t t t t t t t t t
essional Approach 10th Edition
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by Jane W. Ball, Joyce E. Dains
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Chapter 1 - 26 t t t
, TABLE OF CONTENTS
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1.ThetHistorytandtInterviewingtProcess
2.tCulturaltCompetency
3.tExaminationtTechniquestandtEquipment
4.tTakingtthetNexttSteps:tClinicaltReasoning
5.tThetPatienttRecordt[Newttitlet/tfocus!]
6.tVitaltSignstandtPaintAssessment
7.tMentaltStatus
8.tGrowth,tMeasurement,tandtNutritiont["formerlytGrowthtandtNutrition"]
9.tSkin,tHair,tandtNails
10.tLymphatictSystem
11.tHeadtandtNeck
12.tEyes
13.tEars,tNose,tandtThroat
14.tChesttandtLungs
15.tHeart
16.tBloodtVessels
17.tBreaststandtAxillae
18.tAbdomen
19.tFemaletGenitalia
20.tMaletGenitalia
21.tAnus,tRectum,tandtProstate
22.tMusculoskeletaltSystem
,23.tNeurologictSystem
24.tHead-to-ToetExaminationt[formerlytChaptert25:t"PuttingtIttAlltTogether"]
25.tSportstParticipationtEvaluationt[formerlytChaptert24]
26.tEmergencytortLife-ThreateningtSituations
, Chapter 01: Cultural Competency
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Ball: Seidel’s Guide to Physical Examination, 10th Edition
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MULTIPLEtCHOICE
1. Mr.tLtpresentsttotthetclinictwithtseveretgrointpaintandtathistorytoftkidneytstones.tMr.tL’stsonttells
youtthattfortreligioustreasons,thistfathertwishesttotkeeptanytstonetthattistpassedtintottheturinet
t
filtertthatthethastbeentusing.tWhattistyourtmosttappropriatetresponse?
a. ―Withtyourtfather’stpermission,twetwilltexaminetthetstonetandtrequesttthattittbetr
eturnedttothim.‖
b. ―Thetstonetmusttbetsentttotthetlabtfortexaminationtandtthereforetcannottbetkept.‖
c. ―Wetcannottletthimtkeepthiststonetbecausetittviolatestourtinfectiontcontroltpolicy.‖
d. ―Wetdon’ttknowt yettiftyourtfatherthastanothertkidneytstone,tsotwetmusttanalyzett
histone.‖
ANS:t A
Wetshouldtbetwillingttotmodifytthetdeliverytofthealthtcaretintatmannertthattistrespectfultandtintk
eepingtwithtthetpatient’stculturaltbackground.t―Withtyourtfather’stpermission,twetwilltexamin
etthetstonetandtrequesttthattittbetreturnedttothim‖tistthetmosttappropriatetresponse.
―Thetstonetmusttbetsentttotthetlabtfortexaminationtandtthereforetcannottbetkept‖tandt―Wetd
on’ttknowtyettiftyourtfatherthastanothertkidneytstone,tsotwetmusttanalyzetthistone‖tdotnottsu
pporttthetpatient’strequest.t―Wetcannottletthimtkeepthiststonetbecausetittviolatestourtinfect
iontcontroltpolicy‖tdoestnottprovidetatreasontthattittwouldtviolatetantinfectiontcontroltpolicy.
DIF:CognitivetLevel:tAnalyzingt(Analysis)
OBJ:Nursingtprocess—assessment MSC:t PhysiologictIntegrity:tPhysiologictAdaptation
2. Whichtstatementtisttruetregardingtthetrelationshiptoftphysicaltcharacteristicstandtculture?
a. Physicaltcharacteristicstshouldtbetusedttotidentifytmemberstoftculturaltgroups.
b. Theretistatdifferencetbetweentdistinguishingtculturaltcharacteristicstandt
distinguishingtphysicaltcharacteristics.
c. Totbetatmembertoftatspecifictculture,tantindividualtmustthavetcertaintidentifiabletp
hysicaltcharacteristics.
d. Gendertandtracetaretthettwotessentialtphysicaltcharacteristicstusedttotidentifyt
culturaltgroups.
ANS:t B
Physicaltcharacteristicstaretnottusedttotidentifytculturaltgroups;ttheretistatdifferencetbetweentt
hettwo,tandttheytaretconsideredtseparately.tPhysicaltcharacteristicstshouldtnottbetusedttotiden
tifytmemberstoftculturaltgroups.tTotbetatmembertoftatspecifictculture,tantindividualtdoestnottne
edttothavetcertaintidentifiabletphysicaltcharacteristics.tYoutshouldtnottconfusetphysicaltcharact
eristicstwithtculturaltcharacteristics.tGendertandtracetaretphysicaltcharacteristics,tnottculturalt
characteristics,tandtaretnottusedttotidentifytculturaltgroups.
DIF:CognitivetLevel:tUnderstandingt(Comprehension)