Question 1

The nurse would increase the distance of personal space when interacting with a patient who is of which of the following origins?

Accepted Answer

A)  Middle Eastern 
B)  Asian 
C)  Southern European 
D)  Latin American 
A)  Middle Eastern 
B)  Asian 
C)  Southern European 
D)  Latin American

Question 2

An Indigenous patient sadly describes a difficult childhood. The patient abused alcohol as a teenager but stopped 10 years ago. The patient now says, "I feel stupid and good for nothing. I don't help my people." How should the treatment team focus planning for this patient?

Accepted Answer

A)  Psychopharmacological and somatic therapies should be central techniques. 
B)  Apply a psychoanalytic approach, focused on childhood trauma. 
C)  Depression and alcohol abuse should be treated concurrently. 
D)  Use a holistic approach, including mind, body, and spirit. 
A)  Psychopharmacological and somatic therapies should be central techniques. 
B)  Apply a psychoanalytic approach, focused on childhood trauma. 
C)  Depression and alcohol abuse should be treated concurrently. 
D)  Use a holistic approach, including mind, body, and spirit.

Question 3

A patient who has been hospitalized for 3 days with a serious mental illness says, "I've got to get out of here and back to my job. I get 60 to 80 messages a day, and I'm getting behind on my email correspondence." What is this patient's perspective about health and illness?

Accepted Answer

A)  Fateful, magical 
B)  Eastern, holistic 
C)  Western, biomedical 
D)  Harmonious, religious 
A)  Fateful, magical 
B)  Eastern, holistic 
C)  Western, biomedical 
D)  Harmonious, religious

Question 4

Which questions should the nurse ask to determine an individual's world view?

Accepted Answer

A)  What is more important: the needs of an individual or the needs of a community? 
B)  How would you describe an ideal relationship between individuals? 
C)  How long have you lived at your present residence? 
D)  Of what importance are possessions in your life? 
E)  Do you speak any foreign languages? 
A)  What is more important: the needs of an individual or the needs of a community? 
B)  How would you describe an ideal relationship between individuals? 
C)  How long have you lived at your present residence? 
D)  Of what importance are possessions in your life? 
E)  Do you speak any foreign languages?

Question 5

A patient in the emergency department shows a variety of psychiatric symptoms, including restlessness and anxiety. The patient says, "I feel sad because evil spirits have overtaken my all of me-they think for me and they do things I would not normally do." Which world view is most applicable to this individual?

Accepted Answer

A)  Religious 
B)  Holistic 
C)  Scientific 
D)  Biomedical 
A)  Religious 
B)  Holistic 
C)  Scientific 
D)  Biomedical

Question 6

A Vietnamese patient's family reports that the patient has wind illness. Which menu selection will be most helpful for this patient?

Accepted Answer

A)  Iced tea 
B)  Ice cream 
C)  Warm broth 
D)  Gelatin dessert 
A)  Iced tea 
B)  Ice cream 
C)  Warm broth 
D)  Gelatin dessert

Question 7

A patient who speaks limited English has gotten upset with the nurse when she gestured with her foot towards the washroom as her hands were full and wanted to help the patient find the washroom. What should the nurse do?

Accepted Answer

A)  Contact a translator. 
B)  Apologize for upsetting the patient and ask what happened that upset the patient. 
C)  Explain to the patient that you were pointing to the washroom with your foot. 
D)  Research the patients' cultural background to assess what it was that may have been misinterpreted. 
A)  Contact a translator. 
B)  Apologize for upsetting the patient and ask what happened that upset the patient. 
C)  Explain to the patient that you were pointing to the washroom with your foot. 
D)  Research the patients' cultural background to assess what it was that may have been misinterpreted.

Question 8

The sibling of an Asian Canadian patient tells the nurse, "My sister needs help for pain. She cries from the hurt." Which understanding by the nurse will contribute to culturally competent care for this patient?

Accepted Answer

A)  People of Asian descent often express emotional distress with physical symptoms. 
B)  People of Asian descent will probably respond best to a therapist who is impersonal. 
C)  People of Asian descent will require prolonged treatment to stabilize these symptoms. 
D)  People of Asian descent should be given direct information about the diagnosis and prognosis. 
A)  People of Asian descent often express emotional distress with physical symptoms. 
B)  People of Asian descent will probably respond best to a therapist who is impersonal. 
C)  People of Asian descent will require prolonged treatment to stabilize these symptoms. 
D)  People of Asian descent should be given direct information about the diagnosis and prognosis.

