldview while still offering choices respects autonomy
without forcing an external value system.
3. Low health literacy is most common among:
a) Middle-aged white males with college degrees.
b) Older adults, immigrants, and those with lower educational attainment.
c) Teenagers from affluent families.
d) Professional athletes.
Answer: b) Older adults, immigrants, and those with lower educational attainment.
Rationale: Health literacy is affected by age, education, language barriers, and
socioeconomic factors. Clinicians should use plain language and teach-back methods
regardless of appearance.
,4. The “teach-back” method is used to:
a) Test the patient’s intelligence.
b) Confirm that the patient understands instructions.
c) Punish the patient for not listening.
d) Replace the need for written materials.
Answer: b) Confirm that the patient understands instructions.
Rationale: Teach-back asks the patient to explain in their own words what they need to do.
It verifies comprehension without shaming.
5. A patient’s religion prohibits blood transfusions. The patient is bleeding
severely and will die without transfusion. The clinician should: a) Give the
transfusion because it’s an emergency.
b) Respect the patient’s religious refusal if the patient is an adult and competent.
c) Get a court order to override the patient.
d) Trick the patient into receiving blood.
Answer: b) Respect the patient’s religious refusal if the patient is an adult and
competent.
Rationale: Competent adults have the right to refuse life-saving treatment based on
religious beliefs, even if the clinician disagrees.
6. A 34-year-old patient from Southeast Asia avoids eye contact during the health
history interview. The most appropriate interpretation by the clinician is: a) The
patient is hiding information.
b) The patient is showing respect.
c) The patient is depressed.
d) The patient is being dishonest.
, Answer: b) The patient is showing respect.
Rationale: In many Southeast Asian cultures, direct eye contact with an authority figure
(such as a clinician) is considered disrespectful. Avoiding eye contact is a sign of deference
and respect, not deception or mental health issues.
7. Which of the following is the best example of culturally competent care?
a) Using the same communication style with all patients.
b) Asking all Hispanic patients if they prefer a translator.
c) Learning about a patient’s health beliefs and incorporating them into the care plan.
d) Assuming a patient from India is vegetarian.
Answer: c) Learning about a patient’s health beliefs and incorporating them into
the care plan.
Rationale: Cultural competence involves individualized assessment of each patient’s
beliefs, values, and practices, not stereotyping or assuming uniformity within cultural
groups.
8. A patient tells you that they use “curanderismo” to treat their child’s fever. The
most appropriate response is:
a) “That is not scientifically proven. You should stop immediately.”
b) “Tell me more about what treatments you are using so we can work together.”
c) “I will report this to child protective services.”
d) “Only a pediatrician should treat your child.”
Answer: b) “Tell me more about what treatments you are using so we can work
together.”
