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Seidels-Guide-to-Physical-Examination-10th-Edition-Ball-Test-Bank(COMPLETE2023), Exams of Nursing

Academy For Nursing And Health OccupationsNursing

Seidels-Guide-to-Physical-Examination-10th-Edition-Ball-Test-Bank(COMPLETE2023)

Typology: Exams

2022/2023

Available from 04/06/2023

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Seidels-Guide-to-Physical-Examination-10th-Edition-Ball-Test-
Bank(COMPLETE2023)
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 ke
pt.‖
c.
―
We cannot let him keep his stone because it violates our infection control policy
.‖
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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.‖

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d. ―We don’t know yet if your father has another kidney stone, so we must analyze this one.‖

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problems.

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DIF:Cognitive Level: Analyzing (Analysis) OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation

  1. The definition of ill or sick is based on a a. stereotype. b. cultural behavior. c. belief system. d. cultural attitude. ANS: C 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. DIF:Cognitive Level: Understanding (Comprehension) OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
  2. 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?‖ 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. DIF:Cognitive Level: Applying (Application) OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
  3. 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. ANS: B 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. DIF:Cognitive Level: Analyzing (Analysis) OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
  4. An aspect of traditional Western medicine that may be troublesome to many Hispanics, Native Americans, Asians, and Middle Eastern groups is Western medicine’s attempts to a. use a holistic approach that views a particular medical problem as part of a

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d. restore balance in an individual’s life. ANS: B A more scientific approach to healthcare problem solving, in which a cause can be determined for every problem in a precise way, is a Western approach. Hispanics, Native Americans, Asians, and Arabs embrace a more holistic approach. Using a holistic approach, establishing harmony between a person and the entire cosmos, and restoring balance in an individual’s life would not be troublesome to many Hispanics, Native Americans, Asians, and Arabs. DIF:Cognitive Level: Understanding (Comprehension) OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation

  1. The attitudes of the healthcare professional a. are largely irrelevant to the success of relationships with the patient. b. do not influence patient behavior. c. are difficult for the patient to sense. d. are culturally derived. ANS: D The attitudes of the healthcare provider are foundationally derived from his or her own culture; understanding this is relevant to the success of patient relationships. Attitudes of the healthcare professional are easily detected by others, and they influence patient behavior; they are not irrelevant to the success of relationships with the patient; they do influence patient behavior; and they are not difficult for the patient to sense. DIF:Cognitive Level: Understanding (Comprehension) OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
  2. Mr. Sanchez is a 45-year-old gentleman who has presented to the office for a physical examination to establish a new primary care healthcare provider. Which of the following describes a physical, not a cultural, differentiator? a. Race b. Rite c. Ritual d. Norm ANS: A Race is a physical, not a cultural, differentiator. Rite is a prescribed, formal, customary observance. Ritual is a stereotypic behavior regulating religious, social, and professional behaviors. A norm is a prescribed standard of allowable behavior within a group. DIF:Cognitive Level: Remembering (Knowledge) OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
  3. Mr. Abdul is a 40-year-old Middle Eastern man who presents to the office for a first visit with the complaint of new abdominal pain. You are concerned about violating a cultural prohibition when you prepare to do his rectal examination. The best tactic would be to a. forego the examination for fear of violating cultural norms. 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 him. d. refer the patient to a provider more knowledgeable about cultural differences.

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  1. An example of a cold condition is

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a. a fever. b. a rash. c. tuberculosis. d. an ulcer. ANS: C A cold condition in cultures with a holistic approach is tuberculosis. DIF:Cognitive Level: Remembering (Knowledge) OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation MULTIPLE RESPONSE

  1. Which variables can intrude on successful communication? ( Select all that apply. ) a. Social class b. Gender c. Stereotype d. Phenotype e. Age ANS: A, B, E Social class, age, and gender are variables that characterize everyone; they can intrude on successful communication if there is no effort for mutual knowledge and understanding. DIF:Cognitive Level: Understanding (Comprehension) OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
  2. Campinha-Bacote’s Process of Cultural Competence Model includes which cultural constructs? ( Select all that apply. ) a. Desire b. Awareness c. Thought processes d. Skill e. Language ANS: A, B, D Campinha-Bacote’s Process of Cultural Competence Model includes the cultural constructs encounters, desires, awareness, knowledge, and skill. DIF:Cognitive Level: Understanding (Comprehension) OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation

Chapter 02: The History and Interviewing Process

Ball: Seidel’s Guide to Physical Examination, 10th Edition

MULTIPLE CHOICE

  1. Which question would be considered a ―leading question?‖ a. ―What do you think is causing your headaches?‖

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c. ―On a scale of 1 to 10, how would you rate the severity of your headaches?‖ d. ―At what time of the day are your headaches the most severe?‖ ANS: B Stating to the patient that he or she does not get headaches would limit the information in the patient’s answer. Asking the patient what he or she thinks is causing the headaches is an open-ended question. Asking the patient how he or she would rate the severity of the headaches and asking what time of the day the headaches are the most severe are direct questions. DIF:Cognitive Level: Applying (Application) OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation

