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

Question 1

Northern European Americans value punctuality,hard work,and the acquisition of material possessions and status.A nurse should recognize 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

Answer 1

Stress-related disorders

Question 2

To effectively care for Asian American clients,a nurse should be aware of which cultural norm?

A) Obesity and alcoholism are common problems.
B) Older people 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.

Answer 2

Older people maintain positions of authority within the culture.

Question 3

Which rationale by a nursing instructor best explains why it is challenging to globally classify the Asian American culture?

A) Extremes of emotional expression prevent accurate assessment of this culture.
B) Suspicion of Western civilization has resulted in minimal cultural research.
C) The small size of this subpopulation makes research virtually impossible.
D) The Asian American culture includes individuals from many different countries.

Answer 3

The Asian American culture includes individuals from many different countries.

Question 4

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

A) Maintaining eye contact, based on cultural norms
B) Assuming that all individuals who share a culture or ethnic group are similar
C) Supporting the client in participating in cultural and spiritual rituals
D) Using an interpreter to clarify communication

Question 5

A Latino American man refuses to acknowledge responsibility for hitting his wife,stating instead,"It's the man's job to keep his wife in line." Which cultural belief may be associated with this client's behavior?

A) Traditional Latino American families are male dominated with clear male-female role distinctions.
B) Religious tenets of Latino American culture support the use of violence within a marriage.
C) Latino American families are female dominated and the mother possesses ultimate authority.
D) Marriage dynamics are controlled by dominant females in Latin American families.

Question 6

Because of cultural characteristics,in which of the following cultural groups would a nurse's assessment of mood and affect be most challenging? Select all that apply.

A) Arab Americans
B) Native Americans
C) Latino Americans
D) Western European Americans
E) Asian Americans

Question 7

In what way should a nurse expect a traditional Asian American client to view mental illness?

A) Mental illness relates to uncontrolled behaviors that bring 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 superstitions.
D) Mental illness is cured by "hot and cold" herbal remedies.

Question 8

An African American youth,growing up in an impoverished neighborhood,presents in the emergency department with bruises to his face,chest,and arms.He appears to be upset,is speaking in a dialect that is difficult for the nurse to understand,and is standing within 6 inches of the nurse's personal space.What cultural consideration should a nurse identify as playing a role in this youth's behavior?

A) African Americans frequently speak in different tongues when they are upset.
B) Most African Americans have learned to be aggressive when they have to see a health professional.
C) African Americans tend to use dialects and invasion of personal space to intimidate others.
D) Some African Americans speak in a dialect that is different from standard English and tend toward smaller personal space than that of the dominant culture.

Question 9

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

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 10

During the first interview with a man from Syria who has just lost his son in a car accident,in sympathy for the man's loss,the female nurse reaches out and hugs him.Which is an accurate evaluation of the nurse's action?

A) The nurse's action should be evaluated as unacceptable due to breech of cultural norms.
B) The nurse's action should be evaluated as empathetic, encouraging expression of feelings.
C) The nurse's action should be evaluated as the technique of offering self.
D) The nurse's action should be evaluated as inappropriate due to poor timing.

Question 11

When interviewing a client of a different culture,which of the following questions should a 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 12

A nurse should recognize that clients who have a history of missed or late medical appointments are most likely to come from which cultural group?

A) Northern European Americans
B) Asian Americans
C) Native Americans
D) Jewish Americans

Question 13

A Native American client is admitted to an emergency department (ED)with an ulcerated toe secondary to uncontrolled diabetes mellitus.The client refuses to talk to a physician unless a shaman is present.Which nursing intervention is most appropriate?

A) Assist the client in contacting a shaman of his choice.
B) Explain to the client that "voodoo" 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 refusing treatment is a client's right.

Question 14

Which cultural group is correctly matched with the disease process for which this group is most susceptible?

A) African Americans are susceptible to lactose intolerance.
B) Western European Americans are susceptible to malaria.
C) Arab Americans are susceptible to sickle cell disease.
D) Jewish Americans are susceptible to thalassemia.

Question 15

When planning care for a Latino American client,the nurse should be aware of which cultural influence that may impact access to health care?

A) The root doctor may be the first contact made when illness is encountered.
B) The "yin" and "yang" practitioner may be the first contact made when illness is encountered.
C) The shaman may be the first contact made when illness is encountered.
D) The curandero may be the first contact made when illness is encountered.

Question 16

A female nurse is caring for a traditional Arab American male client.When planning effective care for this client,the nurse should be aware of which of the following cultural considerations? Select all that apply.

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

Question 17

Which cultural considerations should a nurse identify with Western European Americans?

A) They are present-time oriented and perceive the future as God's will.
B) They value youth, and older adults are commonly placed in nursing homes.
C) They are at high risk for alcoholism due to a genetic predisposition.
D) They are future oriented and practice preventive health care.

Question 18

A community health nurse is planning a health fair at a local shopping mall.Which middle-class socioeconomic cultural group should the nurse anticipate would most value preventive medicine and primary health care?

A) Northern European Americans
B) Native Americans
C) Latino Americans
D) African Americans

Question 19

A nurse is preparing to establish a therapeutic relationship with a grieving family from China.Which nursing intervention would be considered most appropriate?

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) Avoid direct eye contact, as it implies rudeness.
D) Remain objective and empathetic, as Asians express feelings freely.

Question 20

A Latin American woman refuses to participate in an assertiveness training group.Which cultural belief should a nurse identify as most likely to have influenced this client's decision?

A) Future orientation causes the client to devalue assertiveness skills.
B) Decreased emotional expression makes it difficult 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's participation in assertiveness training.