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 - ANSWER C. Essentialism
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 - ANSWER C. Individual privilege
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 these
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 -
ANSWER A. Ask about the types of practices used and when they are applied
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. Receptively learning about the perspectives of other cultures
d. Respecting other cultures while maintaining the views of one's own - ANSWER C.
Receptively learning about the perspectives of other cultures
A Somalian immigrant mother is concerned that her 8-year-old 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
American born 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 - ANSWER B. Interpersonal
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 cliic 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 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
D. Use the telephone interpreter service to communicate with the family
The primary care pediatric nurse practitioner 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 -
ANSWER A. Asking the child to describe usual daily routines and schedules
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