Nokea
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.
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Genetics have been shown to play which of the following roles in a person's mental and emotional health?
- A. Several mental disorders appear to run in families.
- B. Specific genes have been linked to certain mental disorders.
- C. Biologic factors can be modified to change the influence on emotional health.
- D. Psychiatric treatment is effective regardless of an individual's biologic influences.
Correct Answer: A
Rationale: Although specific genetic links have not been identified for several mental disorders, research has shown that disorders like bipolar disorder, major depression, and alcoholism tend to appear more frequently in families.
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.
The nurse is preparing to conduct an admission assessment interview with a Mexican American client. During the interview, the nurse should respect the client's culture through which behavior?
- A. Greet the client with a hug.
- B. Encourage direct eye contact during questioning
- C. Prohibiting the next of kin to remain present
- D. Introduce self with a handshake
Correct Answer: D
Rationale: A handshake is a polite and culturally appropriate greeting for Mexican American clients.
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.
Females from which of the following cultures are most likely to be expected to move in with husband's family?
- A. African Americans
- B. Mexican Americans
- C. South Asians
- D. Haitians
Correct Answer: C
Rationale: South Asian culture often expects daughters to move in with the husband's family.