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

Question 1

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

A) Assess for substance use/abuse.
B) Monitor the client for biological variations.
C) Evaluate the client's paralanguage.
D) Plan for territoriality needs.

Answer 1

Assess for substance use/abuse.

Question 2

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

A) "I believe in a higher power."
B) "At times I want to feel a sense of transcendence."
C) "At times I am overwhelmed by a sacred gratefulness."
D) "I worship in a mosque."

Answer 2

"I worship in a mosque."

Question 3

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

A) African-American males
B) Alaska Native young adults
C) Asian American youth
D) White females

Answer 3

Alaska Native young adults

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.)

A) Experience
B) Hope
C) Forgiveness
D) Love
E) Doctrine

Question 5

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

A) Accepts clients of different cultures
B) Develops a desire to be informed about different cultures
C) Easily incorporates a variety of cultural viewpoints into care
D) Demonstrates empathy for cultural differences

Question 6

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

A) "What do you do to keep well?"
B) "How do you and your family express grief?"
C) "Are there any routines you need to follow?"
D) "Who makes the decisions in your household?"

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?

A) "How does your illness affect your life goals?"
B) "How do you feel about yourself right now?"
C) "What are your thoughts about forgiving others?"
D) "What brings you joy and peace in your life?"

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?

A) Culture
B) Ethnicity
C) Race
D) Assimilation

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?

A) An African American
B) A Latino American
C) A Native American
D) An Alaska Native

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.)

A) Forgiveness is the greatest spiritual need.
B) Love increases the hormone cortisol.
C) Inability to participate in faith rituals can result in spiritual distress.
D) Hope helps strengthen the immune system.
E) Journaling can be helpful for spiritual healing.

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?

A) Give time options when appropriate
B) Teach good nutrition habits, incorporating the client's preferences
C) Support the client in participating in cultural and spiritual rituals
D) Observe for the use of touch among family members

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.

Question 13

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

A) Insurability
B) Space
C) Biological variations
D) Time
E) Communication

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?

A) Maintain eye contact with the client.
B) Involve a family member for sensitive subjects.
C) Talk separately with the interpreter at length.
D) Use medical terms throughout the conversation.

Question 15

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

A) Try to locate a shaman who will agree to come to the mental health unit.
B) Explain to the client that "voodoo" medicine will not heal the depression.
C) Ask the client to explain what the shaman can do that the psychiatrist cannot.
D) Inform the client that refusing treatment is a client's right.