Abeni is a 17-year-old adolescent female who came to the United States from Nigeria two years ago with her parents. Her parents are struggling to find work, and Abeni has come to your free clinic because she has a mass on her thyroid.

1. Abeni is a 17-year-old adolescent female who came to the United States from Nigeria two years ago with her parents. Her parents are struggling to find work, and Abeni has come to your free clinic because she has a mass on her thyroid. Her mother is accompanying her and she is very worried. Her mother does not speak English and Abeni has a heavy accent, but you can understand almost everything she says.

What key aspects of the child and family health assessment, history, and physical exam should the APRN focus on?

What tests should the APRN order for this visit and why?

What specific questions demonstrate that the APRN understands cultural humility and competence?

2. Nabil is a 3-year-old boy who has recently come to the United States as a refugee from Syria with his parents. He is in the clinic today for an initial health visit, screening, and assessment.

What specific health and psychosocial needs should the APRN address with Nabil and his family?

What key aspects of the family health assessment, history, and physical exam should the APRN focus on?

What specific questions demonstrate that the APRN understands cultural humility and competence?

3. John is a 16-year-old male who has come into the clinic for a complete physical exam. Two years ago, he was placed in foster care, but he has recently moved into his paternal grandfather’s home. During this visit, you will perform an adolescent health history.

What key elements specific to the adolescent history and physical exam should the APRN utilize?

What elements of the basic family assessment should the  APRN consider and why?

What strategies should the APRN utilize to develop trust and establish confidentiality during John’s history and physical exam?