Test Bank For Seidel's Guide to Physical Examination: An Interprofessional Approach, 9th Edition

Stay confident on exam day with Test Bank For Seidel's Guide to Physical Examination: An Interprofessional Approach, 9th Edition, offering a complete package of notes, formulas, and study hacks.

Daniel Mitchell
Contributor
4.7
56
5 months ago
Preview (16 of 387 Pages)
100%
Purchase to unlock

Page 1

Test Bank For Seidel's Guide to Physical Examination: An Interprofessional Approach, 9th Edition - Page 1 preview image

Loading page image...

Ch 01Multiple ChoiceIdentify the choice that best completes the statement or answers the question.____1.Which question would be considered a “leading question?”a.“Please describe any associated symptoms with your headaches?”b.“You don’t get headaches often, do you?”c.“What activities affect the severity of your headaches?”d.“What times of the day are your headaches the most severe?”e.“What worries you most about your headache.”____2.To prevent personal appearance from becoming an obstacle in patient care, the health careprofessional shoulda.wear a uniform.b.always wear a white coat.c.avoid extremes in dress.d.avoid wearing any jewelry.e.avoid wearing white.____3.Which action would best promote accurate translations as well as confidentiality when the caregiverdoes not speak the patient’s language?a.Ask a person unfamiliar with the patient to translate.b.Have a friend of the patient translate.c.Ask simple leading questions that the patient may understand.d.Use a neighbor as translator.e.Involve the family with the translation.____4.When are open-ended questions generally most useful?a.During the physical examinationb.After several close-ended questions have been askedc.While designing the genogramd.During the review of systemse.During the initial part of the interview____5.Behaviors that diffuse anxiety during the interview includea.trying to limit the patient to simple “yes” or “no” answers.b.providing forthright answers to questions.c.providing all necessary information before the patient has to ask for it.d.completing the interview as quickly as possible.e.avoiding the wearing of uniforms and laboratory coats.____6.Periods of silence during the interview can serve important purposes, such asa.allowing the clinician to catch up on documentation.b.giving you a clue that you should speed up the interview.c.providing time for reflection.d.increasing the length of the visit.e.promoting calm.

Page 2

Test Bank For Seidel's Guide to Physical Examination: An Interprofessional Approach, 9th Edition - Page 2 preview image

Loading page image...

Page 3

Test Bank For Seidel's Guide to Physical Examination: An Interprofessional Approach, 9th Edition - Page 3 preview image

Loading page image...

____7.Which technique is most likely to result in the patient’s understanding of questions?a.Use phrases that are commonly used by other patients in the area.b.Use the patient’s own terms if possible.c.Use language that keeps the patient from being expansive in his or her answer.d.Use proper medical and technical terminology.e.Use the simplest language possible.____8.Mr. F. is speaking with you, the health care provider, about his respiratory problem. Mr. F. says,“I’ve had this cough for 3 days, and it’s getting worse.” You reply, “Tell me more about yourcough.” Mr. F. states, “I wish I could tell you more. That’s why I’m here. You tell me what’swrong!” Which caregiver response would be most appropriate for enhancing communication?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?”c.“You may have a serious problem, and being confrontational will not help.”d.“I’ll examine you and figure out the problem later.”e.“I don’t know what’s wrong. You could have almost any disease.”____9.A patient becomes restless during the history and says, “I don’t have time for all of thisconversation. I’ve got to get back to work.” Your most appropriate response would be toa.stop using open-ended questions and become more direct.b.ask another open-ended question and insist on an answer.c.ask questions about his anger and move closer to him.d.acknowledge his anger and proceed with the history and examination.e.ignore his displeasure and become more assertive about getting answers.____10.When questioning a patient regarding alcohol intake, she tells you that she is “only a social drinker.”Which initial response is appropriate?a.“I’m glad that you are a responsible drinker.”b.“Many people who are really alcoholic say they are social drinkers.”c.“What amount and what kind of alcohol do you drink in a week?”d.“If you only drink socially, you won’t need to worry about always having adesignated driver.”e.“Do the other people in your household consume alcohol?”____11.Ms. T. is crying and states that her mother couldn’t possibly have a tumor. “No one else in thefamily has ever had cancer!” exclaims the daughter. The most appropriate response to Ms. T. wouldbea.“Has anyone explained hospice care to your mother?”b.“I’m so sorry that your mother was diagnosed with cancer.”c.“Didn’t you know that all tumors are not cancerous?”d.“Why do you think that your mother’s tumor is cancerous?”e.“That is odd because cancer usually runs in families.”____12.A 50-year-old man comes to the primary care clinic. He tells you he is worried because he has hadsevere chest pains for the past 2 weeks. Which initial history interview question is most appropriate?a.“Can you describe the pain?”b.“The pain doesn’t radiate to your arm, does it?”c.“Have you been treated for anxiety before?”

