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The nurse is performing a cultural assessment of an Asian family that has a child hospitalized for leukemia. What is the best technique for providing culturally competent care for this family?

A.

Ask other Asians to explain their culture.

B.

Hire an interpreter to explain the family culture.

C.

Just ask the family about their culture and listen.

D.

Research the culture and base care on findings.

Answer and Explanation

The Correct Answer is C

Rationale:

 

A. Assuming all Asians have the same culture is a generalization and may not accurately represent the specific cultural background of the family in question.

 

B. Hiring an interpreter may be helpful for language translation but may not provide insights into the nuances of the family's cultural beliefs and practices.

 

C. Directly engaging with the family and listening to their perspectives allows for a better understanding of their specific cultural beliefs and preferences.

 

D. While research can provide valuable information, direct communication with the family is essential for truly understanding their cultural needs and preferences.


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Correct Answer is B

Explanation

Rationale:

A. The child’s reluctance to change clothes in front of others might suggest body image issues, but it doesn’t directly indicate spinal curvature.

B. Difficulty finding pants that fit evenly over the hips could indicate a scoliosis-related curvature, where one hip may be higher than the other.

C. Back pain could be related to various conditions, including scoliosis, but by itself, it’s not definitive for spinal curvature.

D. Daily use of ibuprofen for hip pain may indicate musculoskeletal issues but doesn’t directly relate to spinal curvature or scoliosis.

Correct Answer is A

Explanation

Rationale:


A. Bradycardia, constipation, and hypotonia are common symptoms associated with congenital hypothyroidism due to the reduced metabolism that results from decreased thyroid hormone levels.

B. Elevated serum T3 and T4 would not be expected in congenital hypothyroidism; these levels are typically low.

C. Tachycardia, diarrhea, and tremors are more indicative of hyperthyroidism, not hypothyroidism.

D. In congenital hypothyroidism, the thyroid-stimulating hormone (TSH) is typically elevated as the body attempts to stimulate the thyroid gland to produce more hormones.

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