NURS 5220 TEST 2 QUESTIONS AND
ANSWERS
Which statement is true regarding the relationship of physical characteristics and
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culture?
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A. Physical characteristics should be used to identify members of cultural groups.
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B. There is a difference between distinguishing cultural characteristics and
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distinguishing physical characteristics. nj nj
C. To be a member of a specific culture, an individual must have certain identifiable
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physical characteristics. nj
D. Gender and race are the two essential physical characteristics used to identify
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cultural groups. - ANSWER: B. There is a difference between distinguishing cultural
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characteristics and distinguishing physical characteristics
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An image of any group that rejects its potential for originality or individuality is known as
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a(n)
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a. acculturation
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b. norm
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c. stereotype
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d. ethnos - ANSWER: C. stereotype
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Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr. L's
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son tells you that for religious reasons, his father wishes to keep any stone that is
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passed into the urine filter that he has been using. What is your most appropriate
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response?
nj
A. With your father's permission, we will examine the stone and request that it be
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returned to him nj nj
B. The stone must be sent to the lab for examination and therefore cannot be kept
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C. We cannot let him keep his stone because it violates our infection control policy
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D. We don't know yet if your father has another kidney stone, so we must analyze
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
this one - ANSWER: A. With your father's permission, we will examine the stone and
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request that it be returned to him
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The motivation of the healthcare professional to ―want to‖ engage in the process of
nj nj nj nj nj nj nj nj nj nj nj nj nj
becoming culturally competent, not ―have to, is called
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A. cultural knowledge.
nj nj
B. cultural awareness.
nj nj
C. cultural desire.
nj nj
,D. cultural skill. - ANSWER: C. cultural desire
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Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic.
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Which question has the most potential for exploring a patient's cultural beliefs related to
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a health problem?
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A. How often do you have medical examinations?
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B. What is your age, race, and educational level?
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C. What types of symptoms have you been having?
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D. Why do you think you are having these symptoms? - ANSWER: D. Why do you think
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you are having these symptoms
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The definition of ill or sick is based on a
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A. stereotype.
nj
B. cultural behavior.
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C. belief system.
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D. cultural attitude. - ANSWER: C. Belief system
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A 22-year-old female nurse is interviewing an 86-year-old male patient. The patient
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avoids eye contact and answers questions only by saying, Yeah, No, or I guess so.
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Which of the following is appropriate for the interviewer to say or ask?
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A. We will be able to communicate better if you look at me.
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B. It's hard for me to gather useful information because your answers are so short.
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C. Are you uncomfortable talking with me?
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D. Does your religion make it hard for you to answer my questions? - ANSWER: C. Are
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
you uncomfortable talking with me?
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As you explain your patient's condition to her husband, you notice that he is leaning
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toward you and pointedly blinking his eyes. Knowing that he is from England, your most
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
appropriate response to this behavior is to
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A. tell him that you understand his need to be alone.
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B. ask whether he has any questions.
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C. ask whether he would prefer to speak to the clinician.
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D. tell him that it is all right to be angry. - ANSWER: B. ask whether he has any
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questions
nj
An aspect of traditional Western medicine that may be troublesome to many Hispanics,
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Native Americans, Asians, and Middle Eastern groups is Western medicine's attempts
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to
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A. use a holistic approach that views a particular medical problem as part of a bigger
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picture.
B. determine a specific cause for every problem in a precise way.
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C. establish harmony between a person and the entire cosmos.
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,D. restore balance in an individual's life. - ANSWER: B. determine a specific cause for
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every problem in a precise way
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The attitudes of the healthcare professional
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A. are largely irrelevant to the success of relationships with the patient.
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B. do not influence patient behavior.
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C. are difficult for the patient to sense.
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D. are culturally derived. - ANSWER: D. are culturally derived
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Mr. Sanchez is a 45-year-old gentleman who has presented to the office for a physical
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examination to establish a new primary care healthcare provider. Which of the following
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describes a physical, not a cultural, differentiator?