Page 4

Test Bank For Seidel's Guide to Physical Examination: An Interprofessional Approach, 9th Edition - Page 4 preview image

Loading page image...

d.“Does your father have heart disease?”e.“Are the pains worse after you eat?”____13.After you ask a patient about her family history, she says, “Tell me about your family now.” Whichresponse is generally most appropriate?a.Ignore the patient’s comment and continue with the interview.b.Give a brief, undetailed answer.c.Ask a direct question that refocuses the patient on the chief concern.d.Tell the patient that you do not discuss your family with patients.e.Ask the patient why she needs to know.____14.A 36-year-old woman complains that she has had crushing chest pain for the past 2 days. She seemsnervous as she speaks to you. An appropriate response is toa.continue to collect information regarding the chief concern in an unhurriedmanner.b.finish the interview as rapidly as possible.c.ask the patient to take a deep breath and calm down.d.ask the patient if she wants to wait until another day to talk to you.e.ignore her, because anxiety rarely accompanies physical disorders.____15.Ms. A. states, “My life is just too painful. It isn’t worth it.” She appears depressed. Which one of thefollowing statements is the most appropriate caregiver response?a.“Try to think about the good things in life.”b.“You shouldn’t feel that way; look at all the good things in your life.”c.“You can’t mean what you’re saying.”d.“If you think about it, nothing is worth getting this upset about.”e.“What in life is causing you such pain?”____16.During an interview, tears appear in the patient’s eyes, and his voice becomes shaky.Initially, youshoulda.ask the patient what he is upset about.b.offer a tissue and let him know it is all right to cry.c.explain to the patient that you will be able to help him more if he can control hisemotions.d.keep the interview moving to distract the patient.e.ask him if he would like some time alone.____17.During an interview, you have the impression that a patient may be considering suicide. Whichaction is essential?a.Immediately begin proceedings for an involuntary commitment.b.Ask whether the patient has considered self-harm.c.Ask whether the patient would like to visit a psychiatrist.d.Record the impression in the patient’s chart and refer the patient forhospitalization.e.Avoid directly confronting the patient regarding your impression.____18.During a history-taking session, Mr. B. appears to be avoiding certain questions. He keeps lookingout the window. What should the caregiver do?

Page 5

Test Bank For Seidel's Guide to Physical Examination: An Interprofessional Approach, 9th Edition - Page 5 preview image

Loading page image...

