Deck 6: Cultural and Spiritual Concepts Relevant to Psychiatric-Mental Health Nursing

Question 1

Which of the following disease processes and cultural group are correctly matched?

A)African Americans are susceptible to lactose intolerance.
B)Asian Pacific Islander Americans have the highest susceptibility to alcoholism.
C)Arab Americans are susceptible to sickle cell disease.
D)Jewish Americans are susceptible to thalassemia.

Answer 1

Arab Americans are susceptible to sickle cell disease.

Question 2

The psychiatric nurse is performing the admission assessment of a female client who is being admitted for depression and anxiety.The client reports a long history of excessive alcohol use and the recent loss of her job.When the nurse asks whether she has a religious preference or affiliation,the client states,"I used to believe in God,but I don't anymore.I don't understand how God can allow bad things to keep happening to me." Which of the following nursing diagnoses will the nurse include in the client's care plan?

A)Risk for lack of faith
B)Risk for spiritual distress
C)Risk for impaired religiosity
D)Risk for impaired spirituality

Answer 2

Risk for spiritual distress

Question 3

The psychiatric nurse is developing outcomes related to the nursing diagnosis spiritual distress.Which outcome will the nurse designate as a priority for the client?

A)Accept and incorporate change into life in a healthy manner.
B)Discuss beliefs and values about spiritual and religious issues.
C)Identify and understand the meaning and purpose in life.
D)Verbalize acceptance of self as a worthwhile human being.

Answer 3

Identify and understand the meaning and purpose in life.

Question 4

Which rationale is given by a nursing instructor to best explain why it is inappropriate to classify Asian Americans as a single culture?

A)Extremes of emotional expression prevent accurate assessment of this culture.
B)Asian immigrants have been reluctant to participate in large-scale cultural research.
C)The small size of this subpopulation makes research virtually impossible.
D)The Asian American population includes individuals from many different cultures and countries.

Question 5

A nursing instructor is teaching about cultural characteristics.Which statement by the student indicates the need for further teaching?

A)"All cultures communicate freely within their group."
B)"All cultures embrace light therapeutic touch."
C)"All cultures view the importance of timeliness differently."
D)"All cultures display biological variations."

Question 6

When caring for Asian American clients,of which cultural norm should the nurse be aware?

A)Obesity and alcoholism are common problems.
B)Older people frequently maintain positions of authority within the culture.
C)Milk is a staple in the Asian American diet.
D)Asian Americans are likely to seek psychiatric help.

Question 7

Many American subcultures value punctuality,hard work,and the acquisition of material possessions and status.The nurse recognizes that these values may contribute to which form of mental disorders?

A)Dissociative disorders
B)Neurocognitive disorders
C)Stress-related disorders
D)Schizophrenia spectrum disorders

Question 8

When working with clients of any culture,which action should the nurse avoid?

A)Maintaining eye contact to avoid being rude and making the client uncomfortable
B)Assuming that all individuals within a culture or ethnic group are similar
C)Supporting the client to participate in cultural and spiritual rituals
D)Using an interpreter to obtain health information during an assessment

Question 9

A nurse should recognize that clients who have a history of missed or late medical appointments are most likely to espouse which approach to time and orientation?

A)Future-time oriented
B)Past-time oriented
C)Present-time oriented
D)Past- and future-time oriented

Question 10

During the first interview with a man from Syria who has just lost his son in a car accident,the female nurse hugs him.Which is accurate regarding the nurse's action?

A)It is unacceptable because it may pose a breech of cultural norms.
B)It demonstrates empathy and encourages expression of feelings.
C)It is the therapeutic technique of offering self.
D)It is an inappropriate action due to poor timing.

Question 11

Which of the following reflects that the nurse understands the concepts of religion and spirituality?

A)Religion provides the answers to questions related to the meaning in life.
B)An individual may express his or her spirituality through religion.
C)Nonattendance to religious services indicates a lack of faith.
D)Spirituality is a set of beliefs grounded in the teachings of a spiritual leader.

Question 12

Prior to interviewing a client of a different culture,which of the following questions should the nurse consider asking? Select all that apply.

A)Would using perfume products be acceptable?
B)Who may be expected to be present during the client interview?
C)Should communication patterns be modified to accommodate this client?
D)How much eye contact should be made with the client?
E)Would hand shaking be acceptable?

Question 13

A Native American male is admitted to the emergency department with an ulcerated toe secondary to uncontrolled diabetes mellitus.The client refuses to talk to a physician unless a shaman is present.Which nursing action is best?

A)Assist the client in contacting a shaman of his choice.
B)Explain to the client that folk medicine will not heal the ulcerated toe.
C)Ask the client to explain what the shaman can do that the physician cannot.
D)Inform the client that he has the right to refuse medical treatment.

Question 14

A Latin American woman refuses to participate in an assertiveness training group.Which of the following cultural beliefs does the nurse identify has most likely influenced the client's decision?

A)Orientation toward the future causes the client to devalue assertiveness skills.
B)Decreased emotional expression makes it difficult for the client to be assertive.
C)Assertiveness techniques may not be aligned with the client's definition of the female role.
D)Religious prohibitions prevent the client from participating in assertiveness training.

Question 15

Which of the following are correlated with an individual's affiliation with a religious faith? Select all that apply.

A)Decreased incidence of mental illness
B)Improved social relationships
C)Access to health care
D)Increased chance of survival following serious illness
E)Better physical and mental health

Question 16

Which of the following perceptions might be consistent with the belief system of a traditional Asian American client?

A)Mental illness is out of control behavior that is a shame to the family.
B)Mental illness is a curse from God related to immoral behaviors.
C)Mental illness is cured by home remedies based on religious beliefs or cultural traditions.
D)Mental illness may only be cured by "hot and cold" herbal remedies.

Question 17

The nurse is preparing to establish a therapeutic relationship with a grieving family from Cambodia.Which nursing intervention is best?

A)Touch each member lightly,as this enhances the communication process.
B)Direct questions to the young males of the family,as they maintain positions of authority.
C)Speak in a clear and steady voice,maintaining an acceptable distance in personal and social space.
D)Demonstrate empathy and remain objective,as Asians express feelings freely.

Question 18

Which of the following indicate the effects of love on the healing process? Select all that apply.

A)Increased production of norepinephrine reduces susceptibility to depression.
B)Decreased production of endorphins helps relieve chronic pain.
C)Decreased inflammation is due to improved immune system function.
D)Increased cortisol levels suppress the fight-or-flight syndrome.
E)Increased levels of oxytocin reduce cardiovascular stress.

Question 19

A female nurse is caring for a traditional Arab American male client.Which of the following cultural considerations should the nurse be aware of to plan effective care? Select all that apply.

A)Limited touch is acceptable only between members of the same sex.
B)Individuals of this culture stand far apart and do not make eye contact when conversing.
C)Devout Muslim men may not shake hands with women.
D)The man may be considered the head of the household and women take a more subordinate role.
E)In traditional culture,men are responsible for the education of their children.

Question 20

When planning care for a Latino American client encountering illness,the nurse identifies access to health care may be delayed when the client contacts which of the following practitioners first?

A)Imam
B)"Yin" and "yang" practitioner
C)Shaman
D)Curandero