Exam 5: Cultural Implications for Psychiatric Mental Health Nursing

A black patient,originally from Haiti,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.

Why is the study of culture so important for psychiatric nurses in the United States? Select all that apply.

The sibling of an Asian American 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? Persons of an Asian American heritage:

Match the culture-bound syndrome with the patient most likely to experience it. Answers may be used more than once. -Hwa-byung

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 Native American patient describes a difficult childhood and dropping out of high school.The patient abused alcohol as a teenager to escape feelings of isolation but stopped 10 years ago.The patient now says,"I feel stupid.I've never had a good job.I don't help my people." Which nursing diagnosis applies?

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

To provide culturally competent care,the nurse should:

A nurse prepares to teach important medication information to a patient of Mexican heritage.How should the nurse manage the teaching environment?

A Chinese American patient diagnosed with an anxiety disorder says,"My problems began when my energy became imbalanced." The nurse asks for the patient's ideas about how to treat the imbalance.Which comment would the nurse expect from this patient?

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

A nurse wants to engage an interpreter for a severely anxious 21-year-old male who immigrated to the United States two years ago.Of the four interpreters below who are available and fluent in the patient's language,which one should the nurse call?

Match the culture-bound syndrome with the patient most likely to experience it. Answers may be used more than once. -Ataque de nervios

Which viewpoint of an Asian American family will most affect decision making about care?

Match the culture-bound syndrome with the patient most likely to experience it. Answers may be used more than once. -Wind illness

A Native American 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?

Match the culture-bound syndrome with the patient most likely to experience it. Answers may be used more than once. -Susto

A psychiatric nurse leads a medication education group for Hispanic patients.This nurse holds a Western worldview and uses pamphlets as teaching tools.Groups are short and concise.After the group,the patients are most likely to believe:

A Haitian 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." The culturally aware nurse assesses that the patient:

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 mind." Which worldview is most applicable to this individual?