FAMILY PRACTICE GUIDELINES
6TH EDITION
• AUTHOR(S)JILL C. CASH
TEST BANK
1) Reference
Ch. 1 — Cultural Diversity and Sensitivity
Stem: A 17-year-old recent immigrant from Somalia arrives for a
sports physical. She is quiet and avoids eye contact while her
mother interprets. You note she uses herbal remedies at home.
As the clinician, how do you first approach gathering social and
cultural information relevant to care?
A. Ask the mother to translate everything and direct questions
to her.
B. Use open-ended questions, ask about cultural health beliefs,
and offer a professional interpreter.
C. Proceed with standard intake in English and document use of
herbs in the chart.
Page | 1
,D. Tell the family the clinic policy requires speaking English for
visits.
Correct Answer: B
Rationales — Correct: Using open-ended questions and a
professional interpreter respects autonomy, uncovers cultural
beliefs affecting care, and reduces miscommunication. This
approach promotes trust and accurate history.
Incorrect A: Relying solely on a family member may bias
answers and breach confidentiality.
Incorrect C: Proceeding without interpretation risks
miscommunication and missed culturally relevant issues.
Incorrect D: Requiring English is culturally insensitive and may
prevent needed care.
Teaching Point: Always use open questions and professional
interpreters to explore cultural health beliefs.
Citation: Cash, J. C. (2025). Family Practice Guidelines (6th Ed.).
Ch. 1.
2) Reference
Ch. 1 — Cultural Diversity and Sensitivity
Stem: A middle-aged patient requests alternative remedies for
chronic back pain. They worry mainstream care will dismiss
their beliefs. Which clinician behavior best demonstrates
cultural sensitivity while ensuring safe care?
Page | 2
,A. Dismiss alternative therapies as ineffective and insist on
evidence-based care.
B. Ask about remedies used, assess for interactions/risks, and
discuss how options may fit into a safe plan.
C. Refer them to a practitioner of alternative medicine and stop
discussing conventional options.
D. Document refusal of conventional care and end the visit.
Correct Answer: B
Rationales — Correct: Asking about remedies and assessing for
safety respects beliefs while protecting patient safety and
enabling shared decision-making.
Incorrect A: Dismissal alienates patients and reduces
adherence.
Incorrect C: Referring without assessing safety may miss
harmful interactions.
Incorrect D: Ending the visit neglects duty to educate and
assess risk.
Teaching Point: Explore patient beliefs and check safety before
integrating alternatives.
Citation: Cash, J. C. (2025). Family Practice Guidelines (6th Ed.).
Ch. 1.
3) Reference
Ch. 2 — Health Maintenance During the Life Span
Page | 3
, Stem: A 22-year-old college student asks whether childhood
vaccinations still matter. She reports asthma as a child but is
otherwise healthy. What is the most appropriate preventive
counseling point?
A. Immunizations are only for children; adults do not benefit.
B. Review needed boosters and age-appropriate vaccines;
consider respiratory risk history when recommending influenza
vaccination.
C. Only give vaccines if travel is planned.
D. Tell her asthma disqualifies her from receiving any vaccines.
Correct Answer: B
Rationales — Correct: Adults may need boosters and age-
specific vaccines; asthma increases risk from respiratory
infections, supporting influenza vaccination after clinician
assessment.
Incorrect A: False — adult immunizations are important.
Incorrect C: Travel increases need but isn’t the only indication.
Incorrect D: Asthma is not a general contraindication; it’s an
indication to consider vaccination.
Teaching Point: Adult immunizations and boosters matter—
consider comorbidities like asthma when advising vaccines.
Citation: Cash, J. C. (2025). Family Practice Guidelines (6th Ed.).
Ch. 2.
4) Reference
Page | 4
6TH EDITION
• AUTHOR(S)JILL C. CASH
TEST BANK
1) Reference
Ch. 1 — Cultural Diversity and Sensitivity
Stem: A 17-year-old recent immigrant from Somalia arrives for a
sports physical. She is quiet and avoids eye contact while her
mother interprets. You note she uses herbal remedies at home.
As the clinician, how do you first approach gathering social and
cultural information relevant to care?
A. Ask the mother to translate everything and direct questions
to her.
B. Use open-ended questions, ask about cultural health beliefs,
and offer a professional interpreter.
C. Proceed with standard intake in English and document use of
herbs in the chart.
Page | 1
,D. Tell the family the clinic policy requires speaking English for
visits.
Correct Answer: B
Rationales — Correct: Using open-ended questions and a
professional interpreter respects autonomy, uncovers cultural
beliefs affecting care, and reduces miscommunication. This
approach promotes trust and accurate history.
Incorrect A: Relying solely on a family member may bias
answers and breach confidentiality.
Incorrect C: Proceeding without interpretation risks
miscommunication and missed culturally relevant issues.
Incorrect D: Requiring English is culturally insensitive and may
prevent needed care.
Teaching Point: Always use open questions and professional
interpreters to explore cultural health beliefs.
Citation: Cash, J. C. (2025). Family Practice Guidelines (6th Ed.).
Ch. 1.
2) Reference
Ch. 1 — Cultural Diversity and Sensitivity
Stem: A middle-aged patient requests alternative remedies for
chronic back pain. They worry mainstream care will dismiss
their beliefs. Which clinician behavior best demonstrates
cultural sensitivity while ensuring safe care?
Page | 2
,A. Dismiss alternative therapies as ineffective and insist on
evidence-based care.
B. Ask about remedies used, assess for interactions/risks, and
discuss how options may fit into a safe plan.
C. Refer them to a practitioner of alternative medicine and stop
discussing conventional options.
D. Document refusal of conventional care and end the visit.
Correct Answer: B
Rationales — Correct: Asking about remedies and assessing for
safety respects beliefs while protecting patient safety and
enabling shared decision-making.
Incorrect A: Dismissal alienates patients and reduces
adherence.
Incorrect C: Referring without assessing safety may miss
harmful interactions.
Incorrect D: Ending the visit neglects duty to educate and
assess risk.
Teaching Point: Explore patient beliefs and check safety before
integrating alternatives.
Citation: Cash, J. C. (2025). Family Practice Guidelines (6th Ed.).
Ch. 1.
3) Reference
Ch. 2 — Health Maintenance During the Life Span
Page | 3
, Stem: A 22-year-old college student asks whether childhood
vaccinations still matter. She reports asthma as a child but is
otherwise healthy. What is the most appropriate preventive
counseling point?
A. Immunizations are only for children; adults do not benefit.
B. Review needed boosters and age-appropriate vaccines;
consider respiratory risk history when recommending influenza
vaccination.
C. Only give vaccines if travel is planned.
D. Tell her asthma disqualifies her from receiving any vaccines.
Correct Answer: B
Rationales — Correct: Adults may need boosters and age-
specific vaccines; asthma increases risk from respiratory
infections, supporting influenza vaccination after clinician
assessment.
Incorrect A: False — adult immunizations are important.
Incorrect C: Travel increases need but isn’t the only indication.
Incorrect D: Asthma is not a general contraindication; it’s an
indication to consider vaccination.
Teaching Point: Adult immunizations and boosters matter—
consider comorbidities like asthma when advising vaccines.
Citation: Cash, J. C. (2025). Family Practice Guidelines (6th Ed.).
Ch. 2.
4) Reference
Page | 4
