Nokea
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.
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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.
A group of nursing students are reviewing information about spirituality and religiousness. The group demonstrates understanding of these concepts when they identify religiousness as which of the following?
- A. Feeling of connectedness
- B. Way of interpreting life events
- C. Relationship with a unifying force
- D. Community participation in common worship
Correct Answer: D
Rationale: Religiousness is characterized by participation in organized religious practices, such as community worship, whereas spirituality is broader, encompassing feelings of connectedness or relationships with a unifying force.
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.
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.
When reviewing several studies about Hispanic Americans and their use of mental health care facilities, the nurse notes that this cultural group tends to use all other resources before seeking help from mental health professionals. Which of the following would the nurse identify as a reason for this belief about many mental health facilities?
- A. Require periods of hospitalization
- B. Do not provide 24-hour emergency services
- C. Are not reimbursed by third party payers
- D. Do not accommodate their cultural needs
Correct Answer: D
Rationale: Hispanic Americans often delay seeking mental health care due to cultural factors, including a preference for family, community, or traditional healers and a perception that mental health facilities do not accommodate their cultural values, such as familismo or language barriers.