  1. When are open-ended questions generally most useful? a. During sensitive area part of the interview b. After several closed-ended questions have been asked c. While designing the genogram d. During the review of systems ANS: A Asking open-ended questions during the sensitive part of the interview allows you to gather more information and establishes you as an empathic listener, which is the first step of effective communication. Asking closed-ended questions may stifle the patient’s desire to discuss the history of the illness. Interviewing for the purpose of designing a genogram or conducting a review of systems requires more focused data than can be more easily gathered with direct questioning. DIF:Cognitive Level: Understanding (Comprehension) OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
  2. Periods of silence during the interview can serve important purposes, such as a. allowing the clinician to catch up on documentation. b. promoting calm. c. providing time for reflection. d. increasing the length of the visit. ANS: C Silence is a useful tool during interviews for the purposes of reflection, summoning courage, and displaying compassion. This is not a time to document in the chart, but rather to focus on the patient. Periods of silence may cause anxiety rather than promote calm. The length of the visit is less important than getting critical information. DIF:Cognitive Level: Understanding (Comprehension) OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
  3. Mr. Franklin is speaking with you, the healthcare provider, about his respiratory problem. Mr. Franklin says, ―I’ve had this cough for 3 days, and it’s getting worse.‖ You reply, ―Tell me more about your cough.‖ Mr. Franklin states, ―I wish I could tell you more. That’s why I’m here. You tell me what’s wrong!‖ Which caregiver response would be most appropriate for enhancing communication?

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a. ―After 3 days, you’re tired of coughing. Have you had a fever?‖ b. ―I’d like to hear more about your experiences. Where were you born?‖

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c. ―You can’t mean what you’re saying.‖ d. ―If you think about it, nothing is worth getting this upset about.‖

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ANS: B Specific but open-ended questions are best used when the patient has feelings of loss of self-worth and depression. ―Try to think about the good things in life,‖ ―You can’t mean what you’re saying,‖ and ―If you think about it, nothing is worth getting this upset about‖ are statements that will hurry the patient and offer only superficial assurance. DIF:Cognitive Level: Analyzing (Analysis) OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation

  1. You are collecting a history from a 16-year-old girl. Her mother is sitting next to her in the examination room. When collecting history from older children or adolescents, they should be a. given the opportunity to be interviewed without the parent at some point during the interview. b. mailed a questionnaire in advance to avoid the need for them to talk. c. ignored while you address all questions to the parent. d. allowed to direct the flow of the interview. ANS: A The adolescent should be given the opportunity to give information directly. This enhances the probability that the adolescent will follow your advice. Mailing a questionnaire in advance to avoid the need for her to talk does not assist the adolescent in learning to respond to answers regarding her health. The parent can help fill in gaps at the end. If she is ignored while you address all questions to the parent, the patient will feel as though she is just being discussed and is not part of the process for the health care. The healthcare provider should always direct the flow of the interview according to the patient’s responses. DIF:Cognitive Level: Applying (Application) OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation 9. Information that is needed during the initial interview of a pregnant woman includes all the following except a. the gender that the woman hopes the baby will be. b. past medical history. c. healthcare practices. d. the woman’s remembering (knowledge) about pregnancy. ANS: A The initial interview for the pregnant woman should include information about her past medical history, assessment of health practices, identification of potential risk factors, and assessment of remembering (knowledge) as it affects the pregnancy. The gender of the fetus is not as important as the information about her past medical history, healthcare practices, and the woman’s remembering (knowledge) about her pregnancy. DIF:Cognitive Level: Understanding (Comprehension) OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
  2. When interviewing older adults, the examiner should a. speak extremely loudly, because most older adults have significant hearing

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d. dim the lights to decrease anxiety. ANS: C The healthcare provider should position himself or herself so that the older patient can see his or her face. Shouting distorts speech, dimming the lights impairs vision, and a written interview may be necessary if all else fails. DIF:Cognitive Level: Understanding (Comprehension) OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation

  1. To what extent should the patient with a physical disability or emotional disorder be involved in providing health history information to the health professional? a. The patient should be present during information collection but should not be addressed directly. b. All information should be collected from past records and family members while the patient is in another room. c. The patient should be involved only when you sense that he or she may feel ignored. d. The patient should be fully involved to the limit of his or her ability. ANS: D Patients who are disabled may not give an effective history, but they must be respected, and the history must be obtained from them to the greatest extent possible. Patients should be addressed directly and participate in the interview to the extent of their ability. DIF:Cognitive Level: Understanding (Comprehension) OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
  2. When taking a history, the nurse should a. ask the patient to give you any information he or she can recall about his or her health. b. start the interview with the patient’s family history. c. use a chronologic and sequential framework. d. use a holistic and eclectic structure. ANS: C To give structure to the present problem or chief complaint, the provider should proceed in a chronologic and sequential framework. Asking patients to give any information they can recall about their health and using a holistic and electric structure do not provide structure to the history. Gathering the patient’s family history is only the first step. DIF:Cognitive Level: Understanding (Comprehension) OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
  3. When questioning the patient regarding his or her sexual history, which question should be asked initially? a. ―Do you have any particular sexual likes or dislikes?‖ b. ―Do you have any worries or concerns regarding your sexual life?‖ c. ―How often do you have intercourse and with whom?‖ d. ―Do you have any reason to think you may have been exposed to a

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sexually transmitted infection?‖