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A. Race
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B. Rite
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C. Ritual
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D. Norm - ANSWER: A. Race
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Mr. Abdul is a 40-year-old Middle Eastern man who presents to the office for a first visit
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with the complaint of new abdominal pain. You are concerned about violating a cultural
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prohibition when you prepare to do his rectal examination. The best tactic would be to
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A. forego the examination for fear of violating cultural norms.
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B. ask a colleague from the same geographic area if this examination is acceptable.
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C. inform the patient of the reason for the examination and ask if it is acceptable to
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him.
D. refer the patient to a provider more knowledgeable about cultural differences. -
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ANSWER: C. inform the patient of the reason for the examination and ask if it is
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acceptable to him
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Mr. Jones is a 45-year-old patient who presents to the office. A person's definition of
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illness is likely to be most influenced by
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A. race.
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B. socioeconomic class.
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C. enculturation.
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D. age group. - ANSWER: C. enculturation
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As the healthcare provider, you are informing a patient that he or she has a terminal
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illness. This discussion is most likely to be discouraged in which cultural group?
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A. Navajo Native Americans
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B. Dominant Americans
nj nj
C. First-generation African descendants
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D. First-generation European descendants - ANSWER: A. Navajo Native Americans
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Because of common cultural food preferences, avoidance of monosodium glutamate
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(MSG) is likely to be most problematic for the hypertensive patient of which group?
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A. Native Americans
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B. Hispanics
nj
, C. Chinese
nj
D. Italians - ANSWER: C. Chinese
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An example of a cold condition is
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A. a fever.
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B. a rash.
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C. tuberculosis.
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D. an ulcer. - ANSWER: C. Tuberculosis
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Which question would be considered a ―leading question?
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A. What do you think is causing your headaches?
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B. You don't get headaches often, do you?
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C. On a scale of 1 to 10, how would you rate the severity of your headaches?
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D. At what time of the day are your headaches the most severe? - ANSWER: B.
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Stating to the patient that he or she does not get headaches would limit the information
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in the patient's answer.
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When are open-ended questions generally most useful?
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A. During sensitive area part of the interview
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B. After several closed-ended questions have been asked
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C. While designing the genogram
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D. During the review of systems - ANSWER: A. During sensitive area part of the
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interview
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This allows you to gather more information and establishes you as an empathic listener
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First step of effective communication
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Periods of silence during the interview can serve important purposes, such as
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A. allowing the clinician to catch up on documentation.
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B. promoting calm.
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C. providing time for reflection.
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D. increasing the length of the visit. - ANSWER: C. Providing time for reflection
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Mr. Franklin is speaking with you, the healthcare provider, about his respiratory problem.
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Mr. Franklin says, ―I've had this cough for 3 days, and it's getting worse.‖ You reply,
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―Tell me more about your cough.‖ Mr. Franklin states, ―I wish I could tell you more.
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That's why I'm here. You tell me what's wrong!‖ Which caregiver response would be
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most appropriate for enhancing communication?
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A. After 3 days, you're tired of coughing. Have you had a fever?
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B. I'd like to hear more about your experiences. Where were you born?
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C. I don't know what's wrong. You could have almost any disease.
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D. I'll examine you and figure out later what the problem is. - ANSWER: A.
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This is the only response that aims at focusing on the chief complaint to gather more
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data and does not digress from the issue
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ANSWERS
Which statement is true regarding the relationship of physical characteristics and
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culture?
nj
A. Physical characteristics should be used to identify members of cultural groups.
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B. There is a difference between distinguishing cultural characteristics and
nj nj nj nj nj nj nj nj nj
distinguishing physical characteristics. nj nj
C. To be a member of a specific culture, an individual must have certain identifiable
nj nj nj nj nj nj nj nj nj nj nj nj nj nj
physical characteristics. nj
D. Gender and race are the two essential physical characteristics used to identify
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cultural groups. - ANSWER: B. There is a difference between distinguishing cultural
nj nj nj nj nj nj nj nj nj nj nj
characteristics and distinguishing physical characteristics
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An image of any group that rejects its potential for originality or individuality is known as
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a(n)
nj
a. acculturation
nj
b. norm
nj
c. stereotype
nj
d. ethnos - ANSWER: C. stereotype
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Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr. L's
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
son tells you that for religious reasons, his father wishes to keep any stone that is
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
passed into the urine filter that he has been using. What is your most appropriate
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
response?