a.Ask direct questions and insist on a “yes” or “no” answer to each question.b.Continue to ask questions until Mr. B. responds appropriately.c.Let the patient know all relevant information should be revealed in one interview.d.Stop the interview until the patient is ready to cooperate.e.Make a note to pursue sensitive issues later in the interview.____19.You are collecting a history from an 11-year-old girl. Her mother is sitting next to her in theexamination room. When collecting history from older children or adolescents, they shoulda.never be interviewed alone because this may alienate the parent.b.be mailed a questionnaire in advance to avoid the need for her to talk.c.be given the opportunity to be interviewed without the parent at some pointd.be allowed to direct the flow of the interview.e.be ignored while you address all questions to the parent.____20.Information that is needed during the initial interview of a pregnant woman includes all of thefollowingexcepta.the gender that the woman hopes the baby will be.b.her past medical history.c.her health care practices.d.the woman’s knowledge about pregnancy.e.potential pregnancy risk factors.____21.When communicating with older children and teenagers, you should be sensitive to theira.parent’s needs.b.natural urge to communicate.c.need for verbal instructions.d.typical reluctance to talk.e.desire for adult companionship.____22.When interviewing older adults, the examiner shoulda.speak extremely loudly because most older adults have significant hearingimpairment.b.provide a written questionnaire in place of an interview.c.position himself- or herself face to face with the patient.d.ask questions containing double negatives.e.dim the lights to decrease anxiety.____23.When you suspect that your 81-year-old patient has short-term memory loss because he cannotremember what he had for breakfast, you shoulda.order a neurology consult.b.stop all of his medications.c.continue to press the patient for appropriate answers.d.validate the concern with his family or caregivers.e.dismiss the finding as a normal age-related change.____24.To what extent should the patient with a physical disability or emotional disorder be involved inproviding health history information to the health professional?a.All information should be obtained from family members.

Page 6

Test Bank For Seidel's Guide to Physical Examination: An Interprofessional Approach, 9th Edition - Page 6 preview image

Loading page image...

b.All information should be collected from past records while the patient is inanother room.c.The patient should be involved only when you sense that he or she may feelignored.d.The patient should be fully involved to the limit of his or her ability.e.The patient should be present during information collection but should not beaddressed directly.____25.A brief statement of the reason the patient is seeking health care is called thea.medical history.b.chief concernc.assessment.d.diagnosis.e.review of systems.____26.When taking a history, you shoulda.ask patients to give you any information they can recall about their 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.e.start the interview with the social history.____27.When questioning the patient regarding his or her sexual history, which question should be askedinitially?a.“Do you have any particular sexual likes or dislikes?”b.“Do you have any worries or concerns regarding your sex 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 sexuallytransmitted infection?”e.“What sexually transmitted diseases have you had in the past?”____28.A guideline for history taking is for caregivers toa.ask direct questions before open-ended questions so that the data move fromsimple to complex.b.use a previous diagnosis as a chief concern whenever possible.c.make notes sparingly so that patients can be observed during the history taking.d.write detailed information as stated by patients so their priorities are reflected.e.ask for a complete history at once so that data are not forgotten between meetings.____29.Mr. D. complains of a headache. During the history, he mentions his use of alcohol and illicit drugs.This information would most likely belong in thea.chief concern.b.family history.c.personal and social history.d.review of systems.e.past medical history.____30.Direct questioning about intimate partner violence in the home should be

Page 7

Test Bank For Seidel's Guide to Physical Examination: An Interprofessional Approach, 9th Edition - Page 7 preview image

Loading page image...

a.a routine component of history taking with female patients.b.avoided for fear of offending the woman’s partner.c.conducted only in cases in which there is a history of abuse.d.used only when the patient is obviously being victimized.e.used only when bruises are found on physical examination.____31.Mrs. G. reports an increase in her alcohol intake over the past 5 years. To screen her for problemdrinking, you would use thea.Miller Analogies Test.b.PACE Assessment Instrument.c.CAGE questionnaire.d.Glasgow Coma Scale.e.HITS questionnaire.____32.A tool used to screen adolescents for alcoholism is thea.CAGE questionnaire.b.CRAFFT.c.PACE Assessment Instrument.d.HITS questionnaire.e.Glasgow Coma Scale.____33.When you enter the examination room of a 3-year-old girl, you find her sitting on her father’s lap.She turns away from you when you greet her. Initially, your best response is toa.screen the child for sexual abuse.b.ask the child to be seated on the examination table so you can talk to her father.c.explain to the child that you will not hurt her and that she will have to trust you.d.ask the father to persuade the child to cooperate with you.e.leave the child sitting in the father’s lap while you talk to the father.____34.Tom is a 16-year-old young man with diabetes who does not follow his diet. He enjoys his dirt bikeand seems unconcerned about any consequences of his activities. Which factor is typical ofadolescence and pertinent to Tom’s health?a.Attachment to parentsb.Tendency to give too much informationc.Low peer support needsd.Propensity for risk takinge.High self-esteem____35.Pain is difficult to assess in older adults becausea.their histories are usually unreliable.b.sharp pain may be felt as a dull ache.c.they tend to exaggerate symptoms.d.their language skills decline.e.drugs act more rapidly with age.____36.A survey of mobility and activities of daily living (ADLs) is part of a(n)a.ethnic assessment.b.functional assessment.

