Deck 3: Cultural Perspectives for Pediatric Primary Care

Question 1

The primary care pediatric nurse practitioner in a community health center
meets a family who has recently immigrated to the United States who speak only Karon. They arrive in the clinic with a church sponsor, who translates for them. The pediatric nurse practitioner notices that the sponsor answers for the family without giving them time to speak. The pediatric nurse practitioner will
A. ask the sponsor to allow the family to respond.
B. develop the plan of care and ask the sponsor to make sure it is followed.
C. request that the sponsor translate written instructions for the family.
D. use the telephone interpreter service to communicate with the family.

Answer 1

use the telephone interpreter service to communicate with the family.

Question 2

The primary care pediatric nurse practitioner is examining a child whose
parents recently emigrated from a war­torn country in the Middle East. Which is a priority assessment when performing the patient history?
A. Asking about physical, psychological, and emotional trauma
B. Determining the parents' English language competency and literacy level
C. Learning about cultural preferences and complementary medicine practices
D. Reviewing the child's previous health and illness records

Answer 2

Asking about physical, psychological, and emotional trauma

Question 3

The parents of a special needs child tell the primary care pediatric nurse
practitioner that they are planning a 3­month visit to their home country in Africa. The pediatric nurse practitioner assists the family to obtain a sufficient supply of medications and formula and to make sure that the child's equipment can be transported and used during the trip and at the destination. This is an example of
A. global application.
B. global awareness.
C. system application.
D. system awareness.

Answer 3

global application.

Question 4

The primary care pediatric nurse practitioner learns that an African­American
family lives in a neighborhood with a high crime rate and suggests that they try moving to another neighborhood for the safety of their children. This is an example of
A. cultural sensitivity.
B. group bias.
C. individual privilege.
D. racial awareness.

Question 5

The primary care pediatric nurse practitioner cares for children from a Native
American family and learns that they used many herbs to treat and prevent illness. Which approach will the pediatric nurse practitioner use to promote optimum health in the children?
A. Ask about the types of practices used and when they are applied.
B. Provide a list of harmful herbs and ask the family to avoid those.
C. Suggest that the family avoid using these remedies in their children.
D. Tell the parents to use the herbs in conjunction with modern medications.

Question 6

The primary care pediatric nurse practitioner provides well child care for a
community of immigrant children from Central America. The pediatric nurse practitioner is surprised to learn that some of the families are Jewish and not Catholic. This response is an example of cultural
A. collectivism.
B. constructivism.
C. essentialism.
D. individualism.

Question 7

The primary care pediatric nurse practitioner works with families from a
variety of cultures and socioeconomic classes. Which is an example of cultural humility in practice?
A. Giving health care advice that takes cultural differences into account
B. Identification of other cultures that may be superior to one's own culture
C. Receptivity to learning about the perspectives of other cultures
D. Respecting other cultures while maintaining the views of one's own

Question 8

The primary care pediatric nurse practitioner prescribes a twice daily inhaled
corticosteroid for a 12­year­old child. At a well child visit, the child reports not using the medication on a regular basis. Which response by the pediatric nurse practitioner demonstrates an understanding of client­centered care?
A. Asking the child to describe usual daily routines and schedules
B. Referring the family to a social worker to help with medication compliance
C. Reviewing the asthma action plan with the parent and the child
D. Teaching the child how the medication will help to control asthma symptoms

Question 9

A primary care pediatric nurse practitioner working in a community health
center wishes to develop a program to assist impoverished children and families to have access to healthy foods. Which strategy will the pediatric nurse practitioner employ to ensure the success of such a program?
A. Asking community members to assist in researching and implementing a program
B. Designing a community garden approach that involves children and their parents
C. Gaining support from the corporate community to provide needed resources
D. Providing evidence­based information about the importance of a healthy diet

Question 10

A Somalian immigrant mother is concerned that her 8­year­old child is
underweight. The primary care pediatric nurse practitioner notes that the child's weight is at the 25th percentile. After realizing that the mother is comparing her child to a group of American­born children who are overweight, the pediatric nurse practitioner is able to convince the mother that this is a normal weight. Which domain of cultural competence does this represent?
A. Global
B. Interpersonal
C. Intrapersonal
D. Organizational