Varcarolis Ch 5 Cultural Implications Graded A+
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 ️D
...
Varcarolis Ch 5 Cultural Implications Graded A+
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 ✔️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
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.
b. the session was effective.
c. the teaching was efficient.
d. they were treated respectfully. ✔️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.
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. ✔️D
The correct answer is the most global response.
A black patient, originally from Haiti, has a diagnosis of major depressive disorder. 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?" ✔️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.
A Haitian patient diagnosed with major depressive disorder tells the nurse, "There's nothing you can do.
This is a punishment. The only thing I can do is see a healer." The culturally aware nurse assesses that
the patient
a. has delusions of persecution.
b. has likely been misdiagnosed with depression.
c. may believe the distress is the result of a curse or spell.
d. feels hopeless and helpless related to an unidentified cause. ✔️C
Individuals of African American or Caribbean cultures who have a fatalistic attitude about illness may
believe they are being punished for wrongdoing or are victims of witchcraft or voodoo. They may be
reticent to share information about curses with therapists. No data are present in the scenario to
support delusions. Misdiagnosis more often labels a patient with depression as having schizophrenia.
A group activity on an inpatient psychiatric unit is scheduled to begin at 1000. A patient, who was
recently discharged from U.S. Marine Corps, arrives at 0945. Which analysis best explains this behavior?
a. The patient wants to lead the group and give directions to others.
b. The patient wants to secure a chair that will be close to the group leader.
c. The military culture values timeliness. The patient does not want to be late.
d. The behavior indicates feelings of self-importance that the patient wants others to appreciate. ✔️C
Culture is more than ethnicity and social norms. it includes religious, geographic, socioeconomic,
occupational, ability- or disability-related, and sexual orientation-related beliefs and behaviors. In this
instance, the patient's military experience represents an aspect of the patient's behavior. The military
culture values timeliness. The distracters represent misinterpretation of the patient's behavior and have
no bearing on the situation.
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