Page 8

Test Bank For Seidel's Guide to Physical Examination: An Interprofessional Approach, 9th Edition - Page 8 preview image

Loading page image...

c.genetic examination.d.social history.e.sexual history.____37.Constitutional symptoms in the ROS refer to:a.height, visual acuity, and body mass index.b.fever, chills, fatigue, and malaise.c.hearing loss, tinnitus, and diplopia.d.rashes, skin turgor, and temperature.e.joint stiffness, redness, and swelling.____38.J.M. has been seen in your clinic for 5 years. She presents today with signs and symptoms of acutesinusitis. The type of history that is warranted is a(n) _____ history.a.completeb.inventoryc.problem or focusedd.interime.family____39.Mary Jane has brought in her 16-year-old son, Kyle. She states that he has been sleeping more anddoesn’t hang around his friends, and recently his girlfriend broke up with him. Your most immediatequestion is to ask Kylea.“Do you want to see a counselor today?”b.“Is your father out of jail yet?”c.“Are you taking any illegal drugs?”d.“Have you made plans to harm yourself?”e.“What sexual practices did you have with your girlfriend?”____40.Which of the following is considered an IADL but not an ADL?a.Paying billsb.Toiletingc.Walking around the housed.Dressing oneselfe.Eating____41.A pedigree diagram is drafted for the purpose of obtaininga.sexual orientation and history.b.growth and developmental status.c.genetic and familial health problems.d.ethnic and cultural backgrounds.e.the past medical history.

Page 9

Test Bank For Seidel's Guide to Physical Examination: An Interprofessional Approach, 9th Edition - Page 9 preview image

Loading page image...

Ch 01Answer SectionMULTIPLE CHOICE1.ANS:BThis question would limit the information in the patient’s answer. The other choices allow thepatient more discretion about the extent of an answer.PTS:1REF:p. 4TOP:Discipline: Behavioral ScienceMSC: Organ System: General2.ANS:CSensible personal habits, along with avoidance of extremes in behavior and dress, contribute toestablishing a trusting relationship between the provider of care and the patient. Uniforms helpidentify roles rather than relationships.PTS:1REF:p. 3TOP:Discipline: Behavioral ScienceMSC: Organ System: General3.ANS:AWhen you do not speak the patient’s language, family members or friends may pose acommunication barrier and may have issues of confidentiality; a stranger as an interpreter is lessbiased.PTS:1REF:p. 3TOP:Discipline: Behavioral ScienceMSC: Organ System: General4.ANS:EAsking open-ended questions at the beginning of an interview allows you to gather more informationand establishes yourself as an empathic listener, which is the first step of effective communication.Interviewing for the purpose of conducting a genogram or review of systems requires more focuseddata that can be more easily gathered with direct questioning.PTS:1REF:p. 4TOP:Discipline: Behavioral ScienceMSC: Organ System: General5.ANS:BTo relieve anxiety, the health care professional should answer patient questions in a forthrightmanner, avoiding overload of information and without hurrying the conversation.PTS:1REF:p. 4TOP:Discipline: Behavioral ScienceMSC: Organ System: General6.ANS:CSilence is a useful tool during interviews for the purposes of reflection, summoning of courage, anddisplaying compassion. It is usually a clue for you to go slower and not to push too hard.PTS:1REF:p. 4TOP:Discipline: Behavioral ScienceMSC: Organ System: General7.ANS:BTo ensure that your questions have been correctly understood, be clear and explicit while using thepatient’s idiom and level of understanding.

