A nurse is admitting a 10-year-old child with Trisomy 21 (Down syndrome) of Asian descent to the pediatric inpatient unit for acute appendicitis. The nurse is gathering data regarding the cultural considerations that should be included in the plan of care. Which of the following actions by the nurse demonstrates appropriate cultural considerations for this child?
Incorporating traditional housing practices that were introduced to the nurse by another child's parents of Asian descent last month.
Assuming that since the child's parents have brought the child to a hospital that practices western medicine, traditional healing practices are not important to their culture
Asking the child's parents if they use any traditional healing practices that the healthcare team should be aware of.
Providing the same care to this child as they would provide to every other child they provide care to.
The Correct Answer is C
A. Incorporating traditional housing practices that were introduced to the nurse by another child's parents of Asian descent last month. Assuming that all families of Asian descent share the same cultural beliefs or practices ignores individual and regional differences. Each family has unique traditions and preferences that should be discussed directly with them.
B. Assuming that since the child's parents have brought the child to a hospital that practices Western medicine, traditional healing practices are not important to their culture. Seeking Western medical care does not mean that a family has abandoned their cultural beliefs or traditional healing practices. Many families integrate both Western and traditional approaches to healthcare.
C. Asking the child's parents if they use any traditional healing practices that the healthcare team should be aware of. This is the correct answer because it respects cultural diversity and allows the parents to share relevant information. Open-ended questions about cultural practices help incorporate family preferences into the child’s care while ensuring safe and effective treatment.
D. Providing the same care to this child as they would provide to every other child they provide care to. While consistent quality care is important, culturally competent care recognizes individual differences and respects each family’s beliefs and preferences. A one-size-fits-all approach fails to acknowledge cultural diversity in healthcare.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The child is able to answer simple questions. By the age of 3, children develop basic language skills, allowing them to respond to simple questions. Their vocabulary expands significantly, and they begin to form short sentences, making communication more interactive.
B. The child engages in conversation. While 3-year-olds can communicate basic needs and thoughts, true conversational skills, including back-and-forth exchanges with complex sentences, typically develop later, around age 4 to 5.
C. The child knows to stay away from danger. At 3 years old, children have limited understanding of danger and often require close supervision to ensure safety. Their impulse control is still developing, making them prone to risky behaviors.
D. The child adheres to rules. While toddlers begin to understand rules, they may not consistently follow them. At this stage, they still need reminders and reinforcement, as their self-regulation skills are not yet fully developed.
Correct Answer is B
Explanation
A. Cardiac enzymes. Cardiac enzyme tests are used to assess heart damage, such as in myocardial infarction, and are not typically relevant in evaluating a child's nutritional status.
B. Complete blood count. A CBC is a key diagnostic test for assessing nutritional status, as it can reveal anemia (low hemoglobin and hematocrit), infection (elevated white blood cells), and overall health status. It helps identify deficiencies in iron, folate, and vitamin B12, which are common nutritional concerns in children.
C. Blood coagulation tests. Coagulation tests (e.g., PT, INR, aPTT) are used to assess blood clotting disorders and monitor anticoagulant therapy, but they are not standard tests for nutritional assessment unless there is suspicion of a vitamin K deficiency.
D. Arterial blood gases. ABG tests assess respiratory function and acid-base balance, which are more relevant in critically ill patients. They are not routinely used to evaluate a child's nutritional status.
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