Nokea
A psychiatric-mental health nurse is working on developing cultural competence. Which of the following would be most appropriate for the nurse to do?
- A. Research information about the cultures of the population being served after assessing the patients.
- B. Recognize that one?s own culture is the predominant way of addressing a patient?s health care needs.
- C. Assume that any individual of a racial or ethnic group is the same as another individual in that group.
- D. Demonstrate an appreciation of and a genuine interest in the individual and his or her cultural beliefs.
Correct Answer: D
Rationale: Cultural competence involves showing genuine interest and appreciation for an individual?s cultural beliefs, avoiding assumptions, and tailoring care to their unique cultural context, rather than prioritizing one?s own culture or stereotyping.
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A patient is being treated for prostate cancer; his prognosis is very poor. The patient has a strong faith, and he has been active in his church for many years. He is concerned about his health and the challenges he faces as his cancer progresses. Which comment by the nurse reflects the most appropriate spiritual nursing intervention for the patient?
- A. I?ll take you to visit my church if you can get a pass.
- B. You have to belong to the same church I do if you?re going to go to heaven.
- C. Would you like me to bring you a guided imagery audiotape?
- D. We can pray together if you?d like.
Correct Answer: D
Rationale: Offering to pray together respects the patient?s strong faith and provides a supportive spiritual intervention tailored to his beliefs, unlike imposing the nurse?s beliefs or offering non-spiritual interventions like guided imagery.
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.
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.
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.
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.