Page 10

Test Bank For Seidel's Guide to Physical Examination: An Interprofessional Approach, 9th Edition - Page 10 preview image

Loading page image...

PTS:1REF:p. 4TOP:Discipline: Behavioral ScienceMSC: Organ System: General8.ANS:AThis is the only response aimed at focusing on the chief concern to gather more data and does notdigress from the issue.PTS:1REF:p. 6TOP:Discipline: Behavioral ScienceMSC: Organ System: General9.ANS:DThis is the only that resists the tendency for patient manipulation, pursues the information, andconfronts the patient’s anger.PTS:1REF:p. 5TOP:Discipline: Behavioral ScienceMSC: Organ System: General10.ANS:CThis answer clarifies the patient’s own term without asking a leading question or being judgmental.PTS:1REF:p. 7TOP:Discipline: Behavioral ScienceMSC: Organ System: General11.ANS:DThis is the only answer that is a direct exploration of the daughter’s concern. The health careprovider can explain and clarify the concerns of the daughter.PTS:1REF:p. 7TOP:Discipline: Behavioral ScienceMSC: Organ System: General12.ANS:AInitially, an open-ended question is a more appropriate response. ”Can you describe the pain?” is anopen-ended question that offers clues to the chief concern.PTS:1REF:p. 4TOP:Discipline: Behavioral ScienceMSC: Organ System: General13.ANS:BThis response will satisfy the patient’s curiosity about yourself without invading your private life.PTS:1REF:p. 4TOP:Discipline: Behavioral ScienceMSC: Organ System: General14.ANS:AWith an anxious, vulnerable patient, it is best to not hurry; a calm demeanor communicates caring tothe patient.PTS:1REF:p. 4TOP:Discipline: Behavioral ScienceMSC: Organ System: General15.ANS:ESpecific yet open-ended questions are best used when the patient has feelings of loss of self-worthand depression. The other responses hurry the patient and offer superficial assurance.PTS:1REF:p. 5TOP:Discipline: Behavioral ScienceMSC: Organ System: General

Page 11

Test Bank For Seidel's Guide to Physical Examination: An Interprofessional Approach, 9th Edition - Page 11 preview image

Loading page image...

16.ANS:DWhen patients cry, it is best to allow the moment to pass at the patient’s pace. If you suspect a needto cry but the patient is suppressing it, give permission.PTS:1REF:p. 5TOP:Discipline: Behavioral ScienceMSC: Organ System: General17.ANS:BIf you think the patient may be considering suicide, he or she probably is. Mentioning it givespermission to talk about it.PTS:1REF:p. 5TOP:Discipline: Behavioral ScienceMSC: Organ System: General18.ANS:DWhen the patient dissembles, do not push too hard for an answer. Allow the interview to go on andcome back to it later. Learning all that you may need to know about a patient may not happen in oneinterview.PTS:1REF:p. 5TOP:Discipline: Behavioral ScienceMSC: Organ System: General19.ANS:CAn older child should be given the opportunity to give information directly. This enhances theprobability that the child will follow your advice.PTS:1REF:p. 16TOP:Discipline: Behavioral ScienceMSC: Organ System: General20.ANS:AThe initial interview for the pregnant woman should include information of about her past history,assessment of health practices, identification of potential risk factors, and assessment of herknowledge because it affects the pregnancy.PTS:1REF:p. 17TOP:Discipline: Behavioral ScienceMSC: Organ System: General21.ANS:DAdolescents are usually reluctant to talk; therefore, the provider should clearly communicate arespect for their confidentiality.PTS:1REF:p. 16TOP:Discipline: Behavioral ScienceMSC: Organ System: General22.ANS:CThe health care provider should position himself- or herself so that the older patient can see his orher face. Shouting distorts vocalizations, dimming the lights impairs vision; a written interview maybe necessary if all else fails. The provider’s language should be uncomplicated and free from doublenegatives.PTS:1REF:p. 18TOP:Discipline: Behavioral ScienceMSC: Organ System: General23.ANS:D

Page 12

Test Bank For Seidel's Guide to Physical Examination: An Interprofessional Approach, 9th Edition - Page 12 preview image

Loading page image...

