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 working in a Veteran?s Administration Medical Center is meeting with a military wife who is an Asian American. The woman is to be joining a support group for wives of veterans who have posttraumatic stress syndrome. When asking her to describe her husband?s mental health problems, which response would the nurse most likely expect?
- A. Oh, he may seem depressed, but it is just a vitamin deficiency. It runs in his family.
- B. I know the war messed his mind up. He?ll never be the same.
- C. Sometimes he hallucinates that he is back in Vietnam.
- D. He just stays to himself; he never talks to me about what is bothering him.
Correct Answer: D
Rationale: Asian American cultural norms often emphasize stoicism and privacy, so the wife is likely to describe her husband?s PTSD symptoms indirectly, such as social withdrawal, rather than attributing them directly to mental health issues or dramatic symptoms like hallucinations.
The nurse is assessing an Asian American patient. During the interview, the nurse determines that the patient likely follows Taoism based on which statement?
- A. Purity and balance guide all of my actions.
- B. I strive to be in happy harmony with nature.
- C. Nature?s powers must be respected in life.
- D. God is worshipped out of love, not fear.
Correct Answer: B
Rationale: Taoism emphasizes living in harmony with the Tao, or the natural order, as reflected in the statement about striving for happy harmony with nature, aligning with Taoist principles of balance and natural flow.
During assessment, a patient tells the nurse that he follows Buddhist beliefs. The nurse would integrate understanding of which of the following when developing the patient?s plan of care?
- A. Desire is the cause of all human suffering and misery.
- B. Self-indulgence is necessary to reach nirvana.
- C. Present behavior is based on current unhappiness.
- D. Salvation is achieved through faith and humility.
Correct Answer: A
Rationale: Buddhism teaches that desire is the root of suffering, and the path to enlightenment involves overcoming desire through practices like mindfulness and detachment, which should inform the patient?s care plan.
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.
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.