FAMILY PRACTICE GUIDELINES
6TH EDITION
• AUTHOR(S)JILL C. CASH
TEST BANK
1
Reference
Ch. — Health Maintenance Guidelines — Cultural Diversity and
Sensitivity
Stem
A 62-year-old Vietnamese female with limited English
proficiency presents for an annual exam. She declines colorectal
cancer screening, citing cultural beliefs and fear. Her PCP asks
you to counsel her; she has no family history of colorectal
cancer and a normal physical exam. Which approach most
aligns with culturally sensitive health maintenance counseling?
Options
A. Respect her refusal and document it without further
discussion.
Page | 1
,B. Provide a brief culturally adapted explanation of screening
benefits using an interpreter and invite a follow-up decision.
C. Insist on immediate colonoscopy because age is high-risk.
D. Send a generic pamphlet in English about colorectal
screening and ask her to read it at home.
Correct Answer
B
Rationales
Correct (B): Use of an interpreter and culturally tailored
explanation respects autonomy while addressing barriers;
inviting follow-up aligns with shared decision-making and
improves uptake. This balances cultural sensitivity with
preventive care.
A: Passive documentation misses opportunity to address
modifiable barriers; FPG recommends culturally adapted
counseling.
C: Forcing immediate procedure ignores informed consent and
cultural context; not guideline-concordant.
D: English pamphlet and no interpreter is ineffective and may
widen misunderstandings per cultural-sensitivity principles.
Teaching Point
Use interpreters and culturally tailored shared decision-making
for preventive screening.
Citation
Cash, J. C. (2025). Family Practice Guidelines (6th Ed.). Ch. —
Cultural Diversity and Sensitivity.
Page | 2
,2
Reference
Ch. — Health Maintenance Guidelines — Cultural Diversity and
Sensitivity
Stem
A 28-year-old Somali man with type 2 diabetes requests dietary
advice. He follows a traditional diet high in pilau and sweet tea.
You suspect cultural dietary patterns contribute to poor
glycemic control. What is the best APRN approach to dietary
counseling?
Options
A. Recommend elimination of all traditional foods immediately.
B. Provide culturally adapted meal planning that substitutes
healthier preparation methods and portion control.
C. Prescribe a strict low-carb Western diet without discussion.
D. Refer to a nutritionist without further counseling.
Correct Answer
B
Rationales
Correct (B): Culturally adapted counseling that modifies
preparation and portion control respects culture and increases
adherence; evidence supports collaborative goals.
A: Abrupt elimination is culturally insensitive and reduces
adherence.
Page | 3
, C: Unilateral imposition of a Western diet overlooks preferences
and harms rapport.
D: Referral alone misses immediate opportunity for brief
motivational counseling consistent with FPG.
Teaching Point
Adapt nutritional advice to cultural foods; focus on modification
and portion control.
Citation
Cash, J. C. (2025). Family Practice Guidelines (6th Ed.). Ch. —
Cultural Diversity and Sensitivity.
3
Reference
Ch. — Health Maintenance Guidelines — Health Maintenance
During the Life Span
Stem
A 22-year-old woman who is well-appearing requests guidance
about HPV vaccination; she reports sexual debut at 20 with one
partner and is unsure of past vaccines. You confirm no
contraindications. According to lifespan health maintenance
principles, what is the best recommendation?
Options
A. No vaccination needed because she is older than 18.
B. Administer the HPV vaccine series and counsel on catch-up
vaccination benefits.
Page | 4
6TH EDITION
• AUTHOR(S)JILL C. CASH
TEST BANK
1
Reference
Ch. — Health Maintenance Guidelines — Cultural Diversity and
Sensitivity
Stem
A 62-year-old Vietnamese female with limited English
proficiency presents for an annual exam. She declines colorectal
cancer screening, citing cultural beliefs and fear. Her PCP asks
you to counsel her; she has no family history of colorectal
cancer and a normal physical exam. Which approach most
aligns with culturally sensitive health maintenance counseling?
Options
A. Respect her refusal and document it without further
discussion.
Page | 1
,B. Provide a brief culturally adapted explanation of screening
benefits using an interpreter and invite a follow-up decision.
C. Insist on immediate colonoscopy because age is high-risk.
D. Send a generic pamphlet in English about colorectal
screening and ask her to read it at home.
Correct Answer
B
Rationales
Correct (B): Use of an interpreter and culturally tailored
explanation respects autonomy while addressing barriers;
inviting follow-up aligns with shared decision-making and
improves uptake. This balances cultural sensitivity with
preventive care.
A: Passive documentation misses opportunity to address
modifiable barriers; FPG recommends culturally adapted
counseling.
C: Forcing immediate procedure ignores informed consent and
cultural context; not guideline-concordant.
D: English pamphlet and no interpreter is ineffective and may
widen misunderstandings per cultural-sensitivity principles.
Teaching Point
Use interpreters and culturally tailored shared decision-making
for preventive screening.
Citation
Cash, J. C. (2025). Family Practice Guidelines (6th Ed.). Ch. —
Cultural Diversity and Sensitivity.
Page | 2
,2
Reference
Ch. — Health Maintenance Guidelines — Cultural Diversity and
Sensitivity
Stem
A 28-year-old Somali man with type 2 diabetes requests dietary
advice. He follows a traditional diet high in pilau and sweet tea.
You suspect cultural dietary patterns contribute to poor
glycemic control. What is the best APRN approach to dietary
counseling?
Options
A. Recommend elimination of all traditional foods immediately.
B. Provide culturally adapted meal planning that substitutes
healthier preparation methods and portion control.
C. Prescribe a strict low-carb Western diet without discussion.
D. Refer to a nutritionist without further counseling.
Correct Answer
B
Rationales
Correct (B): Culturally adapted counseling that modifies
preparation and portion control respects culture and increases
adherence; evidence supports collaborative goals.
A: Abrupt elimination is culturally insensitive and reduces
adherence.
Page | 3
, C: Unilateral imposition of a Western diet overlooks preferences
and harms rapport.
D: Referral alone misses immediate opportunity for brief
motivational counseling consistent with FPG.
Teaching Point
Adapt nutritional advice to cultural foods; focus on modification
and portion control.
Citation
Cash, J. C. (2025). Family Practice Guidelines (6th Ed.). Ch. —
Cultural Diversity and Sensitivity.
3
Reference
Ch. — Health Maintenance Guidelines — Health Maintenance
During the Life Span
Stem
A 22-year-old woman who is well-appearing requests guidance
about HPV vaccination; she reports sexual debut at 20 with one
partner and is unsure of past vaccines. You confirm no
contraindications. According to lifespan health maintenance
principles, what is the best recommendation?
Options
A. No vaccination needed because she is older than 18.
B. Administer the HPV vaccine series and counsel on catch-up
vaccination benefits.
Page | 4
