Nokea
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.
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A psychiatric-mental health nurse is working with a patient who is being treated for depression. Which patient statement would indicate that her spirituality is intact?
- A. My church friends came to visit me this past Sunday afternoon.
- B. Nothing will ever be the same again; my life is not worth living.
- C. I know I am as well off as I can be under the circumstances.
- D. I know God must be punishing me for all my sins.
Correct Answer: C
Rationale: An intact spirituality is reflected in a sense of acceptance and resilience, as shown in the statement about being as well off as possible under the circumstances, indicating hope and meaning despite challenges.
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.
A psychiatric-mental health nurse is providing care to a patient who has recently emigrated to the United States from Eastern Europe. Which of the following would be least effective in providing culturally competent care?
- A. Demonstrating a genuine interest in the patient
- B. Avoiding assumptions about the patient?s culture
- C. Speaking to the patient in his native language.
- D. Acquiring information about the patient?s country.
Correct Answer: C
Rationale: Speaking in the patient?s native language without fluency or cultural context can lead to miscommunication and is less effective than demonstrating interest, avoiding assumptions, and learning about the patient?s cultural background.
During an assessment, the patient states, We rely on our large extensive family for moral support and help and we treat our elders with a great deal of respect. If someone gets sick, the family takes care of him. The nurse interprets this as indicating which of the following?
- A. Acculturation
- B. Cultural identity
- C. Cultural competence
- D. Linguistic competence
Correct Answer: B
Rationale: The patient?s statement reflects cultural identity, emphasizing family-oriented values, respect for elders, and collective caregiving, which are central to their cultural beliefs and practices.
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.