As the nurse caring for a culturally diverse population, it is important to understand cultural health beliefs of families. This can best be accomplished by:
Asking the parents how their extended families feel about their child’s illness
Exploring the use of alternative medicines and therapies
Understanding the parents’ perception of the seriousness or severity of the illness or disability, as well as concerns and worries they have about the condition
Acknowledging that language constraints may make it necessary for the health care team to make some decisions
The Correct Answer is C
When caring for culturally diverse families, the nurse’s priority is to understand the parents’ perception of the illness or disability. This approach acknowledges their beliefs, values, and concerns, allowing the nurse to provide culturally sensitive care while building trust.
Rationale for correct answer:
C. By exploring the parents’ perceptions, concerns, and worries, the nurse gains insight into how the family views the illness, its seriousness, and how they believe it should be managed. This facilitates individualized, culturally competent care and promotes collaboration.
Rationale for incorrect answers:
A. Asking about the extended family’s views may provide some information, but it does not directly address the parents’ own beliefs and perceptions, which are essential for guiding care.
B. Exploring alternative therapies is important but comes after understanding the family’s overall view of the illness. It is one aspect of cultural care, not the starting point.
D. Acknowledging language barriers is necessary, but it does not justify health care professionals making decisions without family input. Professional interpreters should be used to ensure communication and respect for family values.
Take home points
- The first step is to understand the family’s own perception of the illness/disability.
- Cultural competence means listening, respecting, and integrating beliefs into care when safe and possible.
- Extended family input and alternative therapies can be explored after building understanding.
- Use interpreters, not assumptions, to overcome language barriers and support shared decision-making.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
When a parent expresses concern that their child is not acting like or responding the same as a sibling, the nurse should perform a thorough developmental assessment while also supporting the parent emotionally. The focus is on assessing possible developmental issues while reassuring the parent appropriately.
Rationale for correct answers:
A. Assessment for dysmorphic syndromes is important if developmental differences are noted. Conditions such as congenital anomalies or microcephaly may underlie developmental delays.
B. Inquiring about temperament such as irritability and lethargy helps identify possible neurological, metabolic, or developmental issues influencing the child’s behavior.
C. Explaining that all children are different is key for parental reassurance. Comparison with siblings can create unnecessary anxiety or pressure; each child develops uniquely.
D. Noting language development appropriate for the child’s age is a standard part of developmental assessment and can reveal early indicators of delays or disorders.
Rationale for incorrect answer:
E. Meeting siblings to assess similarities is not necessary for evaluating developmental differences. Assessment should be focused on the individual child’s growth and milestones, not comparisons to family traits.
Take home points
- Parental concerns about differences between siblings should always be taken seriously.
- A thorough developmental assessment such as growth, language, behavior, and neurological signs is essential.
- Normalize differences while carefully evaluating for potential disorders.
- Avoid direct sibling comparisons, each child has unique developmental patterns.
Correct Answer is ["A","B","E"]
Explanation
Autism Spectrum Disorder (ASD) is a neurodevelopmental condition that affects how a person communicates, interacts socially, and processes sensory information. The term “spectrum” reflects the wide range of symptoms, abilities, and challenges that individuals with autism may experience.
Rationale for correct answers:
A. Has yet to learn his colors or the names of animals: Language and developmental delays are common in children with autism spectrum disorder (ASD). Difficulty with basic learning tasks is often an early sign.
B. Becomes upset each time the teacher asks the child to stop what he is doing: Children with ASD often show resistance to change or transitions, and may have difficulty stopping repetitive or preferred activities.
E. Covers his ears whenever the school principal makes an announcement on the loud speaker: Many children with ASD have sensory sensitivities such as hypersensitivity to sounds, lights, or textures.
Rationale for incorrect answers:
C. Is the first in line when it is time to go out to play in the playground: This behavior is normal enthusiasm for play, not an indicator of autism.
D. Runs to the teacher to get a kiss whenever he gets hurt while playing: Children with ASD often have difficulty with social reciprocity and seeking comfort from others. Running for a kiss when hurt indicates appropriate social/emotional response, not autism.
Take home points
- Key features of autism spectrum disorder include:
- Communication difficulties (speech delay, trouble naming objects, poor eye contact).
- Repetitive or restrictive behaviors (rigid routines, upset with change).
- Sensory sensitivities (covering ears, avoiding textures).
- Impairment in social reciprocity (not usually seeking comfort, trouble forming peer relationships).
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