Mental Health: chapter 3 Cultural and spiritual issues related to mental health care

The client was born and educated in Japan. The client moved to the United States two years ago. The client wears Western clothing and eats fast food. Which answer describes what the client has modeled? cross-culturalism ethnic mosaic acculturation inclusiveness

acculturation

Which question best encourages the client to disclose information that the nurse must assess to provide culturally competent care? "How do you want me to help you?" "Do you want me to contact your preacher?" "What special diet do you have?" "Which family members do you want to receive calls from?"

"How do you want me to help you?"

The nurse educator is providing education to the nursing staff regarding culturally appropriate nursing care. A nursing student asks the nurse educator to describe the concept of acculturation. Which statement by the nurse is the appropriate response? "It involves adopting aspects of a different culture in when in a new environment." "It is integrating a set of values that belong to a group or culture." "It involves identifying with a group of individuals who have culturally specific beliefs and identifies." "It is a process of completely converting to another belief system."

"It involves adopting aspects of a different culture in when in a new environment."

A nurse is caring for a client who is scheduled to receive two units of blood and antipsychotic medications. The client states that he cannot receive a blood transfusion or the medication due to religious directives. Which statement by the nurse by the nurse is appropriate in this situation? "Let's discuss some possible alternatives with your spiritual leaders to search for an acceptable solution." "Because this is a potential life or death situation, a blood transfusion will be acceptable in these circumstances." "Why does your religion forbid blood transfusions and antipsychotic medications?" "Because your doctor has ordered this blood transfusion, it is acceptable to proceed with it."

"Let's discuss some possible alternatives with your spiritual leaders to search for an acceptable solution."

A nurse is teaching a class on the differences between religion and spirituality. Which statement by the student nurse indicates an understanding of this topic? "Religion is the belief in a higher power." "Religion is expressed by participating in church rites and ceremonies." "An example of spirituality is involvement with a group of people with similar beliefs." "One way to demonstrate spirituality is to offer confession to a priest."

"Religion is expressed by participating in church rites and ceremonies."

A nursing instructor is teaching about the importance of including spirituality in client care. The instructor realizes a need for further instruction when a student states which of the following? "Spirituality is different from religion." "Spirituality is the same as religion." "Not every person who professes to be spiritual is religious." "Spirituality may exist within, but is ultimately apart from a single person."

"Spirituality is the same as religion."

A nurse is caring for a client who has paranoid schizophrenia and is refusing to take medications due to religious beliefs. Which question is most important for the nurse to ask? "How long has it been since you have had your medication?" "Would you like to see an improvement in your symptoms?" "Why can you not take your medications?" "What are your religious beliefs about taking medication?"

"What are your religious beliefs about taking medication?"

What does the nursing instructor tell the students that research has validated about the effects of religion and spirituality on clients? A negative relationship between religiosity and good physical and mental health exists. A positive relationship between religiosity and good physical and mental health exists. Religion has been reported to slow the remission of depression. Religion cannot enhance well-being.

A positive relationship between religiosity and good physical and mental health exists.

A group of nurses are reviewing information about the major religions. The group demonstrates understanding of the information when they identify which of the following as the supreme god of Hinduism? Brahma Vishnu Shiva Krishna

Brahma

When describing the caste system associated with Hinduism, which of the following would be identified as the highest caste? Brahmans Kshatriyas Vaisya Sudra

Brahmans

A client is using prayer to assist in relieving stress. The use of prayer allows the client to ... Cope Understand Plan Recover

Cope

A psychiatric-mental health nurse is interviewing a client who has come to the clinic for an evaluation of depressive symptoms. The client states, "Life must be studied and analyzed systematically to truly understand and practice it. We can't rely on superstition." The nurse interprets this statement as reflecting which belief form? Atheism Maoism Scientism Agnosticism

Scientism

One important component of a definition of spirituality is which of the following? The belief in eternal life The belief in God The belief in a power apart from one's own existence The connection between spirituality and religion

The belief in a power apart from one's own existence

Which factor would be the most influential in determining a client's response to a particular stressor? The client's experience with stress The client's perception of the stressor The duration of the stressor The severity of the stressor

The client's perception of the stressor

The nurse educator is discussing spirituality for nurses in a mental health class. The nurse educator asks a student nurse, "Which of the following is most consistent with spirituality?" The student nurse identifies which description? closely intertwined with beliefs about health and mental illness living according to one's beliefs participation in common ways of worshiping feeling a connection to a higher power

feeling a connection to a higher power

A nurse is reviewing information about mental health, mental illness, and suicide in rural cultures. What would the nurse identify as the most common method of suicide in this group? firearms hanging overdose jumping

firearms

When describing the concept of cultural competence to a group of nursing students, the nursing instructor identifies what as a first step? understanding the client's cultural beliefs recognizing one's own culture developing linguistic competence identifying the client's culture

recognizing one's own culture

In order to help preserve and maintain a client's cultural belief regarding the need for "hot foods," which action should the culturally competent nurse take? Educate the staff to help them assist the client in selecting food choices from the client's menu that supports this belief Discuss the possibility of the family providing the appropriate foods Ask for a dietary consult with an understanding of the "hot and cold food" belief Assure the client that these needs will be considered by the staff