nj
A. With your father's permission, we will examine the stone and request that it be
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returned to him nj nj
B. The stone must be sent to the lab for examination and therefore cannot be kept
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
C. We cannot let him keep his stone because it violates our infection control policy
nj nj nj nj nj nj nj nj nj nj nj nj nj nj
D. We don't know yet if your father has another kidney stone, so we must analyze
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
this one - ANSWER: A. With your father's permission, we will examine the stone and
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request that it be returned to him
nj nj nj nj nj nj nj
The motivation of the healthcare professional to ―want to‖ engage in the process of
nj nj nj nj nj nj nj nj nj nj nj nj nj
becoming culturally competent, not ―have to, is called
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A. cultural knowledge.
nj nj
B. cultural awareness.
nj nj
C. cultural desire.
nj nj
,D. cultural skill. - ANSWER: C. cultural desire
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Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic.
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Which question has the most potential for exploring a patient's cultural beliefs related to
nj nj nj nj nj nj nj nj nj nj nj nj nj nj
a health problem?
nj nj nj
A. How often do you have medical examinations?
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B. What is your age, race, and educational level?
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C. What types of symptoms have you been having?
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D. Why do you think you are having these symptoms? - ANSWER: D. Why do you think
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
you are having these symptoms
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The definition of ill or sick is based on a
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A. stereotype.
nj
B. cultural behavior.
nj nj
C. belief system.
nj nj
D. cultural attitude. - ANSWER: C. Belief system
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A 22-year-old female nurse is interviewing an 86-year-old male patient. The patient
nj nj nj nj nj nj nj nj nj nj nj
avoids eye contact and answers questions only by saying, Yeah, No, or I guess so.
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
Which of the following is appropriate for the interviewer to say or ask?
nj nj nj nj nj nj nj nj nj nj nj nj nj
A. We will be able to communicate better if you look at me.
nj nj nj nj nj nj nj nj nj nj nj nj
B. It's hard for me to gather useful information because your answers are so short.
nj nj nj nj nj nj nj nj nj nj nj nj nj nj
C. Are you uncomfortable talking with me?
nj nj nj nj nj nj
D. Does your religion make it hard for you to answer my questions? - ANSWER: C. Are
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
you uncomfortable talking with me?
nj nj nj nj nj
As you explain your patient's condition to her husband, you notice that he is leaning
nj nj nj nj nj nj nj nj nj nj nj nj nj nj
toward you and pointedly blinking his eyes. Knowing that he is from England, your most
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
appropriate response to this behavior is to
nj nj nj nj nj nj nj
A. tell him that you understand his need to be alone.
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B. ask whether he has any questions.
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C. ask whether he would prefer to speak to the clinician.
nj nj nj nj nj nj nj nj nj nj
D. tell him that it is all right to be angry. - ANSWER: B. ask whether he has any
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
questions
nj
An aspect of traditional Western medicine that may be troublesome to many Hispanics,
nj nj nj nj nj nj nj nj nj nj nj nj
Native Americans, Asians, and Middle Eastern groups is Western medicine's attempts
nj nj nj nj nj nj nj nj nj nj nj
to
nj
A. use a holistic approach that views a particular medical problem as part of a bigger
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
picture.
B. determine a specific cause for every problem in a precise way.
nj nj nj nj nj nj nj nj nj nj nj
C. establish harmony between a person and the entire cosmos.
nj nj nj nj nj nj nj nj nj
,D. restore balance in an individual's life. - ANSWER: B. determine a specific cause for
nj nj nj nj nj nj nj nj nj nj nj nj nj nj
every problem in a precise way
nj nj nj nj nj nj
The attitudes of the healthcare professional
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A. are largely irrelevant to the success of relationships with the patient.
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B. do not influence patient behavior.
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C. are difficult for the patient to sense.
