SEIDEL'S GUIDE TO
for
PHYSICAL EXAMINATION
AN INTERPROFESSIONAL APPROACH
10th Edition
By Jane W. Ball, Joyce E. Dains, John A. Flynn,
Barry S. Solomon, Rosalyn W. Stewart
,Table of Contents
1. The History and Interviewing Process
2. Cultural Competency
3. Examination Techniques and Equipment
4. Taking the Next Steps: Clinical Reasoning
5. The Patient Record
6. Vital Signs and Pain Assessment
7. Mental Status
8. Growth, Measurement, and Nutrition
9. Skin, Hair, and Nails
10. Lymphatic System
11. Head and Neck
12. Eyes
13. Ears, Nose, and Throat
14. Chest and Lungs
15. Heart
16. Blood Vessels
17. Breasts and Axillae
18. Abdomen
19. Female Genitalia
20. Male Genitalia
21. Anus, Rectum, and Prostate
22. Musculoskeletal System
23. Neurologic System
24. Head-to-Toe Examination
25. Sports Participation Evaluation
26. Emergency or Life-Threatening Situations
,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.
ANS: 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.
DIF:Cognitive Level: Understanding (Comprehension)
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
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.
ANS: 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.
DIF:Cognitive Level: Remembering (Knowledge)
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
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.‖
ANS: 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.
DIF:Cognitive Level: Analyzing (Analysis)
OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation