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?