When older adults experience memory loss for recent events, consult other family members toclarify discrepancies or to fill in the gaps.PTS:1REF:p. 19TOP:Discipline: Behavioral ScienceMSC: Organ System: General24.ANS:DPatients with disabilities may not give an effective history, but they must be respected, and thehistory must be obtained from them to the greatest extent possible. Family members may helpprovide a more complete history but not at the exclusion of the patient.PTS:1REF:p. 20TOP:Discipline: Behavioral ScienceMSC: Organ System: General25.ANS:BThe chief concern is a brief statement of the reason the patient is seeking health care.PTS:1REF:p. 6TOP:Discipline: Behavioral ScienceMSC: Organ System: General26.ANS:CTo give structure to the present problem or chief concern, the provider should proceed in achronologic and sequential framework. Asking patients to give you any information they can recallabout their health and using a holistic and eclectic structure do not provide for structure. Starting theinterview with the patient’s family history and with the social history are incorrect because gatheringdata about the chief concern is the initial step.PTS:1REF:p. 6TOP:Discipline: Behavioral ScienceMSC: Organ System: General27.ANS:BWhen approaching questioning about a sensitive area, it is recommended that the provider first askopen-ended questions that explore the patient’s feelings about the issue.PTS:1REF:p. 10TOP:Discipline: Behavioral ScienceMSC: Organ System: General28.ANS:CDuring an interview, you should maintain eye contact with the patients, observing body languageand proceeding from open-ended to direct questions.PTS:1REF:p. 3TOP:Discipline: Behavioral ScienceMSC: Organ System: General29.ANS:CHabits are included within the personal and social history.PTS:1REF:p. 12TOP:Discipline: Behavioral ScienceMSC: Organ System: General30.ANS:AThe presence of intimate partner violence should be routinely queried, and the questioning should bedirect for all female patients.PTS:1REF:p. 8TOP:Discipline: Behavioral Science

Page 13

Test Bank For Seidel's Guide to Physical Examination: An Interprofessional Approach, 9th Edition - Page 13 preview image

Loading page image...

MSC: Organ System: General31.ANS:CThe CAGE questionnaire is a model for approaching a discussion of the use of alcohol.PTS:1REF:p. 8TOP:Discipline: Behavioral ScienceMSC: Organ System: General32.ANS:BThe CRAFFT tool is used to screen for alcoholism in adolescents.PTS:1REF:p. 8TOP:Discipline: Behavioral ScienceMSC: Organ System: General33.ANS:EInteraction with children must be modified according to age and in a manner that promotes trust.PTS:1REF:p. 14TOP:Discipline: Behavioral ScienceMSC: Organ System: General34.ANS:DAdolescents tend to experiment with risky behaviors that lead to a high incidence of morbidity andmortality. Adolescents may be reluctant to provide information.PTS:1REF:p. 16TOP:Discipline: Behavioral ScienceMSC: Organ System: General35.ANS:BPain is often an unreliable symptom in older adults because they lose pain perception and experiencepain in a different manner from those in other age groups.PTS:1REF:p. 19TOP:Discipline: Behavioral ScienceMSC: Organ System: General36.ANS:BA functional assessment is an assessment of a patient’s mobility, upper extremity movement,household management, activities of daily living, and instrumental activities of daily living.PTS:1REF:p. 19TOP:Discipline: Behavioral ScienceMSC: Organ System: General37.ANS:BGeneral constitutional symptoms refer to fever, chills, malaise, fatigability, night sweats, sleeppatterns, and weight (average, preferred, present, change).PTS:1REF:p. 13TOP:Discipline: Behavioral ScienceMSC: Organ System: General38.ANS:CIf the patient is well known or if you have been seeing the patient for the same problem over time, afocused history is appropriate.PTS:1REF:p. 20TOP:Discipline: Behavioral ScienceMSC: Organ System: General39.ANS:DIf you sense that a patient is contemplating suicide, you should ask about suicidal ideation directly.

