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Culture has the most influence on a person's health beliefs and practices. African Americans believe that the cause of mental illness occurs because of which of the following?
- A. Lack of harmony of emotions
- B. Supernatural causes
- C. Heredity
- D. Lack of spiritual balance
Correct Answer: D
Rationale: African Americans often attribute mental illness to a lack of spiritual balance.
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A nurse and a client of Chinese heritage are collaborating on treatment goals. The nurse would document which of the following as the client's priority goal?
- A. The client will be free of pain and excess stress.
- B. The client will express a feeling of balance and harmony.
- C. The client will be free of physical symptoms of illness.
- D. The client will express gratefulness to God for recovery.
Correct Answer: B
Rationale: Chinese culture prioritizes health as a balance of body, mind, and spirit.
Which one of the following statements about the roles that biologic makeup plays in a client's emotional responses is most accurate?
- A. Biologic differences can affect a client's response to treatment with psychotropic drugs.
- B. Biologic differences do not affect a client's response to treatment with psychotropic drugs.
- C. Heredity and biologic factors are under voluntary control.
- D. Persons cannot change their health status and improve the ability to cope.
Correct Answer: A
Rationale: Biologic differences can affect a client's response to treatment with psychotropic drugs, influencing the efficacy and side effects of medications.
The nurse considers cultural variations pertaining to a client's nonverbal communication. Which of the following is the primary rationale for considering alternative meanings of nonverbal communication?
- A. The nurse must become expert at interpreting the client's gestures.
- B. Nonverbal signs indicative of certain mental illnesses transcend cultural differences.
- C. Mental illnesses impair a client's ability to express nonverbal(messages.
- D. Nonverbal messages have different meanings in different cultures.
Correct Answer: D
Rationale: Nonverbal communication has different meanings across cultures, requiring the nurse to be aware of these variations.
Which of the following questions best encourages the client to disclose information the nurse must assess to provide culturally competent care?
- A. How do you want me to help you?
- B. Do you want me to contact your preacher?
- C. What special dietary preferences do you have?
- D. Which family members do you want to receive calls from?
Correct Answer: A
Rationale: An open-ended question like 'How do you want me to help you?' encourages clients to share cultural values without assumptions.
Direct eye contact is preferred by which of the following cultures?
- A. Native Americans
- B. Cambodians
- C. Russians
- D. Chinese
Correct Answer: C
Rationale: Russians prefer direct eye contact, unlike the other listed cultures.