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nation An Interprofessional Approach 10th Edition
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byJane W. Ball, Joyce E. Dains Chapter 1-
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26; Ace in your Exams in 1 attempt A+
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,Chapter 01: Cultural Competency
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Ball: Seidel’s Guide to Physical Examination, 10th Edition
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MULTIPLEbCHOICE
1. Mr.bLbpresentsbtobthebclinicbwithbseverebgroinbpainbandbabhistorybofbkidneybstones.bMr.bL’sbsonbte
llsbyoubthatbforbreligiousbreasons,bhisbfatherbwishesbtobkeepbanybstonebthatbisbpassedbintobtheburin
ebfilterbthatbhebhasbbeenbusing.bWhatbisbyourbmostbappropriatebresponse?
a. ―Withbyourbfather’sbpermission,bwebwillbexaminebthebstonebandbrequestbthatbitbbebr
eturnedbtobhim.‖
b. ―Thebstonebmustbbebsentbtobtheblabbforbexaminationbandbthereforebcannotbbebkept.‖
c. ―Webcannotbletbhimbkeepbhisbstonebbecausebitbviolatesbourbinfectionbcontrolbpolicy.‖
d. ―Webdon’tbknowbyetbifbyourbfatherbhasbanotherbkidneybstone,bsobwebmustbanalyzebt
hisbone.‖
ANS:b A
Webshouldbbebwillingbtobmodifybthebdeliverybofbhealthbcarebinbabmannerbthatbisbrespectfulbandbin
bkeepingbwithbthebpatient’sbcultural bbackground.b―Withbyourbfather’sbpermission,bwebwill bex
aminebthebstonebandbrequestbthatbitbbebreturnedbtobhim‖bisbthebmostbappropriatebresponse.
―Thebstonebmustbbebsentbtobtheblabbforbexaminationbandbthereforebcannotbbebkept‖bandb―Webd
on’tbknowbyetbifbyourbfatherbhasbanotherbkidneybstone,bsobwebmustbanalyzebthisbone‖bdobnotbsu
pportbthebpatient’sbrequest.b―Webcannotbletbhimbkeepbhisbstonebbecausebitbviolatesbourbinfect
ionbcontrolbpolicy‖bdoesbnotbprovidebabreasonbthatbitbwouldbviolatebanbinfectionbcontrolbpolicy.
DIF:CognitivebLevel:bAnalyzingb(Analysis)
OBJ:Nursingbprocess—assessment MSC:b PhysiologicbIntegrity:bPhysiologicbAdaptation
2. Whichbstatementbisbtruebregardingbthebrelationshipbofbphysicalbcharacteristicsbandbculture?
a. Physicalbcharacteristicsbshouldbbebusedbtobidentifybmembersbofbculturalbgroups.
b. Therebisbabdifferencebbetweenbdistinguishingbculturalbcharacteristicsbandb
distinguishingbphysicalbcharacteristics.
c. Tobbebabmemberbofbabspecificbculture,banbindividualbmustbhavebcertainbidentifiablebp
hysicalbcharacteristics.
d. Genderbandbracebarebthebtwobessentialbphysicalbcharacteristicsbusedbtobidentifybc
ulturalbgroups.
ANS:b B
Physicalbcharacteristicsbarebnotbusedbtobidentifybculturalbgroups;btherebisbabdifferencebbetweenbt
hebtwo,bandbtheybarebconsideredbseparately.bPhysicalbcharacteristicsbshouldbnotbbebusedbtobident
ifybmembersbofbculturalbgroups.bTobbebabmemberbofbabspecificbculture,banbindividualbdoesbnotbne
edbtobhavebcertainbidentifiablebphysicalbcharacteristics.bYoubshouldbnotbconfusebphysicalbcharact
eristicsbwithbculturalbcharacteristics.bGenderbandbracebarebphysicalbcharacteristics,bnotbculturalb
characteristics,bandbarebnotbusedbtobidentifybculturalbgroups.
DIF:CognitivebLevel:bUnderstandingb(Comprehension)
, OBJ:Nursingbprocess—assessment MSC:b PhysiologicbIntegrity:bPhysiologicbAdaptation
3. Anbimagebofbanybgroupbthatbrejectsbitsbpotentialbforboriginalityborbindividualitybisbknownbasba
(n)
a. acculturation.
b. norm.
c. stereotype.
d. ethnos.
ANS:b C
Abfixedbimagebofbanybgroupbthatbrejectsbitsbpotentialbforboriginalityborbindividualitybisbthebdefi
nitionbofbstereotype.bAcculturationbisbthebprocessbofbadoptingbanotherbculture’sbbehaviors.bAbno
rmbisbabstandardbofballowablebbehaviorbwithinbabgroup.bEthnosbimpliesbthebsamebraceborbnation
ality.
DIF:CognitivebLevel:bRememberingb(Knowledge)
OBJ:Nursingbprocess—assessment MSC:b PhysiologicbIntegrity:bPhysiologicbAdaptation
4. Thebmotivationbofbthebhealthcarebprofessionalbtob―wantbto‖bengagebinbthebprocessbofbbecomingbc
ulturallybcompetent,bnotb―havebto,‖bisbcalled
a. culturalbknowledge.
b. culturalbawareness.
c. culturalbdesire.
d. culturalbskill.
