Nokea
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).
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The nurse is assessing an Asian American patient. During the interview, the nurse determines that the patient likely follows Taoism based on which statement?
- A. Purity and balance guide all of my actions.
- B. I strive to be in happy harmony with nature.
- C. Nature?s powers must be respected in life.
- D. God is worshipped out of love, not fear.
Correct Answer: B
Rationale: Taoism emphasizes living in harmony with the Tao, or the natural order, as reflected in the statement about striving for happy harmony with nature, aligning with Taoist principles of balance and natural flow.
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.
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.
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.