Psych - Videbeck Ch 7

When providing care for a cognitively impaired client who is strongly tied to the client's culture of origin, the nurse supports these expectations by doing what?

Including family when discussing new medication treatment options

Which stage of Erikson's psychosocial development includes building confidence in one's own abilities?

Industry versus inferiority

A nurse receives feedback from a colleague that the nurse tends to maintain direct eye contact while speaking to clients. Which client may interpret this nonverbal communication as disrespectful?

South Asians

A nurse is providing education to a Spanish-speaking Hispanic client who has obsessive-compulsive disorder. Which nursing action indicates culturally appropriate care?

Speak to the client using an interpreter.

Children of parents who abused alcohol and substances are able to develop self-esteem and self-efficacy by developing which characteristics?

Resilience

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."

A nurse is caring for a Native American client who has come to the clinic reporting nausea, vomiting, and severe headache. The client states that the Shaman has been giving her herbal treatments that have been helping. Which statements by the nurse are appropriate in this situation? Select all that apply.

"Tell me more about these herbal treatments." "You need to let the health care provider know about the herbal treatments you have been using." "How often have you been taking these herbal treatments?"

Which statement made by the client demonstrates hardiness when faced with a health issue?

"What do I need to do to manage this illness?"

A nurse is teaching a class on culture in healthcare to a group of nursing students. Which scenario discussed by the nurse demonstrates the concept of acculturation?

A Japanese family immigrated to another country 15 years ago and have now adopted some aspects of that country's culture.

The nurse wants to ensure culturally competent care to a Black American who was born and raised on a Caribbean-speaking island. The nurse considers that a client from this culture may hold values and beliefs consistent with what?

A spiritual approach and the use of rituals

For a client who belongs to an ethnic group that is known to have poor metabolism of psychotropic medications, the nurse should anticipate that the client may be at risk for which problem?

Adverse drug effects

Which culture would the nurse expect to be disproportionately diagnosed as having schizophrenia when compared to other groups?

African American

The nurse working in the psychiatric unit observes that the African American clients experience more side effects from psychotropic drugs compared to the White clients. This is most likely for which reason?

African Americans metabolize psychotropic drugs more slowly.

The nurse is assessing a client who has come in for a routine check-up. What factors should the nurse assess that could directly impair the client's ability to cope with illness? Select all that apply.

Amount of sleep Nutritional status Existence of chronic illness Involvement in social activities

The nurse should anticipate that an individual's culture will have the most significant influence on which situation?

An Arab American has begun grieving because her husband of several decades has just died.

Which culture is more comfortable at distances greater than 2 or 3 feet?

Asian

Which culture would the nurse expect to have extremely low utilization of mental health services?

Asian

The nurse who is preparing a Native American client for surgery notes that the client is wearing a medicine bag. What intervention should the nurse implement to best address the client's spiritual needs with respect to presurgical care needs?

Ask the client how the medicine bag can be respected while preparing for surgery.

An occupational health nurse is asked to see an employee who follows the Muslim faith. The client has been referred to the nurse because the client appears lethargic and has been noted to skip having lunch with other employees as the client had done formerly. Which step should the culturally competent nurse take next?

Ask the client if the client is participating in a religious or cultural ritual.

Which approach to care best reflects cultural competence?

Assess the culturally mediated beliefs of each client on an individual basis.

A nurse is caring for a client from an Asian culture. Which action by the nurse reflects cultural competence?

Avoid eye contact with the client and family.

A nurse who provides care in a large, inner-city hospital is aware of the large influence of culture on health. The nurse recognizes that culture is best understood as a shared system that encompasses what?

Beliefs, values, and behavioral traditions

The nurse correctly differentiates race from ethnicity by noting that race is based on which characteristics?

Biological

Which is the primary religion of Cambodians?

Buddhism

A nurse is preparing an educational program identifying the major barriers experienced by culturally diverse populations when accessing mental health services. Which information should the nurse include? (Select all that apply.)

Client and health care provider do not share a common language Health care beliefs are not shared by both client and health care provider Group value systems are not mutually accepted

A nurse is assessing a client who immigrated from Russia. During the psychosocial assessment, the client describes himself as "sick." Which sign or symptom is most likely causing the client to feel this way?

Constipation.

Which component of hardiness encompasses the ability to make appropriate decisions in life activities?

Control

Which represents the best brief definition of culture?

Culture is shared attitudes, customs, and beliefs.

A culturally competent nurse can identify that some cultural and ethnic groups feel that mental illness is caused by what?

Disruption of harmony

An elderly client in the hospital has not had a bowel movement for 3 days and the nurse planned to give the client a stool softener this morning. The client declined the medication, however, stating that the client's spouse will be bringing the client a herbal medication later in the day that is often used by members of their ethnic group. Which reaction demonstrates cultural care accommodation/negotiation?

