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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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After teaching a group of students about the beliefs associated with the major religions, the instructor determines that additional teaching is needed when the students identify which belief as associated with Confucianism?
- A. People are born good.
- B. People are assigned to castes.
- C. Authority figures are respected.
- D. Self-responsibility leads to improvement.
Correct Answer: B
Rationale: Confucianism emphasizes virtues like respect for authority, self-responsibility, and the belief that people are born with the potential for goodness. Assigning people to castes is associated with Hinduism, indicating a misunderstanding.
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 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 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.
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.