Nokea
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.
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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.
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.
During an interview, a patient states, God does not exist for me. The nurse interprets this statement as reflecting which of the following?
- A. Animism
- B. Agnosticism
- C. Atheism
- D. Polytheism
Correct Answer: C
Rationale: The patient?s statement denying the existence of God reflects atheism, the belief that no deities exist, as opposed to agnosticism (uncertainty about God?s existence), animism (spirits in nature), or polytheism (multiple gods).
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.