The nurse strives to provide culturally competent care for children in a health clinic that follows the principles of health supervision. Which nursing action reflects this type of care?

The nurse treats all children the same regardless of their culture.

The nurse researches the child's culture and provides care based on the findings.

The nurse negotiates a care plan with the child, and family.

The nurse provides future-based care for culturally diverse children.

Answer and Explanation

The Correct Answer is C

A.   Treating all children the same regardless of their culture may not address the unique needs and preferences of each individual.
B.   Researching the child's culture is an important aspect of cultural competence, but providing care solely based on findings may not fully address the individualized needs of the child and family.
C.   Negotiating a care plan with the child and family involves collaborative decision- making and respects the cultural beliefs and values of the family.
D.   Providing future-based care for culturally diverse children may not be specific to the individual needs and preferences of each child and family.

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Correct Answer is D

Explanation

A. While acknowledging the father's concerns is important, this response doesn't provide guidance on addressing potential depression in the son.
B. Offering to refer the son for evaluation with a therapist if mood issues are noticed is important and provides proactive support and guidance for addressing potential depression but screening children with a risk factor for depression from the age of 11 is the best choice.
C. While regular screening may be indicated for at-risk teens, waiting until age 14 may miss opportunities for early intervention in some cases.
D. Screening for depression is recommended for all children aged 11 and older, especially those who have a family history of depression or other risk factors. The nurse should inform the father that screening his son for depression is important and can help identify any signs or symptoms early. This is based on the recommendations of the American Academy of Pediatrics, which state that pediatric primary care providers should screen all children and adolescents for depression at least once a year, starting from age 11.

A. "The average height for a 5-year-old is 43 in tall (118.5 cm), so your son is within the normal range for height." B. "I am sure his height is a concern, but if you start choosing nutrient-dense foods, he will likely catch up to normal in height." C. "Are most of the adults in your family short? It may be hereditary that your child will be shorter than average." D. "Some children are short for their age during the preschool years but usually catch up during early childhood."

Correct Answer is D

Explanation

A. This response may cause unnecessary concern as it implies the child is below average height, which is not necessarily true.
B. While nutrition is important for growth, it's not appropriate to assume the child's height is solely due to nutritional factors without further assessment.
C. While heredity may play a role in height, assuming this without further evaluation may overlook other potential causes of short stature.
D. This response acknowledges the parents' concern while reassuring them that short stature during the preschool years is common and children often catch up in height during early childhood.

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The nurse strives to provide culturally competent care for children in a health clinic that follows the principles of health supervision. Which nursing action reflects this type of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The father of a 13-year-old boy reports his family has a strong history of depression. He questions screening for his son. What information should be provided by the nurse?

Correct Answer is D

Explanation

The parents of a 5-year-old are concerned that their son is too short for his age. The nurse measures the child's height at 40 in (101.6 cm). How should the nurse respond?

Correct Answer is D

Explanation

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