NUR210CH06

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TomWruble
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199678
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NUR210CH06
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2013-03-17 12:15:20
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nur210e1 Cultural Implications Psychiatric Mental Health Nursing
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Cultural Implications for Psychiatric Mental Health Nursing
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  1. Which statement best explains the term "worldview"? 

    A. Beliefs and values held by people of a given culture about what are good, right, and normal.
    B. Cultural norms about how, when, and to whom illness symptoms may be displayed.
    C. Valuing one's beliefs and customs over those of another group.
    D. Ideas derived from the major health care system of the culture about what causes illness.
    A. Beliefs and values held by people of a given culture about what are good, right, and normal.

    A world view is a system of thinking about how the world works and how people should behave in the world and towards each other. It is from this view that people develop beliefs, values and the practices that guide their lives. Text page: 102
    (this multiple choice question has been scrambled)
  2. Cultures develop norms to be consistent with their worldview and to adapt to their historical experience and the influences of the "outside" world. When members of a group are introduced to the culture's worldview, beliefs, values, and practices, it is called 

    A. enmeshment.
    B. ethnocentrism.
    C. enculturation.
    D. cultural encounters.
    C. enculturation.

     Members of the group are introduced to the culture's worldview, beliefs, values, and practices in a process called enculturation. Text page: 106
    (this multiple choice question has been scrambled)
  3. Exclusive use of Western psychological theories by nurses making client assessments will result in 

    A. greater ease in selecting appropriate treatment interventions.
    B. inadequate assessment of clients of diverse cultures.
    C. a high level of care for all clients.
    D. standardizing nomenclature for psychiatric disorders.
    B. inadequate assessment of clients of diverse cultures.
    (this multiple choice question has been scrambled)
  4. Clients of another culture are at greatest risk for misdiagnosis of a psychiatric problem because of 

    A. biased assessment tools.
    B. insensitive practitioners.
    C. culturally insensitive interviewing techniques.
    D. lack of the availability of cultural translators.
    C. culturally insensitive interviewing techniques.

    Inaccurate information or insufficient information may be obtained when the interviewer is not culturally sensitive. Only when assessment data are accurate can effective treatment be planned. Text page: 109
    (this multiple choice question has been scrambled)
  5. People with an indigenous worldview 

    A. view self as an extension of cosmic energy that is repeatedly reborn.
    B. see themselves as spiritual and believe they are linked with all other living things.
    C. focus on articulation of individual needs and ideas.
    D. are concerned with being part of a harmonious community.
    D. are concerned with being part of a harmonious community.

    Clients with an indigenous worldview are interested in connectedness and being in harmony with others. They are little interested in personal goals and autonomy. Text page: 105
    (this multiple choice question has been scrambled)
  6. Deviance from cultural expectations is considered by members within the cultural group as 

    A. lack of self-will.
    B. illness.
    C. hostility.
    D. variation from tradition.
    B. illness.

    Deviance from cultural expectations is considered, by others within the culture to be a problem and is frequently defined by the cultural group as "illness". Text page: 106
    (this multiple choice question has been scrambled)
  7. The Eastern worldview can be identified by the belief that: 

    A. Time waits for no one
    B. One's identify is found in individuality
    C. Holds responsibility to family as central
    D. Disease is a lack of harmony with the environment
    C. Holds responsibility to family as central

    The eastern traditional worldview is sociocentric. Individuals experience their self-hood and their lives as part of an interdependent web of relationships and expectations. Text page: 104
    (this multiple choice question has been scrambled)
  8. When assessing and planning treatment for a client who has recently arrived in the United States from China, the nurse should be alert to the possibility that the client's explanatory model for his illness reflects 

    A. imbalance.
    B. inheritance.
    C. supernatural causes.
    D. negative forces.
    A. imbalance.

    Many Eastern cultures explain illness as a function of imbalance. Text page: 10
    (this multiple choice question has been scrambled)
  9. The psychiatric mental health nurse working with depressed clients of the Eastern culture must realize that a useful outcome criterion might be if client reports 

    A. disruption of energy balance.
    B. increased somatic expressions of distress.
    C. increased anxiety.
    D. appeasement of spirits.
    D. appeasement of spirits.

    Appeasement of spirits might be a viable outcome criterion if the client believes the illness was caused by angry spirits. In each of the other options useful outcomes would be decreased somatic symptoms, reinstatement of energy balance, and decreased anxiety. Text page: 109
    (this multiple choice question has been scrambled)
  10. The nurse assesses the wellness beliefs and values of a client from another culture best when asking: 

    A. "What do you think is making you ill?"
    B. "How can I help you get better?"
    C. "What do you think will make you better?"
    D. "Did you do something to cause the illness?"
    A. "What do you think is making you ill?"

    Asking the client to suggest reasons for the illness will best provide an opportunity to become familiar with general beliefs and values the client holds regarding his wellness. Text page: 113
    (this multiple choice question has been scrambled)
  11. Which assessment question would produce data that would help a nurse understand healing options acceptable to a client of a different culture? 

    A. "What sorts of stress are you presently experiencing?"
    B. "What usually helps people who have the same type of illness you have?"
    C. "Do you have a special person in your community who usually cures your illness?"
    D. "What questions would you like to ask about your condition?"
    B. "What usually helps people who have the same type of illness you have?"

    Asking about typical treatment seeks information about the "usual" cultural treatment of the disorder experienced by the client. Text page: 113
    (this multiple choice question has been scrambled)
  12. Data concerning client age, sex, education, and income should be the focus of an assessment in order to best understand cultural issues related to 

    A. power and control.
    B. health practices.
    C. psychological stability.
    D. assimilation and conformity.
    A. power and control.

    Power and control are often products of culturally determined beliefs about who should hold power. In many cultures the elderly are venerated. In other cultures women are virtually powerless. For some cultures, higher education equates with power. Text pages: 107, 108
    (this multiple choice question has been scrambled)
  13. The psychiatric nurse planning and implementing care for culturally diverse clients should understand 

    A. holistic theory.
    B. adaptation theory.
    C. systems theory.
    D. political power theory.
    A. holistic theory.

    n most cultures a holistic perspective prevails, one without separation of mind and body. Text page: 104 and 108
    (this multiple choice question has been scrambled)
  14. A second-generation Chinese-American client reports the inability to concentrate and dysphoric mood. During the assessment interview the nurse also learns that the client is responsible for his elderly parents in addition to his wife and two children. The question that would give data of least value to the assessment of family dynamics is 

    A. "Do you expect others to shun or avoid you because you are seeing a therapist?"
    B. "Are you experiencing stress associated with conforming to family expectations?"
    C. "What changes have occurred recently at work?"
    D. "Are your wife and children conforming to your expectations?"
    A. "Do you expect others to shun or avoid you because you are seeing a therapist?"

    The question about others' reaction to seeking help from a psychotherapist will not provide data about family dynamics. Text page: 104
    (this multiple choice question has been scrambled)
  15. Blacks, African Americans, Afro-Caribbean’s and Latino-Hispanic Americans run a significant risk of being misdiagnosed with AAA when the true diagnosis is BBB or CCC.
    • A) schizophrenia
    • B) bipolar disease
    • C) affective disorder

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