Exam 8: Cultural Considerations for Psychiatric Mental Health Nursing

An experienced psychiatric nurse plans to begin a new job in a community-based medication clinic. The clinic sees culturally diverse patients. Which action should the nurse take first to prepare for this position?

A patient diagnosed with depression tells the nurse, "There's nothing you can do. This is a punishment. The only thing I can do is see a healer." A religious world view perspective would indicate which of the following?

A group activity on an inpatient psychiatric unit is scheduled to begin at 1000 hours. A patient, who was recently discharged from the Canadian Navy, arrives at 0945 hours. Which analysis best explains this behaviour?

When caring for a patient of Western culture, the nurse is aware that the personal space of this patient is which of the following?

The nurse administers medications to a culturally diverse group of patients on a psychiatric unit. What expectation should the nurse have about pharmacokinetics?

A patient of Asian descent has a diagnosis of depression. A colleague tells the nurse, "This patient often looks down and is reluctant to share feelings. However, I've observed the patient spontaneously interacting with other black patients." Select the nurse's best response.

The nurse should be particularly alert to somatization of psychological distress among patients whose cultural beliefs include which of the following?

When completing an admission assessment on a patient with a diagnosis of depression, the nurse discovers that the patient is taking an herb that is believed to treat depression in their culture but is contraindicated with the pharmacological treatment the patient is receiving. What is the nurses' initial action?

Which intervention best demonstrates that a nurse correctly understands the cultural needs of a hospitalized Asian Canadian patient diagnosed with a mental illness?

To provide culturally competent care, the nurse should do which of the following?

A First Nations patient describes a difficult childhood and dropping out of high school. The patient used many recreational substances as a teenager to escape feelings of isolation but stopped 13 years ago. The patient now says, "I feel stupid. I've never had a good job. There is nothing that I am good enough at doing to be able to work." Which nursing diagnosis applies?

Which world view is predominant in Western culture?

A nurse cares for a first-generation Canadian whose family emigrated from Germany. Which world view about the source of knowledge would this patient likely have?

The nurse knows that the blueprint for guiding actions that impact care, health, and well-being is which of the following?

A nurse prepares to teach important medication information to a patient of Middle Eastern descent. How should the nurse manage the teaching environment?

A nurse begins work in an agency that provides care to members of a minority ethnic population. The nurse will be better able to demonstrate cultural competence after doing which of the following?

A psychoeducational session will discuss medication management for a culturally diverse group of patients. Group participants are predominantly members of minority cultures. Of the four staff nurses below, which nurse should lead this group?

A nurse wants to engage a translator for a severely anxious 21-year-old male who immigrated to Canada 2 years ago. Of the four translators below who are available and fluent in the patient's language, which one should the nurse call?

Which communication techniques would be most effective for a nurse to use during an assessment interview with an adult Indigenous patient?

A Mexican Canadian patient puts a picture of the Virgin Mary on the bedside table. What is the nurse's best action?