PSYCH CHAPTER 5 PRE AND POST TEST QUESTIONS AND NCLEX

Which question asked by a nurse demonstrates the effective implementation of cultural desire when caring for a client from a different culture? "Where can I find information on the concept of Yin-Yang?" "How do I go about arranging for a Chinese translator?" "What can I do to provide ethnic foods that are still low in fat?" "How can I explain why we can't provide for his request for acupuncture?"

"What can I do to provide ethnic foods that are still low in fat?"

According to the Western scientific view of health, what causes illness? Pathogens Energy blockage Spirit invasion Soul loss

Pathogens

Which statement made by the nurse would acknowledge that they understand the difference between the ethnicity and culture? "So, ethnicity refers to having the same life goals whereas culture refers to race." "So, ethnicity refers to norms within a culture, and culture refers to shared likes and dislikes." "So, ethnicity refers to shared history and heritage, whereas culture refers to sharing the same beliefs and values." "So, ethnicity refers to race, and culture refers to having the same worldview."

"So, ethnicity refers to shared history and heritage, whereas culture refers to sharing the same beliefs and values."

The nurse assesses the wellness beliefs and values of a client from another culture best when asking which question? "What do you think is making you ill?" "When did you first feel ill?" "How can I help you get better?" "Did you do something to cause the illness?"

"What do you think is making you ill?"

Which assessment question would produce data that would help a nurse understand healing options acceptable to a client of a different culture? "Is there someone in your community who usually cures your illness?" "What usually helps people who have the same type of illness you have?" "What questions would you like to ask about your condition?" "What sorts of stress are you presently experiencing?"

"What usually helps people who have the same type of illness you have?"

A nurse states, "I am so frustrated trying to communicate with clients when they insist on speaking in their language instead of English. I think if people want to live here, they ought to have to speak our language and act like we do!" Which response by a peer best promotes culturally competent care? You are right, but all patients do have a right to an interpreter, so you need to comply." "I agree that it is frustrating. We should work with their family members to help convince them to speak English." "They will have to learn to speak English eventually to live and work successfully in this country. Just try to be patient and encourage them to try speaking English." "What you are saying is actually considered cultural imposition, which is imposing our own culture onto someone from a different culture." "When their ability to speak and understand English is very limited, we need to have an interpreter present to make sure they can make their needs and feelings known."

"What you are saying is actually considered cultural imposition, which is imposing our own culture onto someone from a different culture." "When their ability to speak and understand English is very limited, we need to have an interpreter present to make sure they can make their needs and feelings known."

Which nursing behavior best demonstrates the concept of cultural competence? Acquiring knowledge about different cultures Educating patients about the cultural norms of the United States Adjusting personal practice to meet the patients' cultural preferences, beliefs, and practices Engaging in continuing education classes on culture in the process of becoming culturally competent

Adjusting personal practice to meet the patients' cultural preferences, beliefs, and practices

Which statement best explains the term "worldview"? Beliefs and values held by people of a given culture about what is good, right, and normal. Ideas derived from the major health care system of the culture about what causes illness. Cultural norms about how, when, and to whom illness symptoms may be displayed. Valuing one's beliefs and customs over those of another group.

Beliefs and values held by people of a given culture about what is good, right, and normal.

A recent Hispanic immigrate comes to the mental health clinic after being referred to by her primary care provider. Josefina came to live in the United States from Brazil 5 years ago. During the initial intake assessment, the client reports headaches and backaches "almost every day" and "can't sleep at night." The client looks away when asked about anxiety or depression and states, "I don't know why I was referred to the mental health clinic." Which assessment information should the nurse further explore to assess for possible somatization? Impaired sleep patterns Denial of anxiety or depression Unexplained physical pain Recent immigration to the United States

Denial of anxiety or depression

What tem is used to describe the process implemented when members of a group are introduced to the culture's worldview, beliefs, values, and practices? Acculturation. Ethnocentrism. Enculturation. Cultural encounters.

Enculturation.

In the Chinese tradition, disease is believed to be caused by what factor? Fluctuations in opposing forces Outside influences Members' disobedience Adoption of Western beliefs

Fluctuations in opposing forces

Considering mental health, what term is used to define a deviation from expectations by members of the cultural group?? Hostility Lack of self-will Variation from tradition Illness

Illness

A 52-year-old Chinese American client comes to the emergency room reporting anxiety and states, "I am a failure." During the assessment interview, the client shares that they have recently been reprimanded at work for an error they were responsible for. The nurse should explore which possible trigger for the client's anxiety and feelings of failure? The inability to achieve her personal goals in the workplace Shaming the family by being responsible for the error Feeling personally inadequate regarding dependability Traditional belief that failure may result in a changed fate

Shaming the family by being responsible for the error

Which idea held by the nurse would best promote the provision of culturally competent care? Western biomedicine is one of several established healing systems. Some individuals will profit from use of both Western and folk healing practices. Use of cultural translators will provide valuable information into health-seeking behaviors. Need for spiritual healing is a concept that crosses cultural boundaries.

Western biomedicine is one of several established healing systems.

When assessing and planning treatment for a client who has recently arrived in the United States from China, the nurse should be alert to the possibility that the client's explanatory model for his illness reflects which cultural concept? Supernatural causes Negative forces Inheritance Yin-Yang

Yin-Yang