MSN 629 Week 3 Quiz 3 – Full Questions and
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1. The primary care pediatric nurse practitioner learns that an African-American 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. –
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Correct Answer :ANS: C
Privilege can be individual- or group-based and refers to the often unconscious lack of understanding of
what other groups must deal with. The PNP is not aware that the family may lack the resources to move,
may be fearful of moving to a "white" neighborhood, or may even feel safe around people that they know.
Cultural sensitivity is an awareness of and respect for other cultures. Group bias is a prejudice, based on
cultural, racial, or ethnic differences, toward a group of people. Racial awareness would describe an
awareness of cultural differences based on race.
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 –
Correct Answer :ANS: A
Recent history that includes trauma, loss, and refugee camp experience may exacerbate difficulties
adjusting to life in the U.S. and can lead to acute and chronic physical and mental health concerns. All of
the other parts of the history will be necessary, but this should be a priority, since the family has escaped a
war-torn country.
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 :
a. ask the sponsor to allow the family to respond.
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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.
- Correct Answer :ANS: D
Federally funded managed care networks and community health centers are required to have interpreters
accessible for clients with limited English proficiency. A commercial telephone interpreter service has
been shown to be as effective as an "in-person" interpreter. Relying on family members or community
members may not be reliable and may jeopardize patient confidentiality. This interpreter is answering for
the clients without hearing what they have to say, which can compromise care.
4. 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.
- Correct Answer :ANS: C
An essentialist view of culture, which dominates the health care literature, portrays an ethnic minority
group as having a static set of traits and oversimplifies cultural information, applying traits to all members
of the group. Assuming that all people from Central America are Catholic is an example of this
oversimplification. Collectivism refers to a member of an ethnic group who perceives himself or herself
to be intrinsically part of that group. A constructive view recognizes culture as complex and dynamic and
sees people as individuals who may belong to multiple cultures simultaneously. Individualism recognizes
the individual, and not the group, as the basic unit of survival.
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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. –
Correct Answer :ANS: A
The challenge, when working with families from different cultural backgrounds, who use alternative or
complementary medicines, is to find ways to achieve a mutual understanding of the differences and to
negotiate an acceptable plan of care. The first step is to begin a discussion about these practices.
Providing a list of harmful herbs, suggesting that the family avoid certain herbs, and suggesting that the
herbs are only an adjunct to "modern medicine" will sound disparaging and will convey a sense of
mistrust.
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 - Correct Answer :ANS: A
Community collaboration can be fostered through community-based participatory research (CBPR),
which is transformative research that bridges the gap between science and practice by actively engaging
communities with formally trained researchers. In this type of research, community members formally
participate in all aspects of the process, making the findings more relevant to the community it affects the
most. Designing a community garden approach without first knowing whether the community needs or
wants it does not ensure success. Gaining support from the corporate community without input from the
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