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D. are culturally derived. - ANSWER: D. are culturally derived
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Mr. Sanchez is a 45-year-old gentleman who has presented to the office for a physical
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examination to establish a new primary care healthcare provider. Which of the following
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describes a physical, not a cultural, differentiator?
nj nj nj nj nj nj nj
A. Race
nj
B. Rite
nj nj
C. Ritual
nj nj
D. Norm - ANSWER: A. Race
nj nj nj nj nj
Mr. Abdul is a 40-year-old Middle Eastern man who presents to the office for a first visit
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
with the complaint of new abdominal pain. You are concerned about violating a cultural
nj nj nj nj nj nj nj nj nj nj nj nj nj nj
prohibition when you prepare to do his rectal examination. The best tactic would be to
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
A. forego the examination for fear of violating cultural norms.
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B. ask a colleague from the same geographic area if this examination is acceptable.
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C. inform the patient of the reason for the examination and ask if it is acceptable to
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
him.
D. refer the patient to a provider more knowledgeable about cultural differences. -
nj nj nj nj nj nj nj nj nj nj nj nj
ANSWER: C. inform the patient of the reason for the examination and ask if it is
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
acceptable to him
nj nj nj
Mr. Jones is a 45-year-old patient who presents to the office. A person's definition of
nj nj nj nj nj nj nj nj nj nj nj nj nj nj
illness is likely to be most influenced by
nj nj nj nj nj nj nj nj
A. race.
nj
B. socioeconomic class.
nj nj
C. enculturation.
nj
D. age group. - ANSWER: C. enculturation
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As the healthcare provider, you are informing a patient that he or she has a terminal
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
illness. This discussion is most likely to be discouraged in which cultural group?
nj nj nj nj nj nj nj nj nj nj nj nj nj
A. Navajo Native Americans
nj nj nj
B. Dominant Americans
nj nj
C. First-generation African descendants
nj nj nj
D. First-generation European descendants - ANSWER: A. Navajo Native Americans
nj nj nj nj nj nj nj nj nj
Because of common cultural food preferences, avoidance of monosodium glutamate
nj nj nj nj nj nj nj nj nj
(MSG) is likely to be most problematic for the hypertensive patient of which group?
nj nj nj nj nj nj nj nj nj nj nj nj nj nj
A. Native Americans
nj nj
B. Hispanics
nj
, C. Chinese
nj
D. Italians - ANSWER: C. Chinese
nj nj nj nj nj
An example of a cold condition is
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A. a fever.
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B. a rash.
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C. tuberculosis.
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D. an ulcer. - ANSWER: C. Tuberculosis
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Which question would be considered a ―leading question?
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A. What do you think is causing your headaches?
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B. You don't get headaches often, do you?
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C. On a scale of 1 to 10, how would you rate the severity of your headaches?
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D. At what time of the day are your headaches the most severe? - ANSWER: B.
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Stating to the patient that he or she does not get headaches would limit the information
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in the patient's answer.
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When are open-ended questions generally most useful?
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A. During sensitive area part of the interview
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B. After several closed-ended questions have been asked
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C. While designing the genogram
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D. During the review of systems - ANSWER: A. During sensitive area part of the
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interview
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This allows you to gather more information and establishes you as an empathic listener
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First step of effective communication
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Periods of silence during the interview can serve important purposes, such as
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A. allowing the clinician to catch up on documentation.
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B. promoting calm.
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C. providing time for reflection.
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D. increasing the length of the visit. - ANSWER: C. Providing time for reflection
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Mr. Franklin is speaking with you, the healthcare provider, about his respiratory problem.
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Mr. Franklin says, ―I've had this cough for 3 days, and it's getting worse.‖ You reply,
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―Tell me more about your cough.‖ Mr. Franklin states, ―I wish I could tell you more.
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That's why I'm here. You tell me what's wrong!‖ Which caregiver response would be
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most appropriate for enhancing communication?
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A. After 3 days, you're tired of coughing. Have you had a fever?
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B. I'd like to hear more about your experiences. Where were you born?
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C. I don't know what's wrong. You could have almost any disease.
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D. I'll examine you and figure out later what the problem is. - ANSWER: A.
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This is the only response that aims at focusing on the chief complaint to gather more
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data and does not digress from the issue
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