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A client from which of the following cultural groups is likely to prefer closeness in personal space?
- A. Arab Americans
- B. Chinese
- C. Cubans
- D. African Americans
Correct Answer: A
Rationale: Arab Americans prefer closeness in personal space.
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A nurse is working with a Middle-Eastern client being treated for major depression. The client is expressing feelings of guilt for not being able to 'snap out of it.' A therapeutic response by the nurse would be.
- A. You have to keep trying to feel better
- B. What do you think could have caused your depression?
- C. Clinical depression is not something you have brought on yourself
- D. It will take several weeks for your medicine to start to help you feel better
Correct Answer: C
Rationale: Educating the client that depression is not self-induced addresses cultural beliefs about control over mental illness.
Beliefs about the causes of pain and illness vary among cultures. In the United States (Western culture), pain and illness are generally attributed to
- A. economic class.
- B. psychological influences.
- C. physiologic causes.
- D. sociocultural factors.
Correct Answer: C
Rationale: Americans typically attribute pain and illness to physical causes.
Direct eye contact is preferred by which of the following cultures?
- A. Native Americans
- B. Cambodians
- C. Russians
- D. Chinese
Correct Answer: C
Rationale: Russians prefer direct eye contact, unlike the other listed cultures.
The nurse considers cultural variations pertaining to a client's nonverbal communication. Which of the following is the primary rationale for considering alternative meanings of nonverbal communication?
- A. The nurse must become expert at interpreting the client's gestures.
- B. Nonverbal signs indicative of certain mental illnesses transcend cultural differences.
- C. Mental illnesses impair a client's ability to express nonverbal(messages.
- D. Nonverbal messages have different meanings in different cultures.
Correct Answer: D
Rationale: Nonverbal communication has different meanings across cultures, requiring the nurse to be aware of these variations.
Culture has the most influence on a person's health beliefs and practices. African Americans believe that the cause of mental illness occurs because of which of the following?
- A. Lack of harmony of emotions
- B. Supernatural causes
- C. Heredity
- D. Lack of spiritual balance
Correct Answer: D
Rationale: African Americans often attribute mental illness to a lack of spiritual balance.