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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.
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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.
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.
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.
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 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.