Test Bank For Seidel's Guide to Physical Examination An
Interprofessional Approach 10th Edition
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
4. The .motivation .of .the .healthcare .professional .to .―want .to‖ .engage .in .the .process .of
.becoming .culturally .competent, .not . ―have .to,‖ .is .called
a. cultural .knowledge.
b. cultural .awareness.
c. cultural .desire.
d. cultural .skill.
ANS: . C
Cultural .encounters .are .the .continuous .process .of .interacting .with .patients .from .culturally
.diverse .backgrounds .to .validate, .refine, .or .modify .existing .values, .beliefs, .and .practices
.about.a .cultural .group .and .to .develop .cultural .desire, .cultural .awareness, .cultural .skill, .and
.cultural .knowledge. .Cultural .awareness .is .deliberate .self-examination .and .in-depth
.exploration .of .one’s .biases, .stereotypes, .prejudices, .assumptions, .and . ―-isms‖ .that .one .holds
.about . .individuals .and .groups .who .are .different .from .them. .Cultural .knowledge .is .the
.process .of .seeking .and .obtaining .a .sound .educational .base .about .culturally .and . ethnically
.diverse .groups..Cultural .skill .is .the .ability .to .collect .culturally .relevant .data .regarding .the
.patient’s .presenting.problem, .as .well .as .accurately .performing .a .culturally .based .physical
.assessment .in .a .culturally .sensitive .manner. .Cultural .desire .is .the .motivation .of .the
.healthcare .professional .to .want .to .engage .in .the .process .of .becoming .culturally .competent,
.not .have .to.
DIF:Cognitive .Level: .Understanding .(Comprehension)
OBJ:Nursing .process—assessment MSC: . Physiologic .Integrity: .Physiologic .Adaptation
5. Mr. .Marks .is .a .66-year-old .patient .who .presents .for .a .physical .examination .to .the
.clinic. .Which .question .has .the .most .potential .for .exploring .a .patient’s .cultural .beliefs
.related .to .a.health .problem?
a. ―How .often .do . you .have .medical .examinations?‖
b. ―What .is . your .age, .race, .and .educational .level?‖
c. ―What .types .of .symptoms .have .you .been .having?‖
d. ―Why .do . you .think . you .are .having .these .symptoms?‖
ANS: . D