Nokea
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.
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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.
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.
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.
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.
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.