Question 1

The nurse is caring for a client at risk for spiritual distress and impaired religiosity. Which action should the nurse take?

Accepted Answer

Assessing for substance use/abuse is a priority intervention for a client at risk for spiritual distress and impaired religiosity as substance use can impact an individual's spiritual and religious beliefs and practices. Monitoring for biological variations, evaluating paralanguage, and planning for territoriality needs may be important interventions for other nursing diagnoses but are not directly related to this specific diagnosis.

Question 2

The client and nurse are discussing religion and spirituality. Which statement from the client indicates religion?

Accepted Answer

The statement "I worship in a mosque" indicates adherence to a specific religion, in this case, Islam. The other statements could apply to a variety of spiritual beliefs but do not necessarily indicate a specific religion.

Question 3

Which population group should the mental health nurse most closely assess for thoughts of suicide?

Accepted Answer

Studies have found that Alaska Native young adults have a higher rate of suicide compared to other population groups, making it important for mental health nurses to closely assess this population for thoughts of suicide.

Question 4

The nurse is caring for a mental health client's spiritual needs. Which factors should the nurse assess as spiritual needs? (Select all that apply.)

Accepted Answer

Hope, forgiveness, and love are considered spiritual needs as they relate to a person's inner beliefs and emotional well-being.

Question 5

A nurse is providing culturally competent care based on Bennett's Model of Intercultural Sensitivity. Which nursing behavior indicates integration?

Accepted Answer

Integration is the highest level of Bennett's model, where the nurse is able to easily incorporate a variety of cultural viewpoints into care. Acceptance (A) is a lower level, indicating a recognition of cultural differences but still lacking in understanding and adaptation. Desire to learn (B) is a mid-level, indicating a willingness to gain knowledge about different cultures but not necessarily integrating that knowledge into practice. Empathy (D) is also a mid-level, indicating an ability to appreciate cultural differences but not necessarily utilizing that appreciation to guide care.

Question 6

Which question should the nurse ask to determine social organization for a client of color?

Accepted Answer

Question D, "Who makes the decisions in your household?" directly addresses the aspect of social organization by inquiring about decision-making roles within the family or household, which is a key component of understanding a client's social structure.

Question 7

The nurse is assessing a depressed client's spirituality. Which question should the nurse ask when determining meaning and purpose for a client?

Accepted Answer

This question directly addresses the client's life goals, which are closely related to their sense of meaning and purpose.

Question 8

The nurse is considering the effects a prescribed psychiatric medication may have on a dark-skinned client. Which characteristic is the nurse evaluating?

Accepted Answer

Race refers to the biological and physical characteristics of a person such as skin color, eye shape, etc. The nurse is concerned about how the medication will affect a dark-skinned client, indicating that the nurse is evaluating the potential impact of race on the medication's effectiveness or side effects.

Question 9

The nurse is incorporating "hot" and "cold" cultural beliefs about food into the plan of care for a client with a mental health illness. The nurse is most likely caring for which client?

Accepted Answer

The concept of "hot" and "cold" foods is a significant aspect of Latino American cultural beliefs, particularly in relation to health and illness. This system classifies foods, illnesses, and remedies based on their perceived thermal qualities, and it is used to maintain or restore health balance.

Question 10

The nurse is caring for an anxious client. Which information should the nurse share with the client about spiritual and religious needs? (Select all that apply.)

Accepted Answer

The answer of The nurse is caring for an anxious...

Question 11

The nurse is caring for a client with posttraumatic stress disorder who is of a different culture. Which action should the nurse take to promote environmental control for this client?

Accepted Answer

Supporting the client in participating in cultural and spiritual rituals promotes environmental control. It provides a sense of familiarity, comfort and a way for the client to connect with their cultural identity. Option A, giving time options, may be appropriate for some situations but does not necessarily promote environmental control. Option B, teaching good nutrition habits, is important for overall health but may not be directly related to environmental control. Option D, observing for the use of touch among family members, may be culturally insensitive and not necessarily related to environmental control.

Question 12

______ exists within each individual, regardless of belief system, and serves as a force for interconnectedness between the self and others, the environment, and a higher power.

Accepted Answer

The answer of ______ exists within each individual, regardless of...

Question 13

When interviewing a client of a different culture, which parameters should the nurse consider? (Select all that apply.)

Accepted Answer

When interviewing a client of a different culture, the nurse should consider space as some cultures prefer more personal space than others. Biological variations should also be considered as they may affect healthcare practices and beliefs. Time is another important parameter to consider as different cultures have different perceptions of time. Communication is crucial when interviewing clients from different cultures as language and cultural barriers may exist. Insurability may not necessarily be related to cultural differences in this context.

Question 14

The nurse is using an interpreter for a client with an anxiety disorder who does not speak the nurse's language. Which technique should the nurse use?

Accepted Answer

Maintaining eye contact with a client who is using an interpreter helps to establish trust and build rapport. It also shows that the nurse is fully engaged and attentive to the needs of the client.

Question 15

A Native American client with depression wants to talk to a shaman. Which nursing intervention is most appropriate?

Accepted Answer

Respecting the client's cultural beliefs and practices is crucial in providing holistic and patient-centered care. Locating a shaman to come to the mental health unit acknowledges and respects the client's cultural background and belief in alternative healing practices, which can be an important aspect of their overall well-being and recovery process.

Quiz 31: Cultural and Spiritual Concepts Relevant to Psychiatric-Mental Health Nursing