ANS:b C
Culturalbencountersbarebthebcontinuousbprocessbofbinteractingbwithbpatientsbfrombculturallybdive
rsebbackgroundsbtobvalidate,brefine,borbmodifybexistingbvalues,bbeliefs,bandbpracticesbaboutbabcult
uralbgroupbandbtobdevelopbculturalbdesire,bculturalbawareness,bculturalbskill,bandbculturalbknowl
edge.bCulturalbawarenessbisbdeliberatebself-examinationbandbin-
depthbexplorationbofbone’sbbiases,bstereotypes,bprejudices,bassumptions,bandb―-
isms‖bthatbonebholdsbaboutbindividualsbandbgroupsbwhobarebdifferentbfrombthem.bCulturalbknowl
edgebisbthebprocessbofbseekingbandbobtainingbabsoundbeducationalbbasebaboutbculturallybandbethni
callybdiversebgroups.bCulturalbskillbisbthebabilitybtobcollectbculturallybrelevantbdatabregardingbtheb
patient’sbpresentingbproblem,basbwellbasbaccuratelybperformingbabculturallybbasedbphysicalbasses
smentbinbabculturallybsensitivebmanner.bCulturalbdesirebisbthebmotivationbofbthebhealthcarebprofe
ssionalbtobwantbtobengagebinbthebprocessbofbbecomingbculturallybcompetent,bnotbhavebto.
DIF:CognitivebLevel:bUnderstandingb(Comprehension)
OBJ:Nursingbprocess—assessment MSC:b PhysiologicbIntegrity:bPhysiologicbAdaptation
5. Mr.bMarksbisbab66-year-
oldbpatientbwhobpresentsbforbabphysicalbexaminationbtobthebclinic.bWhichbquestionbhasbthebm
ostbpotentialbforbexploringbabpatient’sbculturalbbeliefsbrelatedbtobabhealthbproblem?
, a. ―Howboftenbdobyoubhavebmedicalbexaminations?‖
b. ―Whatbisbyourbage,brace,bandbeducationalblevel?‖
c. ―Whatbtypesbofbsymptomsbhavebyoubbeenbhaving?‖
d. ―Whybdobyoubthinkbyoubarebhavingbthesebsymptoms?‖
ANS:b D
―Whybdob youbthinkbyoubarebhavingbthesebsymptoms?‖bisbanbopen-
endedbquestionbthatbavoidsbstereotyping,bisbsensitivebandbrespectfulbtowardbthebindividual,bandb
allowsbforbculturalbdatabtobbebexchanged.bThebotherbquestionsbdobnotbexplorebthebpatient’sbcult
uralbbeliefsbaboutbhealthbproblems.
DIF:CognitivebLevel:bAnalyzingb(Analysis)
OBJ:Nursingbprocess—assessment MSC:b PhysiologicbIntegrity:bPhysiologicbAdaptation
6. Thebdefinitionbofbillborbsickbisbbasedbonba
a. stereotype.
b. culturalbbehavior.
c. beliefbsystem.
d. culturalbattitude.
ANS:b C
Thebdefinitionbofbillborbsickbisbbasedbonbthebindividual’sbbeliefbsystembandbisbdeterminedbinbla
rgebpartbbybhisborbherbenculturation.
DIF:CognitivebLevel:bUnderstandingb(Comprehension)
OBJ:Nursingbprocess—assessment MSC:b PhysiologicbIntegrity:bPhysiologicbAdaptation
7. Ab22-year-oldbfemalebnursebisbinterviewingbanb86-year-
oldbmalebpatient.bThebpatientbavoidsbeyebcontactbandbanswersbquestionsbonlybbybsaying,b―Yea
h,‖b―No,‖borb―Ibguessbso.‖bWhichbofbthebfollowingbisbappropriatebforbthebinterviewerbtobsayborb
ask?
a. ―Webwillbbebablebtobcommunicatebbetterbifbyoublookbatbme.‖
b. ―It’sbhardbforbmebtobgatherbusefulbinformationbbecausebyourbanswersbarebsobshort.‖
c. ―Arebyoubuncomfortablebtalkingbwithbme?‖
d. ―Doesbyourbreligionbmakebitbhardbforbyoubtobanswerbmybquestions?‖
ANS:b C
Itbisballbrightbtobaskbifbthebpatientbisbuncomfortablebwithbanybaspectbofbyourbpersonbandbtobtalkbabo
utbit;bthebotherbchoicesbareblessbrespectful.
DIF:CognitivebLevel:b Applyingb(Application)
OBJ:Nursingbprocess—assessment MSC:b PhysiologicbIntegrity:bPhysiologicbAdaptation
8. Asbyoubexplainbyourbpatient’sbconditionbtobherbhusband,byoubnoticebthatbhebisbleaningbtowardby
oubandbpointedlybblinkingbhisbeyes.bKnowingbthatbhebisbfrombEngland,byourbmostbappropriatebre
sponsebtobthisbbehaviorbisbto
a. tellbhimbthatbyoubunderstandbhisbneedbtobbebalone.
b. askbwhetherbhebhasbanybquestions.