Question 9

A nurse prepares to assess a newly hospitalized patient who moved to Canada 6 months ago from Somalia. The nurse should first determine which of the following?

Accepted Answer

A)  If the patient's immunizations are current 
B)  The patient's religious preferences 
C)  The patient's specific ethnic group 
D)  Whether a translator is needed 
A)  If the patient's immunizations are current 
B)  The patient's religious preferences 
C)  The patient's specific ethnic group 
D)  Whether a translator is needed

Question 10

Which term refers to the sharing of common traits, customs, and race?

Accepted Answer

A)  World view 
B)  Ethnicity 
C)  Ethnocentrism 
D)  Culture 
A)  World view 
B)  Ethnicity 
C)  Ethnocentrism 
D)  Culture

Question 11

Why is the study of culture so important for psychiatric nurses in Canada?

Accepted Answer

A)  Psychiatric nurses often practice in other countries. 
B)  Psychiatric nurses must advocate for the traditions of the Western culture. 
C)  Cultural competence helps protect patients from prejudice and discrimination. 
D)  Patients should receive information about their illness and treatment in terms they understand. 
E)  Psychiatric nurses often interface with patients and their significant others over a long period of time. 
A)  Psychiatric nurses often practice in other countries. 
B)  Psychiatric nurses must advocate for the traditions of the Western culture. 
C)  Cultural competence helps protect patients from prejudice and discrimination. 
D)  Patients should receive information about their illness and treatment in terms they understand. 
E)  Psychiatric nurses often interface with patients and their significant others over a long period of time.

Exam 8: Cultural Considerations for Psychiatric Mental Health Nursing

The nurse would increase the distance of personal space when interacting with a patient who is of which of the following origins?

An Indigenous patient sadly describes a difficult childhood. The patient abused alcohol as a teenager but stopped 10 years ago. The patient now says, "I feel stupid and good for nothing. I don't help my people." How should the treatment team focus planning for this patient?

A patient who has been hospitalized for 3 days with a serious mental illness says, "I've got to get out of here and back to my job. I get 60 to 80 messages a day, and I'm getting behind on my email correspondence." What is this patient's perspective about health and illness?

Which questions should the nurse ask to determine an individual's world view?

A Vietnamese patient's family reports that the patient has wind illness. Which menu selection will be most helpful for this patient?

A patient who speaks limited English has gotten upset with the nurse when she gestured with her foot towards the washroom as her hands were full and wanted to help the patient find the washroom. What should the nurse do?

The sibling of an Asian Canadian patient tells the nurse, "My sister needs help for pain. She cries from the hurt." Which understanding by the nurse will contribute to culturally competent care for this patient?

A nurse prepares to assess a newly hospitalized patient who moved to Canada 6 months ago from Somalia. The nurse should first determine which of the following?

Which term refers to the sharing of common traits, customs, and race?

Why is the study of culture so important for psychiatric nurses in Canada?

Mental Health and Mental Illness

Historical Overview of Psychiatric Mental Health Nursing

Overview of Psychiatric Mental Health Nursing Care Within Various Settings

Relevant Theories and Therapies for Nursing Practice

Understanding Responses to Stress

The Nursing Process and Standards of Care for Psychiatric Mental Health Nursing

Ethical Responsibilities and Legal Obligations for Psychiatric Mental Health Nursing Practice

Therapeutic Relationships

Communication and the Clinical Interview

Psychotropic Drugs

Anxiety and Related Disorders

Depressive Disorders

Bipolar Disorders

Schizophrenia Spectrum and Other Psychotic Disorders

Eating and Feeding Disorders

Neurocognitive Disorders

Psychoactive Substance Use and Treatment

Personality Disorders

Sleepwake Disorders

Crisis and Disaster

Suicide and Nonsuicidal Self-Injury

Anger, Aggression, and Violence

Interpersonal Violence: Child, Older Adult, and Intimate Partner Abuse

Sexual Assault

Sexuality and Gender

Disorders of Children and Adolescents

Psychosocial Needs of the Older Adult

Living With Recurrent and Persistent Mental Illness

Psychological Needs of Patients With Medical Conditions

Care for the Dying and for Those Who Grieve

Forensic Psychiatric Nursing

Therapeutic Groups

Family Interventions

Integrative and Complimentary Therapies

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