Chapter 5: Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing

Chapter 5: Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   An African American youth, growing up in an impoverished neighborhood, seeks affiliation with a black gang. Soon he is engaging in theft and assault. What cultural consideration should a nurse identify as playing a role in this youth’s choices?

1.	Most African American homes are headed by strong, dominant father figures.
2.	Most African Americans choose to remain within their own social organization.
3.	Most African Americans are uncomfortable expressing emotions and seek out belonging.
4.	Most African Americans have few religious beliefs, which contributes to criminal activity.

 

 

____     2.   Northern European Americans value punctuality, hard work, and the acquisition of material possessions and status. A nurse should recognize that these values may contribute to which form of psychopathology?

1.	Dissociative disorders
2.	Alzheimer’s dementia
3.	Stress-related disorders
4.	Schizophrenia-spectrum disorders

 

 

____     3.   A community health nurse is planning a health fair at a local shopping mall. Which middle-class socioeconomic cultural group should the nurse anticipate would most value preventive medicine and primary health care?

1.	Northern European Americans
2.	Native Americans
3.	Latino Americans
4.	African Americans

 

 

____     4.   Which rationale by a nursing instructor best explains why it is challenging to globally classify the Asian American culture?

1.	Extremes of emotional expression prevent accurate assessment of this culture.
2.	Suspicion of Western civilization has understandably resulted in minimal participation in cultural research.
3.	The small size of this subpopulation makes research virtually impossible.
4.	The Asian American culture includes individuals from Japan, China, Vietnam, Korea, and other countries.

 

 

____     5.   A Latin American woman refuses to participate in an assertiveness training group. Which cultural belief should a nurse identify as most likely to affect this client’s decision?

1.	Future orientation causes the client to devalue assertiveness skills.
2.	Decreased emotional expression makes it difficult to be assertive.
3.	Assertiveness techniques may not be aligned with the client’s definition of the female role.
4.	Religious prohibitions prevent the client’s participation in assertiveness training.

 

Chapter 5: Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing

Answer Section

 

MULTIPLE CHOICE

 

1. ANS:  2

Chapter: Chapter 5, Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing

Objective:  Describe cultural variances, based on the six phenomena, for African Americans.

Page: 100

Heading: Application of the Nursing Process > African Americans

Integrated Processes: Nursing Process

Client Need: Psychosocial Integrity

Cognitive Level: Application [Applying]

Concept: Culture

Difficulty: Easy

 

	Feedback
1	Most African American homes are headed by strong, dominant maternal figures.
2	The nurse should identify that a tendency to remain within one’s own social organization may have played a role in the youth’s choice to join a black gang.
3	It is incorrect that most African Americans are uncomfortable expressing emotions.
4	It is incorrect that most African Americans have few religious beliefs.

 

 

PTS:   1                    CON:  Culture

 

2. ANS:  3

Chapter: Chapter 5, Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing

Objective: Identify cultural differences based on six characteristic phenomena.

Page: 97

Heading: Application of the Nursing Process > Northern European American Values

Integrated Processes: Nursing Process

Client Need: Psychosocial Integrity

Cognitive Level: Application [Applying]

Concept: Culture

Difficulty: Easy

 

	Feedback
1	Dissociative disorders are not indicative of Northern European American values.
2	Alzheimer’s dementia is not indicative of Northern European American values.
3	The nurse should correlate many Northern European American values, such as punctuality, hard work, and acquisition of material possessions, with stress-related disorders. Psychopathology may occur when individuals fail to meet the expectations of the culture.
4	Schizophrenia-spectrum disorders are not indicative of Northern European American values.

 

 

PTS:   1                    CON:  Culture

 

3. ANS:  1

Chapter: Chapter 5, Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing

Objective: Identify cultural differences based on six characteristic phenomena.

Page: 97

Heading: Application of the Nursing Process > Northern European Americans

Integrated Processes: Nursing Process

Client Need: Psychosocial integrity

Cognitive Level: Application [Applying]

Concept: Culture

Difficulty: Easy

 

	Feedback
1	The community health nurse should anticipate that Northern European Americans, especially those who achieve middle-class socioeconomic status, place the most value on preventative medicine and primary health care. This value is most likely related to this group’s educational level and financial capability.
2	Many members of the Native American subgroups value folk medicine practices.
3	Many members of the Latino American subgroups value folk medicine practices.
4	Many members of the African American subgroups value folk medicine practices.

 

 

PTS:   1                    CON:  Culture

 

4. ANS:  4

Chapter: Chapter 5, Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing

Objective: Identify cultural differences based on six characteristic phenomena.

Page: 101–102

Heading: Application of the Nursing Process > Asian/Pacific Islander Americans

Integrated Processes: Teaching and Learning

Client Need: Psychosocial integrity

Cognitive Level: Application [Applying]

Concept: Culture

Difficulty: Easy

 

	Feedback
1	This statement is not accurate regarding the Asian American culture.
2	Minimal participation in research is not a factor that has made classifying Asian American culture difficult.
3	The Asian American subculture is large.
4	The nursing instructor’s best explanation is that the Asian American culture is difficult to classify globally because of the number of countries that identify with this culture. The Asian American culture includes peoples and descendants from Japan, China, Vietnam, the Philippines, Thailand, Cambodia, Korea, Laos, India, and the Pacific Islands. Within this culture there are vast differences in values, religious practices, languages, and attitudes.

 

 

PTS:   1                    CON:  Culture

 

5. ANS:  3

Chapter: Chapter 5, Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing

Objective: Identify cultural differences based on six characteristic phenomena.

Page: 102–103

Heading: Application of the Nursing Process > Latino Americans

Integrated Processes: Nursing Process

Client Need: Psychosocial integrity

Cognitive Level: Application [Applying]

Concept: Culture

Difficulty: Easy

 

	Feedback
1	It is not likely that the Latin American woman devalues assertiveness skills.
2	It is not likely that the Latin American woman has decreased emotional expression.
3	The nurse should identify that the Latin American woman’s refusal to participate in an assertiveness training group may be affected by the Latin American cultural definition of the female role. Latin Americans place a high value on the family, which is male dominated. The father usually possesses the ultimate authority.
4	It is not likely that the Latin American woman has religious prohibitions.

 

 

PTS:   1                    CON:  Culture