Page 14

Test Bank For Seidel's Guide to Physical Examination: An Interprofessional Approach, 9th Edition - Page 14 preview image

Loading page image...

PTS:1REF:p. 5TOP:Discipline: Behavioral ScienceMSC: Organ System: General40.ANS:APaying bills is an instrumental activity of daily living but not an activity of daily living.PTS:1REF:p. 19TOP:Discipline: Behavioral ScienceMSC: Organ System: General41.ANS:CDrafting a pedigree diagram, or genogram, is a method to determine consanguinity of healthproblems.PTS:1REF:p. 12TOP:Discipline: Behavioral ScienceMSC: Organ System: General

Page 15

Test Bank For Seidel's Guide to Physical Examination: An Interprofessional Approach, 9th Edition - Page 15 preview image

Loading page image...

Ch 02Multiple ChoiceIdentify the choice that best completes the statement or answers the question.____1.Which of the following describes a physical, not a cultural, differentiator?a.Ritualb.Ritec.Raced.Norme.Ethos____2.Which statement istrueregarding 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 anddistinguishing physical characteristics.c.To be a member of a specific culture, an individual must have certain identifiablephysical characteristics.d.Gender and race are the two essential physical characteristics used to identifycultural groups.e.Whereas all cultural traits can be viewed as static, physical traits are dynamic.____3.A fixed 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.e.custom.____4.Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr. L’s son tellsyou that for religious reasons, his father wishes to keep any stone that is passed into the urine filterthat 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 bereturned 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 analyzethis one.”e.“I have found it unwise to make these kinds of individual exceptions to hospitalprocedure.”____5.To develop cultural competence, one shoulda.ignore one’s own cultural beliefs.b.attempt to convince the patient to accept institutional mores.c.realize that cultural values are difficult to change and must be respected.d.realize that all members of a cultural group behave the same way.e.understand that an individual's culture has no effect on the delivery of health care

Page 16

Test Bank For Seidel's Guide to Physical Examination: An Interprofessional Approach, 9th Edition - Page 16 preview image

Loading page image...

in this country.____6.Your new patient is a 40-year-old Middle Eastern man with a complaint of new abdominal pain. Youare concerned about violating a cultural prohibition when you prepare to do his rectal examination.The best tactic would be toa.do the examination because it is a necessary part of the physical examination.b.ask a colleague from the same geographic area if this examination is acceptable.c.inform the patient of the reason for the examination and ask if it is acceptable tohim.d.refer the patient to a provider more knowledgeable about cultural differences.e.forego the examination for fear of violating cultural norms.____7.Which statement istrueregarding impoverished people?a.In the United States, socioeconomic status does not influence the delivery of healthcare.b.The morbidity and mortality rates of impoverished people are greater than those ofthe middle class.c.The morbidity and mortality rates of impoverished people are less than those of themiddle class.d.No reliable statistics exist regarding the relationship of poverty to morbidity andmortality.e.The morbidity and mortality rates of impoverished people are similar to those ofthe middle class.____8.In terms of cultural communication differences, Americans are more likely to _____ than othergroups of patients.a.emphasize attitudes and feelingsb.maintain eye contactc.come quickly to the pointd.use silence comfortablye.speak more softly than other cultures____9.Which question has the most potential for exploring a patient’s cultural beliefs related to a healthproblem?a.“How often do you have a medical examinations?”b.“What are 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?”e.“Do you take herbal remedies?”____10.A person’s definition of illness is likely to be most influenced by:a.race.b.ritual.c.enculturation.d.age group.e.socioeconomic class.
Preview Mode

This document has 387 pages. Sign in to access the full document!

Study Now!

XY-Copilot AI
Unlimited Access
Secure Payment
Instant Access
24/7 Support
Document Chat

Document Details

Subject
Medicine

Related Documents

View all