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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.
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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.
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.
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 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.
During an interview, a patient states, God does not exist for me. The nurse interprets this statement as reflecting which of the following?
- A. Animism
- B. Agnosticism
- C. Atheism
- D. Polytheism
Correct Answer: C
Rationale: The patient?s statement denying the existence of God reflects atheism, the belief that no deities exist, as opposed to agnosticism (uncertainty about God?s existence), animism (spirits in nature), or polytheism (multiple gods).