Educate the staff to help them assist the client in selecting food choices from the client's menu that supports this belief

A hospital client's family has approached the nurse and explained that the client would like a healer from his ethnic group to visit him. How should the nurse follow up this request? Facilitate a visit by the healer Encourage the family to meet with the hospital's chaplain Assess why the client has this particular need Teach the family about the rationale for the client's current plan of care

Facilitate a visit by the healer

The nurse is taking care of a client from a culture different from the nurse's culture. How might the nurse best provide culturally competent care? Behave as appropriate for the nurse's culture. Find out as much as possible about a client's cultural values, beliefs, and health practices. Know what to expect from many cultural groups. Validate knowledge about culture through continuing education.

Find out as much as possible about a client's cultural values, beliefs, and health practices

Beliefs about the causes of pain and illness vary among cultures. In the United States (Western culture), pain and illness are generally attributed to what? Economic class Psychological influences Physiologic causes Sociocultural factors

Physiologic causes

A nursing student recognizes which of the following as a powerful form of spiritual coping that also helps people both physically and mentally? Medication Prayer Dietary treatments Acupuncture

Prayer

A psychiatric-mental health nurse is assessing an older adult who immigrated to the United States from Vietnam several decades ago. The client's granddaughter brought the client to the community health center for an evaluation after many years of erratic behavior. Assessment reveals that the client follows Taoism. Which information about the client's beliefs would the nurse need to integrate into the client's plan of care? Select all that apply. Quiet and happy harmony is a major belief. Humility is considered an important valued virtue. Reverence for ancestors is emphasized. Love, not fear, is the basis for worshiping God. Pleasing the spirits is important for living.

Quiet and happy harmony is a major belief. Humility is considered an important valued virtue.

The nurse educator is talking about beliefs of different cultures and asks the student nurse, "Which culture would the nurse expect to view mental illness as an imbalance between body, mind, and spirit?" Which culture does the student nurse choose? Asian Native American Black American Hispanic

Native American

Which culture most emphasizes respect and reverence for the earth and nature? Native Americans Asian Americans Hispanic Americans Black Americans

Native Americans

Which scenario conveys the application of cultural competence in the provision of nursing care? A new nurse has a client who speaks Spanish; the nurse has asked a Hispanic colleague to tell the new nurse about the culture, ideas for care, and how cultural beliefs might influence the client's response to health care interventions. An experienced nurse states during a nursing report meeting, "I just don't feel it is appropriate to allow the client to attend Mass when everyone else has to stay here." The nurse has independently formed a prayer group on the unit for all clients who are Catholic. The nurse has begun a client teaching group entitled "Understanding Your Medications."

A new nurse has a client who speaks Spanish; the nurse has asked a Hispanic colleague to tell the new nurse about the culture, ideas for care, and how cultural beliefs might influence the client's response to health care interventions.

A client who recently immigrated from Eastern Europe comes to the clinic for an evaluation. During the assessment, the nurse notes that the client has adopted the local area's mannerisms and dress. The nurse interprets this as what? Acculturation Cultural identity Linguistic competence Cultural competence

Acculturation

Mr. Sangha emigrated from India 20 years ago and sponsored his father and mother to come to the United States 14 years ago. One of Mr. Sangha's major stressors is liaising between his children, who have become "Americanized," and his parents, who have been minimally influenced by American culture. What term best describes this process of cultural change and adaptation? Transculturalization Cultural shift Acculturation Ethnodynamism

Acculturation

A nurse is caring for a Native American client who has been admitted to the unit for new onset of diabetes mellitus. The client will not agree to any treatments until the local Shaman is present. Which action by the nurse is appropriate in this situation? Discuss with the client the right to refuse any medication or treatment. Explain that the Shaman is not a healthcare provider and cannot be included in treatment discussions. Arrange for the client's Shaman to come to the unit and meet with the client and healthcare providers. Explain to the client that confidentiality policies do not allow for a meeting with the client's Shaman.

Arrange for the client's Shaman to come to the unit and meet with the client and healthcare providers.

A group of nursing students is reviewing information about the world's major religions and beliefs. The students demonstrate understanding of the information when they identify "desire" as the cause of all human suffering as a belief of which of the following religions? Buddhism Hinduism Confucianism Islam

Buddhism

A nurse is gathering information regarding discharging a client and documenting the client's support system. Which are Family factors in family support? Commitment and caring Concerned and inquisitive Cautious of commitment Available only at discharge

Commitment and caring

The nurse is taking care of clients in a large metropolitan city. Which cultural phenomenon should be assessed by the nurse that includes preference such as touch and eye contact? Communication Social organization Environmental control Biologic variations

Communication

A nurse is describing the experience of suffering within a cultural group and refers to this as which of the following? Cultural idiom of distress Cultural explanation Linguistic competence Acculturation

Cultural idiom of distress

Which represents the best brief definition of culture? Culture refers to a person's racial background. Culture refers to a person's religious beliefs. Culture is shared attitudes, customs, and beliefs. Culture is a society's social norms.

