A nurse is preparing a presentation about mental health problems associated with specific cultural groups. When describing mental health problems associated with Asian Americans, Polynesians, and Pacific Islanders, the nurse would address high rates of which of the following?
- A. Schizophrenia
- B. Manic disorders
- C. Dementia
- D. Suicide
Correct Answer: D
Rationale: Asian Americans, Polynesians, and Pacific Islanders have been identified as having higher rates of suicide, often linked to cultural stressors like stigma, family expectations, and barriers to mental health care access.
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A nursing instructor is preparing a class about rural cultures and the influence on mental health problems. Which of the following would the instructor include as impacting the use of mental health services for this group?
- A. Limited access to care
- B. Lack of available resources
- C. Geographical similarities
- D. Diverse cultural groups
- E. Consistency in treatment approaches
Correct Answer: A,B
Rationale: Rural populations face barriers to mental health services, including limited access to care and lack of available resources, due to geographic isolation and fewer healthcare facilities.
A psychiatric-mental health nurse is teaching a class about social factors associated with mental illness at a community health center. When describing the influence of poverty and effects of the downward economic spiral on mental health, which population would the nurse identify as being the most at risk?
- A. Older adults
- B. Individuals with physical disabilities
- C. Single-parent families
- D. Homeless individuals
Correct Answer: D
Rationale: Homeless individuals are most at risk in the downward economic spiral, as poverty exacerbates mental health issues, and lack of stable housing amplifies feelings of powerlessness and isolation, worsening mental health outcomes.
After teaching a group of students about the beliefs associated with the major religions, the instructor determines that additional teaching is needed when the students identify which belief as associated with Confucianism?
- A. People are born good.
- B. People are assigned to castes.
- C. Authority figures are respected.
- D. Self-responsibility leads to improvement.
Correct Answer: B
Rationale: Confucianism emphasizes virtues like respect for authority, self-responsibility, and the belief that people are born with the potential for goodness. Assigning people to castes is associated with Hinduism, indicating a misunderstanding.
After reviewing the major beliefs of Hinduism, a nursing student identifies the following castes. The student demonstrates understanding by identifying which of the following as the highest caste?
- A. Kshatriyas
- B. Vaisyas
- C. Brahmans
- D. Untouchables
Correct Answer: C
Rationale: In Hinduism, the caste system places Brahmans (priests and scholars) as the highest caste, followed by Kshatriyas (warriors and rulers), Vaisyas (merchants and farmers), and others, with Untouchables outside the traditional caste hierarchy.
The nurse is doing an assessment interview of a patient. During the interview, the patient comments, Our people are connected with nature. Our seasons, and our weather they all have many lessons to teach us. The nurse interprets the patient?s statement as an expression of which of the following?
- A. Religiousness
- B. Tribal law
- C. Spirituality
- D. Ecological values
Correct Answer: C
Rationale: The patient?s statement reflects a spiritual connection to nature, emphasizing a broader sense of meaning and interconnectedness, which is characteristic of spirituality rather than religiousness, tribal law, or ecological values alone.
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