Unit 2 mental health

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 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.

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 statement about culture is true?

Cultural identity reflects what determines behavior.

The nurse is performing a psychosocial assessment of a client. Which behavior would indicate that the client has a high self-efficacy?

The client is extremely ambitious.

When interviewing a Native American client, the nurse avoids which behavior because it is deemed unacceptable by the client's culture?

Prolonged eye contact

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

Resilience

In which culture is touch uncommon and loudness considered disrespectful?

South Asian women

The nurse is caring for a client recently admitted to the hospital with pneumonia. After speaking with the client, the nurse notes the client believes the source of the illness is not physiological. Which statement by the client may have led the nurse to think this?

"I have been ignoring my prayers."

The nurse is caring for a Native American client. After asking the client some questions, the nurse determines that the client closely follows the Native American culture. Which request would be consistent with this culture?

"I would like to use herbs and participate in a pipe ceremony to aid in healing."

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."

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 Hinduism to nursing students. Which statements by the nursing students indicates an understanding of Hinduism? Select all that apply.

-"Each person belongs to a caste system which reflects the person's privileges." -"The Brahma is the supreme being in this religion."

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.

-"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?" -"Tell me more about these herbal treatments."

A nurse is caring for a Hispanic client in the mental health unit. What can the nurse do to promote cultural competence? Select all that apply.

-demonstrate genuine interest and respect for the client -tailor interventions to the client -do not assume that all individuals of a racial/ethnic group are the same -learn about the client's country of origin before assessing them

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.

A nurse in a multicultural community knows that to give a client meaningful spiritual care within the health care context it must be what?

Congruent with the client's beliefs

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.

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

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

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?

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

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.

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 student nurse is preparing a presentation regarding different cultures. Which definition of culture is most accurate?

Belief system that guides behavior

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

Black Americans

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

Control

Which is the primary treatment type sought in the Arab American culture?

Conventional orthodox medicine

A psychiatric-mental health nurse is working on developing cultural competence. Which would be most appropriate for the nurse to do?

Demonstrate an appreciation of, and a genuine interest in, the individual and his or her cultural beliefs.

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

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

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.

Nurses cannot learn all the variations in culturally mediated beliefs. Which approach would be most helpful when caring for clients from other cultures?

Explore the client's personal values and traditional care constructs for health and illness.

Children learn cultural characteristics as they associate with others. Which entity has the most profound influence on the development of traditional values and practices?

Family

Which action is most effective in assisting the nurse to provide culturally competent care?

Identifying one's own biases and feelings about different cultural groups

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 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 is admitting a new client to the unit. What cultural group would require that the care plan make considerations for specific prayer times during the day?

Muslim

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

What is one way in which nurses can develop cultural self-awareness?

Objectively examine personal beliefs, values, and practices.

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

Occupation

A client visits the clinic and tells the nurse about experiencing a great deal of stress on the job for the past 2 months. The nurse should instruct the client that two antecedents of the stress response are the person-environment relationship and which additional client factor?

Perception

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 South Asian client is being discharged from the hospital after knee surgery. The nurse is informing the client about the necessary follow-up appointment. Which should the nurse anticipate regarding the client's follow-up appointment?

Plan to see the client at the scheduled time, sharp.

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

The nurse in an psychiatric inpatient facility encourages clients to attend daily prayer sessions. What is the most likely reason for the nurse's action? Choose the best answer.

Prayer helps in coping with stress.

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

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

Which characteristic would be most prevalent in an individual demonstrating low self-efficacy?

Self-doubt

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.

The nurse has been asked to assess a Native American client. The nurse plans additional time to interview the client. Why has the nurse planned the additional time?

Some native Americans tend to communicate by telling long stories.

The nurse is providing care for a recent immigrant from India. When the client identifies as a member of the culture's lowest caste, what concern should the nurse address first with the client?

That medical and psychiatric care in the U.S. are not dependent on social status

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

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

Which culture is comfortable with making direct eye contact?

Western

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.