Complete Solutions
1. Ethnocentrism is defined as:
A. understanding that people from different cultural backgrounds respond to pain
and stress differently.
B. suspecting that a person has an ulterior motive based on the tone of his or her
voice when answering a question.
C. subconsciously forcing your cultural values onto a patient because you feel that
yours are more acceptable.
D. considering your own cultural values as more important when interacting with
people of a different culture. - ANSWERAnswer: D
Question Type: General Knowledge
Page: 108
2. You are dispatched to the residence of an Asian family for a child with a high fever.
When you assess the child, you note that he has numerous red marks on his back.
The child's parents explain that these marks represent coining—a traditional Asian
healing practice in which hot coins are rubbed on the back. You should:
A. advise the child's parents that this is a harmful practice and is considered a form
of child abuse in the United States.
B. acknowledge and respect this practice as a cultural belief, but advise the child's
parents that it has no healing power.
C. document this on your patient care report and advise the emergency department
staff of what the child's parents told you.
D. advise the emergency department physician that you feel as though the child was
intentionally abused by his parents. - ANSWERAnswer: C
Question Type: Critical Thinking
Page: 109
3. You are assessing a 75-year-old woman with mild shortness of breath. As you are
asking her questions regarding her chief complaint and medical history, you
progressively move closer and closer to her. In doing this, it is important to
remember that:
A. placing yourself in the patient's personal space is relaying to her that you can be
trusted.
B. as you physically get closer to the patient, a greater and greater sense of trust
must be established.
C. it is necessary to enter an older person's intimate space because the elderly are
typically hearing impaired.
D. a patient's personal space should not be violated, regardless of any barriers that
may hamper communication. - ANSWERAnswer: B
Question Type: Critical Thinking
Page: 109
, 4. A 60-year-old man complains of chest pain. He is conscious and alert and denies
shortness of breath. Which of the following questions would be the MOST
appropriate to ask him?
A. "Were you exerting yourself when the chest pain began?"
B. "Does the pain in your chest move to either of your arms?"
C. "Does the pain in your chest feel like a stabbing sensation?"
D. "Do you have any heart problems or take any medications?" - ANSWERAnswer: D
Question Type: Critical Thinking
Page: 110
5. You are interviewing a 52-year-old man who complains of chest discomfort. The
patient is a retired paramedic and is very anxious because he thinks he is having a
heart attack. Which of the following statements would be appropriate to say?
A. "It is possible that you are experiencing a heart attack. I am going to give you four
baby aspirin to chew and swallow."
B. "I notice that you are a retired paramedic, so I'm sure you will understand all of
the things that we will be doing to you."
C. "This is nothing to worry about. Please try to stay calm. The physician at the
hospital will probably not find any signs of a heart problem."
D. "We need to take you to the ED stat. We will give you ASA and NTG en route and
then reassess your vitals. Do you have any questions?" - ANSWERAnswer: A
Question Type: Critical Thinking
Page: 112
6. Calming and reassuring an anxious patient can be facilitated by:
A. maintaining eye contact with the patient whenever possible.
B. using medical terminology to ensure the patient understands.
C. positioning yourself at a level that is higher than the patient.
D. withholding unpleasant information until arrival at the hospital. - ANSWERAnswer:
A
Question Type: General Knowledge
Page: 112
7. During your assessment of a 20-year-old man with a severe headache and nausea,
you ask him when his headache began, but he does not answer your question
immediately. You should:
A. repeat your question because he probably did not hear you.
B. allow him time to think about the question and respond to it.
C. ask him if he frequently experiences severe headaches and nausea.
D. tell him that you cannot help him unless he answers your questions. -
ANSWERAnswer: B
Question Type: Critical Thinking
Page: 113
8. In what manner should you act and speak with a patient?
A. passive
B. authoritative