Chapter 7: Culturally Relevant Mental Health Nursing: A Global Perspective

Chapter 7: Culturally Relevant Mental Health Nursing: A Global Perspective

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1)   The cultural pattern highly valued in American society that often results in nurses of the dominant culture establishing unrealistic outcomes for clients of other cultural groups is

ANS:   C

Directly confronting problems is a highly valued approach in the American culture; however, it is not part of many other cultures in which harmony and restraint are valued. American nurses mistakenly think that all clients are capable of taking direct action. Clients with other values will be unable to meet this culturally inappropriate outcome. Option A: This cultural pattern is valued more by indigenous peoples. Option B: Present orientation is not part of Western culture; it is seen more in the Hispanic tradition and indigenous cultures. Option D: This pattern is seen more often in Eastern cultures.

DIF:    Cognitive Level: Comprehension

REF:    Text Page: 102, Text Page: 103, Text Page: 104, Text Page: 105

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

2)   The provision of culturally competent nursing care will be fostered when the nurse plans and implements care on the belief that

ANS:   C

Cultural competence requires health care providers to see themselves as becoming culturally competent rather than being culturally competent. This view requires the provider to continuously strive to work effectively within the cultural context of the client. Option A: Assimilation and conformity may not be desired by the client. Option B: Handbooks can be helpful but do not provide all knowledge. Option D: This action should move the nurse toward providing more humanistic care rather than dehumanizing care.

DIF:    Cognitive Level: Application             REF:    Text Page: 109, Text Page: 110

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

3)   To provide culturally competent care after becoming familiar with the way of life of individuals of a particular culture, the nurse will

ANS:   C

Cultural competence is a continual process of “becoming” as opposed to a state that is arrived at and maintained without ongoing effort. Culture is dynamic, diversified, and changing. The nurse must be prepared to gain cultural knowledge and then determine the nursing care measures that clients find acceptable and helpful. Option A: Interpreting the thinking of individual clients cannot be done simply by having knowledge of the culture. Option B: This may be true to some extent: however, because of individual thinking, it cannot be a certainty. Option D: Reducing a client’s ethnocentrism may not be a desired outcome.

DIF:    Cognitive Level: Application             REF:    Text Page: 110

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

4)   A clinical specialist supervises therapy for a 26-year-old African American client originally from Haiti who was admitted for depression. A staff nurse tells the clinical specialist that “ The client can’t seem to express her feelings when I ask about them. She just looks down.” The nurse adds, “But I’ve seen her talking to a young African American client, and she seems quite spontaneous.” What remark by the clinical specialist would help the staff nurse develop cultural competence?

ANS:   C

Society expects a culturally diverse client to accommodate and use standard English. This may be virtually impossible during episodes of mental illness. Cultural translators can be helpful with language and helping the nurse to understand the Haitian worldview and cultural nuances.

DIF:    Cognitive Level: Application             REF:    Text Page: 111, Text Page: 112

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