FAMILY PRACTICE GUIDELINES
6TH EDITION
• AUTHOR(S)JILL C. CASH
TEST BANK
1
Reference: Ch. 1 — Health Maintenance Guidelines — Cultural
Diversity and Sensitivity
Stem: A 62-year-old Somali woman with limited English attends
for a routine visit. She prefers female providers, wears
traditional clothing, and declines routine colorectal screening
citing cultural modesty. Her vitals are stable and she is
otherwise well. As an FNP, what is the best next step?
A. Accept refusal and document decline.
B. Offer a female clinician and provide culturally tailored
education with an interpreter.
C. Insist on screening, explaining risks, and schedule
colonoscopy.
D. Refer for a home stool test without further discussion.
Page | 1
,Correct Answer: B
Rationale — Correct: Offering a female clinician and using an
interpreter to provide culturally tailored education respects
cultural sensitivity, addresses barriers, and may improve uptake
of screening per FPG guidance. This balances respect with
evidence-based prevention.
Rationale — Incorrect:
A. Passive documentation misses opportunity to address
modifiable cultural barriers.
C. Insisting risks alienation and nonadherence; shared decision-
making is required.
D. Offering home testing without addressing concerns or
language may not resolve cultural modesty issues.
Teaching Point: Use gender preference, interpreters, and
culturally tailored education to improve preventive care uptake.
Citation: Cash, J. C. (2025). Family Practice Guidelines (6th Ed.).
Ch. 1.
2
Reference: Ch. 1 — Health Maintenance Guidelines — Cultural
Diversity and Sensitivity
Stem: A 28-year-old Mexican immigrant male with limited
health literacy presents seeking work physical. He asks few
questions and nods “sí” to everything the clinician
recommends. Which action best ensures informed, culturally
sensitive preventive counseling?
Page | 2
,A. Provide written pamphlets in English and Spanish and end
the visit.
B. Use the teach-back method with a Spanish interpreter to
confirm understanding.
C. Assume assent and schedule all recommended vaccinations.
D. Refer to community resources without further explanation.
Correct Answer: B
Rationale — Correct: Teach-back with an interpreter confirms
comprehension and respects cultural and literacy differences; it
reduces miscommunication and aligns with FPG emphasis on
cultural competence.
Rationale — Incorrect:
A. Written materials alone often fail with low literacy and don’t
confirm understanding.
C. Assuming assent risks inappropriate care and missed
informed consent.
D. Referral without verification leaves gaps in preventive care.
Teaching Point: Use teach-back with interpreters to confirm
understanding in low-literacy patients.
Citation: Cash, J. C. (2025). Family Practice Guidelines (6th Ed.).
Ch. 1.
3
Reference: Ch. 1 — Health Maintenance Guidelines — Cultural
Diversity and Sensitivity
Stem: During a drive-by immunization clinic, a clinician notices
Page | 3
, that religious concerns are causing community vaccine
hesitancy. Which strategy aligns best with culturally sensitive
health maintenance?
A. Mandate vaccines for all attendees.
B. Partner with trusted faith leaders to provide evidence-based
education.
C. Use only scientific data handouts; avoid community
engagement.
D. Cancel the clinic to avoid conflict.
Correct Answer: B
Rationale — Correct: Collaborating with trusted community or
faith leaders leverages cultural influence to improve preventive
uptake — a strategy endorsed by FPG cultural sensitivity
principles.
Rationale — Incorrect:
A. Mandates without engagement may provoke resistance.
C. Data alone often fails when trust and cultural context are
lacking.
D. Canceling reduces access and worsens disparities.
Teaching Point: Engage trusted community leaders to address
culturally based vaccine hesitancy.
Citation: Cash, J. C. (2025). Family Practice Guidelines (6th Ed.).
Ch. 1.
4
Page | 4
6TH EDITION
• AUTHOR(S)JILL C. CASH
TEST BANK
1
Reference: Ch. 1 — Health Maintenance Guidelines — Cultural
Diversity and Sensitivity
Stem: A 62-year-old Somali woman with limited English attends
for a routine visit. She prefers female providers, wears
traditional clothing, and declines routine colorectal screening
citing cultural modesty. Her vitals are stable and she is
otherwise well. As an FNP, what is the best next step?
A. Accept refusal and document decline.
B. Offer a female clinician and provide culturally tailored
education with an interpreter.
C. Insist on screening, explaining risks, and schedule
colonoscopy.
D. Refer for a home stool test without further discussion.
Page | 1
,Correct Answer: B
Rationale — Correct: Offering a female clinician and using an
interpreter to provide culturally tailored education respects
cultural sensitivity, addresses barriers, and may improve uptake
of screening per FPG guidance. This balances respect with
evidence-based prevention.
Rationale — Incorrect:
A. Passive documentation misses opportunity to address
modifiable cultural barriers.
C. Insisting risks alienation and nonadherence; shared decision-
making is required.
D. Offering home testing without addressing concerns or
language may not resolve cultural modesty issues.
Teaching Point: Use gender preference, interpreters, and
culturally tailored education to improve preventive care uptake.
Citation: Cash, J. C. (2025). Family Practice Guidelines (6th Ed.).
Ch. 1.
2
Reference: Ch. 1 — Health Maintenance Guidelines — Cultural
Diversity and Sensitivity
Stem: A 28-year-old Mexican immigrant male with limited
health literacy presents seeking work physical. He asks few
questions and nods “sí” to everything the clinician
recommends. Which action best ensures informed, culturally
sensitive preventive counseling?
Page | 2
,A. Provide written pamphlets in English and Spanish and end
the visit.
B. Use the teach-back method with a Spanish interpreter to
confirm understanding.
C. Assume assent and schedule all recommended vaccinations.
D. Refer to community resources without further explanation.
Correct Answer: B
Rationale — Correct: Teach-back with an interpreter confirms
comprehension and respects cultural and literacy differences; it
reduces miscommunication and aligns with FPG emphasis on
cultural competence.
Rationale — Incorrect:
A. Written materials alone often fail with low literacy and don’t
confirm understanding.
C. Assuming assent risks inappropriate care and missed
informed consent.
D. Referral without verification leaves gaps in preventive care.
Teaching Point: Use teach-back with interpreters to confirm
understanding in low-literacy patients.
Citation: Cash, J. C. (2025). Family Practice Guidelines (6th Ed.).
Ch. 1.
3
Reference: Ch. 1 — Health Maintenance Guidelines — Cultural
Diversity and Sensitivity
Stem: During a drive-by immunization clinic, a clinician notices
Page | 3
, that religious concerns are causing community vaccine
hesitancy. Which strategy aligns best with culturally sensitive
health maintenance?
A. Mandate vaccines for all attendees.
B. Partner with trusted faith leaders to provide evidence-based
education.
C. Use only scientific data handouts; avoid community
engagement.
D. Cancel the clinic to avoid conflict.
Correct Answer: B
Rationale — Correct: Collaborating with trusted community or
faith leaders leverages cultural influence to improve preventive
uptake — a strategy endorsed by FPG cultural sensitivity
principles.
Rationale — Incorrect:
A. Mandates without engagement may provoke resistance.
C. Data alone often fails when trust and cultural context are
lacking.
D. Canceling reduces access and worsens disparities.
Teaching Point: Engage trusted community leaders to address
culturally based vaccine hesitancy.
Citation: Cash, J. C. (2025). Family Practice Guidelines (6th Ed.).
Ch. 1.
4
Page | 4
