Advanced Health Assessment NURS 532
Exam 2 With 187 APPROVED Answers.
Advanced Health Assessment NURS 532
Exam 2 With 187 APPROVED Answers.
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. - ANSWER- ANS B. There is a difference between distinguishing
cultural characteristics and distinguishing physical characteristics.
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.
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. - ANSWER- ANS: C stereotype.
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.
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
,Advanced Health Assessment NURS 532
Exam 2 With 187 APPROVED Answers.
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 - ANSWER- ANS: A. With your father's permission, we will examine the stone and
request that it be returned to him
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.
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. - ANSWER- c. cultural desire.
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.
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?
―How often do you have medical examinations?
―What is your age, race, and educational level?
―What types of symptoms have you been having?
―Why do you think you are having these symptoms? - ANSWER- ANS: D―Why do
you think you are having these symptoms?
, Advanced Health Assessment NURS 532
Exam 2 With 187 APPROVED Answers.
is an open-ended question that avoids stereotyping, is sensitive and respectful toward
the individual, and allows for cultural data to be exchanged. The other questions do not
explore the patient's cultural beliefs about health problems.
The definition of ill or sick is based on a
A. stereotype.
B. cultural behavior.
C. belief system.
D. cultural attitude. - ANSWER- ANS: C. belief system.
The definition of ill or sick is based on the individual's belief system and is determined in
large part by his or her enculturation
A 22-year-old female nurse is interviewing an 86-year-old male patient. The patient
avoids eye contact and answers questions only by saying,
Yeah, No, or I guess so. Which of the following is appropriate for the interviewer to say
or ask?
a. We will be able to communicate better if you look at me.
b. It's hard for me to gather useful information because your answers are so short.
c. Are you uncomfortable talking with me?
d. Does your religion make it hard for you to answer my questions? - ANSWER- ANS: C
It is all right to ask if the patient is uncomfortable with any aspect of your person and to
talk about it; the other choices are less respectful.
As you explain your patient's condition to her husband, you notice that he is leaning
toward you and pointedly blinking his eyes. Knowing that he is from England, your most
appropriate response to this behavior is to
a. tell him that you understand his need to be alone.
b. ask whether he has any questions.
c. ask whether he would prefer to speak to the clinician.
d. tell him that it is all right to be angry. - ANSWER- ANS: b. ask whether he has any
questions.
The English worry about being overheard and tend to speak in modulated voices so,
when they lean in toward you, they are probably poised to ask a question.
An aspect of traditional Western medicine that may be troublesome to many Hispanics,
Native Americans, Asians, and Middle Eastern groups is
a. Western medicine's attempts to use a holistic approach that views a particular
medical problem as part of a bigger
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