Deck 4: Sociocultural Issues

Question 1

The nurse in the emergency department finds a woman collapsed on the floor and crying loudly.The woman's husband was in a car accident and is being attended to by the medical staff.Which statement by the nurse best demonstrates acting in a culturally competent manner?

A)"You need to control yourself.Your husband was not injured that badly."
B)"Let me take you to a room with more privacy so we can talk."
C)"I am concerned about how you are acting right now.No one else here is acting like this."
D)"We will call the psychiatrist to see if medication can be ordered for you."

Answer 1

"Let me take you to a room with more privacy so we can talk."

Question 2

A Navajo Native American is traveling across the country and becomes ill.He visits a hospital emergency department and appears very uncomfortable in the surroundings.The nurse knows that traditional Navajo Native Americans typically receive health care in:

A)Homes
B)Small hospitals
C)Physicians' offices
D)Outpatient clinics

Answer 2

Homes

Question 3

Culture includes common beliefs and practices in areas such as religion,economics,diet,health,and:

A)Genetics
B)Occupations
C)Patterns of communication
D)Stereotypes

Answer 3

Patterns of communication

Question 4

It is important for the nurse to be familiar with the religious practices of clients cared for most often in a particular region because attitudes toward health and illness,death and burial,food,and procreation have a strong impact on a client's beliefs and practices.The nurse knows that the religion practiced most often around the world is:

A)Buddhism
B)Jehovah's Witness
C)Christianity
D)Ahmadiyya

Question 5

Which client communication problem can the nurse most easily correct?

A)Age differences
B)Altered cognition
C)Cultural differences
D)Gender differences

Question 6

A nurse preparing to interview a client in the client's room begins to move newspapers off a chair to sit down.The client requests that the nurse sit in another chair and leave the newspapers where they were.The client is demonstrating:

A)Personal space
B)Paranoia
C)Manipulation
D)Territoriality

Question 7

Refugees frequently experience depression,anxiety,and stress-related disorders caused by their particular circumstances.Therefore,in addition to a cultural assessment,what is important for the nurse to assess? (Select all that apply. )

A)Immigration history
B)History of arrival in the new country
C)How long the refugee has been in the new country
D)Whether anyone or anything was lost in coming to the new country
E)What type of medical insurance the refugee will be seeking to obtain

Question 8

The nurse is caring for a 20-year-old woman from Puerto Rico.The client speaks English,but she is accompanied by her mother,who does not.The client has a history of mental illness,and through the interpreter,the nurse learns that the mother,who has traditional Puerto Rican cultural beliefs,believes that the client's mental illness is caused by:

A)Witchcraft
B)Stress
C)Chemical imbalances
D)A trance

Question 9

A Hmong man from Laos is a client at an outpatient mental health clinic and is being seen for his diagnosis of bipolar disorder.The importance of lithium testing was stressed in his discharge plans;however,it is discovered that he has had his lithium level checked only once,rather than the three scheduled times.What is the nurse's best action?

A)Remind the client about the importance of lithium level testing.
B)Make scheduled appointments for the client to get his lithium level tested.
C)Give the client written information regarding the importance of lithium level testing and written instructions on how to make appointments for testing.
D)Talk with the client to see if there is a reason that he is not getting his lithium levels checked as outlined in his discharge plans.

Question 10

A client seen in the mental health clinic feels her depression is the result of being "punished" due to becoming pregnant as an adolescent and giving the infant up for adoption against her family's wishes.This view of her depression is considered:

A)Exaggerated
B)Naturalistic
C)Personalistic
D)Stress

Question 11

What is the usual approach to care for individuals who practice folk medicine?

A)Fragmented
B)Impersonal
C)Disjointed
D)Personalized

Question 12

A traditional Arab female client is brought to the emergency department by her husband.She complains of feeling very anxious and short of breath and has chest pain.What would likely be a hindrance to the care of this client?

A)The emergency department physician is female.
B)Her husband asks if he can stay with his wife.
C)One of the emergency department nurses is of Arab descent.
D)The only caregivers available in the emergency department are male.

Question 13

A client is continually late for his appointment at the mental health clinic.What is a likely reason for his lack of punctuality?

A)Need for environmental control
B)Time orientation
C)Space comfort zone
D)Territorial needs

Question 14

A male client is visiting his family in the United States and experiences what his family describes as a "breakdown." His family takes him to a stress treatment center at a local mental health clinic.The client is a follower of traditional folk medicine practices and is agitated when he learns that he must see a licensed psychiatrist.Which care providers is this client most likely accustomed to? (Select all that apply. )

A)Healers
B)Shamans
C)Nurse practitioners
D)Spiritualists
E)Lay unlicensed therapists
F)Cultural elements of relationship between client and care provider
G)Cultural factors related to level of functioning

Question 15

What is the social orientation among most middle-class American families?

A)Extended
B)Friends
C)Significant others
D)Nuclear

Question 16

A 45-year-old married man comes to the community mental health center after he is suspended from his job for fighting.Upon talking to him,the nurse discovers he and his wife recently moved to the United States and his wife needs to work to pay bills.He is angry and embarrassed that he cannot be the sole provider for his family.His behavior may be the result of:

A)Cultural stereotyping
B)Gender role conflict
C)Religious beliefs
D)Territoriality conflicts

Question 17

Disease is defined as:

A)Social dysfunction
B)Emotional dysfunction
C)Physical dysfunction
D)Intellectual dysfunction

Question 18

The metabolism of psychotropic medications is most likely to be affected by:

A)Ethnicity
B)Religion
C)Culture
D)Values

Question 19

An older Asian female with a diagnosis of depression is cared for by her granddaughter.Her granddaughter is very attentive to the client's needs,attends every therapy session,and is active in the planning and implementing of the treatment plan.The granddaughter's valuing of her grandmother is most likely due to her:

A)Ethnicity
B)Cultural beliefs
C)Religion
D)Stereotype

Question 20

Which areas comprise the DSM-IV-TR cultural assessment tool for clients? (Select all that apply. )

A)Cultural identity of the client
B)Overall cultural assessment
C)Cultural explanation of the illness
D)Cultural factors relating to previous mental illness
E)Cultural factors relating to psychosocial environment
F)Cultural elements of relationship between client and care provider
G)Cultural factors related to level of functioning

Question 21

A __________ is a simplified or standardized belief or conception regarding people who belong to another culture.

Question 22

__________ is a term that divides people into groups based on biological characteristics,including skin color,features,hair texture,and self-identification.

Question 23

Cultural assessments allow the health care provider to understand the unique beliefs a client may have regarding mental illness and how they cope.Key areas to assess include which of the following? (Select all that apply. )

A)Communication
B)Space and territory
C)Biological orientation
D)Defense mechanisms
E)Social orientation

Question 24

When a person believes that there is a power greater or higher than any human being,he is referring to his __________.