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 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.
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.
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.
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.
Within the context of the culture of poverty, which of the following most clearly describes why individuals who are part of this culture become trapped in a downward economic spiral?
- A. Unemployment causes poverty; a lack of willpower and motivation can, in turn, cause unemployment in people who do not have a strong work ethic.
- B. Individuals lack the finances to pay rent, so they eventually do not have an address to use in filling out job applications.
- C. Characteristics of poverty (joblessness and lack of financial independence) can, in turn, contribute to attributes (feelings of powerlessness and low self-esteem) that sustain poverty.
- D. Poverty is passed on from generation to generation; individuals learn at an early age that there is no way to escape living in poverty.
Correct Answer: C
Rationale: The culture of poverty creates a cycle where joblessness and financial dependence lead to feelings of powerlessness and low self-esteem, which in turn perpetuate poverty by reducing motivation and opportunities for economic improvement.