Exam 6: Cultural Implications for Psychiatric Mental Health Nursing

MATCHING Match the culture-bound syndrome in the left column with the patient most likely to experience it from the right column.solve it from the right column may be used more than once. -Susto

Which tip(s)would be useful for an American nurse preparing for an encounter with a female patient from Japan? (Select all that apply. )

A Russian immigrant created a disturbance while at a funeral.This person was loud,mixed English and Russian phrases,and made dramatic gestures.Police take the person to the emergency department.The nurse assessing this person should:

Which communication style would be most effective to use during an assessment interview with an adult Native American patient?

To provide culturally competent care,the nurse should:

A Native American patient describes difficulty learning as a child,living on a reservation,and being sent away to a Native American boarding school.The patient began using alcohol as a teenager to escape feelings of isolation but stopped 10 years ago when gastritis developed.The patient now says,"I feel stupid and good for nothing.I don't help my people." Which nursing diagnosis applies?

A nurse working with a single,Asian American college student tells a colleague,"The patient has very poor eye contact.No matter what strategies I use,this patient will not look at me." Which explanation(s)would be likely reasons for this patient's behavior? In some Asian cultures: (Select all that apply. )

A depressed patient believes in traditional remedies but agrees to take an antidepressant medication.The patient tells the nurse,"I will also treat my symptoms with my own healing practices." Select the nurse's most important response.

A mental health nurse works in a community-based medication clinic that serves a culturally diverse patient population.Which way of sitting during an interview is most neutral and acceptable to people of a variety of cultures?

An African American patient,originally from Haiti,was admitted for depression.A staff nurse tells a peer,"This patient frequently looks down and does not express feelings.When I observe interactions with other African American patients,however,the patient appears spontaneous." What remark by the peer would be most helpful?

MATCHING Match the culture-bound syndrome in the left column with the patient most likely to experience it from the right column.solve it from the right column may be used more than once. -Hwa-byung

A Native American patient describes difficulty learning as a child,living on a reservation,and being sent away to a Native American boarding school.The patient began using alcohol as a teenager to escape feelings of isolation but stopped 10 years ago when gastritis developed.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?

Which Western cultural feature may result in establishing unrealistic outcomes for patients of other cultural groups?

Which question would best help a nurse assess feminist issues regarding treatment options for a woman of a culture with an Eastern worldview?

MATCHING Match the culture-bound syndrome in the left column with the patient most likely to experience it from the right column.solve it from the right column may be used more than once. -Ataque de nervios

A nurse in the clinic has a full appointment schedule.A Hispanic American patient arrives at 12:30 PM for a 10 AM appointment.A Native American patient does not keep an appointment at all.What understanding will improve the nurse's planning? These patients are:

MATCHING Match the culture-bound syndrome in the left column with the patient most likely to experience it from the right column.solve it from the right column may be used more than once. -Ghost sickness

The psychiatric nurse makes a home visit to a Hispanic patient with major depression.The patient greets the nurse,smiles,and eagerly offers to make coffee.The nurse initiates a handshake,politely refuses the coffee,and suggests they talk about the patient's progress.During the session,the nurse notes the patient becomes less spontaneous and more withdrawn.The nurse should correctly analyze that:

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

The sibling of an Asian American 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? The patient: