Question 1

MATCHING
Match the culture-bound syndrome with the patient most likely to experience it. A cultural heritage may be used for more than one syndrome.
Patient's Cultural Heritage

-Wind illness

Accepted Answer

The answer of MATCHING
Match the culture-bound syndrome with the patient...

Question 2

A nurse cares for a first-generation Canadian whose family emigrated from Germany. Which world view about the source of knowledge would this patient likely have?

Accepted Answer

The Western world perspective of acquiring knowledge evolves from science. The distracters describe the beliefs of other world views

Question 3

MATCHING
Match the culture-bound syndrome with the patient most likely to experience it. A cultural heritage may be used for more than one syndrome.
Patient's Cultural Heritage

-Susto

Accepted Answer

Susto is a culture-bound syndrome primarily found in Latin American cultures, characterized by symptoms of distress and anxiety believed to result from a frightening event that causes the soul to leave the body.

Question 4

When completing an admission assessment on a patient with a diagnosis of depression, the nurse discovers that the patient is taking an herb that is believed to treat depression in their culture but is contraindicated with the pharmacological treatment the patient is receiving. What is the nurses' initial action?

Accepted Answer

When cultural patterns are determined harmful (e.g., if a patient is taking an herb that is contraindicated with the prescription medication), the nurse is responsible for alerting the patient and the mental health care team to these risks. The initial action would not include altering the medication treatment. Informing a patient that she or he cannot continue a cultural practice is not appropriate as the initial action. Although it is important that the health care team is aware of this information, the nurse would address it with the patient initially.

Question 5

The nurse should be particularly alert to somatization of psychological distress among patients whose cultural beliefs include which of the following? (select all that apply)

Accepted Answer

Physical symptoms are seen as more acceptable in cultural groups in which interdependence and harmony of the group are emphasized. Mental illness is often perceived as reflecting a failure of the entire family. In groups in which mental illness is seen as a moral weakness and both the individual and family are stigmatized, somatization of mental distress is better accepted. In groups in which the mind and body are holistically perceived, somatization of psychological distress is common. Somatization and food are not commonly related. Intergenerational conflict has not been noted as a risk factor for somatization.

Question 6

A nurse prepares to assess a newly hospitalized patient who moved to Canada 6 months ago from Somalia. The nurse should first determine which of the following?

Accepted Answer

The assessment depends on communication. The nurse should first determine whether a translator is needed. The other information can be subsequently assessed.

Question 7

MATCHING
Match the culture-bound syndrome with the patient most likely to experience it. A cultural heritage may be used for more than one syndrome.
Patient's Cultural Heritage

-Hwa-Byung

Accepted Answer

Hwa-Byung is a culture-bound syndrome found in Korean patients. It is characterized by suppressed anger and resentment, resulting in physical and emotional symptoms.

Answer: A and C
 Navajo and Latin American cultures both have syndromes related to susto, which is a form of fright or shock caused by a traumatic event. Symptoms include fatigue, loss of appetite, and anxiety.

Question 8

Why is the study of culture so important for psychiatric nurses in Canada? Select all that apply.

Accepted Answer

One purpose of cultural competence is for the psychiatric nurse to relate and explain information about the patient's illness and treatment in an understandable way, incorporating the patient's own beliefs and values. A fundamental aspect of nursing practice is advocacy. Cultural knowledge helps nurses establish rapport, ask the right questions, avoid misunderstandings, and identify cultural variables that may need to be considered when planning nursing care. Psychiatric nurses often interface with patients and families over years and in community settings.

Question 9

Which questions should the nurse ask to determine an individual's world view? Select all that apply.

Accepted Answer

The answers provide information about cultural values related to the importance of individuality, material possessions, relational connectedness, community needs versus individual needs, and interconnectedness between humans and nature. These will assist the nurse to determine a patient's world view. Other follow-up questions are needed to validate findings.

Question 10

A Mexican Canadian patient puts a picture of the Virgin Mary on the bedside table. What is the nurse's best action?

Accepted Answer

Cultural heritage is expressed through language, works of art, music, dance, customs, traditions, diet, and expressions of spirituality. This patient's prominent placement of the picture is an example of expression of cultural heritage and spirituality. Spiritual practices are important to preserving or regaining health. The nurse should not move it unless the patient's safety is jeopardized.

Question 11

A patient who has been hospitalized for 3 days with a serious mental illness says, "I've got to get out of here and back to my job. I get 60 to 80 messages a day, and I'm getting behind on my email correspondence." What is this patient's perspective about health and illness?

Accepted Answer

The Western biomedical perspective holds the belief that sick people should be as independent and self-reliant as possible. Self-care is encouraged; one gets better by "getting up and getting going." An ability to function at a high level is valued. See relationship to audience response question.

