Deck 6: Cultural Considerations for Pediatric Primary Care

Question 1

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

Answer 1

C

Question 2

The primary care pediatric nurse practitioner is examining a child whose parents recently emigrated from a war-torn 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

A

Question 3

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 implement what intervention to help with communication?

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 3

D

Question 4

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 5

The primary care pediatric nurse practitioner (PNP) prescribes a twice daily inhaled corticosteroid for a 12-year-old 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 client-centered 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 6

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 evidence-based information about the importance of a healthy diet