Chapter 7: Social, Cultural, and Spiritual Context of Psychiatric Nursing Care

Chapter 7: Social, Cultural, and Spiritual Context of Psychiatric Nursing Care

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Sociocultural risk factors are identified by assessing which patient characteristic?

a.	Belief system
b.	Daily health habits
c.	Stress management habits
d.	Restfulness of the home environment

 

 

ANS:  A

Six patient characteristics, influenced by social norms, cultural values, and spiritual beliefs, are known to act as risk factors. These are patient age, ethnicity, gender, education, income, and beliefs. The remaining options are representative of protective factors.

 

DIF:    Cognitive Level: Comprehension     REF:   Text Page: 100

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity

 

2. Which of these statements by a nurse suggests that the nurse will display cultural sensitivity when interviewing a patient from a different culture?

a.	“The patient’s cultural background is very different from my own.”
b.	“I think introducing ethnic humor is an effective way of establishing rapport.”
c.	“I have to remember to document the patient’s ethnic origin and religion in the record.”
d.	“Before the interview I will take a few minutes to review actions that might offend a patient of this culture.”

 

 

ANS:  D

The nurse should use established references in order to be familiar with specific patient cultures. Simple actions, gestures, and attitudinal displays that are part of the nurse’s culture may be offensive to a patient of a different culture. Understanding this indicates that the nurse will make an effort to display cultural sensitivity.

 

DIF:    Cognitive Level: Application           REF:   Text Page: 99

TOP:   Nursing Process: Planning               MSC:  NCLEX: Psychosocial Integrity

 

3. Which statement will be most important for planning future community mental health services?

a.	The population over age 65 years will continue to increase.
b.	Many more people will move out of rural and into urban areas.
c.	The U.S. population will increase drastically by the year 2050.
d.	The U.S. population will become more diverse with regard to race and ethnicity.

 

 

ANS:  D

By 2050, Hispanics will make up about 25% of the U.S. population; African Americans will make up about 14%, Asians and Pacific Islanders about 8%, and whites about 53%. Although the other options relate to community population, they are very general in regard to population size and not specific to issues pertaining to mental health education.

 

DIF:    Cognitive Level: Comprehension     REF:   Text Page: 100

TOP:   Nursing Process: Planning               MSC:  NCLEX: Psychosocial Integrity

 

4. A nurse working with individuals from ethnic minority groups recognizes which as a factor that affects mental health care?

a.	They often delay seeking help until problems become intense or chronic.
b.	They characteristically do not engage in early termination from care.
c.	They tend to dislike using community support systems.
d.	They tend to avoid using family support systems.

 

 

ANS:  A

Research suggests that members of minority groups delay seeking help until their problems are intense, chronic, and at a stage that is difficult to treat, and until community and family support systems have been exhausted. Delays in accessing care and early termination from care create a cyclical reliance on more costly health care services.

 

DIF:    Cognitive Level: Comprehension     REF:   Text Page: 101

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity

 

5. When conducting an admission interview, a mental health nurse asks a patient a series of questions related to personal beliefs. When the patient asks why these questions are being asked, how should the nurse respond?

a.	“These questions are routine and are a mandatory part of the admission process.”
b.	“The prime reason is that these questions help the staff to identify any specific health care practices that would conflict with your religious beliefs.”
c.	“Mental health can be affected by personal belief systems, so it is important that your treatment plan be developed to be compatible with your beliefs.”
d.	“These questions are asked of every patient and are confidential, but if you are not comfortable answering them I will simply note that in your chart.”

 

 

ANS:  C

A person’s belief system, worldview, religion, or spirituality can have a positive or negative effect on mental health. Belief systems play a vital role in determining whether a particular explanation and associated treatment plan will have meaning for the patient and others in the patient’s social network. Declaring that something is routine/mandatory does not address the patient’s question nor does ensuring confidentiality. Addressing religious beliefs is only a partial focus of the interview process.

 

DIF:    Cognitive Level: Application           REF:   Text Page: 103

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity