Chapter 05: Cultural Implications for Psychiatric Mental Health Nursing

Chapter 05: Cultural Implications for Psychiatric Mental Health Nursing

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

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

a.	Interdependence
b.	Present orientation
c.	Flexible perception of time
d.	Direct confrontation to solve problems

 

 

ANS:  D

Directly confronting problems is a highly valued approach in the American culture but not part of many other cultures in which harmony and restraint are valued. American nurses sometimes mistakenly think that all patients should take direct action. Patients with other values will be unable to meet this culturally inappropriate outcome. Present orientation, interdependence, and a flexible perception of time are not valued in Western culture. These views are more predominant in other cultures.  See relationship to audience response question.

 

PTS:   1                    DIF:    Cognitive Level: Understand (Comprehension)

REF:   Page 88 (Table 5-4)                         TOP:   Nursing Process: Planning

MSC:  Client Needs: Psychosocial Integrity

 

2. 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.	the nurse was uncaring.	c.	the teaching was efficient.
b.	the session was effective.	d.	they were treated respectfully.

 

 

ANS:  A

Hispanic individuals usually value relationship behaviors. Their needs are for learning through verbal communication rather than reading and for having time to chat before approaching the task.

 

PTS:   1                    DIF:    Cognitive Level: Apply (Application)

REF:   Page 85-86 (Table 5-2)                    TOP:   Nursing Process: Evaluation

MSC:  Client Needs: Psychosocial Integrity

 

3. To provide culturally competent care, the nurse should:

a.	accurately interpret the thinking of individual patients.
b.	predict how a patient may perceive treatment interventions.
c.	formulate interventions to reduce the patient’s ethnocentrism.
d.	identify strategies that fit within the cultural context of the patient.

 

 

ANS:  D

The correct answer is the most global response. Cultural competence requires ongoing effort. Culture is dynamic, diversified, and changing. The nurse must be prepared to gain cultural knowledge and determine nursing care measures that patients find acceptable and helpful. Interpreting the thinking of individual patients does not ensure culturally competent care. Reducing a patient’s ethnocentrism may not be a desired outcome.

 

PTS:   1                    DIF:    Cognitive Level: Apply (Application)

REF:   Page 93          TOP:   Nursing Process: Planning/Outcomes Identification

MSC:  Client Needs: Psychosocial Integrity

 

4. 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.

a.	“Black patients depend on the church for support. Have you consulted the patient’s pastor?”
b.	“Encourage the patient to talk in a group setting. It will be less intimidating than one-to-one interaction.”
c.	“Don’t take it personally. Black patients often have a resentful attitude that takes a long time to overcome.”
d.	“The patient may have difficulty communicating in English. Have you considered using a cultural broker?”

 

 

ANS:  D

Society expects a culturally diverse patient to accommodate and use English. Feelings are abstract, which requires a greater command of the language. This may be especially difficult during episodes of high stress or mental illness. Cultural brokers can be helpful with language and helping the nurse to understand the Haitian worldview and cultural nuances.

 

PTS:   1                    DIF:    Cognitive Level: Apply (Application)

REF:   Page 88-89     TOP:   Nursing Process: Implementation

MSC:   Client Needs: Psychosocial Integrity