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Several family members arrive to visit an African American client. The nurse can best meet this client's need for socialization by providing the client and family which of the following?
- A. Individual visits to provide the client with a calm environment
- B. Group gatherings and open conversation
- C. Inclusion of ritualistic health practices with the family present
- D. A spiritual healer to remove the illness and protect the family
Correct Answer: B
Rationale: African American families often provide support through animated group interactions and public affection.
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A client is actively involved in community service activities. The benefit of involvement in meaningful daily activities will most directly contribute to which of the following attributes?
- A. Self-efficacy
- B. Resilience
- C. Resourcefulness
- D. Hardiness
Correct Answer: D
Rationale: Hardiness, characterized by commitment to meaningful activities, helps individuals resist illness under stress.
Which one of the following statements is most accurate regarding the age at onset of a mental illness such as schizophrenia?
- A. Persons who are diagnosed at a younger age will more likely have a poorer outcome.
- B. Persons who are diagnosed at a younger age will more likely have a better outcome.
- C. Age at diagnosis is not related to outcomes.
- D. Younger clients have more experiences that will help them.
Correct Answer: A
Rationale: Persons who are diagnosed with schizophrenia at a younger age at onset have poorer outcomes, such as more negative signs and less effective coping skills, than do people with a later age at onset.
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.
The nurse is making a cultural assessment of a client. The most important data about a client's cultural beliefs are
- A. objective data about the culture.
- B. subjective data from the client.
- C. subjective data from the family.
- D. subjective data from society.
Correct Answer: B
Rationale: The client's own perception and description of their cultural beliefs are the most important for accurate assessment.
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.