MH CH 7 Prep U

The nurse is caring for a client who was born and educated in southeast Asia. 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 Explanation: Acculturation is the term used to describe the socialization process by which minority groups learn and adopt selective aspects of the dominant culture.

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

Control Explanation: Control is the ability to make appropriate decisions in life activities. Commitment is active involvement in life activities. Challenge is the ability to perceive change as beneficial rather than just stressful. Change is not a component of hardiness, according to Kobasa (1979).

Which statement about culture is true?

Cultural identity reflects what determines behavior. Explanation: Cultures are dynamic and continually changing. Everyone has a cultural identity or set of cultural beliefs with which one looks for standards of behavior. Culture is not only a way of life for people who identify or associate with one another on the basis of some common purpose, need, or similarity of background, but also the totality of learned, socially transmitted beliefs, values, and behaviors that emerge from its members' interpersonal transactions. With acculturation, minority groups learn and adopt selective aspects of the dominant culture, but eventually a new minority culture evolves that is different from the native culture and also different from the dominant culture.

Which would play a role in a person's cultural identity? Select all that apply.

Health beliefs Health practices Values Norms Behavior Explanation: Everyone has a cultural identity, or set of cultural beliefs, values, and norms, with which one looks for standards of behavior. Because culture is broadly defined, many people consider themselves to have multiple cultural identities.

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

Industry versus inferiority Explanation: Industry versus inferiority includes building confidence in one's own abilities and taking pleasure in accomplishments. Initiative versus shame and doubt involves achieving a sense of control and free will. Identity versus role confusion involves formulating a sense of self and belonging. Generativity versus stagnation involves the task of establishing for the next generation.

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 Explanation: Introspection and self-analysis regarding one's own cultural background and membership in particular subcultures are important. Cultural sensitivity requires the nurse to develop awareness of his or her attitudes, beliefs, values, and communication style. This is a more effective starting place than researching or exploring other cultures prior to developing self-awareness.

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

Resilience Explanation: Resilience is having healthy responses to stressful situations or risky environments. Hardiness is the ability to resist illness when under stress. Social skills are a type of coping strategy. Tolerance is the ability to deal with increasing levels of stress in an adaptive way.

Which factor has the greatest impact on a person's ability to cope with illness?

age Explanation: A person's age seems to affect how he or she copes with illness. For instance, the age at onset of schizophrenia is a strong predictor of the prognosis of the disease. People with a younger age at onset have poorer outcomes, such as more negative signs (apathy, social isolation, and lack of volition) and less effective coping skills, than do people with a later age at onset. While the other options may exert some impact, the degree is not as profound as the affect of age.

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 Explanation: Linguistic competence, the capacity to communicate effectively and convey information that is easily understood by diverse audiences and address the health literacy needs of patients and their families, is an important part of cultural competence. Cultivation analysis, negociation skills, and dramatism is not included in examples of cultural competence.