Question 12

The nurse administers medications to a culturally diverse group of patients on a psychiatric unit. What expectation should the nurse have about pharmacokinetics?

Accepted Answer

Cytochrome enzyme systems, which vary among different cultural groups, influence the rate of metabolism of psychoactive drugs. Some genetic variations result in rapid metabolism, resulting in minimization of the therapeutic effects; others may result in poor metabolism. With slow metabolism, serum levels become high, increasing intolerable adverse effects. Current practice requires that nurses be aware of ethnic variations in drug metabolism and monitor for unwanted adverse effects. Renal function influences elimination of psychotropic medication; hepatic function influences metabolism rates. Information about medication is important but does not apply to pharmacokinetics.

Question 13

A nurse begins work in an agency that provides care to members of a minority ethnic population. The nurse will be better able to demonstrate cultural competence after doing which of the following?

Accepted Answer

Cultural competence is dependent on understanding the beliefs and values of members of a different culture. A nurse who works with an individual or group of a culture different from his or her own must be open to learning about the culture. The other options have little to do with cultural competence or represent only a portion of the answer.

Question 14

MATCHING
Match the culture-bound syndrome with the patient most likely to experience it. A cultural heritage may be used for more than one syndrome.
Patient's Cultural Heritage

-Ataque de nervios

Accepted Answer

Ataque de nervios is commonly seen in Latin American cultures.

Answer: A and D
 Navajo and Chinese cultures both have their own unique culture-bound syndromes, but neither is specifically associated with ataque de nervios.

Answer: B
 Korean culture does not have its own distinctive culture-bound syndrome, but rather shares many similarities with other East Asian cultures.

Answer: E
 Vietnamese culture does not have its own distinctive culture-bound syndrome, but rather shares many similarities with other Southeast Asian cultures.

Question 15

MATCHING
Match the culture-bound syndrome with the patient most likely to experience it. A cultural heritage may be used for more than one syndrome.
Patient's Cultural Heritage

-Ghost sickness

Accepted Answer

Ghost sickness is a culture-bound syndrome associated with Native American tribes, including the Navajo, characterized by a preoccupation with death and the deceased.

Question 16

A Vietnamese patient's family reports that the patient has wind illness. Which menu selection will be most helpful for this patient?

Accepted Answer

Wind illness is a culture-bound syndrome found in the Chinese and Vietnamese population. It is characterized by a fear of cold, wind, or drafts. It is treated by keeping very warm and avoiding foods, drinks, and herbs that are cold. Warm broth would be most in sync with the patient's culture and provide the most comfort. The distracters are cold foods.

Quiz 7: Cultural Implications for Psychiatric Mental Health Nursing

MATCHING Match the culture-bound syndrome with the patient most likely to experience it. A cultural heritage may be used for more than one syndrome. Patient's Cultural Heritage -Wind illness

A nurse cares for a first-generation Canadian whose family emigrated from Germany. Which world view about the source of knowledge would this patient likely have?

MATCHING Match the culture-bound syndrome with the patient most likely to experience it. A cultural heritage may be used for more than one syndrome. Patient's Cultural Heritage -Susto

The nurse should be particularly alert to somatization of psychological distress among patients whose cultural beliefs include which of the following? (select all that apply)

A nurse prepares to assess a newly hospitalized patient who moved to Canada 6 months ago from Somalia. The nurse should first determine which of the following?

MATCHING Match the culture-bound syndrome with the patient most likely to experience it. A cultural heritage may be used for more than one syndrome. Patient's Cultural Heritage -Hwa-Byung

Why is the study of culture so important for psychiatric nurses in Canada? Select all that apply.

Which questions should the nurse ask to determine an individual's world view? Select all that apply.

A Mexican Canadian patient puts a picture of the Virgin Mary on the bedside table. What is the nurse's best action?

A patient who has been hospitalized for 3 days with a serious mental illness says, "I've got to get out of here and back to my job. I get 60 to 80 messages a day, and I'm getting behind on my email correspondence." What is this patient's perspective about health and illness?

The nurse administers medications to a culturally diverse group of patients on a psychiatric unit. What expectation should the nurse have about pharmacokinetics?

A nurse begins work in an agency that provides care to members of a minority ethnic population. The nurse will be better able to demonstrate cultural competence after doing which of the following?

MATCHING Match the culture-bound syndrome with the patient most likely to experience it. A cultural heritage may be used for more than one syndrome. Patient's Cultural Heritage -Ataque de nervios

MATCHING Match the culture-bound syndrome with the patient most likely to experience it. A cultural heritage may be used for more than one syndrome. Patient's Cultural Heritage -Ghost sickness

A Vietnamese patient's family reports that the patient has wind illness. Which menu selection will be most helpful for this patient?