Culture is shared attitudes, customs, and beliefs.

Which group is at most risk for being unable to escape the spiral of poverty? Homeless people Unemployed people People with physical disabilities Unmarried people

Homeless people

A psychiatric-mental health nurse is reviewing the medical record of a Korean American client which reveals that the client suffers from a culture-bound syndrome. Which syndrome would the nurse most likely note? Neurasthenia Hwa-byung Susto Ataque de nervios

Hwa-byung

Which of the following is an inaccurate statement with regard to cultural competence and mental health? Interventions need to work for various groups, not individuals. A nurse should demonstrate a thorough interest in and respect for the individual. It is important to conduct a thorough social and cultural assessment. Nurses should not assume that all individuals of a racial or ethnic group are the same.

Interventions need to work for various groups, not individuals.

A psychiatric-mental health nurse is working at a clinic that serves a large Middle Eastern population. To ensure that the nurse incorporates appropriate spiritual interventions in the clients' plans of care, the beliefs associated with which religion would be most important for the nurse to keep in mind? Select all that apply. Islam Hinduism Buddhism Shintoism Taoism

Islam Hinduism Buddhism

In Western societies, which religious background heavily influences thinking? Judeo-Christian beliefs Islam Buddhism Hinduism

Judeo-Christian beliefs

When conducting an assessment with a client from another country, what can a nurse do to ensure the client receives culturally sensitive care? After the focused assessment, decide if a cultural assessment is necessary. Show genuine interest in the client's culture and personal life experiences. Develop a plan of care after talking to the client's family. Develop a plan of care based on the nurse's own knowledge of a client's culture.

Show genuine interest in the client's culture and personal life experiences.

A client, Jonas, hints that he would like to discuss his spiritual and religious beliefs with someone. What is the best nursing intervention at this point? Ask Jonas if he would like to speak with you on a daily basis; you pray daily and would be happy to include Jonas in your prayer sessions. Speak with Jonas further about his needs to assess how best to intervene. Begin meeting with Jonas as often as he likes to discuss spirituality. Tell Jonas that you would like to speak with his wife regarding her perception of his spirituality and religious needs.

Speak with Jonas further about his needs to assess how best to intervene.

The nurse is doing an assessment interview of a client. During the interview, the client comments, "Our people are connected with nature. Our world, our seasons, and our weather—they all have many lessons to teach us." The nurse interprets the client's statement as an expression of which of the following? Religiousness Tribal law Spirituality Ecological values

Spirituality

When attempting to address a client's needs holistically, the nurse must recognize that ... The spiritual client may not consider himself/herself to be a religious person All cultures place a high value on the religious component of the individual Religion is considered a source of comfort for most spiritual individuals Spiritual needs are generally met by family members or religious clergy

The spiritual client may not consider himself/herself to be a religious person

The mental health nurse is interviewing a client of Asian descent regarding the client's health care practices. The nurse understands that cultural competence is important in the care of this client. Cultural competence in health care can be best described as what? The ability to understand and effectively interact with individuals or members of a community from diverse cultural or ethnic backgrounds Knowing the characteristics of each individual cultural group in America A combination of a person's beliefs about cultural values and knowledge about his or her own culture The client's ability to tell the health care provider about his or her cultural beliefs and practices

The ability to understand and effectively interact with individuals or members of a community from diverse cultural or ethnic backgrounds

After teaching a group of nursing students about some of the major world religions, the instructor determines that the education was successful when the students identify which of the following as the sacred text of Buddhism? Tripitaka Bible Five Classics Koran

Tripitaka

What occurs when minority groups learn and adopt selective aspects of the dominant culture? acculturation cultural identity cultural competence linguistic competence

acculturation

The nurse is trying to effectively deal with the spiritual needs of a client. To best meet the client's need, what should the nurse do? have clergy come to see the client clarify own spiritual values and beliefs before exploring clients' beliefs ask the manager what to do have the healthcare provider deal with spiritual needs

clarify own spiritual values and beliefs before exploring clients' beliefs

The nurse manager is discussing religion in a staff meeting for the mental health unit. The nurse manager asks a staff nurse, "What does religion provide the client with mental health issues?" The staff nurse identifies which descriptions? Select all that apply. hope faith support value fit

hope faith support

An important part of cultural competence includes the capacity to communicate effectively and convey information that is easily understood. When providing care the nurse should know that cultural competence includes which example? dramatism linguistic competence negotiation skills cultivation analysis

linguistic competence