Documenting the client's wishes and informing the client's care team what the client will be taking

A nurse is aware that which of these represents a biochemical variation that may exist between clients of different cultures?

Drug metabolism

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

Personal space and distance is a cultural perspective that can impact nurse-client interactions. What is the best way for the nurse to interact physically with a client who has a different cultural perspective on space and distance than the client?

Explain that physical contact is necessary and ask about the client's cultural personal space preferences.

A psychiatric-mental health nurse is reading a journal article about different cultural groups in the United States. The nurse demonstrates understanding of this information by identifying which group as the largest minority in the United States?

Hispanic Americans

The nurse is assessing a client and finds that the client has very low self-esteem. According to Erikson's stage of psychosocial development, this behavior may be an indication of failure in which stage?

Industry vs. inferiority (school age)

Why is understanding a client's cultural context important to a psychiatric mental health nurse?

It influences perceptions of health and illness.

The nurse is caring for a client who immigrated from Cambodia. What might the client perceive as the cause of the client's mental illness?

Khmer Rouge brutalities

The nurse is assessing a client who recently immigrated to the United States. The client is experiencing a high level of stress and reports that nobody in the workplace is willing to work with or talk to the client. What is the most likely cause of stress in the client?

Low sense of belonging

Which stage of psychosocial development involves establishing the next generation?

Middle adult

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?

Native American

According to Purnell's model of cultural competence, which would not be included as a primary cultural characteristic?

Occupation

A female nurse is conducting a family assessment of a Hispanic client. When the nurse asks questions about family problems, the nurse notices that the client is reluctant to answer. A possible cause for this behavior is that some members of the Hispanic culture believe what?

Personal matters are considered to be family problems.

A female nurse enters the room of a male Cambodian client who is about to undergo a procedure. When the nurse tries to apply cardiac monitoring leads to the client's chest, the client recoils and makes a disapproving facial expression. Which explains the client's reaction to the nurse's actions?

Politeness is highly valued in the Cambodian culture

A psychiatric-mental health nurse is assessing an Asian American client. The nurse suspects the client may be experiencing neurasthenia. Which finding would support the nurse's suspicion? Select all that apply.

Poor concentration Memory loss Sleep problems

A Haitian American client has a history of not keeping follow-up appointments for necessary lab work. What intervention should the nurse implement to help the client keep the appointments?

Provide an explanation about the importance of keeping the appointment

A Native American client discusses cultural beliefs with the nurse providing care. In order to recognize any negative feelings or stereotypes the nurse has, which should the nurse do to ensure culturally competent nursing care can be provided?

Reflect on how the client's beliefs may have similarities and differences from the nurse's own culture.

The nurse is scheduled to begin a clinical rotation at an outpatient mental health clinic that is in a neighborhood with a large number of Asian residents. Since the nurse does not share this cultural background with the potential clients, which is the best way for the nurse to ensure cultural sensitivity in this setting?

Reflect on, analyze, and foster awareness of the nurse's own culture

Which nonverbal cue should the nurse be especially alert for when caring for a Filipino client?

Relying on facial expressions to convey various emotions

Evaluating the cultural practices of others according to the nurse's own culture can be counteracted by the nurse's use of which practice?

Self-assessment

When conducting an assessment with a client from another country, what can a nurse do to ensure the client receives culturally sensitive care?

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

In which culture is touch uncommon and loudness considered disrespectful?

South Asian women

On assessment, the nurse finds that the client demonstrates low hardiness. Which can the nurse anticipate regarding the client based on this observation? Choose the best answer.

The client has difficulty in problem solving under stress.

The nurse is assessing a client of Middle Eastern descent. The nurse finds that the client is standing at a distance of approximately 1.5 feet while speaking to the nurse. What should the nurse interpret from this behavior?

The client is behaving in a manner that is culturally acceptable.

The nurse is assessing executives in the corporate sector. Which characteristic of the executives would indicate a higher hardiness? Choose the best answer.

The executive has high stress and is more resistant to illnesses.

All except which problem stem from attitudes in which the focus is on the nurse's beliefs and values rather than those of the client?

Treating the client as a source of cultural information

In which culture is autonomy utilized in making health care decisions?

Western

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?

acculturation

Which factor has the greatest impact on a person's ability to cope with illness? All of the following impair a person's ability to cope except:

age

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?

clarify own spiritual values and beliefs before exploring clients' beliefs

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?

feeling a connection to a higher power

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?

linguistic competence

When an Arabic client newly diagnosed with type 2 diabetes is insistent that the client's family provide all food, the nurse initially ...

provides the client and the client's family with detailed instructions with the dietary requirements of the condition.

When a nurse tells a coworker that an Asian client probably did not want any pain medication because "Asian women typically are stoic," the nurse is expressing a belief known as ...

stereotype.